School of Dentistry, University of Ribeirão Preto (UNAERP), Ribeirão Preto. SP, Brazil.
Braz Dent J. 2021 Sep-Oct;32(5):12-22. doi: 10.1590/0103-6440202104472.
The aim of this study was to evaluate the influence of different instruments and mechanisms of agitation of the irrigating solution on the penetration by confocal laser scanning microscopy (CLSM), and the bond strength (BS) of the filling material to the dentin by push-out test. Human premolars were distributed in two experimental groups (n=30), according to the instrumentation system: ProTaper Next (PN) or XP-endo Shaper (XS) and three irrigation protocol (n=10): NaviTip (Nv), XP-endo Finisher (XF), passive ultrasonic irrigation/ XP-endo Finisher (PUIXF). The 2.5% NaOCl and 17% EDTA were the irrigating solutions used. The filling was performed using a lateral condensation technique, with AH Plus added to 0.1% rodhamine B. The roots were sectioned, obtaining 2 slices for each third of the root. The first slice was submitted to the sealer penetration analysis and the push-out test. The second slice was submitted to qualitative analysis (SEM) of the union interface. For the penetration (%) Tukey showed that PNXF (82.38±13.48), PNPUIXF (82.48± 12.02), XSXF (82.24±11.28) and XSPUIXP (86.23±10.45) presented the highest values, different (p<0.05) from PNNv (68.29±15.12) and XSNv (71.41±16.50). The BS (MPa) test evidenced that in the cervical third, PNPF (4.92±1.04) and XPSPF (5.03±0.70) obtained the highest values differing from the others groups (p<0.05). CSLM and SEM showed greater penetration of the sealer on the entire length of the root canal when the irrigation solution was stirred. In conclusion that the association PUI and XP-endo Finisher favored the penetration and bond strength of the filling material to the root dentin.
本研究旨在评估不同搅拌器械和机制对冲洗液渗透的影响,以及通过推离试验评估冲洗液对牙本质的粘结强度(BS)。将人类前磨牙根据仪器系统分为两组(n=30):ProTaper Next(PN)或 XP-endo Shaper(XS),并根据三种冲洗方案(n=10)进一步分组:NaviTip(Nv)、XP-endo Finisher(XF)、被动超声冲洗/ XP-endo Finisher(PUIXF)。使用 2.5%次氯酸钠和 17% EDTA 作为冲洗液。使用侧向压缩技术进行填充,在 AH Plus 中加入 0.1%罗丹明 B。将根部分成三部分,每部分切 2 个切片。第一个切片进行密封剂渗透分析和推离试验。第二个切片进行联合界面的定性分析(SEM)。对于渗透(%),Tukey 检验显示 PNXF(82.38±13.48)、PNPUIXF(82.48±12.02)、XSXF(82.24±11.28)和 XSPUIXP(86.23±10.45)的渗透值最高,与 PNNv(68.29±15.12)和 XSNv(71.41±16.50)相比差异显著(p<0.05)。BS(MPa)测试结果表明,在颈三分之一处,PNPF(4.92±1.04)和 XPSPF(5.03±0.70)获得的 BS 值最高,与其他组相比差异显著(p<0.05)。CSLM 和 SEM 显示,在冲洗液搅拌时,密封剂在整个根管长度上的渗透更好。综上所述,PUI 和 XP-endo Finisher 的联合应用有利于冲洗液对牙本质的渗透和填充材料的粘结强度。