PubMed · 6945384
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H L Rosov. 1981. Preventive endodontics.. https://pubmed.ncbi.nlm.nih.gov/6945384/
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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.
The root pulp contained two types of parvalbumin-immunoreactive nerve fibres, smooth and varicose. The smooth were relatively thick (mostly 3-5 microns in diameter) and sometimes had large swellings, whereas the varicose consisted of oval varicosities of 1-3 microns in long diameter with very fine strands interconnecting them. Most of the parvalbumin-immunoreactive root fibres were smooth, and the varicose were rare. Upon entering the pulp chamber, both types of fibre splayed out and ran towards the roof of the chamber and the pulp horn. In the subodontoblastic layer of the roof and horn, parvalbumin-immunoreactive fibres showed relatively straight chains of granules; they sent their granular terminals to the odontoblastic layer. Some parvalbumin-immunoreactive granules were observed in the predentine and some even in the dentine. The diameter of axons in the root pulp and the spatial distribution of terminals strongly suggest that the parvalbumin-immunoreactive fibres are mostly myelinated and sensory.
The tactile function of the human periodontal mechanoreceptors has mostly been studied by psychophysical approaches. It was concluded that periodontal mechanoreceptors play a major role in the tactile function of teeth. It must be noted however that the interocclusal tactile threshold is not solely determined by periodontal mechanoreceptors but also by pulpal, muscular or articular receptors. While temporomandibular joint receptors play a minor role, muscular receptors are important in the discriminatory ability for a mouth opening of 5 mm and more. To discriminate between the contribution of periodontal and other receptors in the oral tactile function, future studies should use appropriate psychophysical methodologies and well-defined stimulus parameters.