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氯仿应用于根管再治疗中对根管壁粗糙度和润湿性的影响。

Effect of Chloroform Application on Roughness and Wettability of the Root Canal Walls in Endodontic Retreatment.

作者信息

Jamshidi Davoud, Tahriri Mohammadreza, Mosleh Heydar, Madadpour Mohammad, Heidari Soolmaz, Alipour Heydari Mahmood, Kharazifard Mohamad Javad

机构信息

Dept. of Endodontics, Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

Postdoctoral Fellow Researcher, Marquette University School of Dentistry, Milwaukee, WI 53233, USA.

出版信息

J Dent (Shiraz). 2022 Sep;23(3):272-277. doi: 10.30476/DENTJODS.2021.88414.1329.

Abstract

STATEMENT OF THE PROBLEM

The success of root canal therapy depends on root canal irrigation, disinfection, and sealing of root canal. Wettability and roughness of root dentine surface are important factors in root canal disinfection and sealing.

PURPOSE

This study aimed to assess the effect of chloroform application on roughness and wettability of the root canal walls in endodontic retreatment.

MATERIALS AND METHOD

This experimental study evaluated 70 sound extracted human anterior teeth. The specimens were then randomly assigned to 7 groups as follows: Chloroform (group 1), 1g gutta percha+chloroform (group 2), 2g gutta percha+ chloroform (group 3), 1g gutta percha+ 1g sealer+ chloroform (group 4), 2g gutta perch+ 2g sealer+chloroform (group 5), 1g sealer + chloroform (group 6) and 2g sealer + chloroform (group 7). One drop of distilled water was placed on each tooth to measure the contact angle and wettability. Photographs were obtained of an area measuring 50×50 µm in three directions under an atomic force microscope to measure the roughness. The tooth blocks were exposed to the abovementioned mixtures for 10 min, and then rinsed with saline. The roughness and wettability of each sample were measured before and after treatment. Data was analyzed using one-way ANOVA and Tukey's test.

RESULTS

The roughness of all groups significantly decreased following treatment, except for groups 1 and 4. The contact angle increased in all groups after treatment (except for the chloroform group), which indicated decreased wettability. The roughness and the contact angle have shown no correlation.

CONCLUSION

Application of chloroform for removal of gutta-percha and sealer in endodontic retreatment decreases the roughness and wettability of dentine.

摘要

问题陈述

根管治疗的成功取决于根管冲洗、消毒以及根管封闭。牙根牙本质表面的润湿性和粗糙度是根管消毒和封闭的重要因素。

目的

本研究旨在评估在根管再治疗中使用氯仿对根管壁粗糙度和润湿性的影响。

材料与方法

本实验研究评估了70颗完好拔除的人上前牙。然后将标本随机分为7组,如下:氯仿(第1组)、1g牙胶+氯仿(第2组)、2g牙胶+氯仿(第3组)、1g牙胶+1g封闭剂+氯仿(第4组)、2g牙胶+2g封闭剂+氯仿(第5组)、1g封闭剂+氯仿(第6组)和2g封闭剂+氯仿(第7组)。在每颗牙齿上滴一滴蒸馏水以测量接触角和润湿性。在原子力显微镜下,在三个方向上获取面积为50×50 µm的区域的照片以测量粗糙度。将牙块暴露于上述混合物中10分钟,然后用盐水冲洗。在处理前后测量每个样品的粗糙度和润湿性。使用单因素方差分析和Tukey检验分析数据。

结果

除第1组和第4组外,所有组处理后的粗糙度均显著降低。处理后所有组(氯仿组除外)的接触角均增加,这表明润湿性降低。粗糙度和接触角之间未显示出相关性。

结论

在根管再治疗中使用氯仿去除牙胶和封闭剂会降低牙本质的粗糙度和润湿性。

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