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根管治疗中各种冲洗液的对比分析

Comparative Analysis of Various Irrigation Solutions in Root Canal Treatment.

作者信息

Mirza Mubashir Baig, Sharma Kirti, Shetty Chitharanjan, Gupta Jayantika, Padariya Kinjal, Chohan Hitesh, Pius Alen

机构信息

Department of Conservative Dental Science, College of Dentistry, Prince Sattam bin AbdulAziz University, AlKharj, Kingdom of Saudi Arabia.

Department of Conservative Dentistry and Endodontics, Vyas Dental College Jodhpur, Rajasthan, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2740-S2742. doi: 10.4103/jpbs.jpbs_276_24. Epub 2024 Jun 7.

Abstract

BACKGROUND

" (RCT)" is essential in preserving natural dentition by eliminating infection within the root canal system. Irrigation solutions play a crucial role in achieving successful RCT outcomes by facilitating disinfection and debris removal.

METHODS

An experimental design was employed to evaluate the irrigation solutions. Antimicrobial efficacy was assessed using agar diffusion assays against and Candida albicans. Tissue dissolution ability was evaluated by measuring the weight loss of dentin specimens. Cytotoxicity was assessed using cell viability assays with human periodontal ligament fibroblasts.

RESULTS

NaOCl demonstrated the highest antimicrobial efficacy, while EDTA exhibited superior tissue dissolution ability. CHX and QMix displayed lower cytotoxicity compared to NaOCl and EDTA.

CONCLUSION

The choice of irrigation solution in RCT should consider factors such as antimicrobial efficacy, tissue dissolution ability, and cytotoxicity. NaOCl remains effective but has high cytotoxicity, whereas CHX and QMix offer alternatives with lower cytotoxicity. EDTA is effective in tissue dissolution but should be used cautiously due to cytotoxic potential. Clinicians should weigh the benefits and limitations of each solution for optimal treatment outcomes.

摘要

背景

根管治疗(RCT)对于通过消除根管系统内的感染来保留天然牙列至关重要。冲洗液通过促进消毒和清除碎屑,在实现成功的根管治疗结果中起着关键作用。

方法

采用实验设计来评估冲洗液。使用琼脂扩散试验评估对[具体细菌名称未给出]和白色念珠菌的抗菌效果。通过测量牙本质标本的重量损失来评估组织溶解能力。使用人牙周膜成纤维细胞的细胞活力测定法评估细胞毒性。

结果

次氯酸钠(NaOCl)显示出最高的抗菌效果,而乙二胺四乙酸(EDTA)表现出卓越的组织溶解能力。与NaOCl和EDTA相比,氯己定(CHX)和QMix显示出较低的细胞毒性。

结论

根管治疗中冲洗液的选择应考虑抗菌效果、组织溶解能力和细胞毒性等因素。NaOCl仍然有效,但具有高细胞毒性,而CHX和QMix提供了细胞毒性较低的替代方案。EDTA在组织溶解方面有效,但由于潜在的细胞毒性应谨慎使用。临床医生应权衡每种溶液的利弊以获得最佳治疗效果。

相似文献

1
Comparative Analysis of Various Irrigation Solutions in Root Canal Treatment.根管治疗中各种冲洗液的对比分析
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2740-S2742. doi: 10.4103/jpbs.jpbs_276_24. Epub 2024 Jun 7.

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