Hipoclorito de sodio al 5,25% y clorhexidina al 0,12% en la desinfección de conductos radiculares
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2019-04
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Universidad de Guayaquil. Facultad Piloto de Odontología
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La irrigación es la parte crucial para la terapia endodóntica, ya que va a eliminar todas las toxinas presentes en los conductos radiculares infectados evitando la persistencia de la enfermedad o agudización de la misma, por lo tanto, para la elección de una buena sustancia irrigadora se debe considerar la existencia de diferentes características tales como, buena capacidad de desinfección, disolvente orgánico, propiedad de lubricante, sustantividad y bajo nivel de toxicidad. El objetivo de este estudio es determinar la reducción de la carga bacteriana utilizando hipoclorito de sodio al 5,25% y clorhexidina al 0,12% en la desinfección de los conductos radiculares en dos pacientes atendidos en la Facultad Piloto de Odontología periodo 2018 – 2019. Este estudio se realizó a través de los análisis de laboratorio donde se verificará el número y los tipos de organismos patógenos presentes. En los resultados estudiados se observó que el hipoclorito de sodio al 5,25% eliminó en un 100% las bacterias que se encontraron en una necrosis pulpar, sin embargo, los estudios realizados con la clorhexidina al 0,12% dio como resultado que en la primera intervención eliminó casi la mitad de las bacterias y después de 8 días con la colocación de hidróxido de calcio como medicación intraconduto se eliminaron por completo las bacterias presentes en el conducto radicular. Por lo tanto, se pudo concluir que el hipoclorito de sodio es altamente efectivo para la erradicación en un alto contenido bacteriano y la clorhexidina necesita refuerzo de otro medicamento para poder alcanzar la desinfección deseada.
Irrigation is the crucial part for endodontic therapy, since it is the one that will eliminate all the toxins present in the infected root canals avoiding the persistence of the disease or its aggravation, therefore, for the choice of a good irrigating substance the existence of different characteristics must be taken into account such as, good disinfection capacity, good organic solvent, lubricant property, substantively and low level of toxicity. The objective of this study is to determine the reduction of the bacterial load using sodium hypochlorite at 5.25% and chlorhexidine at 0.12% in the disinfection of the root canals in two patients assisted at the Dentistry Faculty of the University of Guayaquil towards the end of 2018 and early 2019. This study was carried out through laboratory analyses where the number and types of pathogenic organisms are verified. Findings suggested that 5.25% of sodium hypochlorite eliminated 100% of the bacteria found in a pulp necrosis, however, the studies performed with chlorhexidine at 0.12% resulted in the elimination of almost half of the bacteria in the first intervention and after 8 days with the placement of calcium hydroxide as intraconduct medication, the bacteria present in the root canal were completely eliminated. Therefore, it could be concluded that sodium hypochlorite is highly effective for the eradication of high bacterial content and chlorhexidine needs reinforcement of another drug in order to achieve the desired disinfection.
Irrigation is the crucial part for endodontic therapy, since it is the one that will eliminate all the toxins present in the infected root canals avoiding the persistence of the disease or its aggravation, therefore, for the choice of a good irrigating substance the existence of different characteristics must be taken into account such as, good disinfection capacity, good organic solvent, lubricant property, substantively and low level of toxicity. The objective of this study is to determine the reduction of the bacterial load using sodium hypochlorite at 5.25% and chlorhexidine at 0.12% in the disinfection of the root canals in two patients assisted at the Dentistry Faculty of the University of Guayaquil towards the end of 2018 and early 2019. This study was carried out through laboratory analyses where the number and types of pathogenic organisms are verified. Findings suggested that 5.25% of sodium hypochlorite eliminated 100% of the bacteria found in a pulp necrosis, however, the studies performed with chlorhexidine at 0.12% resulted in the elimination of almost half of the bacteria in the first intervention and after 8 days with the placement of calcium hydroxide as intraconduct medication, the bacteria present in the root canal were completely eliminated. Therefore, it could be concluded that sodium hypochlorite is highly effective for the eradication of high bacterial content and chlorhexidine needs reinforcement of another drug in order to achieve the desired disinfection.
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HIPOCLORITO DE SODIO, CLORHEXIDINA, IRRIGANTES DEL CONDUCTO RADICULAR