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声动冲洗去除根尖根管内氢氧化钙:微 CT 与光耦跟踪分析。

Sonic irrigation for removal of calcium hydroxide in the apical root canal: A micro-CT and light-coupled tracking analysis.

机构信息

Department of Dental Biomaterials Science, School of Dentistry and Dental Research Institute, Seoul National University, Jongno-gu, Seoul, Republic of Korea.

National Dental Care Center for Persons with Special Needs, Seoul National University Dental Hospital, Jongno-gu, Seoul, Republic of Korea.

出版信息

PLoS One. 2022 Jun 2;17(6):e0268791. doi: 10.1371/journal.pone.0268791. eCollection 2022.

DOI:10.1371/journal.pone.0268791
PMID:35653310
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9162323/
Abstract

OBJECTIVE

This study aimed to evaluate the efficacy of three sonic irrigation systems for removal of calcium hydroxide dressing from the apical root canal.

MATERIALS AND METHODS

A total of 96 single-rooted teeth in three categories of root canal curvatures (straight: 0-5°, moderate: 6-20°, and severe: > 20°) were allocated to four groups: conventional needle irrigation, EndoActivator, EQ-S, and Vibringe. The root canals were instrumented using Protaper NEXT and filled with calcium hydroxide. After removal of calcium hydroxide, the remaining volume of calcium hydroxide was measured by micro-CT analysis. Data were compared among root canal curvatures and irrigation systems using the Kruskal-Wallis test and Mann-Whitney test (p < .05). The oscillating range of each irrigation system was measured using light-coupled motion tracking.

RESULTS

The volumes of calcium hydroxide remaining in the canals with severe curvature were significantly higher than in those of straight curvature (p < .05). In the canals of moderate or severe curvature, EQ-S showed the highest removal percentage, followed by EndoActivator, Vibringe, and needle irrigation (p < .05). Light-coupled tracking showed the largest oscillating range in EQ-S (p < .05).

CONCLUSIONS

Sonically activated irrigation systems with a flexible tip can be beneficial for calcium hydroxide intracanal dressing removal in the curved apical canals.

摘要

目的

本研究旨在评估三种声波冲洗系统去除根尖根管内氢氧化钙封药的效果。

材料和方法

将 96 颗单根牙分为三类根管弯曲度(直:0-5°,中:6-20°,重:> 20°),分别分配到四组:常规针冲洗、EndoActivator、EQ-S 和 Vibringe。使用 Protaper NEXT 器械预备根管并填充氢氧化钙。去除氢氧化钙后,通过微 CT 分析测量剩余的氢氧化钙体积。使用 Kruskal-Wallis 检验和 Mann-Whitney 检验(p <.05)比较根管弯曲度和冲洗系统之间的数据。使用光耦运动跟踪测量每个冲洗系统的振荡范围。

结果

重度弯曲根管内的氢氧化钙残留量明显高于直根管(p <.05)。在中或重度弯曲的根管中,EQ-S 的去除率最高,其次是 EndoActivator、Vibringe 和针冲洗(p <.05)。光耦跟踪显示 EQ-S 的振荡范围最大(p <.05)。

结论

具有弹性尖端的声波激活冲洗系统有助于去除弯曲根尖根管内的氢氧化钙封药。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/71a54f31cf41/pone.0268791.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/d85303730faf/pone.0268791.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/32b9be319e5e/pone.0268791.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/0e681271018c/pone.0268791.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/d333bb25c6e8/pone.0268791.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/71a54f31cf41/pone.0268791.g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/d85303730faf/pone.0268791.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/32b9be319e5e/pone.0268791.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/0e681271018c/pone.0268791.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/d333bb25c6e8/pone.0268791.g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac48/9162323/71a54f31cf41/pone.0268791.g005.jpg

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