PubMed · 6584321
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J C Kehoe. 1984. Bleaching today.. https://pubmed.ncbi.nlm.nih.gov/6584321/
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Evaluation of pulse oximetry as a potential method of determining pulp vitality was the subject of this research. An in vitro model of pulpal circulation was fabricated to test the design for a dental pulse oximetry sensor. Blood samples equilibrated with hypoxic gas mixtures were circulated through the model by a peristaltic pump. A pulse was simulated by introduction of gas bubbles into the blood circulation. Pulse oximeter readings for saturation were recorded and compared with blood gas analysis results. Statistical analysis revealed no difference between pulse oximetry and blood gas analysis with a highly significant correlation coefficient. Clinical evaluation of this application is currently in progress.
The purpose of this study was to investigate the use of 4 per cent sodium hypochlorite and 15 per cent EDTAC, either alone or in conjunction, as irrigants during hand instrumentation and ultrasonic irrigation of the root canal. Thirty-six extracted human teeth, each with a single, straight root 21-25 mm long were hand-instrumented through a clinical access cavity to file size 40. One millilitre of the test irrigant was used after each instrument size. Canal debridement was completed with an intermittent flush irrigation technique with one or both of the test irrigants activated by ultrasound at a medium effective power output. The specimens were sectioned longitudinally, viewed in a scanning electron microscope and scored for the presence or absence of debris and smear layer at levels less than 1 mm, 5 mm, and 10 mm from the apical seat. Under the conditions of this experiment the most effective regime was irrigation with 1 mL EDTAC after each instrument size, followed by two 30 second exposures to ultrasound+EDTAC then four 30 second exposures to ultrasound + 4 per cent sodium hypochlorite. The specimens in this group were free from retained pulp tissue and superficial smear layer, had the lowest debris scores at the < 1 mm and 5 mm levels, and the lowest total debris score. All of the techniques tested produced smear-free canals at the 10 mm level.
Samples of dentine of healthy teeth were analysed in this study with at the scanning electron microscope. In order to see the morphological changes in the structure of both the dentine and the dentinary tubules, the dentine was observed at different levels according to the distance from the pulp. After the removal of the odontoblasts the predentine appears to be composed only by collagen fibres and is about 15 microns thick. At this level, the dentinary tubules can reach a diameter of 4 microns. This measure decreases progressively in proportion to the distance from the pulp, reaching about 2 microns at a distance of 1 mm, and 1 micron at 2 mm from the pulp. A decrease in the tubular lumina is observed when the peritubular dentine changes from 0.8 to 1 in thickness. The internal surface of the tubules appears smooth and shows the confluence of very thin lateral canaliculi. The dentinary tubules end forming forks which spread out until they enter into contact with the enamel.