Fang Justin, Shen Zhen, van der Hoeven Ransome, Jaramillo David E
Department of Endodontics, School of Dentistry, University of Texas Health Science Center at Houston, Houston, TX 77054, USA.
Dent J (Basel). 2025 Feb 28;13(3):110. doi: 10.3390/dj13030110.
To investigate the tissue dissolution efficacy of different concentrations of sodium hypochlorite (NaOCl) using the GentleWave technology (GW) and compare it with that of passive ultrasonic irrigation. This study will provide a novel in vitro model used to evaluate the tissue dissolution efficacy of different concentrations of NaOCl using the GentleWave procedure. Palatal bovine tissue was standardized by weight at 70-75 mg (average of 74.4 mg). The samples were divided into three groups of = 10, Group 1: GW + 0.5% NaOCl, Group 2: GW + 3% NaOCl, and Group 3: ultrasonic group (US) + 6% NaOCl, and a control group of = 2 with GW + HO. A specialized CleanFlow instrument was manufactured for the GW groups. For the US group, an apparatus was developed to allow the tissue to be in close contact with a freely operating ultrasonic tip. Each group was operated with its specific irrigants and dissolution times were obtained unless the samples were not visually dissolved within 5 min, and the dissolution rates were calculated. Dissolution times and rates were analyzed using univariate analysis of variance followed by a -test. The GW groups with 0.5% and 3% NaOCl dissolved entire tissue samples within 5 min and had average dissolution times of 227.5 s (Group 1) and 81.5 s (Group 2). GW with water had a higher tissue dissolution rate than ultrasonics with 6% NaOCl. The GentleWave using a lower concentration of NaOCl showed a similar clinical efficacy of dissolving tissues but displayed a significantly faster rate when compared with passive ultrasonic agitation.
使用GentleWave技术(GW)研究不同浓度次氯酸钠(NaOCl)的组织溶解效果,并将其与被动超声冲洗的效果进行比较。本研究将提供一种新型体外模型,用于评估使用GentleWave程序时不同浓度NaOCl的组织溶解效果。将腭部牛组织按重量标准化为70 - 75毫克(平均74.4毫克)。样本分为三组,每组n = 10,第1组:GW + 0.5% NaOCl,第2组:GW + 3% NaOCl,第3组:超声组(US)+ 6% NaOCl,以及对照组n = 2,为GW + HO。为GW组制造了专门的CleanFlow仪器。对于US组,开发了一种装置,使组织能够与自由操作的超声探头紧密接触。每组使用其特定的冲洗剂进行操作,记录溶解时间,除非样本在5分钟内未在视觉上溶解,然后计算溶解速率。使用单因素方差分析和t检验分析溶解时间和速率。含0.5%和3% NaOCl的GW组在5分钟内溶解了所有组织样本,平均溶解时间分别为227.5秒(第1组)和81.5秒(第2组)。用水的GW组比用6% NaOCl的超声组具有更高的组织溶解率。使用较低浓度NaOCl的GentleWave显示出类似的组织溶解临床效果,但与被动超声搅拌相比,溶解速度明显更快。