DOI QR코드

DOI QR Code

EDTA의 세정시간에 따른 근관 내 smear layer의 제거효과에 관한 연구

TIME-DEPENDENT EFFECTS OF EDTA APPLICATION ON REMOVAL OF SMEAR LAYER IN THE ROOT CANAL SYSTEM

  • 이자경 (경희대학교 대학원 치의학과 치과보존학교실) ;
  • 박상혁 (경희대학교 대학원 치의학과 치과보존학교실) ;
  • 최기운 (경희대학교 대학원 치의학과 치과보존학교실)
  • Lee, Ja-Kyong (Department of Conservative Dentistry, Division of Dentistry, Graduate School, Kyunghee University) ;
  • Park, Sang-Hyuk (Department of Conservative Dentistry, Division of Dentistry, Graduate School, Kyunghee University) ;
  • Choi, Gi-Woon (Department of Conservative Dentistry, Division of Dentistry, Graduate School, Kyunghee University)
  • 발행 : 2006.05.01

초록

본 연구는 EDTA용액의 적용 시간에 따른 도말층의 제거 효과를 비교하여 EDTA용액의 최적 적용 시간을 알고자 시행되었다. 단근치 35개를 NaOCl 용액 하에서 근관 형성 후 대조군은 NaOCl 용액 5 ml로 2분간, 실험군은 30초군, 1분군, 2분군으로 세분하여 17% EDTA 용액 5 ml로 각각 30초, 1분, 2분간 세정하였다. 세정이 끝난 치근의 도말층 제거 정도와 상아 세관의 erosion 정도를 주사전자현미경을 이용하여 관찰한 결과는 다음과 같다. 1. 대조군: 도말층이 전혀 제거되지 않았다. 2. 실험군 1) 중간$\frac{1}{3}$: 세 군 모두에서 도말층이 거의 완전히 제거되었고, EDTA적용 시간이 증가할수록 erosion발생 빈도가 증가하였다. 2) 치근단$\frac{1}{3}$: 2분군이 다른 두 군에 비해 도말층 제거 정도가 우수하였다. 따라서 erosion 발생을 최소화면서 도말층을 효과적으로 제거하기 위해서는 17% EDTA 용액을 2분간 사용하는 것이 적절한 것으로 사료된다.

This study was to verify that the combined application of NaOCl and EDTA was more effective in removal of smear layer than the application of NaOCl alone. furthermore it was aimed to find out the optimal time for the application of EDTA. Thirty five single rooted teeth were cleaned and shaped. NaOCl solution was used as an irrigant during instrumentation. After instrumentation, root canals of the control group were irrigated with 5 ml of NaOCl for 2 minutes. 30 sec, 1 min, and 2 min group were irrigated with 5 ml of 17% EDTA for 30 sec, 1 min, and 2 min respectively. Then the roots were examined with scanning electron microscopy for evaluating removal of smear layer and erosion of dentinal tubule. The results were as follows; 1. The control group: The smear layer was not removed at all. 2. The other groups: 1) $Middle\frac{1}{3}$: All groups showed almost no smear layer. And the erosion occurred more frequently as increasing irrigation time. 2) $Apical\frac{1}{3}$: The cleaning effect of 2 min group was better than the others. The results suggest that 2 min application of 17% EDTA should be adequate to remove smear layer on both $apical\frac{1}{3}\;and\;middle\frac{1}{3}$.

키워드

참고문헌

  1. Yamada RS, Armas A. Goldman M, Lin PS. A scanning electron microscopic comparison of a high volume flush with several irrigating solutions. Part 3. J Endod 9: 137-142, 1983 https://doi.org/10.1016/S0099-2399(83)80032-6
  2. Gutmann JL, Witherspoon DE. Pathways of the pulp. 7th ed .. Mosby Inc .. St. Louis, Missouri. p272, 1998
  3. Orstavik D, Haapasalo M. Disinfection by endodontic irrigants and dressings or experimentally infected dentinal tubules. Endod Dent Treumetol 6: 142, 1990 https://doi.org/10.1111/j.1600-9657.1990.tb00409.x
  4. Moorer WR. Wesselink PR. Factors promoting the tissue dissolving capability of sodium hypochlorite. Int Endod J 15: 187-196, 1982 https://doi.org/10.1111/j.1365-2591.1982.tb01277.x
  5. Ingle JI. Himel VT. Hawrish CE, Glickman GN, Serene T, Rosenberg PA, Buchanan S, West JD, Ruddle CJ, Camp JH, Roane JB, Cecchini SCM. Ingle BaklandEndodontics. 5th ed., BC Decker Inc., Hamilton, Ontario, p503-505, 2002
  6. Russell AD, Hugo WB, Ayliffe GAJ. Principles and Practice of Disinfection, Preservation, and Sterilization. 3rd ed., Blackwell Science, Malden, MA, p99-100, 1999
  7. Lim TS, Wee TY, Choi MY, Koh WC, Sao-Lim V. Light and scanning electron microscopic evaluation of $Glyde^{TM}$ file Prep in smear layer removal. Int Endod J 36: 336-343, 2003 https://doi.org/10.1046/j.1365-2591.2003.00648.x
  8. Bystrom A, Sundqvist G. The antibacterial action of sodium hypochlorite and EDTA in 60 cases of endodontic therapy. Int Endod J 18:35-40, 1985 https://doi.org/10.1111/j.1365-2591.1985.tb00416.x
  9. Hulsmann M, Heckendorff M, Lennon A. Chelating agent in root canal treatment: mode of action and indications for their use. Int Endod J 36:810-830, 2003 https://doi.org/10.1111/j.1365-2591.2003.00754.x
  10. Liolios E, Economides N, Parissis -Messimeris S, Boutsioukis A. The effectiveness of three irrigating solutions on root canal cleaning after hand and mechanical preparation. Int Endod J 30: 51-57, 1997 https://doi.org/10.1111/j.1365-2591.1997.tb01098.x
  11. Cunningham WT, Balekjian AY. Effect of temperature on collagen -dissolving ability of sodium hypochlorite endodontic irrigant. Oral surg Oral Med Oral Pathol 49:175-177, 1980 https://doi.org/10.1016/0030-4220(80)90313-8
  12. Meryon SD, Tobias RS, Jakeman KJ. Smear removal agents: a quantitative study in vivo and in vitro. J Prosthet Dent 57:174-179, 1987 https://doi.org/10.1016/0022-3913(87)90142-9
  13. Torabinejad M, Cho Y, Khademi AA, Bakland LK. Shabahang S. The effect of various concentrations of sodium hypochlorite on the ability of MTAD to remove the smear layer. J Endod 29:233-239, 2003 https://doi.org/10.1097/00004770-200304000-00001
  14. Tucker JW, Mizrahi S, Seltzer S. Scanning electron microscopic study of the efficacy of various irrigating solutions: Urea, Tublicid Red, and Tubulicid Blue. J Endod 2:71-78, 1976 https://doi.org/10.1016/S0099-2399(76)80200-2
  15. Love RM, Chandler NP, Jenkinson HF. Penetration of smeared or non smeared dentine by Streptococcus gordonii. Int Endod J 29:2-12, 1996 https://doi.org/10.1111/j.1365-2591.1996.tb01353.x
  16. Ruddle CJ. Pathways of the pulp. 8th ed., Mosby Inc., St. Louis, Missouri, p258, 2002
  17. Abou-Rass M, Oglesby SW. The effects of temperature concentration, and tissue type on the solvent ability of sodium hypochlorite. J Endod 7:376-377, 1981 https://doi.org/10.1016/S0099-2399(81)80059-3
  18. Spangberg L, Engstrom B, Langeland K. Biological effects of dental materials. 3 toxicity and antimicrobial effect of endodontic antiseptics in vitro. Oral surg Oral Med Oral Pathol 36:856-871, 1973 https://doi.org/10.1016/0030-4220(73)90338-1
  19. Patterson SS. In vivo and in vitro studies of the effect of the disodium salt of ethylenediamine tetra-acetate on human dentine and its endodontic implications. Oral surg Oral Med Oral Pathol 16:83-103, 1963 https://doi.org/10.1016/0030-4220(63)90367-0
  20. Goldman M, Goldman LB, Cavaleri R, Bogis J, Lin PS. The efficacy of several endodontic irrigating solutions: a scanning electron microscopic study: part 2. J Endod 8 :487-492, 1982 https://doi.org/10.1016/S0099-2399(82)80073-3
  21. White RR, Goldman M, Lin PS. The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. J Endod 10:558-562, 1984 https://doi.org/10.1016/S0099-2399(84)80100-4
  22. Gra wehr M, Sener B, Waltimo T, Zehnder M. Interactions of ethylenediamine tetraacetic acid with sodium hypochlorite in aqueous solutions. Int Endod J 36:411-415, 2003 https://doi.org/10.1046/j.1365-2591.2003.00670.x
  23. Calt S, Serper A. Smear layer removal by EGTA. J Endod 26:459-461, 2000 https://doi.org/10.1097/00004770-200008000-00007
  24. Calt S, Serper A. Time-dependant effects of EDTA on dentin structures. J Endod 28: 17-19, 2002 https://doi.org/10.1097/00004770-200201000-00004

피인용 문헌

  1. Effect of moisture on sealing ability of root canal filling with different types of sealer through the glucose penetration model vol.35, pp.5, 2010, https://doi.org/10.5395/JKACD.2010.35.5.335
  2. Apical foramen morphology according to the length of merged canal at the apex vol.38, pp.1, 2013, https://doi.org/10.5395/rde.2013.38.1.26