在根管预备过程中使用次氯酸钠与依替膦酸混合会增加碎屑挤出。

The use of sodium hypochlorite mixed with etidronic acid during canal preparation increases debris extrusion.

作者信息

Tartari Talita, Wilchenski Brenda Stefhany, de Souza Lima Luana Arantes, Vivan Rodrigo Ricci, Ballal Vasudev, Duarte Marco Antonio Hungaro

机构信息

Department of Restorative Dentistry, Piracicaba School of Dentistry, State University of Campinas, Piracicaba, Brazil.

Department of Operative Dentistry, Endodontics, and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.

出版信息

Aust Endod J. 2023 Dec;49(3):584-591. doi: 10.1111/aej.12788. Epub 2023 Aug 11.

DOI:10.1111/aej.12788

PMID:37571801

Abstract

The purpose of this study was to compare the impact of different irrigation protocols on debris extrusion. Single-rooted teeth were distributed into groups based on the irrigation protocols (n = 40): 2.5% NaOCl (biomechanical preparation: 20 mL and final irrigation: 5 mL); 2.5% NaOCl (biomechanical preparation: 20 mL) + 17% EDTA (final irrigation: 2 mL) + 2.5% NaOCl (final irrigation: 3 mL); and a mixture of 5% NaOCl +18% HEDP (biomechanical preparation: 20 mL and final irrigation: 5 mL). The canals were prepared using a reciprocating instrument size 40/0.06. For final irrigation, the groups were reassigned based on the agitation methods (n = 10): (a) no agitation; (b) ultrasonic; (c) sonic; and (d) continuous rotation. The control group (n = 10) received saline solution without agitation. The amount of debris extruded was measured by weight and analysed using One-way ANOVA (α < 0.05). The subgroups treated with NaOCl + HEDP mixture showed a significantly higher amount of extruded debris (p < 0.05), while there was no difference among agitation methods in all groups (p > 0.05).

摘要

本研究的目的是比较不同冲洗方案对碎屑挤出的影响。单根牙根据冲洗方案分为几组（n = 40）：2.5%次氯酸钠（生物力学预备冲洗：20 mL，最终冲洗：5 mL）；2.5%次氯酸钠（生物力学预备冲洗：20 mL）+ 17%乙二胺四乙酸（最终冲洗：2 mL）+ 2.5%次氯酸钠（最终冲洗：3 mL）；以及5%次氯酸钠+ 18%羟基亚乙基二膦酸的混合液（生物力学预备冲洗：20 mL，最终冲洗：5 mL）。使用40/0.06规格的往复式器械预备根管。对于最终冲洗，根据搅拌方法将各组重新分组（n = 10）：（a）不搅拌；（b）超声；（c）声波；（d）连续旋转。对照组（n = 10）接受不搅拌的生理盐水冲洗。通过称重测量挤出的碎屑量，并使用单因素方差分析进行分析（α < 0.05）。用次氯酸钠+羟基亚乙基二膦酸混合液处理的亚组显示挤出的碎屑量显著更高（p < 0.05），而所有组中搅拌方法之间没有差异（p > 0.05）。