Maru Viral P, Padawe Dimple, Tripathi Vandana Pandey, Takate Vilas, Dighe Kishor, Vishwanath Dalvi Shraddha
J Clin Pediatr Dent. 2020;44(3):174-179. doi: 10.17796/1053-4625-44.3.7.
The aim of the present study was to evaluate the reduction in bacterial loading using Papacarie and Carisolv as an irrigating solution in pulpectomized primary molars. A controlled, randomized clinical trial involving 120 necrotic canals from both genders between 3 and 7 years old children were included, 30 irrigated with Papacarie [ group I], Carisolv [ group II], 1% NaOCl gel [ group III] and 1% Na0Cl solution [group IV ] each; in all cases, 2 microbiological samples from within the canals were taken with sterile paper points, the first after the canal opening and before the first irrigation, and the second after instrumentation and final irrigation, before obturation. All samples were evaluated by Agar plate method. The results were statistically analyzed by ANOVA. After analyzing samples before and after irrigation in all the groups, a strong significant decrease in bacterial load [ p = < 0.001 ] was found with Papacarie and Carisolv. Papacarie and Carisolv can be suggested as an alternative irrigant for pulpectomy of necrotic teeth.
本研究的目的是评估在乳牙牙髓切断术中使用派丽奥(Papacarie)和伢典(Carisolv)作为冲洗液时细菌载量的减少情况。纳入了一项对照随机临床试验,涉及3至7岁儿童的120条坏死根管,男女均有,每组30条根管,分别用派丽奥(I组)、伢典(II组)、1%次氯酸钠凝胶(III组)和1%次氯酸钠溶液(IV组)冲洗;在所有病例中,用无菌纸尖从根管内采集2份微生物样本,第一份在开髓后、第一次冲洗前采集,第二份在根管预备和最终冲洗后、充填前采集。所有样本均采用琼脂平板法进行评估。结果采用方差分析进行统计学分析。在分析所有组冲洗前后的样本后,发现使用派丽奥和伢典后细菌载量有极显著下降(p = < 0.001)。派丽奥和伢典可作为坏死牙髓切断术的替代冲洗剂。