de Oliveira Helder Fernandes, da Silva Júnior Ismael Fernandes, Teixeira Luan Carlos Gomes, Camilo Naira Geovana, de Almeida Decurcio Daniel, Guedes Orlando Aguirre, de Araújo Estrela Cyntia Rodrigues
Department of Endodontics, School of Dentistry, Evangelical University of Goiás, Goiás, Brazil.
Department of Stomatology Sciences, School of Dentistry, University Federal of Goiás, Goiás, Brazil.
Aust Endod J. 2023 Apr;49(1):104-110. doi: 10.1111/aej.12623. Epub 2022 Apr 30.
The aim of this study was to evaluate the influence of agitation techniques on bacterial reduction in curved root canals. Eighty human mandibular molars were prepared, inoculated with Enterococcus faecalis and incubated at 37°C for 60 days. Then, specimens were randomly separated into two test groups (n = 36) and two control groups (n = 04) according to agitation technique: Passive ultrasonic irrigation (PUI, Irrisonic) and XP-endo Finisher (XPF). Microbial samples were collected before and after instrumentation and after final agitation using sterile paper points. Bacterial growth was analysed by turbidity of culture medium and UV spectrophotometry. The Wilcoxon rank test was used for the paired analysis, while the Mann-Whitney U-test was used for the non-paired analysis. The samples collected after final agitation were significantly different between test groups (p < 0.05). Bacterial reduction was greater in the PUI than in the XPF (p < 0.05) group. The irrigant agitation provided significant bacterial reduction. The use of the PUI showed better results.
本研究的目的是评估冲洗技术对弯曲根管内细菌减少的影响。制备了80颗人下颌磨牙,接种粪肠球菌并在37°C下孵育60天。然后,根据冲洗技术将标本随机分为两个试验组(n = 36)和两个对照组(n = 4):被动超声冲洗(PUI,Irrisonic)和XP-endo Finisher(XPF)。在器械操作前后以及最终冲洗后,使用无菌纸尖收集微生物样本。通过培养基的浊度和紫外分光光度法分析细菌生长情况。配对分析采用Wilcoxon秩和检验,非配对分析采用Mann-Whitney U检验。试验组最终冲洗后收集的样本存在显著差异(p < 0.05)。PUI组的细菌减少量大于XPF组(p < 0.05)。冲洗液冲洗可显著减少细菌数量。使用PUI显示出更好的效果。