口腔医学研究 ›› 2024, Vol. 40 ›› Issue (3): 227-232.DOI: 10.13701/j.cnki.kqyxyj.2024.03.007

• 牙体牙髓病学研究 • 上一篇    下一篇

根管治疗中光动力疗法作用于粪肠球菌的优化根管预备程度的研究

郭嘉1*, 高梦洁1, 苏媛媛2, 张萌3, 陈曦1   

  1. 1.郑州大学第一附属医院口腔医学中心 河南 郑州 450000;
    2.第四军医大学口腔医学院急诊科 陕西 西安 710032;
    3.河南省儿童医院口腔科 河南 郑州 450000
  • 收稿日期:2023-05-16 出版日期:2024-03-28 发布日期:2024-03-25
  • 通讯作者: * 郭嘉,E-mail:guojiajia1231120@163.com
  • 作者简介:郭嘉(1983~ ),男,河南焦作人,副主任医师,博士,从事口腔内科疾病及口腔遗传病。
  • 基金资助:
    河南省科技攻关项目(编号:182102310446);河南省医学科技攻关项目(编号:201702022)

Bactericidal Effect of Photodynamicb Therapy on Enterococcus Faecalis in Root Canal with Different Preparation Degrees

GUO Jia1*, GAO Mengjie1, SU Yuanyuan2, ZHANG Meng3, CHEN Xi1   

  1. 1. Oral Medical Center, First Affiliated Hospital of Zhengzhou University, Zhengzhou 450000, China;
    2. Department of Emergency, School of Stomatology, the Fourth Military Medical University, Xi'an 710032, China;
    3. Department of Stomatology, Henan Children's Hospital, Zhengzhou 450000, China
  • Received:2023-05-16 Online:2024-03-28 Published:2024-03-25

摘要: 目的:筛选出应用亚甲基蓝光动力疗法辅助根管消毒效果最优的根管预备程度。方法:体外孔板内构建粪肠球菌生物膜,以证实亚甲基蓝光动力疗法对粪肠球菌有杀菌作用。在离体牙根管中构建粪肠球菌生物膜,比较光动力疗法对于不同预备程度根管内粪肠球菌的清理效果。结果:体外建模证实光动力疗法可杀灭粪肠球菌。根管预备0.04锥度下,20号和25号根管组杀菌效果不如30号根管组;在25号根管组中,0.04锥度组杀菌结果不如0.06锥度组和0.08锥度组。结论:光动力疗法对根管中的粪肠球菌有明显杀菌作用,配合亚甲基蓝光动力疗法对根管内粪肠球菌进行清理的相对优化预备程度为0.04锥度30号和0.06锥度25号。

关键词: 根管预备, 根管消毒, 光动力疗法, 粪肠球菌

Abstract: Objective: To screen out the optimal degree of root canal preparation assisted by methylene blue light dynamic therapy for root canal disinfection. Methods: Enterococcus faecalis biofilm was constructed in external orifice plate to confirm the bactericidal effect of methylate blue light power on enterococcus faecalis. The photodynamic cleaning efficiency of enterococcus faecalis biofilms was compared in the in vitro root canals with different preparation levels. Results: Photodynamic therapy could kill enterococcus faecalis. At 0.04 taper of root canal preparation, the sterilization results of No. 20 and 25 root canal groups were inferior to that of No. 30 root canal group. In No. 25 root canal group, the sterilization results of 0.04 taper group were inferior to those of 0.06 taper group and 0.08 taper group. Conclusion: Photodynamic can kill the enterococcus faecalis in the root canal, and the preparation of the root canal to 0.04 taper 30 and 0.06 taper 25 is a relatively good preparation for the cleaning of enterococcus faecalis in the root canal with methyblue.

Key words: root canal preparation, root canal disinfection, photodynamic therapy, enterococcus faecalis