光子引导光声流清除乳牙根管累积碎屑的micro-CT研究

doi:10.13701/j.cnki.kqyxyj.2022.11.016

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (11): 1082-1086.DOI: 10.13701/j.cnki.kqyxyj.2022.11.016

光子引导光声流清除乳牙根管累积碎屑的micro-CT研究

孟斯, 黄文燕, 伍岳钧, 杨晶晶, 葛立宏, 曾素娟^*

广州医科大学附属口腔医院儿童口腔科,广东省口腔组织修复与重建工程技术研究中心,广州市口腔再生医学基础与应用研究重点实验室广东广州 510182

收稿日期:2022-05-31 出版日期:2022-11-25 发布日期:2022-11-22
通讯作者: *曾素娟,E-mail:Zengsujuan@foxmail.com
作者简介:孟斯(1995~ ),女,湖南人,硕士,医师,研究方向:儿童口腔医学、激光。
基金资助:
广东省医学科学技术研究基金项目(编号:A2021034)广州市卫生健康科技项目(编号:202214010064)

A Micro Computed Tomography Study on Removal of Accumulated Hard-tissue Debris in Root Canals of Primary Teeth by Photon Induced Photoacoustic Streaming

MENG Si, HUANG Wenyan, WU Yuejun, YANG Jingjing, GE Lihong, ZENG Sujuan^*

Department of Pedodontics, Affiliated Stomatology Hospital of Guangzhou Medical University, Guangdong Engineering Research Center of Oral Restoration and Reconstruction, Guangzhou Key Laboratory of Basic and Applied Research of Oral Regenerative Medicine, Guangzhou 510182, China

Received:2022-05-31 Online:2022-11-25 Published:2022-11-22

摘要/Abstract

摘要： 目的: 采用micro-CT分析光子引导光声流(PIPS)技术对乳前牙根管内累积硬组织碎屑(AHTD)的清除效果。方法: 将30颗人乳切牙分成6组(n=5):t1(1% NaOCl)、t2(1% NaOCl+17% EDTA)、t3(UAI)、t4(0.15 W-PIPS)、t5(0.3 W-PIPS)、t6(0.6 W-PIPS),计算根管预备前、后体积和冲洗前、后碎屑体积、AHTD减少百分比。结果: 冲洗后,各组间碎屑体积均有差异(P<0.05),在根管上段、下段和整个根管中,t5组AHTD减少率均为最高,t1组和t2组的AHTD减少率最低。在组内分析中,t1组、t5组、和t6组根管上段的AHTD减少率高于根管下段(P<0.05)。结论: 不同的根管冲洗技术均显著提高了乳牙根管的清洁度,其中,0.3 W功率下PIPS冲洗技术对乳牙根管上段及下段碎屑的清除效果最佳。

关键词: 硬组织碎屑, 光子引导光声流, 超声波, 乳牙

Abstract: Objective: To investigate the cleaning effects of photon induced photoacoustic streaming (PIPS) irrigation in the removal of accumulated hard tissue debris (AHTD) in the root canal of primary teeth by using micro-CT analysis. Methods: Thirty deciduous incisors were divided into six groups with five teeth in each group: t1 (1% NaOCl); t2 (1% NaOCl +17% EDTA); t3 (UAI); t4 (0.15 W-PIPS); t5 (0.3 W-PIPS); and t6 (0.6 W-PIPS). After micro-CT scans, root canal volume, debris volume, and percentage reduction of AHTD in the canals were calculated. Results: The volume of all the root canals altered slightly after preparation. Significant differences between the debris volume of total root canals pre and post irrigation in each group (P<0.05) were obtained. The t5 group had the largest percent reduction of AHTD, with the lowest being t1 and t2 groups in the cervical, apical, and total root canal. In intra-group analysis, t1, t5, and t6 groups displayed significant differences, with the cervical region presenting a greater volume of debris than the apical portion (P<0.05). Conclusion: Primary teeth root canal cleanliness was significantly improved with different activation techniques. The greatest debris reduction of cervical and apical regions of primary teeth was obtained with the PIPS protocol under 0.3-W power.

Key words: hard-tissue debris, irrigation-induced photoacoustic streaming, ultrasonic, primary teeth

孟斯, 黄文燕, 伍岳钧, 杨晶晶, 葛立宏, 曾素娟. 光子引导光声流清除乳牙根管累积碎屑的micro-CT研究[J]. 口腔医学研究, 2022, 38(11): 1082-1086.

MENG Si, HUANG Wenyan, WU Yuejun, YANG Jingjing, GE Lihong, ZENG Sujuan. A Micro Computed Tomography Study on Removal of Accumulated Hard-tissue Debris in Root Canals of Primary Teeth by Photon Induced Photoacoustic Streaming[J]. Journal of Oral Science Research, 2022, 38(11): 1082-1086.

参考文献

[1] Mancini M, Cerroni L, Iorio L, et al. FESEM evaluation of smear layer removal using different irrigant activation methods (EndoActivator, EndoVac, PUI and LAI). An in vitro study [J]. Clin Oral Investig, 2018, 22(2):993-999.
[2] Wang X, Cheng X, Liu B, et al. Effect of laser-activated irrigations on smear layer removal from the root canal wall [J]. Photomed Laser Surg, 2017, 35(12):688-694.
[3] 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.
[4] Ozses Ozkaya B, Gulsahi K, Ungor M, et al. A comparison of Er:YAG laser with photon-initiated photoacoustic streaming, Nd:YAG laser, and conventional irrigation on the eradication of root dentinal tubule infection by Enterococcus faecalis biofilms: A scanning electron microscopy study [J]. Scanning, 2017, 2017:6215482.
[5] Korkut E, Torlak E, Gezgin O, et al. Antibacterial and smear layer removal efficacy of Er:YAG laser irradiation by photon-induced photoacoustic streaming in primary molar root canals: A preliminary study [J]. Photomed Laser Surg, 2018, 36(9): 480-486.
[6] Ozbay Y, Erdemir A. Effect of several laser systems on removal of smear layer with a variety of irrigation solutions [J]. Microsc Res Tech, 2018, 81(10): 1214-1222.
[7] Chubb DWR. A review of the prognostic value of irrigation on root canal treatment success [J]. Aust Endod J, 2019, 45(1): 5-11.
[8] 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.
[9] George R, Walsh LJ. Apical extrusion of root canal irrigants when using Er:YAG and Er,Cr:YSGG lasers with optical fibers: an in vitro dye study [J]. J Endod, 2008, 34(6): 706-708.
[10] Su Z, Li Z, Shen Y, et al. Characteristics of the irrigant flow in a simulated lateral canal under two typical laser-activated irrigation regimens [J]. Lasers Surg Med, 2020, 53(7): 587-594.
[11] Lloyd A, Uhles JP, Clement DJ, et al. Elimination of intracanal tissue and debris through a novel laser-activated system assessed using high-resolution micro-computed tomography: a pilot study [J]. J Endod, 2014, 40(4): 584-587.
[12] 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.
[13] Lloyd A, Navarrete G, Marchesan MA, et al. Removal of calcium hydroxide from Weine Type Ⅱ systems using photon-induced photoacoustic streaming, passive ultrasonic, and needle irrigation: a microcomputed tomography study [J]. J Appl Oral Sci, 2016, 24(6): 543-548.
[14] Do QL, Gaudin A. The efficiency of the Er:YAG laser and photonInduced photoacoustic streaming (PIPS) as an activation method in endodontic irrigation: A literature review [J]. J Lasers Med Sci, 2020, 11(3): 316-334.
[15] Yang Q, Liu MW, Zhu LX, et al. Micro-CT study on the removal of accumulated hard-tissue debris from the root canal system of mandibular molars when using a novel laser-activated irrigation approach [J]. Int Endod J, 2020, 53(4): 529-538.
[16] Verstraeten J, Jacquet W, De Moor RJG, et al. Hard tissue debris removal from the mesial root canal system of mandibular molars with ultrasonically and laser-activated irrigation: a micro-computed tomography study [J]. Lasers Med Sci, 2017, 32(9): 1965-1970.
[17] Keles A, Kamalak A, Keskin C, et al. The efficacy of laser, ultrasound and self-adjustable file in removing smear layer debris from oval root canals following retreatment: A scanning electron microscopy study [J]. Aust Endod J, 2016, 42(3): 104-111.
[18] Turkel E, Onay EO, 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.
[19] 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.

光子引导光声流清除乳牙根管累积碎屑的micro-CT研究

A Micro Computed Tomography Study on Removal of Accumulated Hard-tissue Debris in Root Canals of Primary Teeth by Photon Induced Photoacoustic Streaming

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