今回はガッタパーチャ溶解剤についての文献になります。
再根管治療の成否を握る古い根管充填剤の除去ですが
この効果的な溶解剤について検証を行っています。
Eucalyptol and d-limonene were evaluated for their ability to serve as a substitute solvent for chloroform. The amount of time required to soften and remove the gutta-percha in 72 instrumented and filled simulated root canals in epoxy blocks was measured. After preparation to the apices of the block canals with a #60 file, four different filling techniques were used. These obturations were softened with each solvent and then removed, first using a #15 Hedstrom file inserted to full working length, and then removing the remaining filling mass with a #60 reamer. The two instrument placements were timed: one for the Hedstrom file insertion to the apex and the other for the reamer to remove the filling material. Neither the different solvents nor the filling techniques had a significant effect on the times required for the H-files to reach the apex. However, the times for the reamer to remove the filling materials were effected both by the filling techniques and the solvents used.
つまり
ユーカリプトール(ユーカリソフト)とd-リモネン(GPソルベント)とクロロホルムの3種を
4種類の方法(Obtura-Ⅱシステム、Ultrafilシステム、Thermafilシステム、側方加圧充填)
で根管充填された根管内にそれぞれ使用し
#15Hファイルが根尖に達するまでの所要時間(秒)を計測した所
3種の溶解剤に有意差は認められなかった
ということです。