El uso de agentes quelantes con irrigación ultrasónica pasiva mejora la capacidad de sellado de la obturación de conducto radicular.

The use of chelating agents with passive ultrasonic irrigation enhances root canal filling sealing ability.

  • Gisele Jung Franciscatto Federal University of Santa Maria
  • Giampiero Rossi-Fedele University of Rio Grande do Sul
  • Manuela Favarin Santini Franciscan University
  • Mariana De Carlo Bello Lutheran University of Brazil
  • Minéia Weber Blattes Franciscan University
  • Carlos Alexandre Souza Bier Federal University of Santa Maria
Palabras clave: ácido etilendiaminotetraacético, ácido cítrico, irrigantes de canales radiculares, obturación de canales radiculares, ultrasonido

Resumen

El objetivo de este estudio fue comparar la influencia de una irrigación final con o sin activación ultrasónica pasiva (PUI), utilizando ácido etilendiaminotetraacético (EDTA) al 17% o ácido cítrico (CA) al 10%, con hipo-clorito de sodio (NaOCl) al 2,5% con PUI, sobre el sellado de la obturación de conductos radiculares. Después de la instrumentación utilizando NaOCl como irrigante, premolares de raíz única se asignaron aleatoriamente a cuatro grupos experimentales (n = 23): EDTA+PUI, EDTA, CA+PUI, CA y grupo de control: NaOCl+PUI. Los conductos se obturaron utilizando gutapercha con un sellador a base de resina y se insertaron en un dispositivo para medir la infiltración de glucosa a los 7 y 30 días. Se utilizaron las pruebas de Kruskal-Wallis y Mann-Whit-ney para evaluar las diferencias entre las soluciones y con o sin PUI. Se utilizó el ANOVA de Friedman para comparar los puntos temporales (P <0,05). Los gru-pos de PUI mostraron menores valores de infiltración (EDTA+PUI 0,74±0,77 y CA+PUI 5,32±1,45) en comparación con los grupos en los que no se realizó PUI (EDTA 7,20±2,18 y CA 20,73±4,70), esta diferencia fue significativa para EDTA (P <0,01) y CA (P = 0,000). Además, EDTA mostró menos infiltración de glucosa que CA, con o sin PUI (P <0,005). NaOCl+PUI mostró una mayor infiltración acumulada de glucosa (22,92±9,71). Una irrigación final con EDTA o CA con PUI mejora el sellado de la obturación de conducto radicular. EDTA mostró menos infiltración.

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Citas

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Publicado
2021-06-10
Cómo citar
Jung Franciscatto, G., Rossi-Fedele, G., Favarin Santini, M., De Carlo Bello, M., Weber Blattes, M., & Souza Bier, C. A. (2021). El uso de agentes quelantes con irrigación ultrasónica pasiva mejora la capacidad de sellado de la obturación de conducto radicular.: The use of chelating agents with passive ultrasonic irrigation enhances root canal filling sealing ability. Investigación Clínica, 62(2), 132-139. https://doi.org/10.22209/IC.v62n2a04
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