구강회복응용과학지 (Journal of Dental Rehabilitation and Applied Science)

  • 제36권2호
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  • Pages.104-111
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  • 2020
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  • 2384-4353(pISSN)
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  • 2384-4272(eISSN)
대한턱관절교합학회 (Korean Academy of Stomatognathic Function and Occlusion)
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초음파 세정 프로토콜에 따른 근관 내 잔사 제거의 효율성 비교

Debris removal efficiency depend on different ultrasonic irrigation protocols

  • 허건 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 김진우 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 조경모 (강릉원주대학교 치과대학 치과보존학교실) ;
  • ;
  • 이은혜 (강릉원주대학교 치과대학 치과보존학교실) ;
  • 박세희 (강릉원주대학교 치과대학 치과보존학교실)
  • Heo, Gun (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Kim, Jin-Woo (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Cho, Kyung-Mo (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Enkhbileg, Nyamsuren (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Lee, Eun-Hye (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University) ;
  • Park, Se-Hee (Department of Conservative Dentistry, College of Dentistry, Gangneung-Wonju National University)
  • 투고 : 2020.04.22
  • 심사 : 2020.05.28
  • 발행 : 2020.06.30
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초록

목적: 본 연구의 목적은 Passive Ultrasonic Irrigation (PUI) 적용 강도 및 적용 횟수에 따른 상아질 잔사 제거의 효율성 비교에 있다. 연구 재료 및 방법: 48개의 하악 소구치를 표준화하고 이등분 한 후, 한쪽 상아질벽에는 치근첨에서 1, 3, 5 mm의 거리에, 반대쪽 상아질벽에는 2, 4 mm의 거리에 함요를 형성하였다. 각 함요에 NaOCl과 혼합된 상아질 잔사를 채웠다. 치아는 PUI 적용 강도에 따라 'Weak'과 'Strong'의 2개 그룹으로 나누고(n = 24), PUI 적용 횟수에 따라 '1회', '2회', '3회'의 3개 그룹으로(n = 8) 다시 나누었다. 근관 세정 과정 이후 함요에 잔존하는 상아질 잔사의 양을 평가하였다. 결과: Weak 그룹과 Strong 그룹 간의 통계적 유의성은 관찰되지 않았다. Weak 그룹 내에서 PUI 적용 횟수에 따른 통계적 유의성 역시 관찰되지 않았다. 그러나 Strong 그룹에서 PUI를 2회, 3회 적용하였을 때, 1회의 경우보다 유의하게 낮은 상아질 잔사의 양이 관찰되었다. 결론: PUI 적용 강도에 따른 상아질 잔사 제거의 효율성은 통계적으로 유의한 차이가 없었다. 그러나 Strong 그룹에서 PUI를 다회 적용시, 1회 적용할 때 보다 근단 1/3 부위의 세정 효과가 증가한다.

Purpose: The purpose of this study is comparing the efficiency of debris removal of passive ultrasonic irrigation depend on different protocols. Materials and Methods: Forty-eight mandibular premolars were randomly divided into 2 groups depend on vibration power (Weak and Strong, n = 24). And then two groups were subdivided into 3 groups depend on the number of times that PUI used (1, 2 and 3, n = 8). After standardization, teeth were split into two halves. On the wall of one half of root canal, three depressions were cut at 1, 3 and 5 mm from the apex and in the same way two depressions were cut on the other half of root canal at 2, 4 mm from the apex. Each depression was filled with mixture of dentine and NaOCl. After irrigation, images of the root canal wall were taken, and then the amount of remaining dentine debris was evaluated. Results: There was no significant difference between weak and strong power of vibration groups. Weak vibration groups did not show significant difference depend on the different number of times PUI used. But in the strong vibration groups, twice and three times used groups show better removal efficiency. Conclusion: The removal efficiency of dentine debris is not significantly different depend on the power of vibration. And multiple use of PUI could have better irrigating effects at the apical third area in the strong vibration group.

키워드

참고문헌

  1. Haapasalo M, Endal U, Zandi H, Coil JM. Eradication of endodontic infection by instrumentation and irrigation solutions. Endod Topics 2005;10:77-102. https://doi.org/10.1111/j.1601-1546.2005.00135.x
  2. Schilder H. Cleaning and shaping the root canal. Dent Clin North Am 1974;18:269-96.
  3. Peters OA, Peters CI, Schonenberger K, Barbakow F. ProTaper rotary root canal preparation: effects of canal anatomy on final shape analysed by micro CT. Int Endod J 2003;36:86-92. https://doi.org/10.1046/j.1365-2591.2003.00626.x
  4. Weiger R, Elayouti A, Lost C. Efficiency of Hand and Rotary Instruments in Shaping Oval Root Canals. J Endod 2002;28:580-3. https://doi.org/10.1097/00004770-200208000-00004
  5. Peters OA, Schonenberger K, Laib A. Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography. Int Endod J 2001;34:221-30. https://doi.org/10.1046/j.1365-2591.2001.00373.x
  6. Siqueira Jr JF, Rocas IN, Santos SR, Lima KC, Magalhaes FA, de Uzeda M. Efficacy of instrumentation techniques and irrigation regimens in reducing the bacterial population within root canals. J Endod 2002;28:181-4. https://doi.org/10.1016/S0099-2399(05)60608-5
  7. Boutsioukis C, Lambrianidis T, Kastrinakis E. Irrigant flow within a prepared root canal using various flow rates: a computational fluid dynamics study. Int Endod J 2009;42:144-55. https://doi.org/10.1111/j.1365-2591.2008.01503.x
  8. Zehnder M. Root canal irrigants. J Endod 2006;32:389-98. https://doi.org/10.1016/j.joen.2005.09.014
  9. Abou-Rass M, Piccinino MV. The effectiveness of four clinical irrigation methods on the removal of root canal debris. Oral Surg Oral Med Oral Pathol 1982;54:323-8. https://doi.org/10.1016/0030-4220(82)90103-7
  10. Chow TW. Mechanical effectiveness of root canal irrigation. J Endod 1983;9:475-9. https://doi.org/10.1016/S0099-2399(83)80162-9
  11. Weller RN, Brady JM, Bernier WE. Efficacy of ultrasonic cleaning. J Endod 1980;6:740-3. https://doi.org/10.1016/S0099-2399(80)80185-3
  12. Lee SJ, Wu MK, Wesselink PR. The effectiveness of syringe irrigation and ultrasonics to remove debris from simulated irregularities within prepared root canal walls. Int Endod J 2004;37:672-8. https://doi.org/10.1111/j.1365-2591.2004.00848.x
  13. Al-Jadaa A, Paque F, Attin T, Zehnder M. Necrotic pulp tissue dissolution by passive ultrasonic irrigation in simulated accessory canals: impact of canal location and angulation. Int Endod J 2009;42:59-65. https://doi.org/10.1111/j.1365-2591.2008.01497.x
  14. de Gregorio C, Estevez R, Cisneros R, Paranjpe A, Cohenca N. Efficacy of different irrigation and activation systems on the penetration of sodium hypochlorite into simulated lateral canals and up to working length: an in vitro study. J Endod 2010;36:1216-21. https://doi.org/10.1016/j.joen.2010.02.019
  15. van der Sluis LW, Versluis M, Wu MK, Wesselink PR. Passive ultrasonic irrigation of the root canal: a review of the literature. Int Endod J 2007;40:415-26. https://doi.org/10.1111/j.1365-2591.2007.01243.x
  16. Krell KV, Johnson RJ. Irrigation patterns of ultrasonic endodontic files. Part II. Diamond-coated files. J Endod 1988;14:535-7. https://doi.org/10.1016/S0099-2399(88)80085-2
  17. van der Sluis LWM, Wu MK, Wesselink PR. The efficacy of ultrasonic irrigation to remove artificially placed dentine debris from human root canals prepared using instruments of varying taper. Int Endod J 2005;38:764-8. https://doi.org/10.1111/j.1365-2591.2005.01018.x
  18. Hulsmann M, Schade M, Schafers F. A comparative study of root canal preparation with HERO 642 and Quantec SC rotary Ni-Ti instruments. Int Endod J 2001;34:538-46. https://doi.org/10.1046/j.1365-2591.2001.00431.x
  19. Ardila CN, Wu MK, Wesselink PR. Percentage of filled canal area in mandibular molars after conventional root-canal instrumentation and after a noninstrumentation technique (NIT). Int Endod J 2003;36:591-8. https://doi.org/10.1046/j.1365-2591.2003.00689.x
  20. De-Deus G, Barino B, Zamolyi RQ, Souza E, Fonseca A Jr., Fidel S, Fidel RA. Suboptimal debridement quality produced by the single-file F2 ProTaper technique in oval-shaped canals. J Endod 2010;36:1897-900. https://doi.org/10.1016/j.joen.2010.08.009
  21. Caputa PE, Retsas A, Kuijk L, Chavez de Paz LE, Boutsioukis C. Ultrasonic irrigant activation during root canal treatment: A systematic review. J Endod 2019;45:31-44.e13. https://doi.org/10.1016/j.joen.2018.09.010
  22. Jiang LM, Verhaagen B, Versluis M, Langedijk J, Wesselink P, van der Sluis LW. The influence of the ultrasonic intensity on the cleaning efficacy of passive ultrasonic irrigation. J Endod 2011;37:688-92. https://doi.org/10.1016/j.joen.2011.02.004
  23. Macedo R, Verhaagen B, Rivas DF, Versluis M, Wesselink P, van der Sluis L. Cavitation measurement during sonic and ultrasonic activated irrigation. J Endod 2014;40:580-3. https://doi.org/10.1016/j.joen.2013.09.018
  24. Verhaagen B, Boutsioukis C, Heijnen GL, van der Sluis LWM, Versluis M. Role of the confinement of a root canal on jet impingement during endodontic irrigation. Experiments in Fluids 2012;53:1841-53. https://doi.org/10.1007/s00348-012-1395-0
  25. Macedo RG, Robinson JP, Verhaagen B, Walmsley AD, Versluis M, Cooper PR, van der Sluis LW. A novel methodology providing insights into removal of biofilm-mimicking hydrogel from lateral morphological features of the root canal during irrigation procedures. Int Endod J 2014;47:1040-51. https://doi.org/10.1111/iej.12246
  26. Boutsioukis C, Kastrinakis E, Lambrianidis T, Verhaagen B, Versluis M, van der Sluis LW. Formation and removal of apical vapor lock during syringe irrigation: a combined experimental and Computational Fluid Dynamics approach. Int Endod J 2014;47:191-201. https://doi.org/10.1111/iej.12133
  27. Robinson JP, Macedo RG, Verhaagen B, Versluis M, Cooper PR, van der Sluis LWM, Walmsley AD. Cleaning lateral morphological features of the root canal: the role of streaming and cavitation. Int Endod J 2018;51 Suppl 1:e55-e64. https://doi.org/10.1111/iej.12804
  28. Cunningham WT, Balekjian AY. Effect of temperature on collagen-dissolving ability of sodium hypochlorite endodontic irrigant. Oral Surg Oral Med Oral Pathol 1980;49:175-7. https://doi.org/10.1016/0030-4220(80)90313-8
  29. Abou-Rass M, Oglesby SW. The effects of temperature, concentration, and tissue type on the solvent ability of sodium hypochlorite. J Endod 1981;7:376-7. https://doi.org/10.1016/S0099-2399(81)80059-3