Chlorhexidine gel associated with papain in pulp tissue dissolution
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Objectives This study aimed to evaluate the capacity of 2% chlorhexidine gel associated with 8% papain gel in comparison with 5.25% sodium hypochlorite in bovine pulp tissue dissolution. Materials and Methods Ninety bovine pulps of standardized sizes were used and fragmented into 5-mm sizes. The fragments were removed from the root middle third region. They were divided into 6 experimental groups (n = 15), 1) 8% papain; 2) 2% chlorhexidine; 3) 2% chlorhexidine associated with 8% papain; 4) 0.9% saline solution; 5) 2.5% sodium hypochlorite; and 6) 5.25% sodium hypochlorite. The pulp fragments were weighed and put into immobile test tubes for dissolution for time intervals of 30, 60, 90, and 120 min. Results The 5.25% sodium hypochlorite had greater dissolution potential than the pure papain, and when associated with chlorhexidine, both promoted greater dissolution than did the saline solution and 2% chlorhexidine groups (p < 0.05). The 2.5% sodium hypochlorite promoted dissolution to a lesser extent than the groups with papain within a period of 30 min (p < 0.05), but, was comparable to the saline solution and chlorhexidine. After 120 min, the 2.5% and 5.25% sodium hypochlorite promoted dissolution of 100% of the pulp fragments, and papain, 61%, while chlorhexidine associated with papain and chlorhexidine alone dissolved only 55% and 3%, respectively. Conclusions The 8% papain in gel, both alone and in association with chlorhexidine, was able to dissolve bovine pulp tissue, but to a lesser extent than did 5.25% sodium hypochlorite.
Abstract
Objectives This study aimed to evaluate the capacity of 2% chlorhexidine gel associated with 8% papain gel in comparison with 5.25% sodium hypochlorite in bovine pulp tissue dissolution. Materials and Methods Ninety bovine pulps of standardized sizes were used and fragmented into 5-mm sizes. The fragments were removed from the root middle third region. They were divided into 6 experimental groups (n = 15), 1) 8% papain; 2) 2% chlorhexidine; 3) 2% chlorhexidine associated with 8% papain; 4) 0.9% saline solution; 5) 2.5% sodium hypochlorite; and 6) 5.25% sodium hypochlorite. The pulp fragments were weighed and put into immobile test tubes for dissolution for time intervals of 30, 60, 90, and 120 min. Results The 5.25% sodium hypochlorite had greater dissolution potential than the pure papain, and when associated with chlorhexidine, both promoted greater dissolution than did the saline solution and 2% chlorhexidine groups (p < 0.05). The 2.5% sodium hypochlorite promoted dissolution to a lesser extent than the groups with papain within a period of 30 min (p < 0.05), but, was comparable to the saline solution and chlorhexidine. After 120 min, the 2.5% and 5.25% sodium hypochlorite promoted dissolution of 100% of the pulp fragments, and papain, 61%, while chlorhexidine associated with papain and chlorhexidine alone dissolved only 55% and 3%, respectively. Conclusions The 8% papain in gel, both alone and in association with chlorhexidine, was able to dissolve bovine pulp tissue, but to a lesser extent than did 5.25% sodium hypochlorite.
참고문헌 (24)
- Kakehashi S, "The effects of surgical exposures of dental pulps in germ-free and conventional laboratory rats", Oral Surg Oral Med Oral Pathol, 20, pp.340~349 (1965)
- Safavi KE, "Root canal dentinal tubule disinfection", J Endod, 16, pp.207~210 (1990)
- Moreira DM, "Structural analysis of bovine root dentin after use of different endodontics auxiliary chemical substances", J Endod, 35, pp.1023~1027 (2009)
- Morris MD, "Effects of sodium hypochlorite and RC-prep on bond strengths of resin cement to endodontic surfaces", J Endod, 27, pp.753~757 (2001)
- Kerbl FM, "Physical effects of sodium hypochlorite on bone: an ex vivo study", J Endod, 38, pp.357~359 (2012)
- Paschoalino Mde A, "Injection of sodium hypochlorite beyond the apical foramen-a case report", Gen Dent, 60, pp.16~19 (2012)
- Behrents KT, "Sodium hypochlorite accident with evaluation by cone beam computed tomography", Int Endod J, 45, pp.492~498 (2012)
- Dametto FR, "In vitro assessment of the immediate and prolonged antimicrobial action of chlorhexidine gel as an endodontic irrigant against Enterococcus faecalis", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 99, pp.768~772 (2005)
- Ferraz CC, "In vitro assessment of the antimicrobial action and the mechanical ability of chlorhexidine gel as an endodontic irrigant", J Endod, 27, pp.452~455 (2001)
- Ferraz CC, "Comparative study of the antimicrobial efficacy of chlorhexidine gel, chlorhexidine solution and sodium hypochlorite as endodontic irrigants", Braz Dent J, 18, pp.294~298 (2007)
- Okino LA, "Dissolution of pulp tissue by aqueous solution of chlorhexidine digluconate and chlorhexidine digluconate gel", Int Endod J, 37, pp.38~41 (2004)
- Moorer WR, "Factors promoting the tissue dissolving capability of sodium hypochlorite", Int Endod J, 15, pp.187~196 (1982)
- Callahan JR, "Sulfuric acid for opening root canals", Dent Cosmos, 36, pp.957~959 (1984)
- Carrillo CM, "Use of papain gel in disabled patients", J Dent Child (Chic), 75, pp.222~228 (2008)
- Ferreira CM, "Evaluation of the antimicrobial activity of three irrigating solutions in teeth with pulpal necrosis", Braz Dent J, 10, pp.15~21 (1999)
- Duarte MAH, "Influência da irrigação endodôntica com gel de papaína no selamento apical", Salusvita, 20, pp.27~33 (2001)
- Gianini RJ, "Microtensile bond strength of etch-and-rinse and selfetch adhesive systems to demineralized dentin after the use of a papain-based chemomechanical method", Am J Dent, 23, pp.23~28 (2010)
- Piva E, "Correr- Sobrinho L. Papain-based gel for biochemical caries removal: influence on microtensile bond strength to dentin", Braz Oral Res, 22, pp.364~370 (2008)
- Botelho Amaral FL, "Morphology and microtensile bond strength of adhesive systems to in situ-formed cariesaffected dentin after the use of a papain-based chemomechanical gel method", Am J Dent, 24, pp.13~19 (2011)
- Irala LE, "Dissolution of bovine pulp tissue in solutions consisting of varying NaOCl concentrations and combined with EDTA", Braz Oral Res, 24, pp.271~276 (2010)
- Stojicic S, "Tissue dissolution by sodium hypochlorite: effect of concentration, temperature, agitation, and surfactant", J Endod, 36, pp.1558~1562 (2010)
- Christensen CE, "Effect of lowering the pH of sodium hypochlorite on dissolving tissue in vitro", J Endod, 34, pp.449~452 (2008)
- Marending M, "Effect of sodium hypochlorite on human root dentine-mechanical, chemical and structural evaluation", Int Endod J, 40, pp.786~793 (2007)
- Zehnder M, "Tissuedissolution capacity and dentin-disinfecting potential of calcium hydroxide mixed with irrigating solutions", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 96, pp.608~613 (2003)
