研究目的
To evaluate the efficacy of photon-induced photoacoustic streaming (PIPS) activation of sodium hypochlorite (NaOCl), chlorhexidine (CHX), or ethylenediaminetetraacetic acid (EDTA) on dentin microhardness and to assess compositional changes in root dentin.
研究成果
EDTA significantly reduced dentin microhardness, while NaOCl and CHX did not. PIPS activation did not cause additional changes in microhardness but increased phosphorus levels in the NaOCl group. The irrigation solution, not PIPS activation, primarily affects dentin microhardness.
研究不足
The study is an in vitro model, which may not fully replicate clinical conditions. The use of half-root specimens against silicone could alter fluid dynamics and not represent confined root canal spaces. The sample size and specific conditions (e.g., irrigation time, concentration) may limit generalizability.
1:Experimental Design and Method Selection:
An in vitro study design was used to compare the effects of PIPS activation versus no activation on dentin microhardness and mineral content. Vickers microhardness testing and SEM-EDX analysis were employed.
2:Sample Selection and Data Sources:
Seventy-two single-rooted mandibular premolars extracted for periodontal reasons, without caries, cracks, previous endodontic treatment, or coronal restoration, were collected and stored in distilled water.
3:List of Experimental Equipment and Materials:
Equipment included an Er:YAG laser (Fidelis AT, Fotona), Vickers microhardness test device (LHV 1D, Bursam NDT), SEM-EDX system (Oxford INCA X-Act attached to Hitachi SU-1510 SEM), diamond fissure bur (SWS dental), ProTaper Next files (Dentsply Maillefer), flowable composite resin (Tetric Flow, Ivoclar-Vivadent), silicone impression material, microcentrifuge tubes, syringes, and irrigants (
4:5% NaOCl, 2% CHX, 17% EDTA from Imicryl). Experimental Procedures and Operational Workflow:
Teeth were prepared, fixed in tubes, split longitudinally, and divided into six groups (n=12 each). Groups were irrigated with 6 mL of test solution for 60 seconds, with PIPS activation applied using Er:YAG laser at specified settings for PIPS groups. Post-irrigation, specimens were rinsed with distilled water, dried, and subjected to microhardness testing and SEM-EDX analysis.
5:Data Analysis Methods:
Statistical analysis was performed using IBM SPSS Statistics version 22.0, including Shapiro-Wilks test for normality, one-way ANOVA, Tukey's HSD test, paired-samples t-test, and Student's t-test with significance level p<0.05.
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Er:YAG laser
Fidelis AT
Fotona
Used for PIPS activation of irrigation solutions in root canal treatment.
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PIPS tip
PIPS 400/14
Fotona
Specialized tip for Er:YAG laser used in PIPS activation, inserted into the coronal part of the root canal.
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Vickers microhardness test device
LHV 1D
Bursam NDT
Used to measure the microhardness of dentin specimens by making indentations.
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SEM-EDX system
Oxford INCA X-Act attached to Hitachi SU-1510
Oxford Instruments and Hitachi High-Technologies Corp.
Used for energy dispersive X-ray spectroscopy to measure element content in dentin samples.
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Diamond fissure bur
Not specified
SWS dental; GULSA
Used for preparing endodontic access cavities in teeth.
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ProTaper Next files
Size #X3 (30/0.07)
Dentsply Maillefer
Used for enlarging root canals during preparation.
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Flowable composite resin
Tetric Flow
Ivoclar-Vivadent
Used to close the apical parts of roots to prevent irrigant leaks.
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Sodium hypochlorite
2.5%
Imicryl
Irrigation solution used in root canal treatment.
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Chlorhexidine
2%
Imicryl
Irrigation solution used in root canal treatment.
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EDTA
17%
Imicryl
Chelating agent used as an irrigation solution in root canal treatment.
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