. School of Dentistry, University of Ribeirão Preto, Ribeirão Preto, SP Brazil. Av Costábile Romano, 2201, Ribeirão Preto, SP, 14096-000, Brazil.
. Institute for research and Development, University of Vale do Paraíba, São José dos Campos, SP, Brazil. Av. Shishima Hifumi, 2911, Urbanova, São José dos Campos - SP, 12244-390.
Braz Dent J. 2024 Jul 22;35:5907. doi: 10.1590/0103-6440202405907. eCollection 2024.
To assess the effect of cleaning protocols on dentin contaminated with blood in reparative endodontic materials, bovine root samples were divided: no contamination (N); contamination (P); contamination and cleaning with saline (S), 2.5% NaOCl+saline (Na) or 2.5% NaOCl+17% EDTA+saline (NaE) and filled with: mineral trioxide aggregate (MTA), calcium-aluminate-cement (C), or C+collagen (Ccol) (n=13). The samples were evaluated for porosity, chemical composition, and bond strength. MTA porosity was lower than C (p=0.02) and higher than Ccol (p<0.001). P and NaE were similar (p=1.00), but higher than the other groups (p<0.001). MTA bond strength was similar to Ccol (p=0.777) and lower than C (p=0.028). P presented lower bond strength than the N (p<0.001); S and Na were similar to each other (p=0.969), but higher than P and lower than N (p<0.001). It was observed a predominance of mixed and cohesive failures. None of the samples showed Ca/P ratio values similar to human hydroxyapatite. This study showed that contamination with blood increased the materials porosity, but dentin cleaning with 2.5% NaOCl reduced this effect, and the collagen additive reduced the material porosity. Furthermore, blood contamination reduced the materials bond strength, and cleaning with saline or 2.5% NaOCl diminished this effect.
为了评估清洁方案对修复性牙髓治疗材料中受血液污染牙本质的影响,将牛牙根样本分为以下几组:无污染(N);污染(P);污染+生理盐水冲洗(S)、2.5%次氯酸钠+生理盐水冲洗(Na)或 2.5%次氯酸钠+17%乙二胺四乙酸+生理盐水冲洗(NaE),并分别用三氧化矿物聚合体(MTA)、铝酸钙水泥(C)或 C+胶原(Ccol)填充(n=13)。对样本的孔隙率、化学成分和粘结强度进行评估。MTA 的孔隙率低于 C(p=0.02),高于 Ccol(p<0.001)。P 和 NaE 相似(p=1.00),但高于其他组(p<0.001)。MTA 的粘结强度与 Ccol 相似(p=0.777),低于 C(p=0.028)。P 的粘结强度低于 N(p<0.001);S 和 Na 彼此相似(p=0.969),但高于 P,低于 N(p<0.001)。观察到主要是混合性和内聚性失效。没有一个样本的 Ca/P 比值与人体羟磷灰石相似。本研究表明,血液污染会增加材料的孔隙率,但用 2.5%次氯酸钠清洗牙本质可以降低这种影响,胶原添加剂可以降低材料的孔隙率。此外,血液污染会降低材料的粘结强度,生理盐水或 2.5%次氯酸钠的清洗会减弱这种影响。