Smear layer 처리에 따른 미세누출에 대한 연구
The effect of smear layer treatment on the microleakage
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Smear layer 처리에 따른 미세누출에 대한 연구이정민박상혁최기운*경희대학교 치과대학 치과보존학교실THE EFFECT OF SMEAR LAYER TREATMENT ON THE MICROLEAKAGEJung-Min Lee, Sang-Hyuk Park, Gi-Woon Choi*Dept. of Conservative Dentistry, Division of Dentistry, Graduate school of KyungHee Universityroot canal obturation with or without thetreatment of smear layer. Eighty extracted human teeth with one canal were selected. Instrumentation wasperformed with crown-down technique. After instrumentation, roo t canals of the NaOCl group and NaOCl-up were irrigated with 17% EDTA.Then all teeth were obturated using continuous wave obturation technique.NaOCl group and EDTA group were immersed in methylene blue solu tion for 84hours. NaOCl-6 groupand EDTA-6 group were immersed in methylene blue solution for 6 ㎜ (Level 1), 3.0 ㎜ (Level 2) and 4.5 ㎜ (Level 3) from the root ape x. The length of dye-penetrated inter-face and the circumferential length of canal at each level were measured using Sigma-Scan Pro 5.0.1. The mean leakage ratio was decreased cervically.2. NaOCl group showed higher mean leakage ratio than EDTA group at each level. But there was signifi-cant difference at level 1 only (p < 0.05).3. NaOCl-6 group showed higher mean leakage ratio than EDTA-6 g roup at each level. But there wassignificant difference at level 1 only (p < 0.05).4. NaOCl-6 group showed higher mean leakage ratio than NaOCl gr nificant difference at level 1 only (p < 0.05). 5. EDTA-6 group showed higher mean leakage ratio than EDTA grou p at each level. But there was nosignificant difference.6. In NaOCl group and NaOCl-6 group, scanning electron microgra phs of tooth sections generally covereds showing the penetration of sealersto opened dentinal tubules. The results suggest that removal of smear layer was effective t o reduce the apical microleakage of the rootcanal. [J Kor Acad Cons Dent 31(5):378-389, 2006]
Abstract
Smear layer 처리에 따른 미세누출에 대한 연구이정민박상혁최기운*경희대학교 치과대학 치과보존학교실THE EFFECT OF SMEAR LAYER TREATMENT ON THE MICROLEAKAGEJung-Min Lee, Sang-Hyuk Park, Gi-Woon Choi*Dept. of Conservative Dentistry, Division of Dentistry, Graduate school of KyungHee Universityroot canal obturation with or without thetreatment of smear layer. Eighty extracted human teeth with one canal were selected. Instrumentation wasperformed with crown-down technique. After instrumentation, roo t canals of the NaOCl group and NaOCl-up were irrigated with 17% EDTA.Then all teeth were obturated using continuous wave obturation technique.NaOCl group and EDTA group were immersed in methylene blue solu tion for 84hours. NaOCl-6 groupand EDTA-6 group were immersed in methylene blue solution for 6 ㎜ (Level 1), 3.0 ㎜ (Level 2) and 4.5 ㎜ (Level 3) from the root ape x. The length of dye-penetrated inter-face and the circumferential length of canal at each level were measured using Sigma-Scan Pro 5.0.1. The mean leakage ratio was decreased cervically.2. NaOCl group showed higher mean leakage ratio than EDTA group at each level. But there was signifi-cant difference at level 1 only (p < 0.05).3. NaOCl-6 group showed higher mean leakage ratio than EDTA-6 g roup at each level. But there wassignificant difference at level 1 only (p < 0.05).4. NaOCl-6 group showed higher mean leakage ratio than NaOCl gr nificant difference at level 1 only (p < 0.05). 5. EDTA-6 group showed higher mean leakage ratio than EDTA grou p at each level. But there was nosignificant difference.6. In NaOCl group and NaOCl-6 group, scanning electron microgra phs of tooth sections generally covereds showing the penetration of sealersto opened dentinal tubules. The results suggest that removal of smear layer was effective t o reduce the apical microleakage of the rootcanal. [J Kor Acad Cons Dent 31(5):378-389, 2006]
참고문헌 (29)
- Yamada RS, "A scanningelectron microscopic comparison of a high volume flushwith several irrigating solutions", pp.137~142 (1983)
- Gutmann JL, "Pathways of the pulp", pp.272~ (1998), Mosby Inc
- Ingle JI, "Endodontics", pp.503~505 (2002), BC DeckerInc
- Russell AD, "Principles andPractice of Disinfection Preservation and Sterilization andSterilization", pp.99~100 (1999)
- Calt S, "Time dependent effects of EDTA ondentin structures", 28(1), pp.17~19 (2002)
- Lee JK, "Time dependent effects of EDTA onremoval of smear layer in the root canal system" (2006), In Press
- Cergneux M, "Theinfluence of the smear layer on the sealing ability ofcanal obturatiion", 20(5), pp.228~232 (1987)
- White RR, "The influence of thesmeared layer upon dentinal tubule penetration byplastic filling materials", 10(12), pp.558~562 (1984)
- Drake D, "Bacterial retention in canal walls in vitro", pp.78~82 (1994)
- Goldman LB, "Theefficacy of several irrigating solutions for endodontics"
- Walters MJ, "Efficacy ofIrrigation with Rotary Instrumentation", 28(12), pp.837~839 (2002)
- Cunningham WT, "Effect of temperatureon collagen- dissolving ability of sodium hypochloriteendodontic irrigant", (2), pp.175~177 (1980)
- Berutti E, "A Scanning Electron MicroscopicEvaluation of the Debridement Capability of SodiumHypochlorite at Different Temperatures", 22(9), pp.467~470 (1996)
- Baumgartner JC, "A scanning electronmicroscopic evaluation of four oot canal irrigation regimens", 13(4), pp.147~157 (1987)
- Michanowicz A, "Evaluation of an injection of thermoplasticized lowtemperaturegutta-percha using radioactive isotopes", pp.71~11 74 (1985)
- Tucker JW, "Scanning electronmicroscopic study of the efficacy of various irrigatingsolutions", pp.71~2 78 (1976)
- Williams S, "Penetrability of the smearedlayer by strain of proteus vulgaris", 11(9), pp.385~388 (1985)
- Pashley DH, "Smear layer:physiological considerations", pp.13~29
- Orstavik D, "Disinfection by endodonticirrigants and dressings or experimentally infecteddentinal tubules", 6(4), pp.142~149 (1990)
- Love RM, "Penetration ofsmeared or non smeared dentine by Streptococcus gordonii", 29(1), pp.2~12 (1996)
- Ruddle CJ, "Pathways of the pulp", pp.258~ (2002), Mosby Inc
- Hand RE, "Analysis of theeffect of dilution on the necrotic tissue dissolutionproperty of sodium hypochlorite", 4(2), pp.60~64 (1978)
- Patterson SS, "In vivo and in vitro studies of the effectof the disodium salt of ethylenediamine tetra-acetateon human dentine and its endodontic implications", 16, pp.83~103 (1963)
- Goldman M, "The efficacy of several endodontic irrigating solutions", pp.487~492 (1982)
- Grawehr M, "Interactions of ethylenediamine tetraacetic acid withsodium hypochlorite in aqueous solutions", 36(6), pp.411~415 (2003)
- Tamse A, "Comparison of apicalleakage shown by four different dyes with two evaluatingmethods", 31(5), pp.333~337 (1998)
- Madison S, "Comparison of EDTA and sodiumhypochlirite on the apical seal of endodontically treatedteeth", 10(10), pp.499~503 (1984)
- Saunders WP, "The effect of smear layerupon the coronal leakage of gutta-percha root fillingsand a glass ionomer sealer", 25(5), pp.145~149 (1992)
- Syngcuk Kim, "Pathways of the pulp", pp.707~708 (2002), Mosby Inc
