被动超声冲洗对弯曲根管的碎屑清理能力和根管形态的影响

doi:10.19439/j.sjos.2022.01.002

上海口腔医学 ›› 2022, Vol. 31 ›› Issue (1): 6-11.doi: 10.19439/j.sjos.2022.01.002

被动超声冲洗对弯曲根管的碎屑清理能力和根管形态的影响

PRIYA Vishnu¹, 邵皎皎¹, 封菲², 张旗¹

1.同济大学口腔医学院牙体牙髓病学教研室,上海牙组织再生与修复工程技术研究中心,上海 200072;
2.上海市口腔医院牙体牙髓病科,上海 200001

收稿日期:2020-09-24 修回日期:2020-11-10 出版日期:2022-02-25 发布日期:2022-03-10
通讯作者: 张旗,E-mail: qizhang@tongji.edu.cn
作者简介:PRIYA Vishnu (1991-),女,硕士,E-mail: drvishnupriya91@gmail.com
基金资助:
国家自然科学基金(81870760、81570966); 中央高校基本科研业务费专项资金(22120190217)

Study on the influence of passive ultrasonic irrigation on debris cleaning ability and root canal shape

PRIYA Vishnu¹, SHAO Jiao-jiao¹, FENG Fei², ZHANG Qi¹

1. Department of Dentistry and Endodontics, School of Stomatology, Tongji University, Shanghai Engineering Research Center for Dental Tissue Regeneration and Restoration. Shanghai 200072;
2. Department of Dentistry and Endodontics, Shanghai Stomatological Hospital. Shanghai 200001, China

Received:2020-09-24 Revised:2020-11-10 Online:2022-02-25 Published:2022-03-10

摘要/Abstract

摘要： 目的: 评价被动超声冲洗在弯曲根管内碎屑清理能力和根管偏移量。方法: 选取下颌磨牙近中弯曲根管36个,弯曲度在25°以上,以机用 XP-endo Shaper根管锉预备根管。根据弯曲长度（curved length,CL）和冲洗方式分为A1组（CL>3 mm,注射器冲洗）、B1组（CL>3 mm,超声K锉冲洗）、C1组（CL>3 mm,irrisafe超声锉冲洗）、A2组（CL<3 mm,注射器冲洗）、B2组（CL<3 mm,超声K锉冲洗）和C2组（CL<3 mm,irrisafe超声锉冲洗）,每组6个样本。对所有样本冲洗前、后进行Micro-CT扫描,计算冲洗后根管内体积增加量和根管偏移量。采用SPSS 22.0软件包对数据进行统计学分析。结果: 在CL>3 mm的根管根尖区,PUI+irrisafe组的根管体积增量显著高于PUI+K锉和注射器冲洗（P<0.05）,并且在距离根尖孔5 mm处PUI+irrisafe形成的根管偏移量显著低于PUI+K锉（P<0.05）;与注射器冲洗相比无显著差异（P>0.05）。在CL<3 mm的根管中,PUI+irrisafe组和PUI+K锉组的根管体积增量均显著高于注射器冲洗（P<0.05）,但根管偏移量与注射器冲洗无显著差异（P<0.05）。结论: 在弯曲长度较大的根管中,被动超声冲洗结合预弯锉可获得更好的清理效果;而在弯曲长度较小的根管中,被动超声冲洗结合K锉和预弯锉均安全有效。

关键词: 被动超声冲洗, 弯曲根管, 根管偏移

Abstract: PURPOSE: To evaluate the safety and effectiveness of passive ultrasonic irrigation(PUI) in curved root canals, and debris cleaning ability and the amount of root canal transportation of passive ultrasonic irrigation(PUI) in curved root canals. METHODS: A total of 36 mesially curved root canals of mandibular molars with a curvature above 25° were selected. The root canals were prepared with XP-endo Shaper root canal file. The samples were divided into A1 group (curved length>3 mm, syringe irrigation), B1 group(curved length>3 mm, PUI+K file), C1 group(curved length>3 mm, PUI+irrisafe), A2 group (curved length<3 mm, syringe irrigation), B2 group (curved length<3 mm, PUI+K file), and C2 group (curved length<3 mm, PUI+ irrisafe) (n=6). Micro-CT scans were performed on all samples before and after irrigation, and the volume increase in the root canal after irrigation and the transportation of the root canal were calculated. SPSS 22.0 software package was used to analyze the data. RESULTS: In the apical area of the root canal with a curved length greater than 3 mm, the root canal volume increase in the PUI+irrisafe group was significantly greater than that of the PUI+K file and syringe irrigation (P<0.05), and at 5 mm section, the transportation of the root canal formed by PUI+irrisafe was significantly lower than that of the PUI+K file (P<0.05), but there was no significant difference from syringe irrigation (P>0.05); in root canals with a curved length less than 3 mm, root canal volume increment of the file group was significantly greater than that of syringe irrigation (P<0.05), but there was no significant difference between the root canal transportation and syringe irrigation(P<0.05). CONCLUSIONS: In root canals with larger curved length, passive ultrasonic irrigation combined with a pre-curved file can obtain a better cleaning effect, while in root canals with smaller curved length, both K file and pre-curved file with passive ultrasonic irrigation are safe and effective.

Key words: Passive ultrasonic irrigation, Curved canals, Root canal transportation

中图分类号:

R781.05

PRIYA Vishnu, 邵皎皎, 封菲, 张旗. 被动超声冲洗对弯曲根管的碎屑清理能力和根管形态的影响[J]. 上海口腔医学, 2022, 31(1): 6-11.

PRIYA Vishnu, SHAO Jiao-jiao, FENG Fei, ZHANG Qi. Study on the influence of passive ultrasonic irrigation on debris cleaning ability and root canal shape[J]. Shanghai Journal of Stomatology, 2022, 31(1): 6-11.

参考文献

[1] Lee SJ, Wu MK, Wesselink PR.The effectiveness of syringe irrigation and ultrasonics to remove debris from simulated irregularities within prepared root canal walls[J]. Int Endod J, 2004, 37(10): 672-678.
[2] Chugal N, Mallya SM, Kahler B, et al.Endodontic treatment outcomes[J]. Dent Clin North Am, 2017, 61(1): 59-80.
[3] Castelo-Baz P, Varela-Patiño P, Cantatore G, et al.In vitro comparison of passive and continuous ultrasonic irrigation in curved root canals[J]. J Clin Exp Dent, 2016, 8(4): e437-e441.
[4] Boutsioukis C, Gogos C, Verhaagen B, et al.The effect of apical preparation size on irrigant flow in root canals evaluated using an unsteady computational fluid dynamics model[J]. Int Endod J, 2010, 43(10): 874-881.
[5] Tay FR, Gu LS, Schoeffel GJ, et al.Effect of vapor lock on root canal debridement by using a side-vented needle for positive-pressure irrigant delivery[J]. J Endod, 2010, 36(4): 745-750.
[6] Jiang LM, Lak B, Eijsvogels LM, et al.Comparison of the cleaning efficacy of different final irrigation techniques[J]. J Endod, 2012, 38(6): 838-841.
[7] 苏征, 白雨豪, 侯晓玫. 不同技术对弯曲根管根尖气锁去除效果的锥形束CT研究[J]. 北京大学学报(医学版), 2017, 49(1): 76-80.
[8] Walmsley AD, Williams AR.Effects of constraint on the oscillatory pattern of endosonic files[J]. J Endod, 1989, 15(5): 189-194.
[9] Malki M, Verhaagen B, Jiang LM, et al.Irrigant flow beyond the insertion depth of an ultrasonically oscillating file in straight and curved root canals: visualization and cleaning efficacy[J]. J Endod, 2012, 38(5): 657-661.
[10] Retsas A, Koursoumis A, Tzimpoulas N, et al.Uncontrolled removal of dentin during in vitro ultrasonic irrigant activation in curved root canals[J]. J Endod, 2016, 42(10): 1545-1549.
[11] Amato M, Vanoni-Heineken I, Hecker H, et al.Curved versus straight root canals: the benefit of activated irrigation techniques on dentin debris removal[J].Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011, 111(4): 529-534.
[12] Küçükkaya Eren S, Aksel H, Parashos P. A novel model for testing the efficiency of removal of calcium hydroxide from complex root canal anatomies[J]. Aust Endod J, 2017, 43(1): 5-10.
[13] Wang Y, Guo LY, Fang HZ, et al.An in vitro study on the efficacy of removing calcium hydroxide from curved root canal systems in root canal therapy[J]. Int J Oral Sci, 2017, 9(2): 110-116.
[14] Sabins RA, Johnson JD, Hellstein JW.A comparison of the cleaning efficacy of short-term sonic and ultrasonic passive irrigation after hand instrumentation in molar root canals[J]. J Endod, 2003, 29(10): 674-678.
[15] Neuhaus KW, Liebi M, Stauffacher S, et al.Antibacterial efficacy of a new sonic irrigation device for root canal disinfection[J]. J Endod, 2016, 42(12): 1799-1803.
[16] Merino A, Estevez R, de Gregorio C, et al. The effect of different taper preparations on the ability of sonic and passive ultrasonic irrigation to reach the working length in curved canals[J]. Int Endod J, 2013, 46(5): 427-433.
[18] Gao Y, Cheung GS, Shen Y, et al.Mechanical behavior of ProTaper universal F2 finishing file under various curvature conditions: a finite element analysis study[J]. J Endod, 2011, 37(10): 1446-1450.
[19] 郑庆华, 李文, 黄定明. 恒牙根管弯曲的解剖学特征[J]. 国际口腔医学杂志, 2010, 37(3): 317-319.
[20] Siqueira JF Jr, Pérez AR, Marceliano-Alves MF, et al.What happens to unprepared root canal walls: a correlative analysis using micro-computed tomography and histology/scanning electron microscopy[J]. Int Endod J, 2018, 51(5): 501-508.
[21] Paqué F, Laib A, Gautschi H, et al.Hard-tissue debris accumulation analysis by high-resolution computed tomography scans[J]. J Endod, 2009, 35(7): 1044-1047.
[22] Linden D, Boone M, De Bruyne M, et al.Adjunctive steps for the removal of hard tissue debris from the anatomic complexities of the mesial root canal system of mandibular molars: a micro-computed tomographic study[J]. J Endod, 2020, 46(10): 1508-1514.
[23] Weller RN, Brady JM, Bernier WE.Efficacy of ultrasonic cleaning[J]. J Endod, 1980, 6(9): 740-743.
[24] Freire LG, Iglecias EF, Cunha RS, et al.Micro-computed tomographic evaluation of hard tissue debris removal after different irrigation methods and its influence on the filling of curved canals[J]. J Endod, 2015, 41(10): 1660-1666.
[25] 黄丽东, 宫玮玉, 董艳梅. 根管冲洗的研究进展[J]. 国际口腔医学杂志, 2018, 45(4): 465-472.
[26] Robinson JP, Macedo RG, Verhaagen B, et al.Cleaning lateral morphological features of the root canal: the role of streaming and cavitation[J]. Int Endod J, 2018, 51(Suppl 1): e55-e64.
[27] Macedo RG, Verhaagen B, Fernandez Rivas D, et al.Sonochemical and high-speed optical characterization of cavitation generated by an ultrasonically oscillating dental file in root canal models[J]. Ultrason Sonochem, 2014, 21(1): 324-335.
[28] Al-Jadaa A, Paqué F, Attin T, et al.Acoustic hypochlorite activation in simulated curved canals[J].J Endod, 2009, 35(10): 1408-1411.
[29] 马艳华, 许崇游, 李荣华, 等. 4种冲洗方法对弯曲根管玷污层影响的体外研究[J]. 天津医药, 2014, 42(5): 495-497.
[30] Ahmad M, Roy RA, Kamarudin AG.Observations of acoustic streaming fields around an oscillating ultrasonic file[J]. Endod Dent Traumatol, 1992, 8(5): 189-194.

被动超声冲洗对弯曲根管的碎屑清理能力和根管形态的影响

Study on the influence of passive ultrasonic irrigation on debris cleaning ability and root canal shape

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 5

编辑推荐

Metrics

本文评价

[1]	封菲, 曹立群, 张旗. XP-endo Shaper和ProTaper Next对弯曲根管成形能力及微裂纹形成的影响[J]. 上海口腔医学, 2023, 32(3): 225-229.
[2]	江慧超, 汤玲玲, 韩文利. 4种镍钛器械预备弯曲根管后成形能力比较[J]. 上海口腔医学, 2022, 31(1): 44-47.
[3]	汤玉红, 徐睿, 朱倩, 冉幸. 3种镍钛器械预备重度弯曲根管后牙本质微裂纹的观察[J]. 上海口腔医学, 2019, 28(6): 581-585.
[4]	田啊林, 黎小川, 陆雨桐, 叶晶晶, 刘燕, 何俐. 根管弯曲度对电子根尖定位仪测量准确性的影响[J]. 上海口腔医学, 2014, 23(6): 685-688.
[5]	段艳艳;胡宁;江喆;肖喜梅;苏勤. 4种机用镍钛器械预备模拟弯曲根管的效果评价 [J]. 上海口腔医学, 2012, 21(3): 279-282.