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评估与2.5%次氯酸钠相关的不同机械清洁方案对根管桩道内残留物的去除效果。

Evaluation of different mechanical cleaning protocols associated with 2.5% sodium hypochlorite in the removal of residues from the post space.

作者信息

Vitória Matheus Sousa, de Almeida Eran Nair Mesquita, Barros Antonia Patricia Oliveira, de Oliveira Eliane Cristina Gulin, Costa Joatan Lucas de Sousa Gomes, Dantas Andrea Abi Rached, Kuga Milton Carlos

机构信息

Department of Restorative Dentistry, School of Dentistry, São Paulo State University - UNESP, Araraquara, SP, Brazil.

Department of Restorative Dentistry, School of Dentistry, Federal University of Minas Gerais - UFMG, Belo Horizonte, MG, Brazil.

出版信息

J Conserv Dent Endod. 2024 Mar;27(3):274-279. doi: 10.4103/JCDE.JCDE_324_23. Epub 2024 Mar 6.

Abstract

AIMS

This study evaluated the effectiveness of different mechanical protocols using rotary brush (RB), ultrasonic tip, and oscillatory system (OS) associated with 2.5% sodium hypochlorite (NaOCl) in the removal of residues and dentin permeability in the cervical and apical segments of the post space.

SETTINGS AND DESIGN

Experimental study.

METHODS

Forty roots from human first molars were prepared and divided into four groups according to the cleaning protocols: Control (CO), NaOCl 2.5% conventional irrigation with a syringe; RB associated with NaOCl 2.5%; ultrasonic tip (US) associated with NaOCl 2.5%; OS associated with NaOCl 2.5%.

STATISTICAL ANALYSIS USED

The persistence of residues was evaluated by scanning electron microscopy and data submitted to Kruskal-Wallis and Dunn tests, and dentin permeability evaluated by confocal microscopy and date submitted to ANOVA one-way and Tukey's tests ( = 0.05).

RESULTS

There were no differences in residue cleaning among the CO, RB, US, and OS groups, regardless of the analyzed root segment ( > 0.05). When comparing groups, dentin permeability in the CO group was significantly lower in the cervical segment ( < 0.05).

CONCLUSIONS

The OS group promoted the highest permeability value in the apical segment. RB, US, and OS are similar in removing residues from the post space. However, OS results in higher dentin permeability in the apical segment.

摘要

目的

本研究评估了使用旋转刷(RB)、超声尖和振荡系统(OS)并联合2.5%次氯酸钠(NaOCl)的不同机械方案在去除桩道颈段和根尖段的残留物及牙本质通透性方面的有效性。

设置与设计

实验研究。

方法

制备40颗人第一磨牙的牙根,并根据清洁方案分为四组:对照组(CO),用注射器进行2.5% NaOCl常规冲洗;RB联合2.5% NaOCl;超声尖(US)联合2.5% NaOCl;OS联合2.5% NaOCl。

所用统计分析方法

通过扫描电子显微镜评估残留物的存留情况,并将数据提交至Kruskal-Wallis和Dunn检验,通过共聚焦显微镜评估牙本质通透性,并将数据提交至单向方差分析和Tukey检验(α = 0.05)。

结果

无论分析的牙根段如何,CO、RB、US和OS组在残留物清洁方面均无差异(P > 0.05)。在比较各组时,CO组在颈段的牙本质通透性显著较低(P < 0.05)。

结论

OS组在根尖段促进了最高的通透性值。RB、US和OS在去除桩道内的残留物方面相似。然而,OS在根尖段导致更高的牙本质通透性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f65/11019817/8a381330815e/JCDE-27-274-g001.jpg

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