Department of Endodontics, College of Dentistry, Pontifical Catholic University of Paraná-PUC/PR, Curitiba, Paraná, Brazil.
Department of Biosciences, College of Dentistry, Pontifical Catholic University of Paraná-PUC/PR, Curitiba, Paraná, Brazil.
Sci Rep. 2024 Feb 15;14(1):3795. doi: 10.1038/s41598-024-53375-8.
This in vitro study evaluated the bacterial reduction provided by the EndoActivator (EA), Easy Clean (EC), passive ultrasonic irrigation (PUI), and XP-Endo Finisher. Eight-four mesial roots of mandibular first molars were instrumented, inoculated with Enterococcus faecalis, and divided into four groups (n. 20). Bacterial reduction in the main canals and dentinal tubules were respectively determined by MTT assays and Live/Dead BackLight technique through confocal laser scanning microscopy (CLSM) at 50, 100, and 150 µm in-depth (n. 10 per group). Statistical analyses were conducted following a significance level of 95% (P < 0.05). A significant statistical difference was just identified between XPF and EC in the main canals. In the dentinal tubules from the main root canals, at 100 and 150 µm in-depths, significant statistical differences were only observed between XPF and EC (P = 0.027) for the former and between XPF and EC (P = 0.011) and XPF and PUI (P = 0.021) for the latter. In the dentinal tubules from the isthmus, at 100 µm in-depth, statistically relevant differences did occur between XPF and EC (P = 0.038) and EC and EA (P = 0.029). At 150 µm in-depth, these differences were only significant by comparing XPF and PUI (P = 0.025) and XPF and EC (P = 0.036). Although no irrigation method could thoroughly disinfect the RCS, bacterial reduction indexes were generally better after using XPF.
本体外研究评估了 EndoActivator(EA)、Easy Clean(EC)、被动超声冲洗(PUI)和 XP-Endo Finisher 提供的细菌减少效果。将 84 颗下颌第一磨牙的近中根进行器械预备,接种粪肠球菌,并分为四组(每组 20 个)。通过 MTT 检测和共聚焦激光扫描显微镜(CLSM)下的 Live/Dead BackLight 技术,分别在 50、100 和 150 µm 深度处检测主根管和牙本质小管内的细菌减少情况(每组 10 个)。统计分析采用 95%置信水平(P<0.05)。仅在主根管中发现 XPF 和 EC 之间存在统计学显著差异。在主根管的牙本质小管中,在 100 和 150 µm 深度处,仅在 XPF 和 EC 之间(前者 P=0.027)和 XPF 和 EC(后者 P=0.011)以及 XPF 和 PUI(后者 P=0.021)之间观察到统计学显著差异。在峡部的牙本质小管中,在 100 µm 深度处,XPF 和 EC 之间(P=0.038)和 EC 和 EA 之间(P=0.029)存在统计学相关差异。在 150 µm 深度处,仅通过比较 XPF 和 PUI(P=0.025)和 XPF 和 EC(P=0.036),这些差异才有统计学意义。虽然没有一种冲洗方法可以彻底消毒 RCS,但使用 XPF 后,细菌减少指数通常更好。