Ratih Diatri Nari, Sari Nikita Ika, Santosa Pribadi, Kaswati Nofa Mardia Ningsih
Department of Conservative Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia.
Specialist Study Program of Conservative Dentistry, Faculty of Dentistry, Universitas Gadjah Mada, Yogyakarta 55281, Indonesia.
Int J Dent. 2020 Jul 15;2020:8887593. doi: 10.1155/2020/8887593. eCollection 2020.
Fifty-six premolars were used in this study and divided by two evaluations: 28 teeth for apical sealing ability and 28 others for bond strength. Each study was assigned randomly into two groups of fourteen teeth: Group-1, final irrigation with 17% EDTA; Group-2, with 0.5% chitosan nanoparticles. Each group was further divided into two groups of 7 each: Group-A, final irrigation was applied for 1 minute; Group-B, for 3 minutes. All teeth were obturated with epoxy resin-based sealer and gutta-percha. In the apical sealing ability study, the obturated teeth were immersed in 2% methylene blue and observed under a stereomicroscope (8x magnification). In the bond strength study, the teeth were tested using the push-out technique and observed under a stereomicroscope (40x magnification) to determine the failure type. Data from each evaluation were analysed with two-way ANOVA followed by the LSD test.
Final irrigation using 0.5% chitosan nanoparticles produced the same apical sealing ability and bond strength as 17% EDTA ( > 0.05). A significant difference occurred between application times ( < 0.05). The failure type was observed predominantly as cohesive, and the least was adhesive.
Regardless of the final irrigation solution used, 3-minute application time produced greater apical sealing ability and push-out bond strength than 1-minute application time.
本研究使用了56颗前磨牙,并通过两项评估进行分组:28颗用于根尖封闭能力评估,另外28颗用于粘结强度评估。每项研究随机分为两组,每组14颗牙:第1组,用17%乙二胺四乙酸(EDTA)进行最终冲洗;第2组,用0.5%壳聚糖纳米颗粒进行最终冲洗。每组再进一步分为两组,每组7颗:A组,最终冲洗1分钟;B组,最终冲洗3分钟。所有牙齿均用环氧树脂类封闭剂和牙胶尖进行充填。在根尖封闭能力研究中,将充填后的牙齿浸入2%亚甲蓝溶液中,并在体视显微镜(放大8倍)下观察。在粘结强度研究中,使用推出技术对牙齿进行测试,并在体视显微镜(放大40倍)下观察以确定失败类型。每项评估的数据采用双向方差分析,随后进行最小显著差(LSD)检验。
使用0.5%壳聚糖纳米颗粒进行最终冲洗产生的根尖封闭能力和粘结强度与17% EDTA相同(P>0.05)。冲洗时间之间存在显著差异(P<0.05)。观察到的失败类型主要为内聚性,最少为粘附性。
无论使用何种最终冲洗液,3分钟的冲洗时间比1分钟的冲洗时间产生更大的根尖封闭能力和推出粘结强度。