Análise, por MEV, da efetividade de soluções irrigadoras e substâncias químicas auxiliares na limpeza de canais radiculares e estudo complementar da interferência desta limpeza na penetração do cimento obturador nos túbulos dentinários
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Data
2007-08-22
Autores
Carvalho, Alessandra Sverberi [UNESP]
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Editor
Universidade Estadual Paulista (Unesp)
Resumo
A proposta deste estudo foi avaliar, através de MEV, a capacidade de limpeza de diferentes combinações de soluções irrigadoras e substâncias químicas auxiliares ao preparo biomecânico e a penetração de dois cimentos no interior dos túbulos dentinários. Foram utilizados 48 dentes unirradiculados humanos que tiveram seus canais instrumentados de forma padronizada, variando a solução irrigadora utilizada (n=12): G1- Preparo Biomecânico (PBM) com NaOCl 2,5% þ+ EDTA 17%; G2- PBM com gel de Clorexidina 2% + EDTA 17%; G3- PBM com Canal Mais (Septodont) + NaOCl 2,5%; G4- PBM com soro fisiológico + EDTA 17% (controle). Terminadas as instrumentações, 8 dentes de cada grupo foram clivados e preparados para leitura em MEV, com aumento de 2000X, avaliando a limpeza dos terços cervical, médio e apical. A área analisada foi quantificada pelo total de túbulos dentinários presentes, pela porcentagem de túbulos abertos da região avaliada. Os dados relativos à porcentagem de túbulos abertos foram submetidos aos testes estatísticos ANOVA e Tukey (p=0,05). Os resultados mostraram diferenças estatisticamente significantes, com maior quantidade de túbulos abertos nos grupos G1 e G3 e menor quantidade nos grupos G2 e G4. Em ordem decrescente a capacidade de limpeza das soluções foi a seguinte: Canal Mais > NaOCl 2,5% > Clorexidina gel 2% > solução salina fisiológica. Foi possível observar grande erosão dentinária peritubular e intertubular nos dentes instrumentados com o Canal Mais. Em todos os grupos a limpeza obtida no terço cervical foi superior à alcançada nos terços médio e apical, com diferença estatisticamente significante apenas no grupo da clorexidina. Com caráter ilustrativo e qualitativo, as quatro raízes remanescentes em cada grupo foram subdivididas em dois grupos de duas raízes cada e obturadas, pela técnica da condensação lateral, com cones de...
The process of cleaning and disinfecte of the rootcanal system is an essential step for the success of endodontic treatment. Chemicals employed as irrigants during endodontic treatment must have good ability to lubricate the root canal walls and clean the dentinal tubules, in order to allow better diffusion of root canal dressing and good adaptation of sealers to the dentinal walls. This study aimed to investigate, by SEM analysis, the cleaning ability of different combinations of irrigants and auxiliary chemicals and the penetration of Acroseal and Epiphany sealers into the dentinal tubules. The study was conducted on 48 single-rooted human teeth submitted to standardized instrumentation, using different irrigants, as follows (n=12): G1- Biomechanical preparation (BMP) with 2.5% NaOCl + 17% EDTA; G2- BMP with 2% chlorhexidine gel + 17% EDTA; G3- BMP with Canal Mais (Septodont do Brasil) + 2.5% NaOCl; G4- BMP with saline + 17% EDTA (control). Eight teeth from each group were longitudinally sectioned and prepared for SEM analysis, with 2000x magnification, for evaluation of cleaning at the cervical, medium and apical thirds. The analyzed area was quantified according to the percentage of open tubules at each region. The values were submitted to statistical analysis by the ANOVA and Tukey tests, at a significance level of 5%. The results revealed statistical differences, namely G1 and G3 were statistically different from G2 and G4. There was significant dentinal erosion in teeth instrumented with Canal Mais. In all groups, the cleaning achieved at the cervical third was better compared to the medium and apical thirds, with statistically significant difference only for the chlorhexidine group. For the purposes of illustration, the four remaining roots in each group were subdivided into two groups with two roots each and filled by the lateral condensation technique with gutta-percha points... (Complete abstract click electronic access below)
The process of cleaning and disinfecte of the rootcanal system is an essential step for the success of endodontic treatment. Chemicals employed as irrigants during endodontic treatment must have good ability to lubricate the root canal walls and clean the dentinal tubules, in order to allow better diffusion of root canal dressing and good adaptation of sealers to the dentinal walls. This study aimed to investigate, by SEM analysis, the cleaning ability of different combinations of irrigants and auxiliary chemicals and the penetration of Acroseal and Epiphany sealers into the dentinal tubules. The study was conducted on 48 single-rooted human teeth submitted to standardized instrumentation, using different irrigants, as follows (n=12): G1- Biomechanical preparation (BMP) with 2.5% NaOCl + 17% EDTA; G2- BMP with 2% chlorhexidine gel + 17% EDTA; G3- BMP with Canal Mais (Septodont do Brasil) + 2.5% NaOCl; G4- BMP with saline + 17% EDTA (control). Eight teeth from each group were longitudinally sectioned and prepared for SEM analysis, with 2000x magnification, for evaluation of cleaning at the cervical, medium and apical thirds. The analyzed area was quantified according to the percentage of open tubules at each region. The values were submitted to statistical analysis by the ANOVA and Tukey tests, at a significance level of 5%. The results revealed statistical differences, namely G1 and G3 were statistically different from G2 and G4. There was significant dentinal erosion in teeth instrumented with Canal Mais. In all groups, the cleaning achieved at the cervical third was better compared to the medium and apical thirds, with statistically significant difference only for the chlorhexidine group. For the purposes of illustration, the four remaining roots in each group were subdivided into two groups with two roots each and filled by the lateral condensation technique with gutta-percha points... (Complete abstract click electronic access below)
Descrição
Palavras-chave
Canal radicular - Tratamento, Hipoclorito de sódio, Clorexidina, Obturações (Odontologia), Microscopia eletronica de varredura, Obturação do canal radicular
Como citar
CARVALHO, Alessandra Sverberi. Análise, por MEV, da efetividade de soluções irrigadoras e substâncias químicas auxiliares na limpeza de canais radiculares e estudo complementar da interferência desta limpeza na penetração do cimento obturador nos túbulos dentinários. 2007. 129 f. Dissertação (mestrado) - Universidade Estadual Paulista, Faculdade de Odontologia de São José dos Campos, 2007.