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三种不同赋形剂对三联抗生素糊剂抗菌效果影响的比较评价:一项研究。

A Comparative Evaluation of the Influence of Three Different Vehicles on the Antimicrobial Efficacy of Triple Antibiotic Paste against : An Study.

作者信息

Mandal Shouvik S, Margasahayam Sumanthini V, Shenoy Vanitha U

机构信息

Department of Conservative Dentistry and Endodontics, MGM Dental College and Hospital, Navi Mumbai, Maharashtra, India.

出版信息

Contemp Clin Dent. 2020 Apr-Jun;11(2):150-157. doi: 10.4103/ccd.ccd_372_19. Epub 2020 Aug 7.

Abstract

INTRODUCTION

The root canal is a hub of numerous microorganisms. Routine endodontic procedures fail to remove the resistant microorganisms such as .

AIM

The aim of the present study was to evaluate the influence of different vehicles on the antimicrobial efficacy of triple antibiotic paste (TAP) on infected root canals.

MATERIALS AND METHODS

Eighty single-rooted and freshly extracted human teeth were prepared in radicular portion, and pure culture of (ATCC 29212™) inoculum was injected into canals of tooth blocks and incubated for 21 days. Tooth blocks were divided into five groups. Each experimental group was then medicated with 0.1 ml of TAP and no medication was added for control groups. After 21 days of incubation at 37°C, colony-forming units per milliliter (CFU/ml) were counted for each group.

RESULTS

Group II treated with TAP mixed with propylene glycol revealed a maximum reduction in CFU/ml, and that was followed by Group I and Group III, where TAP was mixed with 2% chlorhexidine (CHX) and 0.9% normal saline, respectively. Data were compared and analyzed using statistics software. The results were considered statistically significant for < 0.05. There was a statistically significant difference in CFU/ml between propylene glycol and positive control group, between CHX and positive control group, between saline and positive control group.

CONCLUSIONS

The propylene glycol group with TAP was the most effective vehicle for the elimination of from canals of tooth blocks, followed by 2% CHX solution as the second vehicle of choice over 0.9% normal saline.

摘要

引言

根管是众多微生物的聚集中心。常规牙髓治疗程序无法清除诸如……等耐药微生物。

目的

本研究旨在评估不同载体对三联抗生素糊剂(TAP)在感染根管中的抗菌效果的影响。

材料与方法

选取80颗单根新鲜拔除的人牙,制备牙根部分,将 (美国典型培养物保藏中心29212™)接种物的纯培养物注入牙块根管内,孵育21天。牙块分为五组。然后给每个实验组用药0.1 ml TAP,对照组不添加任何药物。在37°C孵育21天后,计算每组每毫升的菌落形成单位(CFU/ml)。

结果

用丙二醇混合TAP处理的第二组每毫升CFU减少最多,其次是第一组和第三组,其中TAP分别与2%洗必泰(CHX)和0.9%生理盐水混合。使用统计软件对数据进行比较和分析。当P<0.05时,结果被认为具有统计学意义。丙二醇组与阳性对照组之间、CHX组与阳性对照组之间、生理盐水组与阳性对照组之间每毫升CFU存在统计学显著差异。

结论

TAP与丙二醇组成的组是从牙块根管中清除……最有效的载体,其次是2% CHX溶液,是优于0.9%生理盐水的第二选择载体。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a09/7583540/2293e1f8f090/CCD-11-150-g001.jpg

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