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三种旋转器械系统联合被动超声冲洗对椭圆形根管清洗消毒的离体评估

Cleaning and Disinfecting Oval-Shaped Root Canals: Ex Vivo Evaluation of Three Rotary Instrumentation Systems with Passive Ultrasonic Irrigation.

机构信息

Department of Endodontics, Tianjin Stomatological Hospital, School of Medicine, NanKai University, Tianjin 300041, China.

Tianjin Key Laboratory of Oral and Maxillofacial Function Reconstruction, Tianjin 300041, China.

出版信息

Medicina (Kaunas). 2023 May 16;59(5):962. doi: 10.3390/medicina59050962.


DOI:10.3390/medicina59050962
PMID:37241194
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10220979/
Abstract

: Successful root canal treatment depends on the thorough removal of biofilms through chemomechanical preparation. This study aimed to investigate and compare the cleaning and disinfecting efficiency of oval-shaped root canals using XP-endo Shaper (XPS), ProTaper Next (PTN), and HyFlex CM (HCM) in combination with passive ultrasonic irrigation (PUI). : Ninety extracted teeth were contaminated and randomly divided into three groups: XPS, PTN, and HCM. Each group was assigned to three subgroups: subgroup A (sterile saline), subgroup B (3% sodium hypochlorite and 17% ethylenediaminetetraacetic acid), and subgroup C (3% sodium hypochlorite, 17% ethylenediaminetetraacetic acid, and PUI). Bacterial sampling was conducted both from baseline samples and samples after chemomechanical preparation. Scanning electron microscopy (SEM) was used to evaluate the residue bacterial biofilms, hard tissue debris, and smear layers on the buccolingual walls of oval-shaped root canals. : When combined with sterile saline, XPS demonstrated a higher reduction of bacterial counts and was more effective in eradicating in the middle third of the canals compared to the other instruments ( < 0.05). Additionally, when used with antimicrobial irrigants, XPS was more effective in disinfecting the coronal third of the canals than the other instruments ( < 0.05). Furthermore, XPS reduced hard tissue debris more effectively in the middle third of canals than in the apical third ( < 0.05). : XPS outperforms PTN and HCM in disinfecting oval-shaped root canals. Despite the fact that combining XPS and PUI improves cleaning and disinfecting, removing hard tissue debris from the critical apical area remains challenging.

摘要

: 根管治疗的成功取决于通过化学机械预备彻底清除生物膜。本研究旨在调查和比较 XP-endo Shaper (XPS)、ProTaper Next (PTN) 和 HyFlex CM (HCM) 联合被动超声冲洗 (PUI) 对椭圆形根管的清洗和消毒效果。: 90 颗拔出的牙齿被污染并随机分为三组:XPS、PTN 和 HCM。每组分为三组:亚组 A(无菌生理盐水)、亚组 B(3%次氯酸钠和 17%乙二胺四乙酸)和亚组 C(3%次氯酸钠、17%乙二胺四乙酸和 PUI)。在化学机械预备前后均从基线样本和样本中进行细菌采样。扫描电子显微镜 (SEM) 用于评估椭圆形根管颊舌壁上残留的细菌生物膜、硬组织碎屑和玷污层。: 当与无菌生理盐水联合使用时,XPS 显示出更高的细菌计数减少率,并且在清除中段的效果优于其他器械(<0.05)。此外,当与抗菌冲洗液一起使用时,XPS 在消毒根管的冠三分之一比其他器械更有效(<0.05)。此外,XPS 在中三分之一的根管中比在根尖三分之一更有效地减少硬组织碎屑(<0.05)。: XPS 在消毒椭圆形根管方面优于 PTN 和 HCM。尽管 XPS 和 PUI 的结合提高了清洁和消毒效果,但从关键的根尖区域去除硬组织碎屑仍然具有挑战性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/4fbf0816ab62/medicina-59-00962-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/3185e9ceb738/medicina-59-00962-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/7f2616f4e91d/medicina-59-00962-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/bedc2847f3f6/medicina-59-00962-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/6d38aa3ee509/medicina-59-00962-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/bfcf464bcea2/medicina-59-00962-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/4fbf0816ab62/medicina-59-00962-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/3185e9ceb738/medicina-59-00962-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/7f2616f4e91d/medicina-59-00962-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/bedc2847f3f6/medicina-59-00962-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/6d38aa3ee509/medicina-59-00962-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/bfcf464bcea2/medicina-59-00962-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f16c/10220979/4fbf0816ab62/medicina-59-00962-g006.jpg

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引用本文的文献

[1]
The impact of different mechanical file systems with or without adjunctive approaches on disinfection of oval root canals: an ex vivo study.

Br Dent J. 2025-7

[2]
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BMC Oral Health. 2025-7-5

[3]
Primary and Re-exposure effects of D-enantiomeric peptide on metabolism, diversity, and composition of oral biofilms at different stages of recovery.

Bioact Mater. 2025-2-20

[4]
In vitro evaluation of dye penetration and dentin microhardness after laser irradiation using photon-induced photoacoustic streaming and shock wave enhanced emission photoacoustic streaming tips compared to ultrasonic activation.

Lasers Med Sci. 2025-1-31

[5]
Evaluation of bacterial biofilm, smear layer, and debris removal efficacy of a hydro-dynamic cavitation system with physiological saline using a new ex vivo model: a CLSM and SEM study.

BMC Oral Health. 2025-1-18

[6]
Characteristics and Effectiveness of XP-Endo Files and Systems: A Narrative Review.

Int J Dent. 2024-12-17

[7]
Endodontic Treatment of a Mandibular Second Molar Featuring Vertucci Type V Configuration in the Distal Root: A Case Report.

Cureus. 2024-5-8

[8]
Endodontic Treatment of a Dilacerated Maxillary Second Premolar With a Severely Curved Root Canal: A Case Report and Literature Review.

Cureus. 2024-5-3

[9]
Endodontic Treatment of a Maxillary Second Molar With Five Canals: A Case Report and a Literature Review.

Cureus. 2024-4-27

[10]
Extrusion of Sodium Hypochlorite in Oval-Shaped Canals: A Comparative Study of the Potential of Four Final Agitation Approaches Employing Agarose-Embedded Mandibular First Premolars.

J Clin Med. 2024-5-7

本文引用的文献

[1]
Evaluation of extracellular polymeric substances matrix volume, surface roughness and bacterial adhesion property of oral biofilm.

J Dent Sci. 2023-10

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Clin Oral Investig. 2023-2

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Braz Oral Res. 2022

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Eur J Dent. 2023-7

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J Endod. 2022-8

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Impact of agitation/activation strategies on the antibiofilm potential of sodium hypochlorite/etidronate mixture in vitro.

BMC Oral Health. 2022-5-23

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Shaping ability of non-adaptive and adaptive core nickel-titanium single-file systems with supplementary file in ribbon-shaped canals analysed by micro-computed tomography.

Aust Endod J. 2023-4

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