Eneide Caterina, Castagnola Raffaella, Martini Cecilia, Grande Nicola Maria, Bugli Francesca, Patini Romeo, Cordaro Massimo, Sanguinetti Maurizio, Olivi Giovanni, Isola Gaetano, Marigo Luca
Unità Operativa Complessa (UOC) Odontoiatria Generale e Ortodonzia, Dipartimento Scienze dell'Invecchiamento, Neurologiche, Ortopediche e della Testa Collo. Fondazione Policlinico Universitario "A. Gemelli" IRCCS, 00168 Rome, Italy.
Istituto di Clinica Odontoiatrica, Università Cattolica del Sacro Cuore, 20123 Rome, Italy.
Antibiotics (Basel). 2019 Aug 9;8(3):112. doi: 10.3390/antibiotics8030112.
The microbial infection of the endodontic space occurs in a necrotic tooth as a result of dental caries, trauma, periodontal disease, or previous root canal therapy. The disruption of the biofilms and the reduction of the bacterial load inside root canals are crucial for the success of root canal therapy. The aim of this study was to compare, in vitro, the antibiofilm efficacy of a novel passive sonic irrigation (PSI) device with passive ultrasonic irrigation (PUI) and conventional needle irrigation (CNI). Forty-four single-rooted human teeth were inoculated with a culture of for 28 days. The specimens were randomly divided into three groups: PUI, CNI, and PSI ( = 12). The activation protocols were performed using both 17% EDTA and 5.25% NaOCl. Residual bacterial biofilm was taken by means of a canal brush and colony-forming unit (CFU) were counted. The data were analyzed using one-way ANOVA and Games-Howell's post hoc tests. A major reduction in CFU was observed in the PSI and PUI groups, in comparison with the CNI group. No difference was found ( > 0.05) in terms of CFU reduction between PSI and PUI. PSI could be as effective as PUI in the removal of bacterial biofilms from straight root canals.
由于龋齿、外伤、牙周病或先前的根管治疗,牙髓腔的微生物感染发生在坏死牙中。生物膜的破坏和根管内细菌载量的减少对于根管治疗的成功至关重要。本研究的目的是在体外比较一种新型被动声波冲洗(PSI)装置与被动超声冲洗(PUI)和传统针管冲洗(CNI)的抗生物膜效果。44颗单根人牙接种培养物28天。标本随机分为三组:PUI组、CNI组和PSI组(每组n = 12)。使用17%乙二胺四乙酸(EDTA)和5.25%次氯酸钠(NaOCl)进行激活方案。通过根管刷获取残留细菌生物膜并计数菌落形成单位(CFU)。数据采用单因素方差分析和Games-Howell事后检验进行分析。与CNI组相比,PSI组和PUI组的CFU显著减少。在CFU减少方面,PSI组和PUI组之间未发现差异(P > 0.05)。PSI在去除直根管内细菌生物膜方面可能与PUI一样有效。