次氯酸钠对牙本质小管内粪肠球菌生物膜的作用:浓度、温度和暴露时间的影响。

Sodium hypochlorite against Enterococcus faecalis biofilm in dentinal tubules: effect of concentration, temperature, and exposure time.

机构信息

Division of Endodontics, Department of Oral Biological and Medical Sciences, Faculty of Dentistry, University of British Columbia, 2199 Wesbrook Mall, Vancouver, BC, V6T 1Z3, Canada.

出版信息

Odontology. 2024 Apr;112(2):390-398. doi: 10.1007/s10266-023-00850-9. Epub 2023 Aug 30.

Abstract

This study aimed to evaluate the effectiveness of two sodium hypochlorite concentrations at different exposure times and temperatures against Enterococcus faecalis biofilms of varying ages in human dentinal tubules. Dentin blocks were infected with E. faecalis for either 3 days or 3 weeks of incubation. Subsequently, the samples were exposed to sterile water, 2%, and 5.25% sodium hypochlorite for 3 and 10 min at 20 °C and 60 °C . Viability staining and confocal laser scanning microscopy were used to assess the proportion of killed bacteria in the dentinal tubules after exposure. There are no significant differences in the efficacy of E. faecalis killing between 2% sodium hypochlorite at 60 °C for various exposure times and 5.25% sodium hypochlorite at different temperatures or exposure times (P > 0.05). When both solutions were compared at the same temperatures with a 10-min exposure time, no significant differences in the effectiveness of E. faecalis killing between 2% and 5.25% sodium hypochlorite were observed (P > 0.05). To optimize the effectiveness of sodium hypochlorite in killing E. faecalis while minimizing potential damage to root dentin and soft tissue, clinicians should prioritize increasing the temperature or exposure time of sodium hypochlorite, rather than raising its concentration.

摘要

本研究旨在评估不同浓度次氯酸钠在不同暴露时间和温度下对不同老化阶段人牙本质小管内粪肠球菌生物膜的有效性。牙本质块分别用粪肠球菌感染 3 天或 3 周。随后,将样本分别用无菌水、2%和 5.25%次氯酸钠在 20°C 和 60°C 下暴露 3 和 10 分钟。使用活菌染色和共聚焦激光扫描显微镜评估暴露后牙本质小管内细菌的死亡率。在不同暴露时间的 60°C 下的 2%次氯酸钠和不同温度或暴露时间的 5.25%次氯酸钠之间,粪肠球菌杀灭效果无显著差异(P>0.05)。当两种溶液在相同温度和 10 分钟暴露时间下进行比较时,2%和 5.25%次氯酸钠之间的粪肠球菌杀灭效果无显著差异(P>0.05)。为了在最小化根牙本质和软组织潜在损伤的情况下优化次氯酸钠杀灭粪肠球菌的效果,临床医生应优先考虑增加次氯酸钠的温度或暴露时间,而不是提高其浓度。

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