Clinical Antibacterial Effectiveness of Root Canal Preparation with Reciprocating Single-instrument or Continuously Rotating Multi-instrument Systems
| Autor: | José F. Siqueira, José C. Provenzano, Mônica A.S. Neves, Isabela N. Rôças |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male 0301 basic medicine 030103 biophysics Adolescent Root canal Dentistry Biology Bacterial counts Young Adult 03 medical and health sciences chemistry.chemical_compound Reciprocating motion 0302 clinical medicine Dental Pulp Necrosis medicine Humans General Dentistry Aged Aged 80 and over Dental Pulp Cavity Periodontitis Periapical periodontitis business.industry Streptococcus 030206 dentistry Middle Aged medicine.disease Bacterial Load medicine.anatomical_structure chemistry Sodium hypochlorite Female business Periapical Periodontitis Root Canal Preparation |
| Zdroj: | Journal of Endodontics. 42:25-29 |
| ISSN: | 0099-2399 |
| Popis: | Introduction This in vivo study compared the antibacterial effectiveness of a reciprocating single-instrument system (Reciproc; VDW, Munich, Germany) and a rotary multi-instrument system (BioRaCe; FKG Dentaire, La Chaux-de-Fonds, Switzerland) during the preparation of infected root canals of teeth with primary apical periodontitis. Methods Root canals from single-rooted teeth with necrotic pulps and apical periodontitis were instrumented using either Reciproc ( n = 29) or BioRaCe ( n = 30) instruments under irrigation with 2.5% sodium hypochlorite. DNA was extracted from samples taken before and after preparation and subjected to quantitative analysis of total bacteria and streptococci by using the quantitative real-time polymerase chain reaction. Results All initial samples were positive for the presence of bacteria, with median numbers of 7.1 × 10 5 and 1.31 × 10 5 bacterial cells for the Reciproc and BioRaCe groups, respectively. After preparation with Reciproc and BioRaCe, 16 (55%) and 15 (50%) root canals still had detectable bacteria with median counts of 7.05 × 10 2 and 6.03 × 10 1 , respectively. Both systems were highly effective in reducing the total bacterial counts ( P P > .05). Streptococci were highly frequent, and both systems succeeded in significantly reducing their levels ( P Conclusions Both reciprocating single-instrument and rotary multi-instrument systems were highly effective in reducing the counts of total bacteria and streptococci in root canals of teeth with apical periodontitis. Regardless of the system used, approximately one half of the teeth still had detectable bacteria. |
| Databáze: | OpenAIRE |
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