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ENDODONTIA MODERNA OBJETIVANDO RESULTADOS CLÍNICOS

ENDODONTIA MODERNA OBJETIVANDO RESULTADOS CLÍNICOS
EEC

quarta-feira, 2 de abril de 2014

Trabalho de Dissertação de Mestrado de Excelência em Endodontia da Aluna Caroline Berwanger Cord .
IN PRESS no Journal of Endodontics:
http://www.jendodon.com/article/S0099-2399(14)00183-6/abstract
Parabéns pela conquista!

Effective Analysis of the Use of Peracetic Acid after Instrumentation of Root Canals Contaminated with Enterococcus faecalis

Abstract 

Introduction

The aim of this study was to evaluate the effectiveness of peracetic acid (PAA) in cleaning root canals contaminated withEnterococcus faecalis.

Methods

Sixty first and second mandibular molars were used. Their mesiobuccal canals were prepared with the Reciproc System (VDW, Munich, Germany). The canals were irrigated with 10 mL saline during instrumentation. The teeth were randomly divided into 3 groups (n = 20), according to the irrigation solution to be used after instrumentation: group PAA (5 mL 1% PAA), group EDTA/sodium hypochlorite (NaOCl) (5 mL 17% EDTA followed by 5 mL 2.5% sodium hypochlorite), and group S (5 mL saline). Microbiological samples were collected before instrumentation and after final irrigation. Bacterial quantification was performed by counting the number of colony-forming units (CFUs/mL). The results were analyzed by the nonparametric Wilcoxon and Kruskal-Wallis tests.

Results

The 3 groups showed a significant reduction (P < .05) in CFUs/mL after final irrigation. PAA and NaOCl associated with EDTA produced a significantly higher reduction in CFUs/mL (P < .05) compared with saline. There was no statistically significant difference between PAA and EDTA + 2.5% NaOCl (P > .05).

Conclusions

According to the results of the present study, the effectiveness of 1% PAA was similar to that of 17% EDTA + 2.5% NaOCl in cleaning curved root canals contaminated with E. faecalis.

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