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不同冲洗搅拌技术在人工内吸收龋洞中对牙髓组织的溶解能力

Pulp tissue dissolution capacities of different irrigation agitation techniques in artificial internal resorption cavities.

作者信息

Koc Simay, Er Kursat, Hajguliyeva Gulchin, Osmanlı Ziya, Cabbarova Lala, Karayılmaz Hüseyin

机构信息

Department of Endodontics, Faculty of Dentistry, Akdeniz University, Antalya,Turkiye.

Private Practice, Baku, Azerbaijan.

出版信息

Eur Oral Res. 2024 May 5;58(2):64-69. doi: 10.26650/eor.20241048313.

Abstract

PURPOSE

The aim of this in vitro study was to compare the organic tissue dissolution capacities of 3 different irrigation agitation techniques (IATs) in artificial internal root resorption cavities (IRCs).

MATERIALS AND METHODS

Ninety freshly extracted maxillary human incisors were selected. After decoronation procedure, the roots were split longitudinally, and a standard IRC were prepared in the canals on each half of the roots. Then, the bovine pulp samples (~2,3 mg) were previously weighed and placed into the cavities. The root fragments were reassembled and cemented to create a circular IRC within the canal. Teeth samples were randomly divided into 6 groups (n=15); sodium chlorur (NaCl) and sonic irrigation (SI), sodium hypochlorite (NaOCl) and SI, NaCl and passive ultrasonic irrigation (PUI), NaOCl and PUI, NaCl and laser activated irrigation (LAI), NaOCl and LAI. After that, the teeth were decemented and the tissue samples inside the cavities were weighed again. The percentage of weight loss was calculated and statistically analyzed.

RESULTS

SI has significantly more successful results than PUI and LAI in groups which the irrigant was NaCl. There was also a significant difference between LAI and PUI in groups which the irrigant was NaOCl (Group 6 ˃ Group 4, p=0.003). There was no significant difference between LAI and SI with NaOCl.

CONCLUSION

Complete dissolution of bovine pulp tissue from IRCs was not achieved by any tested techniques. However, the LAI with NaOCl was more effective than other IATs. In addition, there is no significant difference between the LAI and SI with NaOCl.

摘要

目的

本体外研究的目的是比较3种不同冲洗搅拌技术(IATs)在人工牙根内吸收腔(IRCs)中的有机组织溶解能力。

材料与方法

选取90颗新鲜拔除的上颌中切牙。在进行去冠处理后,将牙根纵向劈开,在每半根牙根的根管内制备标准的IRCs。然后,预先称取牛牙髓样本(约2.3mg)并放入腔内。将牙根碎片重新组装并用粘固剂粘固,在根管内形成一个圆形的IRCs。牙齿样本随机分为6组(n = 15);氯化钠(NaCl)与超声冲洗(SI)、次氯酸钠(NaOCl)与SI、NaCl与被动超声冲洗(PUI)、NaOCl与PUI、NaCl与激光激活冲洗(LAI)、NaOCl与LAI。之后,去除粘固剂,再次称取腔内的组织样本重量。计算重量损失百分比并进行统计学分析。

结果

在冲洗剂为NaCl的组中,SI比PUI和LAI有显著更成功的结果。在冲洗剂为NaOCl的组中,LAI和PUI之间也存在显著差异(第6组>第4组,p = 0.003)。NaOCl条件下LAI和SI之间无显著差异。

结论

任何测试技术均未实现从IRCs中完全溶解牛牙髓组织。然而,NaOCl联合LAI比其他IATs更有效。此外,NaOCl条件下LAI和SI之间无显著差异。

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