消毒协议对下牙的细菌减少的影响
Helder Fernandes de Oliveira1, Luan Carlos Gomes Teixeira1, Ismael Fernandes Da Silva Júnior1
1Department of Endodontics, School of Dentistry, University of Anápolis, Anápolis, Goiás, Brazil.
European endodontic journal
|June 27, 2024
概括
这项研究评估了感染Enterococcus faecalis的下牙的消毒方案. WaveOne Gold,被动超声波灌和氧化协议证明了最大的细菌减少.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 微生物学 微生物学
- 牙科材料科学 牙科材料科学
背景情况:
- 菌 (Enterococcus faecalis) 是持续根管感染中常见的病原体.
- 有效的消毒对于成功的内牙治疗结果至关重要.
- 新的消毒策略正在不断探索,以改善细菌的消除.
研究的目的:
- 评估和比较不同消毒方案的有效性,以减少受感染下牙的Enterococcus faecalis.
- 评估灌技术和内药物对减少细菌负载的影响.
主要方法:
- 80名受感染的下牙被分为四个实验组和两个对照组.
- 协议涉及WaveOne Gold (WOG) 仪器,被动超声波灌 (PUI) 或XP-Endo Finisher (XPF) 激活,以及超或氧化 (CH) 药物.
- 在四个时间点收集细菌样本,通过培养度和紫外线光谱测量来评估微生物生长.
主要成果:
- 没有一个测试的协议完全消除了Enterococcus faecalis.
- 所有实验组在消毒程序 (S2,S3,S4) 后,从初始样本 (S1) 显示出统计学上显著的细菌减少.
- WOG + PUI + CH协议显示,与WOG + PUI + Ultracal和WOG + XPF + Ultracal相比,细菌减少的统计学上显著差异在内包裹后 (S4).
结论:
- 结合WaveOne Gold,被动超声波灌和氧化的消毒协议实现了最高的细菌减少百分比.
- 可能需要进一步的研究来优化协议,在内牙感染中彻底消灭Enterococcus faecalis.
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