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Removal of surgical smear layer.

机译:去除手术涂片层。

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摘要

INTRODUCTION: During apicoectomy and retrograde cavity preparation, a smear layer, which contains microorganisms and necrotic pulpal tissues, is formed on the dentinal surfaces cut by the instruments. Bacteria can survive and proliferate inside or below the smear layer. The purpose of this study was to evaluate in vitro two different procedures for the removal of the smear layer in retrocavities prepared with ultrasonic retrotips. METHODS: Twenty-eight single-rooted teeth were cleaned, shaped, and obturated with gutta-percha and sealer. The apical 3 mm of each root were cut with a carbide bur, and retrograde cavities were prepared with ProUltra ultrasonic retrotips (Maillefer Dentsply, Baillagues, Switzerland) at a depth of 3 mm. Teeth in group A were treated with a gel of 35% orthophosphoric acid for 15 seconds, and teeth in group B were treated with a gel of 24% EDTA at a neutral pH for 2 minutes. The samples were prepared for scanning electron microscopic observation and scored for the presence of the smear layer on the retrocavity walls. RESULTS: Eighty percent of the teeth in group A showed an optimal degree of cleanliness of the walls, with dentinal tubules completely open. The majority of analyzed samples coming from group B showed dentinal tubules covered with the smear layer. CONCLUSIONS: The analysis of the samples showed that orthophosphoric acid is more effective than EDTA in removing surgical smear layer even with less time of action.
机译:简介:在进行根尖切除术和逆行腔准备过程中,器械切割的牙本质表面会形成一层包含微生物和坏死牙髓组织的涂片层。细菌可以在涂片层内或涂片层以下生存和增殖。这项研究的目的是在体外评估两种不同的步骤,以去除超声超尖制备的后腔中的涂抹层。方法:用牙龈胶和密封剂清洁,成形和封闭28根单根牙齿。用硬质合金钻头将每个根的顶端3 mm切开,并用ProUltra超声反尖装置(Maillefer Dentsply,Baillagues,瑞士)在3 mm的深度制备逆行腔。 A组中的牙齿用35%的正磷酸凝胶处理15秒,B组中的牙齿用24%EDTA凝胶在中性pH下处理2分钟。制备样品以进行扫描电子显微镜观察并对后腔壁上污迹层的存在进行评分。结果:A组中80%的牙齿表现出最佳的壁清洁度,并且牙本质小管完全张开。来自B组的大多数分析样品显示牙本质小管覆盖有涂片层。结论:对样品的分析表明,正磷酸在去除手术涂片层方面比EDTA更有效,即使作用时间更短。

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