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四种不同清洁溶液对使用过的旋转镍钛根管锉碎屑清除效果的扫描电子显微镜/能谱分析评估

A SEM/EDS evaluation of debris removal of used rotary Ni-Ti endodontic files by four different cleaning solutions.

作者信息

Kosti Eleni, Al Jabbari Youssef S, Sufyan Aref, Zinelis Spiros

机构信息

Department of Endodontology, School of Dentistry, Aristotle University of Thessaloniki, Greece.

Dental Biomaterials Research and Development Chair, King Saud University, Riyadh, Saudi Arabia.

出版信息

Saudi Dent J. 2024 Aug;36(8):1086-1092. doi: 10.1016/j.sdentj.2024.06.011. Epub 2024 Jun 4.

DOI:10.1016/j.sdentj.2024.06.011
PMID:39176155
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11337967/
Abstract

PURPOSE

The aim of this study was to compare the efficacies levels of four cleaning solutions for removing debris from rotary Nickel-Titanium (Ni-Ti) endodontic instruments.

MATERIALS AND METHODS

Twelve instruments that fractured during ex vivo instrumentation were used. Fractured surfaces were investigated by SEM before and after 3, 6 and 9 min of ultrasonic cleaning in 17 % EDTA.3NaOH (Group A), 2.5 % NaOCl (Group B), Dentasept 3H Rapide (Group C) and ZymeX™ (Group D) solutions. EDS analyses of selected files from all four groups of untreated and ultrasonically cleaned samples were performed to assess the elemental composition of the alloy surfaces.

RESULTS

SEM analysis revealed that after 9 min of ultrasonic agitation, all four investigated solutions had cleaned fractured surfaces. However, some low-atomic-number regions exhibited random distributions on the fractured surfaces. EDS analyses indicated that only C was retained on surface after 9 min of ultrasonic cleaning. This finding was common in all tested groups.

CONCLUSIONS

All four investigated solutions substantially removed debris from the surfaces of the Ni-Ti files and were considered appropriate for clinical practice.

摘要

目的

本研究旨在比较四种清洁溶液去除旋转镍钛根管器械上碎屑的效果水平。

材料与方法

使用12根在体外器械操作过程中折断的器械。在17%乙二胺四乙酸三钠(A组)、2.5%次氯酸钠(B组)、Dentasept 3H Rapide(C组)和ZymeX™(D组)溶液中进行3、6和9分钟超声清洗前后,通过扫描电子显微镜(SEM)对折断表面进行研究。对所有四组未处理和超声清洗后的样本中选定的锉进行能谱分析(EDS),以评估合金表面的元素组成。

结果

SEM分析显示,超声搅拌9分钟后,所有四种研究溶液均清洁了折断表面。然而,一些低原子序数区域在折断表面呈现随机分布。EDS分析表明,超声清洗9分钟后,表面仅保留了碳。这一发现在所有测试组中都很常见。

结论

所有四种研究溶液均能有效去除镍钛锉表面的碎屑,被认为适用于临床实践。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f20/11337967/a7b1a60e64ba/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f20/11337967/a7b1a60e64ba/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f20/11337967/a7b1a60e64ba/gr1.jpg

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本文引用的文献

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Microsc Res Tech. 2018 Dec;81(12):1406-1411. doi: 10.1002/jemt.23098. Epub 2018 Oct 23.
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Cleaning of used rotary nickel-titanium files in an ultrasonic bath by locally intensified acoustic cavitation.在超声浴中通过局部强化声空化清洁使用过的镍钛旋转锉。
Int Endod J. 2018 Apr;51(4):457-468. doi: 10.1111/iej.12866. Epub 2017 Nov 1.
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Efficacy of three irrigation agitation techniques on bacterial elimination: a microbiologic and microscopic evaluation.
三种冲洗搅拌技术对细菌清除的效果:微生物学和显微镜评估
Scanning. 2014 Sep-Oct;36(5):512-6. doi: 10.1002/sca.21147. Epub 2014 May 9.
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Implications of prion diseases for dentistry: an update.朊病毒病对牙科的影响:最新进展
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Rotary NiTi instrument fracture and its consequences.旋转镍钛器械折断及其后果。
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The effect of pre-soaking and time in the ultrasonic cleaner on the cleanliness of sterilized endodontic files.预浸泡及在超声波清洗器中的时长对根管治疗器械消毒后清洁度的影响
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A SEM evaluation of debris removal from endodontic files after cleaning and steam sterilization procedures.根管锉在清洁和蒸汽灭菌程序后碎屑清除情况的扫描电子显微镜评估。
Aust Dent J. 2004 Sep;49(3):128-35. doi: 10.1111/j.1834-7819.2004.tb00061.x.
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Microbiological evaluation of endodontic files after cleaning and steam sterilization procedures.根管锉在清洁和蒸汽灭菌程序后的微生物学评估。
Aust Dent J. 2004 Sep;49(3):122-7. doi: 10.1111/j.1834-7819.2004.tb00060.x.
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Proposed role of embedded dentin chips for the clinical failure of nickel-titanium rotary instruments.
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