两种功率PIPS-Er:YAG激光对根管内玷污层去除效果的比较研究

doi:10.13701/j.cnki.kqyxyj.2018.10.009

口腔医学研究 ›› 2018, Vol. 34 ›› Issue (10): 1067-1071.DOI: 10.13701/j.cnki.kqyxyj.2018.10.009

两种功率PIPS-Er:YAG激光对根管内玷污层去除效果的比较研究

刘敏, 彭彬^*

武汉大学口腔医学院口腔生物医学工程教育部重点实验室湖北武汉 430079

收稿日期:2018-03-12 出版日期:2018-10-28 发布日期:2018-10-24
通讯作者: 彭彬,E-mail:phs301@vip.163.com
作者简介:刘敏(1992~ ),女,江西萍乡人,硕士在读,主要从事牙体牙髓病的研究及临床工作。
基金资助:
国家自然科学基金(编号:81570973),湖北省医学领军人才培养工程项目(编号:2014CFA059)

Comparison of Photon-initiated Photoacoustic Streaming with Two Kinds of Power Settings on Removal of Smear Layer.

LIU Min, PENG Bin^*.

Key Laboratory for Oral Biomedical Engineering of Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan 430079, China.

Received:2018-03-12 Online:2018-10-28 Published:2018-10-24

摘要/Abstract

摘要： 目的: 比较高功率和低功率PIPS-Er:YAG激光对根管内玷污层去除效果。方法: 收集52颗下颌单根管恒前磨牙,按最后冲洗方法不同随机分为4组(n=13):0.3 W、0.9 W PIPS-Er:YAG组,超声组和注射器冲洗组(均为对照组),冲洗结束后将牙纵向劈开分成两份,随机选取一份用扫描电镜分别扫描根尖部、根中部、冠部根管壁并对残留玷污层进行评分,最后比较4组冲洗方法对玷污层去除效果。结果: 0.3 W PIPS-Er:YAG组和0.9 W PIPS-Er:YAG组对玷污层的去除效果相当(P>0.05),两组均优于超声组,但差异无统计学意义(P>0.05),而与注射器冲洗组比较差异均有统计学意义(P<0.05)。结论: 高功率和低功率的PIPS-Er:YAG激光均可促进玷污层的去除,两者去除效果相当,且均优于于超声冲洗和注射器冲洗。

关键词: PIPS-Er:YAG激光, 超声冲洗, 注射器冲洗, 玷污层

Abstract: Objective: To compare the efficacy of photon-initiated photoacoustic streaming on the removal of smear layer with two power settings. Methods: 52 extracted single-rooted mandibular premolars were instrumented up to ProTaper Universal F4 and randomly divided into 4 groups (n=13) according to the final irrigation techniques: 0.3 W PIPS, 0.9 W PIPS, ultrasonic, and needle irrigation. After the final irrigation, the teeth were split longitudinally into 2 parts and observed under a scanning electron microscope. Images were taken at the coronal, middle, and apical thirds of the teeth at a magnification of 1000× and were scored in the presence of the smear layer using the Hülsmann scoring system. Results: 0.3 W PIPS and 0.9 W PIPS were comparable on the removal of the smear layer (P>0.05). Both groups were better than the ultrasound group, but the difference was not significant (P>0.05), while the difference between the PIPS and the needle irrigation was significant (P<0.05). Conclusion: 0.3 W PIPS and 0.9 W PIPS are comparable on removal of the smear layer and are better than ulrasonic and needle irrigation.

Key words: The photon-initiated photoacoustic streaming, Ultrasonic irrigation, Needle irrigation, The smear layer

刘敏, 彭彬. 两种功率PIPS-Er:YAG激光对根管内玷污层去除效果的比较研究[J]. 口腔医学研究, 2018, 34(10): 1067-1071.

LIU Min, PENG Bin.. Comparison of Photon-initiated Photoacoustic Streaming with Two Kinds of Power Settings on Removal of Smear Layer.[J]. Journal of Oral Science Research, 2018, 34(10): 1067-1071.

参考文献

[1] Arslan D, Guneser MB, Dincer AN, et al. Comparison of smear layer removal ability of QMix with different activation techniques [J]. J Endod, 2016, 42(8)∶1279-1285
[2] Divito E, Peters OA, Olivi G. Effectiveness of the erbium:YAG laser and new design radial and stripped tips in removing the smear layer after root canal instrumentation [J]. Lasers Med Sci, 2012, 27(2)∶273-280
[3] Arslan H, Capar ID, Saygili G, et al. Effect of photon-initiated photoacoustic streaming on removal of apically placed dentinal debris [J]. Int Endod J, 2014, 47(11)∶1072-1077
[4] Nasher R, Franzen R, Gutknecht N. The effectiveness of the Erbium:Yttrium aluminum garnet PIPS technique in comparison to different chemical solutions in removing the endodontic smear layer-an in vitro profilometric study [J]. Lasers Med Sci, 2016, 31(9)∶1871-1882
[5] Arslan H, Akcay M, Ertas H, et al. Effect of PIPS technique at different power settings on irrigating solution extrusion [J]. Lasers Med Sci, 2015, 30(6)∶1641-1645
[6] Golob BS, Olivi G, Vrabec M, et al. Efficacy of photon-induced photoacoustic streaming in the reduction of enterococcus faecalis within the root canal: different settings and different sodium hypochlorite concentrations [J]. J Endod, 2017, 43(10)∶1730-1735
[7] Turkel E, Onay E O, Ungor M. Comparison of three final irrigation activation techniques: effects on canal cleanness, smear layer removal, and dentinal tubule penetration of two root canal sealers [J]. Photomed Laser Surg,2017,35(12)∶672-681
[8] 段睿,王婷,赵颖煊,等.Er:YAG激光联合次氯酸钠对粪肠球菌杀菌效果的研究[J].口腔医学研究,2017,33(4)∶449-452
[9] Hülsmann M, Rummelin C, Schafers F. Root canal cleanliness after preparation with different endodontic handpieces and hand instruments: a comparative SEM investigation [J]. J Endod, 1997, 23(5)∶301-306
[10] Balic M, Lucic R, Mehadzic K, et al. The efficacy of photon-initiated photoacoustic streaming and sonic-activated irrigation combined with QMiX solution or sodium hypochlorite against intracanal E. faecalis biofilm [J]. Lasers Med Sci, 2016, 31(2)∶335-342
[11] Meire MA, Havelaerts S, De Moor RJ. Influence of lasing parameters on the cleaning efficacy of laser-activated irrigation with pulsed erbium lasers [J]. Lasers Med Sci, 2016, 31(4)∶653-658
[12] Virdee SS, Seymour DW, Farnell D, et al. Efficacy of irrigant activation techniques in removing intracanal smear layer and debris from mature permanent teeth: a systematic review and meta-analysis [J]. Int Endod J, 2018, 51(6)∶605-621

两种功率PIPS-Er:YAG激光对根管内玷污层去除效果的比较研究

Comparison of Photon-initiated Photoacoustic Streaming with Two Kinds of Power Settings on Removal of Smear Layer.

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