Kulkarni Sangeeta, Mustafa Mohammed, Ghatole Kiran, AlQahtani Ali Robaian, I Asiri Faris Yahya, Alghomlas Ziyad Ibrahim, Alothman Tameem Abdullah, Alhajri Fawaz Fahad
Department of Conservative Dentistry and Endodontics, Al-Badar Dental College and Hospital, Kalaburagi, Karnataka, India.
Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam bin Abdulaziz University, Al-Kharj, Saudi Arabia.
Eur J Dent. 2021 May;15(2):253-258. doi: 10.1055/s-0040-1717053. Epub 2020 Oct 8.
The aim of this study was to evaluate the effects of 2% chlorhexidine gluconate (CHG) and 2% sodium fluoride (NaF) as endodontic irrigants on microhardness of root dentin.
In this study, access cavity and root canal preparations were done on 24 freshly extracted anterior teeth. After sectioning into 24 dentin discs using hard tissue microtome in 2 mm thickness, all samples were immersed in solutions of 17% ethylenediamine tetra-acetic acid (EDTA) (2 minutes) followed by 2.5% of sodium hypochlorite (NaOCl) (10 minutes). Then samples were randomly divided into three groups based on the irrigant used: Group I: saline (control group); Group II: 2% NaF; Group III: 2% CHG for two minutes each. Dentin microhardness was measured before (pretreatment), during (after treatment with 17% EDTA and 2.5% NaOCl), and after the experimental period (after treatment with saline, 2% NaF, and 2% CHG) using a Vickers indenter. Statistical evaluation of the data was done using one-way analysis of variance (ANOVA) and the Student's -test, and the values are tabulated.
Specimens rinsed in 2% CHG showed a significant increase in Vickers hardness number (VHN) values ( < 0.05), as compared with EDTA and NaOCl groups, whereas saline and 2% NaF groups showed no significant difference.
NaF did not show any significant effect on microhardness of the root dentin. CHG as an irrigant was seen to have a strengthening effect on dentin microhardness in comparison to NaOCl and EDTA, which has decreased the strength of root dentin.
本研究旨在评估2%葡萄糖酸氯己定(CHG)和2%氟化钠(NaF)作为根管冲洗剂对牙根牙本质显微硬度的影响。
本研究中,对24颗新鲜拔除的前牙进行开髓腔和根管预备。使用硬组织切片机将其切成厚度为2mm的24个牙本质片后,所有样本先浸入17%乙二胺四乙酸(EDTA)溶液中2分钟,接着浸入2.5%次氯酸钠(NaOCl)溶液中10分钟。然后根据所使用的冲洗剂将样本随机分为三组:第一组:生理盐水(对照组);第二组:2% NaF;第三组:2% CHG,每组各冲洗2分钟。使用维氏压头在预处理前、处理过程中(用17% EDTA和2.5% NaOCl处理后)以及实验期结束后(用生理盐水、2% NaF和2% CHG处理后)测量牙本质显微硬度。采用单因素方差分析(ANOVA)和学生t检验对数据进行统计学评估,并将结果制成表格。
与EDTA组和NaOCl组相比,用2% CHG冲洗的样本维氏硬度值(VHN)显著增加(P<0.05),而生理盐水组和2% NaF组之间无显著差异。
NaF对牙根牙本质的显微硬度未显示出任何显著影响。与降低牙根牙本质强度的NaOCl和EDTA相比,CHG作为冲洗剂对牙本质显微硬度具有强化作用。