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次氯酸钠的用量和/或作用时间会影响根管治疗后牛牙的断裂强度。

Volume and/or Time of NaOCl Influences the Fracture Strength of Endodontically Treated Bovine Teeth.

作者信息

Souza Erick M, Quadros José de Ribamar P, Silva Emmanuel J N L, De-Deus Gustavo, Belladonna Felipe G, Maia-Filho Etevaldo M

机构信息

Department of Dentistry II, School of Dentistry, UFMA - Universidade Federal do Maranhão, São Luis, MA, Brazil.

Department of Endodontics, School of Dentistry, UNIGRANRIO - Universidade Grande Rio, Rio de Janeiro, RJ, Brazil.

出版信息

Braz Dent J. 2019 Jan-Feb;30(1):31-35. doi: 10.1590/0103-6440201902076.

Abstract

The aim of this study was to evaluate whether amplifying the volume and/or time of contact of NaOCl affects the fracture strength of endodontically treated bovine teeth. Four bovine incisors from 10 animals were allocated into 4 groups using a split-mouth design. Root canals were instrumented using a sequence of 4 manual stainless steel files and irrigated with a 5.25% alkalized NaOCl solution. The total volume and time of irrigation, per sample, varied among the groups as following: standard volume and time of contact - 15 mL/11.5 min; volume raise - 30 mL/11.5 min; time of contact raise - 15 mL/19 min; and volume and time of contact raise - 30 mL/19 min. Samples were subjected to a fracture resistance assay. At p=0.05, two-way ANOVA statistically scrutinized the results. Effect size of NaOCl time of contact and volume were also calculated (η2). The variation in time (p=0.000), volume of irrigation (p=0.000) and the combination of both (p=0.038) negatively influenced the fracture resistance. Standard volume and time of irrigation showed the highest fracture strength while isolated increase in volume or time reduced in 25% and 37%, respectively, the fracture resistance; the simultaneous increase in volume and time of irrigation promoted a reduction of 47%. Effect size of NaOCl time of contact was superior (0.746) than the volume (0.564). Raising the volume and/or time of a 5.25% alkalized NaOCl solution reduces the fracture resistance of endodontically treated bovine teeth.

摘要

本研究的目的是评估增加次氯酸钠(NaOCl)的冲洗量和/或冲洗时间是否会影响经根管治疗的牛牙的抗折强度。采用双口设计,将来自10只动物的四颗牛切牙分为4组。使用一套4根手动不锈钢锉对根管进行预备,并使用5.25%的碱化NaOCl溶液冲洗。每组样本的冲洗总量和冲洗时间各不相同,具体如下:标准冲洗量和冲洗时间——15 mL/11.5分钟;冲洗量增加——30 mL/11.5分钟;冲洗时间增加——15 mL/19分钟;冲洗量和冲洗时间均增加——30 mL/19分钟。对样本进行抗折强度测试。在p = 0.05时,采用双向方差分析对结果进行统计学检验。还计算了NaOCl冲洗时间和冲洗量的效应大小(η2)。冲洗时间(p = 0.000)、冲洗量(p = 0.000)以及两者的组合(p = 0.038)的变化均对抗折强度产生负面影响。标准冲洗量和冲洗时间显示出最高的抗折强度,而单独增加冲洗量或冲洗时间分别使抗折强度降低25%和37%;冲洗量和冲洗时间同时增加则使抗折强度降低47%。NaOCl冲洗时间的效应大小(0.746)高于冲洗量的效应大小(0.564)。增加5.25%碱化NaOCl溶液的冲洗量和/或冲洗时间会降低经根管治疗的牛牙的抗折强度。

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