Mishra Lora, Dash Gathani, Singh Naomi Ranjan, Kumar Manoj, Panda Saurav, Diemer Franck, Lukomska-Szymanska Monika, Lapinska Barbara, Khan Abdul Samad
Department of Conservative Dentistry and Endodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan, Bhubaneswar, Odisha, India.
Department of Periodontics, Institute of Dental Sciences, Siksha 'O' Anusandhan, Bhubaneswar, Odisha, India.
Restor Dent Endod. 2024 Nov 1;49(4):e42. doi: 10.5395/rde.2024.49.e42. eCollection 2024 Nov.
The surface integrity of gutta-percha cones is a crucial factor in the success of endodontic procedures. Disinfecting solutions play a pivotal role in sterilizing gutta-percha cones, but their influence on gutta-percha surface topography remains a subject of concern. This systematic review aimed to present a qualitative synthesis of available laboratory studies assessing the influence of disinfecting solutions on the surface topography of gutta-percha and offers insights into the implications for clinical practice. The present review followed PRISMA 2020 guidelines. An advanced database search was performed in PubMed, Google Scholar, Embase, Scopus, LILAC, non-indexed citations and reference lists of eligible studies in May 2024. Laboratory studies, in English language, were considered for inclusion. The quality (risk of bias) of the included studies was assessed using parameters for studies. A total of 28 studies were included in the qualitative synthesis. Based on the included in vitro studies, surface deposits and alterations in the physical properties of gutta-percha cones were observed after the disinfection protocol. A comprehensive review of the available literature indicates that the choice of disinfecting solution, its concentration, and immersion time significantly affect the surface topography of gutta-percha cones.
牙胶尖的表面完整性是牙髓治疗程序成功的关键因素。消毒溶液在牙胶尖的消毒过程中起着关键作用，但其对牙胶尖表面形貌的影响仍是一个备受关注的问题。本系统评价旨在对现有的实验室研究进行定性综合分析，评估消毒溶液对牙胶尖表面形貌的影响，并为临床实践提供启示。本综述遵循PRISMA 2020指南。2024年5月，在PubMed、谷歌学术、Embase、Scopus、LILAC、非索引引文以及符合条件研究的参考文献列表中进行了高级数据库搜索。纳入的研究为英文的实验室研究。使用研究参数评估纳入研究的质量（偏倚风险）。定性综合分析共纳入28项研究。基于纳入的体外研究，在消毒方案后观察到牙胶尖表面有沉积物以及物理性质的改变。对现有文献的全面综述表明，消毒溶液的选择、其浓度和浸泡时间会显著影响牙胶尖的表面形貌。
