ABSTRACT
Objetivos: Avaliar, com auxílio de microscópio eletrônico de varredura e leituras computadorizadas, a limpeza da superfície dentinária radicular - terços cervical, médio e apical - em canais radiculares de incisivos inferiores humanos, preparados pelo sistema rotatório K3?ENDO e diferentes substâncias químicas. Métodos: Entre elas o hipoclorito de sódio a 2,5%, (pH 11,0), do creme de Endo PTC reagindo com hipoclorito de sódio 0,5% (pH 11,0), empregando-se essa em duas diferentes consistências; sua consistência normal (Endo PTC-N) e uma de menor densidade (Endo-PTC-L); e de um gel de clorexidina (Endogel®). Concluída essa fase, os grupos receberam irrigação-aspiração com soluções de hipoclorito de sódio a 0,5%, (pH 11,0) e de EDTA-T a 17%, exceto o grupo do Endogel®, que recebeu dois regimes de irrigação, em um, irrigaçãoaspiração final com 20mL de soro fisiológico e em outro irrigação com EDTA-T. As amostras foram então preparadas para microscopia eletrônica de varredura e suas imagens analisadas pelo programa Scion Image. Resultados: Os resultados revelaram diferença estatisticamente significante, sendo que o grupo do Endo-PTC-L se mostrou superior aos demais no terço médio e apical e o grupo do Endogel com irrigação de EDTA-T apenas no terço médio, não havendo diferença estatística entre eles. Conclusão: Concluiu-se que substâncias veiculadas em polietilenoglicol e em menor viscosidade ofereceram melhor padrão de limpeza.
Objectives: To evaluate, by scanning electronic microscopy and computerized readings, cleaning of the root dentin surface - cervical, middle and apical thirds - in human mandibular incisor root canals, prepared by the rotary system K3?ENDO and different chemical substances. Methods: Among these, 2.5% sodium hypochlorite, (pH 11.0), Endo PTC cream reacting with 0.5% sodium hypochlorite (pH 11.0), usingthis in two different consistencies; its normal consistency (Endo PTC-N) and a less dense version (Endo-PTC-L); and a chlorhexidine (Endogel®). When this phase ended, the groups received irrigation-aspiration with solutions of 0.5% sodium hypochlorite (pH 11.0) and 17% EDTA-T, except for the Endogel® group, which received two irrigation regimes, in one final irrigation-aspiration with 20 mL of physiological solution and in the other, irrigation with EDTA-T. After this the samples were prepared for SEM and their images were analyzed by the Scion Image program. Results: The results revealed statistically significant difference, with the Endo-PTC-L group shown to be superior to the others in the middle and apical thirds. Whereas for the Endogel group with EDTA-T irrigation, there was no statistical difference among them, only in the middle third. Conclusion: It was concluded that the substances with the vehicle polyethylene glycol and with lower viscosities offered a better standard of cleaning.
Subject(s)
Humans , Dental Pulp Cavity , Root Canal Irrigants/pharmacology , Root Canal Therapy/instrumentation , Microscopy, Electron, ScanningABSTRACT
This case report describes the treatment of an upper right central incisor with an intra-alveolar horizontal root fracture at the level of the middle third and an upper left central incisor with the horizontal root fracture in the cervical third. The root fractures were reduced and rigidly splinted for 4 months. The endodontic therapy was instituted in the upper left central incisor because there was no possibility of fracture repair due to the proximity of the fracture and the gingival sulcus. As soon as the diagnosis of pulp necrosis was established in the upper left lateral incisor, the endodontic treatment was performed. After 3 years and 9 months check-up appointments showed healing in the middle root third of the upper right central incisor and it responded within normal limits to pulp testing. Thus, there is no need for endodontic therapy on this tooth.
