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  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

AvaliaÃÃo do efeito antibacteriano da medicaÃÃo intracanal à base de hidrÃxido de cÃlcio associado ou nÃo à clorexidina 1% no tratamento de dentes necrosados apÃs trauma / Antibacterial effect evaluation of calcium hydroxide with or without chlorhexidine like intracanal medication in the treatment of necrotic teeth after trauma

Mirela Andrade Campos 23 September 2010 (has links)
Tem-se como objetivo desta dissertaÃÃo estudar o hipoclorito de sÃdio e a clorexidina como soluÃÃes irrigadoras, atravÃs de uma revisÃo de literatura, e avaliar e quantificar, por meio de cultura bacteriana, o efeito antibacteriano do preparo biomecÃnico e de pasta à base de hidrÃxido de cÃlcio associada ou nÃo a clorexidina 1 % sobre bactÃrias presentes em canais radiculares de dentes permanentes necrosados apÃs trauma, bem como verificar a presenÃa dos microorganismos Fusobacterium nucleatum e bacilo pigmentado negro (BPN) nestes dentes. A amostra consistiu de 13 dentes, totalizando 11 pacientes. As amostras microbiolÃgicas foram coletadas apÃs a abertura coronÃria (A1), depois do preparo biomecÃnico (A2), seguido da utilizaÃÃo do curativo de demora (A3) e 72h de procedida à remoÃÃo da medicaÃÃo intracanal (A4). As amostras foram coletadas introduzindo-se sequencialmente trÃs cones de papel absorvente estÃril no interior do canal radicular por um minuto. Em A1, 100% das amostras foram positivas para presenÃa de bactÃrias, sendo a mÃdia de Unidades Formadoras de ColÃnias (UFC) de 7.7 x 104. Na segunda coleta (A2), apenas 5/13 amostras foram positivas, com mÃdia de UFCs de 1.7 x 103. ApÃs o uso da medicaÃÃo intracanal (A3), 4/13 amostras foram positivas, com mÃdia de 3.3 x 103 UFCs. Em A4, 6/13 amostras foram positivas, com mÃdia de 1 x 104 UFCs. Entre A1 x A2, A1 x A3 e A1 x A4, observou-se uma reduÃÃo de UFCs estatisticamente significante (p<0.001). NÃo se pÃde observar diferenÃa estatisticamente significante (p>0.05) entre as demais amostras. Conclui-se que o preparo quÃmico-mecÃnico desempenha sua funÃÃo antibacteriana ao reduzir significativamente o nÃmero de micro-organismos do canal principal, porÃm o hidrÃxido de cÃlcio e sua associaÃÃo com clorexidina 1% nÃo tiveram diferenÃa estatÃstica significante, possuindo um efeito antibacteriano limitado, nÃo sendo capazes de prevenir o crescimento de bactÃrias apÃs seu uso como medicaÃÃo intracanal. / The goals of this dissertation are study of sodium hypochlorite and chlorhexidine as irrigants, through a literature review, evaluate and quantify, by means of bacterial culture, the antibacterial effect of biomechanical preparation and pulp-based hydroxide calcium with or without 1% chlorhexidine on bacteria in root canals of permanent teeth after necrotic injury, as well as verifying the presence of microorganisms Fusobacterium nucleatum and Black Pigmented Bacillus in these teeth. The sample consisted of 13 teeth, totaling 11 patients. Microbiological samples were taken after the coronal opening (A1), after root canal preparation (A2), followed by the use of intracanal dressing (A3) and 72 hours of the removal of the medication (A4). The samples were collected sequentially introducing three sterile absorbent paper cones inside the root canal for one minute. In A1, 100% of samples were positive, and the average colony forming units (CFU) of 7.7 x 104. In the second collection (A2), 5 / 13 samples were positive, with an average of 1.7 x 103 CFUs. After use of the medication (A3), 4 / 13 samples were positive, averaging 3.3 x 103 CFUs. A4, 6 / 13 samples were positive, with an average of 1 x 104 CFUs. Between A1 x A2, A3 and A1 x A1 x A4, we observed a reduction of CFUs was statistically significant (p <0.001). We were unable to observe a statistically significant difference (p> 0.05) among the other samples. We conclude that chemo-mechanical performs its antibacterial function by significantly reducing the number of micro-organisms from the main channel, but calcium hydroxide and its association with chlorhexidine 1% had no statistically significant difference, having an antibacterial effect limited not being able to prevent bacterial growth after its use as an intracanal medication.

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