不同暴露时间灌洗液对根管牙本质显微硬度影响的比较评价(体外研究)

H. A. Saleh
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引用次数: 3

摘要

背景:测试冲洗液对牙本质的影响是很重要的,因为它们可能在冲洗过程中接触。这些冲洗剂会导致牙本质和牙釉质表面的改变,并影响它们与用于封闭和冠状修复的材料的相互作用。目的研究不同灌洗液在不同时间灌洗根管后牙本质的显微硬度。材料与方法:将25颗新拔牙的无龋人恒切牙在牙髓-牙釉质交界处切开,纵裂后分为5组;Gr1(对照)蒸馏水,G2: 5.25%次氯酸钠(NaOCl)(10分钟)然后17% EDTA(1分钟),G3: 5.25%次氯酸钠(NaOCl)(10分钟)然后17% EDTA(5分钟),G4: 5.25%次氯酸钠(NaOCl)(20分钟)然后17% EDTA(1分钟),G5: 5.25%次氯酸钠(NaOCl)(20分钟)然后17% EDTA(5分钟)。测定维氏显微硬度。结果:数据分析采用单因素方差分析和配对t检验。结果表明:与对照蒸馏水相比,5.25% NaOCl和17% EDTA处理时间均显著降低了牙本质显微硬度。随着灌洗液暴露时间的增加,各组间存在显著差异(P<0.001)。蒸馏水处理(对照)的显微硬度值最高,5.25%次氯酸钠处理20分钟的显微硬度值最低,其次是5.25% EDTA处理5分钟的显微硬度值最低,其次是G4、G3和G2。结论:5.25%次氯酸钠和17% EDTA均延长冲洗时间,可降低牙本质显微硬度。
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Comparative Evaluation of Effect of Irrigation Solutions with Various Exposure Time on Microhardness of Root Canal Dentin (In Vitro Study)
Background: It is important to test the effect of the irrigating solutions on dentin, as they may come in contact during irrigation procedures. These irrigants cause alterations on dentin and enamel surfaces and affect their interactions with materials used for obturation and coronal restorations. The aim was to study the microhardness of root canal dentin after irrigation with different irrigant solutions for different periods. Materials and Methods: Twenty five newly extracted non carious human permanent incisors were sectioned at cementoenamel junction and splitted longitudinally then divided into five groups; Gr1 (control) distilled water, G2: 5.25% sodium hypochlorite (NaOCl) for (10 min) then 17% EDTA for (1 min), G3: 5.25% sodium hypochlorite (NaOCl) for (10 min) then 17% EDTA for (5 min), G4: 5.25% sodium hypochlorite(NaOCl) for (20 min) then 17% EDTA for (1 min) and G5: 5.25% sodium hypochlorite(NaOCl) for (20 min) then 17% EDTA for (5 min). Vickers microhardness was evaluated.  Results: Data were analyzed using one-way ANOVA and paired t-test. The results indicated that all treatment time with 5.25% NaOCl and 17% EDTA decreased dentin microhardness significantly compared to distilled water (control). There were significant differences (P<0.001) between the tested groups with increasing time of exposure of irrigation solutions. Treatment with distilled water (control) showed significantly the highest microhardness value, while 5.25% sodium hypochlorite for 20 minute followed by 5 minutes (G5) with 17% EDTA showed significantly the least microhardness value followed by G4, G3 and G2. Conclusions :Increasing irrigation time with both 5.25% sodium hypochlorite and 17% EDTA decreased dentin microhardness.
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