Ex vivo study of bacterial coronal leakage in indirect pulp treatment
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Ruiz, Matilde; Baca García, Pilar; Pardo Ridao, María del Mar; Arias Moliz, María Teresa; Ferrer Luque, Carmen María
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Aquest document és un/a article, creat/da en: 2013
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Objective: The aim of this study was to evaluate, ex vivo, bacterial coronal leakage with different antimicrobial
agents applied to the dentine for indirect pulp treatment (IPT).
Study
D
esign: Sixty extracted teeth were prepared and randomly distributed into 5 groups (n=10): Group 1: no
antimicrobial dentine treatment; group 2: 1% chlorhexidine (CHX)+1% thymol varnish (Cervitec
®)
; group 3: 2
% CHX solution; group 4: 40% CHX varnish (EC40TM) and group 5: ClearfilTM Protect Bond (CPB). Ten teeth
served as controls. The teeth were restored using a resin-modified glass ionomer cement (GIC) and then mounted
in a two-chamber device. The coronal access was exposed to
Streptococcus mutans
for 45 days. The appearance
of turbidity in the BHI broth of the lower chamber was considered as specimen leakage.
Results: Survival analysis, determined by non parametric Kaplan-Meier and log-rank tests, showed that the best
results were for groups EC40TM+GIC and GIC alone; yet there were not statistically significant differences be
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tween them. All specimens of CPB+GIC and 2% CHX+GIC, leaked at 45 days.
Conclusions: In IPT the use of GIC without pretreatment of the dentine and pretreatment with 40% CHX varnish
resulted in a significant delay of bacterial coronal leakage.
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