随机对照临床试验:在先前治疗的牙中,用连续或连续的化灌的根管中放置氧化物后的内毒素水平
Dhvani Sunil Pandya1, Selvakumar Kritika1, Kavitha Sanjeev1
1Department of Conservative Dentistry and Endodontics, SRM Dental College, SRM Institute of Science &Technology, Ramapuram Campus, Chennai, Tamil Nadu, India.
Journal of endodontics
|August 20, 2025
概括
连续化灌显著降低了内毒素,比氧化连续化在牙的顶部牙周炎.
科学领域:
- 牙周内科
- 微生物学
- 生物化学
背景情况:
- 格拉姆阴性细菌的促炎成分内毒素与牙周炎有关.
- 有效的内毒素降低对于成功的根管治疗结果至关重要.
研究的目的:
- 将连续化 (CC) 灌与顺序化 (SC) 在内毒素减少中进行比较.
- 评估氧化物 (CH) 在SC之后用于内毒素降低的额外益处.
主要方法:
- 一个随机临床试验涉及48个牙有症状的牙周炎.
- 在化学准备和CH安置后采集了根管样本.
- 使用流量运动的Limulus Amebocyte Lysate测定量了内毒素水平.
主要成果:
- 在化工制备后,CC和SC显著降低了内毒素.
- 在所有处理后的时间点中,CC灌显示内毒素水平明显低于SC.
- 顺序化后的CH放置显示了进一步的内毒素降低,但仍然高于CC.
结论:
- 连续化灌在减少内毒素方面比连续化,然后用氧化物更有效.
- 这一发现为优化牙顶部牙周炎的根管消毒方案提供了新的见解.
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