Comparison of different irrigants on calcium hydroxide medication removal: microscopic cleanliness evaluation.

作者: Ricardo Julio Cabrales Salgado , Cacio Moura-Netto , Andrea Kanako Yamazaki , Luciano Natividade Cardoso , Abílio Albuquerque Maranhão de Moura

DOI: 10.1016/J.TRIPLEO.2008.12.008

关键词:

摘要: Calcium hydroxide dressing residuals can compromise endodontic sealing. This study evaluated the cleaning efficacy of different irrigants in removing calcium by SEM image analysis. Fifty-four single-rooted mandibular premolars were instrumented to a master apical file #60 and dressed with hydroxide. After 36 hours, teeth reopened Ca(OH)(2) medication was removed 5 experimental groups: 0.5% NaOCl (G1), EDTA-C (G2), citric acid (G3), EDTA-T (G4), re-instrumentation MAF using lubrificant, followed (G5). The roots split buccal-lingual direction prepared for analysis cervical, middle, thirds (9, 6, 3mm from apex). Five blinded examiners wall cleanliness scale 1 5. Statistical performed Kruskal-Wallis at 5% level significance. Group G5 had best results all thirds, significant statistical differences compared other groups middle coronal third, G1 third. On hand, G1, only flushed NaOCl, worst results, groups. achieved G4 recapitulation combination improved removal better than an irrigant flush alone.

参考文章(36)
Maranhão de Moura Aa, Gustavo de Paiva J, ["In vitro" analysis of root dentin permeability during endodontic instrument use, as a function of change of instruments and number of times used]. Revista de Odontologia da Universidade de São Paulo. ,vol. 3, pp. 262- 270 ,(1989)
Riccardo Garberoglio, Carlo Becce, Smear layer removal by root canal irrigants. A comparative scanning electron microscopic study. Oral Surgery, Oral Medicine, Oral Pathology. ,vol. 78, pp. 359- 367 ,(1994) , 10.1016/0030-4220(94)90069-8
J. Margelos, G. Eliades, C. Verdelis, G. Palaghias, Interaction of calcium hydroxide with zinc oxide-eugenol type sealers: A potential clinical problem Journal of Endodontics. ,vol. 23, pp. 43- 48 ,(1997) , 10.1016/S0099-2399(97)80206-3
B. S. CHONG, T. R. PITT FORD, The role of intracanal medication in root canal treatment. International Endodontic Journal. ,vol. 25, pp. 97- 106 ,(1992) , 10.1111/J.1365-2591.1992.TB00743.X
Matthias Zehnder, Patrick Schmidlin, Beatrice Sener, Tuomas Waltimo, Chelation in root canal therapy reconsidered. Journal of Endodontics. ,vol. 31, pp. 817- 820 ,(2005) , 10.1097/01.DON.0000158233.59316.FE
Dorothy McComb, Dennis C. Smith, A preliminary scanning electron microscopic study of root canals after endodontic procedures. Journal of Endodontics. ,vol. 1, pp. 238- 242 ,(1975) , 10.1016/S0099-2399(75)80226-3
Mary Rafter, Apexification: a review Dental Traumatology. ,vol. 21, pp. 1- 8 ,(2005) , 10.1111/J.1600-9657.2004.00284.X