预热和龋内加热溶液与超声波激活未成熟牙齿的温度变化对比分析

IF 3.5 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of endodontics Pub Date : 2024-10-29 DOI:10.1016/j.joen.2024.10.009
Öznur Sariyilmaz, Evren Sariyilmaz, Cangül Keskin
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引用次数: 0

摘要

简介本研究旨在探讨牙本质壁薄的未成熟牙齿在灌洗液预热或根管内加热时根管和根面的温度变化,以及被动超声灌洗(PUI)对这些温度变化的额外影响:将 16 颗上颌犬齿修剪至 20 毫米长,并使用 Gates Glidden 车针将其扩大,以模仿根尖宽度为 1.3 毫米的未成熟牙齿。为了测量根管内和根表面的温度,将一个热电偶从根尖放入根管,另一个热电偶放在根外。通过不同的方法(室温、预热至 60°C、根管内加热 5 秒、根管内加热 20 秒)加热冲洗液进行冲洗,并在每种方法后使用 PUI。记录根管内和根表面的温度变化并进行统计分析:结果:与在室温下使用相比,使用预热和根管内加热的灌洗液会导致根管内和根表面温度显著升高(p 结论:在加热溶液中使用 PUI 不会显著提高加热方法的温度,但会通过减缓冷却过程延长热量在根管内的保留时间。虽然使用预热溶液 20 秒可提高牙管内温度,但应注意的是,溶液会在牙管内迅速冷却。短期加热,如 5 秒钟,频繁重复,有助于在激活过程中保持高温。
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Comparative Analysis of Temperature Changes with Preheated and Intracanal Heated Solutions and Ultrasonic Activation in Immature Teeth.

Introduction: The aim of this study was to examine the temperature changes on root canal and root surface in immature teeth with thin dentinal walls when irrigation solutions are preheated or intracanal heated, as well as the additional effects of passive ultrasonic irrigation (PUI) on these temperature changes.

Methods: Sixteen maxillary canine teeth were trimmed to a length of 20 mm and prepared to mimic immature teeth with an apical width of 1.3 mm by enlarging those using Gates Glidden burs. To measure temperatures inside the canal and on the root surface, one thermocouple was placed from the apex into the root canal, while the other thermocouple was positioned outside the root. Irrigation was performed by heating the irrigation solution with different methods (room temperature, preheated to 60°C, 5 sec intracanal heated, 20 sec intracanal heated), and PUI was applied after each method. Temperature changes occurring inside the root canal and on the root surface were recorded and subjected to statistical analysis.

Results: Using the irrigation solution preheated and intracanal heated resulted in a significant increase in both intracanal and root surface temperatures compared to using at room temperature (P < .05). The application of PUI significantly increased the temperature of the irrigation solution only at room temperature group (P < .05). None of the applications caused an increase in temperature on the root surface exceeding 10°C.

Conclusions: Applying PUI to heated solutions does not significantly increase the temperature in heating methods, but it does prolong heat retention in the canal by slowing down the cooling process. Although using preheated solution for 20 seconds results in higher intracanal temperatures, it should be noted that the solution cools rapidly within the canal. Short-term heating applications, such as 5 seconds, repeated frequently, can help maintain the high temperature during activation.

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来源期刊
Journal of endodontics
Journal of endodontics 医学-牙科与口腔外科
CiteScore
8.80
自引率
9.50%
发文量
224
审稿时长
42 days
期刊介绍: The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.
期刊最新文献
Corrigendum. The Impact of pH on the Piezoelectric Properties of Dentin in Root Canal Treated Teeth: Implications for Dental Materials and Oral Health. Antibacterial Effects of Silica Nanoparticles Loading Nano-silver and Chlorhexidine in Root Canals Infected by Enterococcus faecalis. Feasibility and Outcomes of Cell-Based Regenerative Endodontic Therapy in Post-Autogenous Transplantation of a Mature Tooth: A Case Report. Photomechanical investigation on the impact of endodontic cavity design on the biomechanical response in mandibular posterior teeth.
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