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评估不同冲洗针在根管冲洗根尖清洁效果方面的影响——一项研究。

Evaluating the influence of different irrigation needles on the apical cleaning efficacy of endodontic irrigation - An study.

作者信息

Rajeswari P Raja, Sivakumar A Andamuthu, Sivakumar J S, Soundappan J Saravanapriyan, Chittrarasu M, Aravindhkumar A

机构信息

Department of Conservative Dentistry and Endodontics, Vivekanandha Dental College for Women, Namakkal, Tamil Nadu, India.

出版信息

J Conserv Dent Endod. 2025 Apr;28(4):336-342. doi: 10.4103/JCDE.JCDE_40_25. Epub 2025 Apr 3.

Abstract

CONTEXT

Irrigation is an essential part of a successful root canal treatment.

AIM

This study evaluates and compares the influence of three different double-sided vented irrigation needle gauges (G) (27G, 30G, and 31G) on the apical cleaning effectiveness of endodontic irrigation using radiovisiography.

SETTINGS AND DESIGN

A thorough protocol describing the objectives and methodologies of the study was submitted to the Institutional Ethics Committee, Vivekanandha Dental College for Women. Ethical clearance no. VDCW/IEC/340/2023.

SUBJECTS AND METHODS

Forty-five human mandibular premolars were extracted, filled with a radiopaque medium, and subjected to irrigation with three varying sizes of double-sided vented irrigation needles. Preirrigation and postirrigation radiographic images were digitally subtracted to assess the cleaned areas.

STATISTICAL ANALYSIS USED

Statistical analysis was carried out with SPSS version 27. For the purpose of intergroup comparisons, one-way analysis of variance was implemented, followed by the execution of the Tukey honestly significant difference post hoc test. Throughout the comparisons, < 0.05 was deemed statistically significant.

RESULTS

Maximum cleaning was observed in 31G double-sided vented irrigation needles, followed by 30G and 27G double-sided vented irrigation needles.

CONCLUSIONS

The 31G double-sided vented irrigation needles exhibit a higher level of effectiveness in the cleansing of the apical third of the root canal system in comparison to the other two irrigation needle variants.

摘要

背景

冲洗是成功进行根管治疗的重要组成部分。

目的

本研究使用放射成像技术评估并比较三种不同规格的双侧开孔冲洗针(27G、30G和31G)对根管冲洗根尖清洁效果的影响。

设置与设计

一份详细描述研究目的和方法的方案已提交给维韦卡南达女子牙科学院机构伦理委员会。伦理批准号:VDCW/IEC/340/2023。

对象与方法

拔除45颗人类下颌前磨牙,用不透射线的介质填充,并使用三种不同规格的双侧开孔冲洗针进行冲洗。对冲洗前和冲洗后的放射图像进行数字相减,以评估清洁区域。

所用统计分析方法

使用SPSS 27版进行统计分析。为进行组间比较,采用单因素方差分析,随后进行Tukey真实显著性差异事后检验。在所有比较中,P<0.05被视为具有统计学意义。

结果

观察到31G双侧开孔冲洗针的清洁效果最佳,其次是30G和27G双侧开孔冲洗针。

结论

与其他两种冲洗针变体相比,31G双侧开孔冲洗针在清洁根管系统根尖三分之一区域方面表现出更高的有效性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/53ff/12037119/b9a682d24650/JCDE-28-336-g001.jpg

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