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Artigo em Inglês | MEDLINE | ID: mdl-20692188

RESUMO

OBJECTIVE: The aim of this study was to evaluate, by scanning electronic microscopy (SEM), the cleaning of the root canal walls after instrumentation and irrigation with 2.5% sodium hypochlorite (NaOCl) associated with 2% chlorhexidine (CHX) gel or liquid, combined or not with 17% ethylenediamine tetra-acetic acid (EDTA). STUDY DESIGN: Sixty single-root human teeth were subjected to standardized root canal instrumentation with different irrigants (n = 10): G1) NaOCl + CHX liquid; G2) NaOCl + CHX liquid + EDTA + saline solution; G3) NaOCl + CHX gel; G4) NaOCl + CHX gel + EDTA + saline solution; G5) saline solution; G6) saline solution + EDTA. After instrumentation, the teeth were prepared for SEM analysis (×500 and ×2,000) to evaluate the cleaning of the cervical, middle, and apical thirds. The area analyzed was quantified according to the percentage of open and closed tubules, and data were statistically analyzed by analysis of variance and Tukey tests (P = .05). RESULTS: The number of open tubules was highest in G4 in all root thirds, showing statistically significant difference from G1, G2, and G5 (P < .05). G1 presented higher quantity of closed tubules significant than G2. CONCLUSION: Irrigation with NaOCl and CHX gel followed by EDTA and saline solution produced greater cleaning of the root canal walls.


Assuntos
Anti-Infecciosos Locais/administração & dosagem , Clorexidina/administração & dosagem , Cavidade Pulpar/efeitos dos fármacos , Irrigantes do Canal Radicular/uso terapêutico , Hipoclorito de Sódio/uso terapêutico , Quelantes/uso terapêutico , Cavidade Pulpar/ultraestrutura , Dentina/efeitos dos fármacos , Dentina/ultraestrutura , Ácido Edético/uso terapêutico , Géis , Humanos , Teste de Materiais , Microscopia Eletrônica de Varredura , Preparo de Canal Radicular/métodos , Cloreto de Sódio , Soluções , Ápice Dentário/efeitos dos fármacos , Ápice Dentário/ultraestrutura
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