Shetty Bhavika B, Sripada Sritejeswar, Bhandary Shruti, Shetty Divya, Naik Rajaram
Department of Conservative Dentistry and Endodontics, A. J. Institute of Dental Sciences, Mangalore, Dakshina Kannada, Karnataka, India.
J Conserv Dent. 2021 Nov-Dec;24(6):622-627. doi: 10.4103/jcd.jcd_85_21. Epub 2022 Apr 1.
Any solution of chemical nature when combined will result in the formation of a precipitate, which in the root canal system will interfere with the hermetic seal. In clinical practice presence of any precipitate, especially carcinogenic in nature, should be eliminated.
To evaluate whether final irrigation with different agitation protocols will remove the precipitate formed following lidocaine hydrochloride and sodium hypochlorite combination at the coronal, middle, and apical-root thirds.
Forty-four uniradicular teeth were standardized at 17 mm. All specimens were injected with 2% lidocaine hydrochloride and 2.5% sodium hypochlorite, followed by mechanical instrumentation using rotary files. Further, specimens were arbitrarily divided into four groups ( = 11) based on the final irrigation protocol: Group 1: No irrigation; Group 2: Manual irrigation; Group 3: Mechanical irrigation; Group 4: Ultrasonic irrigation. Samples were sectioned and Field Field Emission Scanning Electron Microscopic (FESEM) analysis of the canal wall was done at coronal, middle, and apical thirds.
FESEM images revealed occluded dentinal tubules with the presence of precipitate seen in all-thirds of each specimen.
No irrigation protocol was successful in removing the precipitate formed; but when compared ultrasonic irrigation had the least precipitate seen at-coronal,-middle and apical thirds.
任何具有化学性质的溶液混合时都会形成沉淀,而在根管系统中,这种沉淀会干扰密封效果。在临床实践中,任何沉淀,尤其是具有致癌性的沉淀,都应予以清除。
评估不同搅拌方案的最终冲洗是否能去除盐酸利多卡因和次氯酸钠在冠部、中部和根尖三分之一处混合后形成的沉淀。
将44颗单根牙标准化为17毫米。所有标本均注射2%盐酸利多卡因和2.5%次氯酸钠,然后使用旋转锉进行机械预备。此外,根据最终冲洗方案将标本随机分为四组(每组n = 11):第1组:不冲洗;第2组:手动冲洗;第3组:机械冲洗;第4组:超声冲洗。将样本切片,并在冠部、中部和根尖三分之一处对根管壁进行场发射扫描电子显微镜(FESEM)分析。
FESEM图像显示所有标本的三分之一处均有沉淀,牙本质小管被堵塞。
没有一种冲洗方案能成功去除形成的沉淀;但相比之下,超声冲洗在冠部、中部和根尖三分之一处的沉淀最少。