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经电化学溶解碎裂的镍钛器械后,对人牙牙本质壁的微观评估。

Microscopic evaluation of the dentinal walls of extracted human teeth following electrochemical dissolution of fragmented nickel-titanium instruments.

机构信息

Department of Endodontics, Pontifical University Catholic of Paraná, Curitiba, Brazil.

Department of Periodontics & Endodontics, University at Buffalo, EUA, Buffalo, New York.

出版信息

Microsc Res Tech. 2019 Sep;82(9):1529-1534. doi: 10.1002/jemt.23317. Epub 2019 Jun 11.

Abstract

Electrochemical dissolution is a method in which fluoridated solution in direct contact with the fractured instrument receives an electrical current that speeds up fragment dissolution. The aim of this study was to assess the integrity of dentinal walls during the electrochemical dissolution of fractured rotary endodontic instruments in extracted human teeth. Forty-five human mandibular incisors subjected to the electrochemical dissolution process using fluoride solution with low NaCl concentration (LC group: NaF 12 g/L + NaCl 1 g/L, pH = 5.0), fluoride solution with saturating NaCl concentration (SC group: NaF 12 g/L + NaCl 180 g/L, pH = 5.0) and distilled water (control group) were evaluated. For each group, 15 incisors were submitted for the scanning electron microscopy (SEM) evaluation. The roots were sectioned longitudinally; each hemisection was analyzed (n = 30), and energy-dispersive spectroscopy (EDS) was performed. The amount of dentinal tubule openings was analyzed by SEM. Statistical analyses were performed. The test solutions did not alter the amount of dentinal tubule openings when compared with the control group. No Ni or Ti was impregnated into the dentinal tubules after electrochemical techniques. The dentinal structure remained unchanged following the electrochemical dissolution method.

摘要

电化学溶解是一种方法,其中氟化溶液与断裂器械直接接触,接收电流,加速碎片溶解。本研究旨在评估在提取的人牙中电化学溶解断裂旋转根管器械过程中牙本质壁的完整性。使用低 NaCl 浓度的氟化溶液(LC 组:NaF 12 g/L+NaCl 1 g/L,pH = 5.0)、饱和 NaCl 浓度的氟化溶液(SC 组:NaF 12 g/L+NaCl 180 g/L,pH = 5.0)和蒸馏水(对照组)对 45 个人下颌切牙进行电化学溶解处理,对每组中的 15 颗切牙进行扫描电子显微镜(SEM)评估。将牙根沿纵向切开;对每个半切牙进行分析(n = 30),并进行能谱分析(EDS)。通过 SEM 分析牙本质小管开口的数量。进行了统计分析。与对照组相比,测试溶液并未改变牙本质小管开口的数量。电化学技术后,牙本质小管中未浸渍 Ni 或 Ti。牙本质结构在电化学溶解方法后保持不变。

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