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使用两种旋转器械预备顺序减少体外根管内多菌种生物膜

Reduction of an in vitro Intraradicular Multispecies Biofilm Using Two Rotary Instrumentation Sequences.

作者信息

Zavattini Angelo, Cowie Jonathan, Niazi Sadia, Giovarruscio Massimo, Sauro Salvatore, Foschi Federico

机构信息

Department of Endodontics, Faculty of Dentistry, Oral & Craniofacial Sciences, Postgraduate Centre, Guy's Hospital, London Bridge, King's College London, London, United Kingdom.

Circus Dental Practice, Bath, United Kingdom.

出版信息

Eur J Dent. 2020 Feb;14(1):1-7. doi: 10.1055/s-0040-1701541. Epub 2020 Feb 4.

Abstract

OBJECTIVE

The purpose of this research was to investigate the effect per se of two shaping and cleaning techniques on the reduction of an multispecies biofilm.

MATERIALS AND METHODS

A total of 39 freshly extracted monoradicular teeth for periodontal reason were decoronated. Roots were sectioned longitudinally. After autoclaving, a specific stressed biofilm was grown on the root halves that were subsequently reassembled in a silicone index. Two treatments ( = 9 each)-RaCe (Schottlander; Letchworth Garden City, United Kingdom) and ProTaper Gold ( PTG; Dentsply Maillefer, Baillagues, Switzerland)-were tested; three noninstrumented samples served as a control group and three were rinsed with saline. Posttreatment samples were taken at three different levels of the root. Colony-forming units were counted after incubations. Additionally, three treatments ( = 5 each)-RaCe, PTG, and saline only-were evaluated under a confocal laser scanning microscope (CLSM).

STATISTICAL ANALYSIS

Statistical analysis was conducted using Tukey's test and analysis of variance to evaluate the post-instrumentation bioburden.

RESULTS

Both instrumentations were able to reduce the biofilm; however, differences were not present between them ( > 0.05). CLSM showed biofilm killing and disruption through mechanical shaping alone.

CONCLUSIONS

Intraradicular biofilm is reduced with mechanical shaping. There was no difference between RaCe and PTG systems in biofilm reduction despite differences in design, file sequence, and rotational speed.

摘要

目的

本研究旨在调查两种根管预备和清洁技术对减少多种细菌生物膜的自身效果。

材料与方法

因牙周原因拔除的39颗新鲜单根牙去除牙冠。牙根纵切。高压灭菌后,在牙根的两半上培养特定的应激生物膜,随后将其重新组装在硅橡胶模板中。测试两种处理方式(每组9颗牙)——RaCe(Schottlander公司;英国莱奇沃思花园城)和ProTaper Gold(PTG;登士柏迈尔牙科公司,瑞士拜拉格);三个未进行器械处理的样本作为对照组,三个用生理盐水冲洗。在牙根的三个不同水平采集处理后的样本。培养后计算菌落形成单位。此外,在共聚焦激光扫描显微镜(CLSM)下评估三种处理方式(每组5颗牙)——RaCe、PTG和仅用生理盐水冲洗。

统计分析

采用Tukey检验和方差分析进行统计分析,以评估器械处理后的生物负荷。

结果

两种器械处理均能减少生物膜;然而,两者之间无差异(P>0.05)。CLSM显示仅通过机械预备就能杀死生物膜并使其破坏。

结论

通过机械预备可减少根管内生物膜。尽管RaCe和PTG系统在设计、锉的顺序和转速方面存在差异,但在减少生物膜方面并无差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3216/7069743/9b3bad90d308/10-1055-s-0040-1701541_00314_01.jpg

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