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A New Noninvasive Model to Study the Effectiveness of Dentin Disinfection by Using Confocal Laser Scanning Microscopy

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单位: [1]Univ British Columbia, Div Endodont, Fac Dent, Dept Oral Biol & Med Sci, Vancouver, BC V6T 1Z3, Canada [2]Huazhong Univ Sci & Technol, Dept Stomatol, Tongji Hosp, Tongji Med Coll, Wuhan 430074, Peoples R China [3]Wuhan Univ, State Key Lab Breeding Base Basic Sci Stomatol Hu, Wuhan 430072, Peoples R China [4]Wuhan Univ, Key Lab Oral Biomed, Sch Stomatol, Minist Educ, Wuhan 430072, Peoples R China [5]Wuhan Univ, Key Lab Oral Biomed, Hosp Stomatol, Minist Educ, Wuhan 430072, Peoples R China
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关键词: Centrifugation confocal laser scanning microscopy dentin disinfection Enterococcus faecalis

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Introduction: The present study was designed to develop a standardized model for quantification of the effectiveness of dentin disinfection by different antibacterial solutions including a new root canal irrigant, Qmix. Methods: Dentinal tubules from the root canal side in semicylindrical dentin specimens were infected with Enterococcus faecal is by centrifugation of the bacterial suspension into the tubules. Scanning electron microscopy (SEM) was used to verify the presence of bacteria in dentin. The outer side of dentin pieces was closed, and the specimens were subjected to 1-minute and 3-minute exposure to sterile water, 1%, 2%, 6% sodium hypochlorite (NaOCl), 2% chlorhexidine (CHX), and Qmix. Confocal laser scanning microscopy (CLSM) and viability staining were used to quantitatively analyze the proportions of dead and live bacteria inside dentin. Results: A heavy invasion by E. faecalis was detected by both SEM and CLSM throughout the dentinal tubules. The amount of dead cells in dentin increased with increasing NaOCl concentration and time of exposure (P <.05). Qmix was equally effective in killing bacteria in dentin as 6% NaOCl; more than 40% and 60% of the bacteria were killed by both at 1 minute and 3 minutes, respectively. One percent and 2% NaOCl and 2% CHX killed 20%-30% and 30%-40% bacteria after 1 and 3 minutes of exposure, respectively, with no statistically significant differences among the 3 agents (P>.05). In the control group, which was treated with sterile water, only 4%-6% of the bacteria were dead. Conclusions: Centrifugation helped to create a heavy, evenly distributed infection deep into the dentinal tubules. The new model made it possible to compare the effectiveness of several disinfecting solutions in killing bacteria inside dentin by a noninvasive CLSM method. (J Endod 2011;37:1380-1385)

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出版当年[2010]版:
大类 | 3 区 医学
小类 | 2 区 牙科与口腔外科
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 牙科与口腔外科
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出版当年[2009]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE
最新[2023]版:
Q1 DENTISTRY, ORAL SURGERY & MEDICINE

影响因子: 最新[2023版] 最新五年平均 出版当年[2009版] 出版当年五年平均 出版前一年[2008版] 出版后一年[2010版]

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第一作者单位: [1]Univ British Columbia, Div Endodont, Fac Dent, Dept Oral Biol & Med Sci, Vancouver, BC V6T 1Z3, Canada [2]Huazhong Univ Sci & Technol, Dept Stomatol, Tongji Hosp, Tongji Med Coll, Wuhan 430074, Peoples R China
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通讯机构: [1]Univ British Columbia, Div Endodont, Fac Dent, Dept Oral Biol & Med Sci, Vancouver, BC V6T 1Z3, Canada [*1]Univ British Columbia, Div Endodont Head Oral Biol & Med Sci, Fac Dent, 2199 Wesbrook Mall, Vancouver, BC V6T 1Z3, Canada
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