دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻲﺸﻫوﮋﭘ ﻲﻤﻠﻋ ﻪﻠﺠﻣ
Journal of Shahid Sadoughi University of Medical Sciences
هرود 20 هرﺎﻤﺷ ، 4 ، ﻣ نﺎﺑآ و ﺮﻬ 1391
Vol. 20, No. 4, Sep- Oct 2012
ﻪﺤﻔﺻ : 481 - 474
Pages: 474-481
ﻪﺴﻳﺎﻘﻣ ناﺪﻧد ﻪﺸﻳر لﺎﻧﺎﻛ ﻲﻟﺎﻜﻴﭘا ﺖﺸﻧﺰﻳر
ﺎﻛﺮﭘﺎﺗﻮﮔ ﻂﺳﻮﺗ هﺪﺷﺮﭘ يﺎﻫ ﺮﻠﻴﺳ و
AH26 ﺎﺑ
نﻮﻠﻳزر ﻲﻧﺎﻔﻴﭘا و
ﮓﻧر ذﻮﻔﻧ شور زا هدﺎﻔﺘﺳا ﺎﺑ
ﻠﻋ ﻴ ﺎﺿﺮ
1ﻊﻃﺎﻗ ، ﺪﻬﻣ ي ﺮﺒﺗ ﻳ ﺰ ي
2هداز ، ﻣا ﻴ ﺎﺿرﺮ ﺖﻤﺸﺣ ﺮﺟﺎﻬﻣ ،3
ﺪﻴﺳ ﻠﻋ ﻴ ﺎﺿﺮ ﻮﺿر
*ي ،4
ﻪﻤﻃﺎﻓ رﺎﺘﺨﻣ
5ي ، لﺎﻤﺟ تدﺎﻌﺳ يﻮﺳﻮﻣ ﺪﻤﺣا ﺪﻴﺳ ،6
7
5
، 1 - دﺎﺘﺳا ﻳﺎ ر هوﺮﮔ ﺘﻧادوﺪﻧا ﻴ ﻜ ﺲ
، هﺎﮕﺸﻧاد مﻮﻠﻋ ﻜﺷﺰﭘ ﻲ و تﺎﻣﺪﺧ ﺘﺷاﺪﻬﺑ ﻲ ﻧﺎﻣرد ﻲ ﻬﺷ ﻴ ﺪ ﻗوﺪﺻ ﻳ ﻲ دﺰ
2 - ﺸﻧاد ﻴ رﺎ هوﺮﮔ ﺘﻧادوﺪﻧا ﻴ ﻜ ﺲ
، هﺎﮕﺸﻧاد مﻮﻠﻋ ﻜﺷﺰﭘ ﻲ و تﺎﻣﺪﺧ ﺘﺷاﺪﻬﺑ ﻲ ﻧﺎﻣرد ﻲ ﻬﺷ ﻴ ﺪ ﻗوﺪﺻ ﻳ ﻲ دﺰ
3 - ﺲﻜﻴﺘﻧادوﺪﻧا ﺺﺼﺨﺘﻣ
4 - ﺘﺳد ﻴ رﺎ ﺼﺼﺨﺗ ﻲ ﺘﻧادوﺪﻧا ﻴ ﺲﻜ
، هﺎﮕﺸﻧاد مﻮﻠﻋ ﻜﺷﺰﭘ ﻲ و تﺎﻣﺪﺧ ﺘﺷاﺪﻬﺑ ﻲ ﻧﺎﻣرد ﻲ ﻬﺷ ﻴ ﺪ ﻗوﺪﺻ ﻳ ﻲ دﺰ
6 - ﻚﺷﺰﭙﻧاﺪﻧد ، دﺰﻳ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻧﺎﻣرد ﻲﺘﺷاﺪﻬﺑ تﺎﻣﺪﺧ و ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد
7 - نﺎﻛدﻮﻛ ﻲﻜﺷﺰﭙﻧاﺪﻧد ﻲﺼﺼﺨﺗ رﺎﻴﺘﺳد
، هﺎﮕﺸﻧاد مﻮﻠﻋ ﻜﺷﺰﭘ ﻲ و تﺎﻣﺪﺧ ﺘﺷاﺪﻬﺑ ﻲ ﻧﺎﻣرد ﻲ ﻬﺷ ﻴ ﺪ ﻗوﺪﺻ ﻳ ﻲ دﺰ
ﺖﻓﺎﻳرد ﺦﻳرﺎﺗ :
6 / 12 / 1390 شﺮﻳﺬﭘ ﺦﻳرﺎﺗ
: 29 / 4 / 1391
هﺪﻴﻜﭼ
ﻪﻣﺪﻘﻣ
ﺎﻧﺎﻛ ندﺮﻛﺮﭘ:
ﻜﻳ ﻪﺸﻳر ل ﻲﻠﺻا ﻞﺣاﺮﻣ زا ﻲ
نﺎﻣرد ﻚﻴﺘﻧادوﺪﻧا يﺎﻫ ﺖﺳا
و هدﺎﻣ ﻲﻣ رﺎﻛ ﻪﺑ رﻮﻈﻨﻣ ﻦﻳا ﻪﺑ ﻪﻛ يا ﻲﺘﺴﻳﺎﺑ دور
دﺎﺠﻳا ﻲﻳﺎﻧاﻮﺗ مﻮﻣ و ﺮﻬﻣ
ﺪﺷﺎﺑ ﻪﺘﺷاد ار ﺐﺳﺎﻨﻣ .
ﻲﻳﺎﻧاﻮﺗ ﻪﺴﻳﺎﻘﻣ ﻪﻌﻟﺎﻄﻣ ﻦﻳا زا فﺪﻫ هدﺎﻣ ود
ﻪﺸﻳر لﺎﻧﺎﻛ هﺪﻨﻨﻛﺮﭘ )
و ﺎﻛﺮﭘﺎﺗﻮﮔ
نﻮﻠﻳزر ( زا يﺮﻴﮔﻮﻠﺟ رد دﻮﺑ ﻲﻟﺎﻜﻴﭘا ﺖﺸﻧﺰﻳر
.
شور ﻲﺳرﺮﺑ
مﺎﺠﻧا ياﺮﺑ:
ﻪﻌﻟﺎﻄﻣ ﻦﻳا ﻲﻫﺎﮕﺸﻳﺎﻣزآ
زا 32 هﺪﺷ هﺪﻴﺸﻛ ﻪﺸﻳر ﻚﺗ ناﺪﻧد نﺎﺴﻧا
ﺪﺷ هدﺎﻔﺘﺳا .
ندﺮﻛ اﺪﺟ زا ﺲﭘ جﺎﺗ
ناﺪﻧد ﺎﻫ
،لﺎﻜﻳوﺮﺳ ﻪﻴﺣﺎﻧ زا لﺎﻧﺎﻛ
شور ﺎﺑ ﺎﻫ
Step-back
آ هدﺎﻣ ﺪﻧﺪﺷ يزﺎﺳ .
نداد راﺮﻗ ﺎﺑ ﺮﻴﻤﺳا ﻪﻳﻻ 17
% تﺪﻣ ﻪﺑEDTA
ﻚﻳ ﻪﻘﻴﻗد
ﺪﺷ ﻪﺘﺷادﺮﺑ .
ﻪﻧﻮﻤﻧ ﺎﻫ ﺻ ﻪﺑ ترﻮ و هﺪﺷ ﻢﻴﺴﻘﺗ هوﺮﮔ ود ﻪﺑ ﻲﻓدﺎﺼﺗ ﺎﻬﻧآ زا ﻲﻤﻴﻧ
ﺎﻛﺮﭘﺎﺗﻮﮔ ﺎﺑ ﺮﻠﻴﺳ و
ﻂﺳﻮﺗ ﺮﮕﻳد ﻢﻴﻧ وAH26
نﻮﻠﻳزر
ﺮﻠﻴﺳ و ﺪﻧﺪﺷ ﺮﭘ ﻲﻧﺎﻓ ﻲﭘا .
ناﺪﻧد ﺲﭙﺳ تﺪﻣ ﻪﺑ ﺎﻫ
48 راﺮﻗ ﻮﻠﺑ ﻦﻠﻴﺘﻣ رد ﺖﻋﺎﺳ ﺪﻨﺘﻓﺮﮔ
.
ًﺎﺘﻳﺎﻬﻧ ناﺪﻧد هداد شﺮﺑ ﻲﻟﻮﻃ ترﻮﺻ ﻪﺑ ﺎﻫ
ﺪﺷ ﺰﻳر ناﺰﻴﻣ و ه ﺖﺸﻧ
ﺮﻳز رد پﻮﻜﺳوﺮﻜﻴﻣ ﻮﻳﺮﺘﺳا هزاﺪﻧا
يﺮﻴﮔ و ﺪﺷ ﺖﺒﺛ . هداد زا هدﺎﻔﺘﺳا ﺎﺑ ﻪﻌﻟﺎﻄﻣ ﻦﻳا يﺎﻫ نﻮﻣزآ
T- test
درﻮﻣ
راﺮﻗ ﻞﻴﻠﺤﺗ و ﻪﻳﺰﺠﺗ ﺮﮔ
ﺪﻨﺘﻓ .
ﺞﻳﺎﺘﻧ
سﺎﺳا ﺮﺑ:
ﺞﻳﺎﺘﻧ ﺖﺳد ﻪﺑ آ ناﺰﻴﻣ ﻦﻴﺑ هﺪﻣ ﺰﻳر
هوﺮﮔ ود رد ﺖﺸﻧ فﻼﺘﺧا
يرﺎﻣآ ﻲﻨﻌﻣ راد ي ﺪﺸﻧ هﺪﻫﺎﺸﻣ )
05 / 0
P>
.(
ﻪﺠﻴﺘﻧ يﺮﻴﮔ
ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ :
ﻲﻨﻌﻣ فﻼﺘﺧا دﻮﺟو مﺪﻋ ﻦﻴﺑ راد
ﺰﻳر ﻧ ﺖﺸ نﻮﻠﻳزر و ﺎﻛﺮﭘﺎﺗﻮﮔ
، ﻲﻣ ﻲﺳرﺮﺑ زا ﺲﭘ ار نﻮﻠﻳزر ناﻮﺗ ﺮﮕﻳد
،ﻲﻜﻳﺰﻴﻓ صاﻮﺧ ﻚﻳژﻮﻟﻮﻴﺑ و ﻲﻳﺎﻴﻤﻴﺷ
، ﺖﻓﺮﮔ ﺮﻈﻧ رد لﺎﻧﺎﻛ ندﺮﻛﺮﭘ ياﺮﺑ ﺐﺳﺎﻨﻣ هدﺎﻣ ﻚﻳ ناﻮﻨﻋ ﻪﺑ .
هژاو ﺎﻫ يﺪﻴﻠﻛ ي
،ﻲﻧﺎﻓ ﻲﭘا ،نﻮﻠﻳزر ،ﺎﻛﺮﭘﺎﺗﻮﮔ:
ﺖﺸﻧﺰﻳر
)*
لﻮﺌﺴﻣ هﺪﻨﺴﻳﻮﻧ (
ﻦﻔﻠﺗ ؛ : 09121834718 ﻲﻜﻴﻧوﺮﺘﻜﻟا ﺖﺴﭘ ،
- اﻳ ﻦ ﻞﺻﺎﺣ ﻪﻟﺎﻘﻣ ﺎﭘ
ﻳ نﺎ ﻪﻣﺎﻧ ﻮﺠﺸﻧاد ﻳ ﻲ ﻲﻗوﺪﺻ ﺪﻴﻬﺷ ﻲﻜﺷﺰﭘ مﻮﻠﻋ هﺎﮕﺸﻧاد ﻳ
دﺰ ﻲﻣ ﺪﺷﺎﺑ .
ﻪﻣﺪﻘﻣ يﺎﻀﻓ ﻞﻣﺎﻛ يزﺎﺴﻛﺎﭘ ناﺪﻧد ﻪﺸﻳر ﻪﺠﻟﺎﻌﻣ زا ﻲﻠﺻا فﺪﻫ
ﺎﻛ ﺑ ﻪﺸﻳر لﺎﻧ ﻪ
ﻲﻳﺎﻴﻤﻴﺷ و ﻲﻜﻴﻧﺎﻜﻣ ترﻮﺻ ندﺮﻛﺮﭘ و
ﻪﺑ نآ
رﻮﻈﻨﻣ ﻲﻣ دﺪﺠﻣ ﻲﮔدﻮﻟآ زا يﺮﻴﮔﻮﻠﺟ ﺪﺷﺎﺑ
) 1 (.
نﺎﻣز زا ﺎﻛﺮﭘﺎﺗﻮﮔ
لﺎﺳ رد ﻲﻓﺮﻌﻣ 1914
يدﻼﻴﻣ ﻂﺳﻮﺗ
Callahan
هدﺎﻣ ناﻮﻨﻋ ﻪﺑ
ﺖﺳا هﺪﺷ ﻪﺘﻓﺮﻳﺬﭘ لﺎﻧﺎﻛ ندﺮﻛﺮﭘ ﺖﻬﺟ دراﺪﻧﺎﺘﺳا .
ﻪﻛ ﺪﻨﭼ ﺮﻫ
ﺎﺗﻮﮔ
،ﺎﻛﺮﭘ ﺎﻣ ﻚﻳ ياﺮﺑ بﻮﻠﻄﻣ صاﻮﺧ زا يرﺎﻴﺴﺑ هﺪﻨﻨﻛﺮﭘ هد
ﻲﻣ اراد ار لﺎﻧﺎﻛ ﻲﻳﺎﻧاﻮﺗ ﻲﻟو ﺪﺷﺎﺑ
يدﺎﻳز ﺖﺸﻧ زا يﺮﻴﮔﻮﻠﺟ ياﺮﺑ
بوﺮﻜﻴﻣ ﺎﻫ ﻞﺧاد ﻪﺑ لﺎﻧﺎﻛ
دراﺪﻧ ناﻮﻨﻋ ﻪﺑ ﺖﻘﻴﻘﺣ رد و
ﻒﻴﻌﺿ ﻦﻳﺮﺗ ﺖﻤﺴﻗ لﺎﻧﺎﻛ ﻲﮔدﺮﻛﺮﭘ ﺤﻟ زا
ﺎ و ﺮﻬﻣ دﺎﺠﻳا ﻲﻳﺎﻧاﻮﺗ ظ
مﻮﻣ ﻲﻣ ﻪﺘﻓﺮﮔ ﺮﻈﻧ رد دﻮﺷ
) 3
، 2 .(
ﺖﻬﺟ ﻪﺘﺷﺬﮔ نﺎﻴﻟﺎﺳ ﻲﻃ رد ﻞﻜﺸﻣ ﻦﻳا ﻊﻓر ﻲﻔﻠﺘﺨﻣ داﻮﻣ
ﺎﺗﻮﮔ ﻲﻨﻳﺰﮕﻳﺎﺟ ياﺮﺑ هﺪﺷ ﻲﻓﺮﻌﻣ رازﺎﺑ ﻪﺑ ﺎﻛﺮﭘ
يداﻮﻣ و ﺪﻧا ﻪﻛ
ﺪﻨﺷﺎﺑ ﻪﺘﺷاد ار ﻪﺸﻳر جﺎﻋ ﻪﺑ لﺎﺼﺗا ﻲﻳﺎﻧاﻮﺗ ترﻮﺻ ﻪﺑ
يرﻮﺌﺗ
ا ياﺮﺑ ﻨﻳ هدﻮﺑ حﺮﻄﻣ رﺎﻜ ﺪﻧا
) 6 - 4 (.
ل ﺎﺳ رد 2004
يدﻼﻴﻣ ﺮﺗ ﻦﻳزر ﻚﻳ ﻪﻛ نﻮﻠﻳزر ﻣ
ﻮ ﭘ ﻚﻴﺘﺳﻼ
هﺪﻨﺒﺴﭼ ﻢﺘﺴﻴﺳ ﻚﻳ ﺎﺑ هاﺮﻤﻫ ﺖﺳا مﺎﻧ ﻪﺑ
ﻲﭘا رازﺎﺑ ﻪﺑ ﻲﻧﺎﻓ
ﺪﺷ ﻲﻓﺮﻌﻣ .
ﻲﭘا ﺮﻠﻴﺳ هﺪﻧزﺎﺳ ﻪﻧﺎﺧرﺎﻛ يﺎﻋدا ﺮﺑﺎﻨﺑ ﻲﻣ ﻲﻧﺎﻓ
ﺪﻧاﻮﺗ
ﻞﺼﺘﻣ لﺎﻧﺎﻛ هﺪﻨﻨﻛﺮﭘ هدﺎﻣ ﻦﻴﻨﭽﻤﻫ و ﻪﺸﻳر لﺎﻧﺎﻛ جﺎﻋ ﻪﺑ
بوﺮﻜﻴﻣ ذﻮﻔﻧ ﻞﺑﺎﻘﻣ رد موﺎﻘﻣ و ﻪﭼرﺎﭙﻜﻳ ﻢﺘﺴﻴﺳ ﻚﻳ و هﺪﺷ ﺎﻫ
و ﺪﻨﻛ دﺎﺠﻳا ﻲﺟرﺎﺧ داﻮﻣ )
8
، 7 ( . سﺎﺳا ﺮﺑ لﺎﺼﺗا ﻦﻳا
ﻪﻌﻟﺎﻄﻣ
Tixiera
ﻲﻣ ﻪﺑ ﻪﺸﻳر ﺖﻣوﺎﻘﻣ ﺶﻳاﺰﻓا ﺚﻋﺎﺑ ﺪﻧاﻮﺗ
دﻮﺸﺑ ﺰﻴﻧ ﻦﺘﺴﻜﺷ )
9 .(
ﻜﺷ ظﺎﺤﻟ زا نﻮﻠﻳزر هﻮﺤﻧ و يﺮﻫﺎﻇ ﻞ
ﺎﺗﻮﮔ ﻪﻴﺒﺷ دﺮﺑرﺎﻛ ﺎﻛﺮﭘ
تﺎﻌﻟﺎﻄﻣ سﺎﺳا ﺮﺑ و هدﻮﺑ
Foroozia
،
Bodrumlu
و
Shipper
ﺎﺑ ﻪﺴﻳﺎﻘﻣ ﻞﺑﺎﻗ ﻲﺘﻓﺎﺑ يرﺎﮔزﺎﺳ ياراد
ﻲﻣ ﺎﻛﺮﭘﺎﺗﻮﮔ ﺪﺷﺎﺑ
) 12 - 10 ( .
ﻲﻣ نﻮﻠﻳزر تﻼﻜﺸﻣ زا ندﻮﺑ لاﺆﺳ ﺮﻳز ﻪﺑ ناﻮﺗ
لﺎﺼﺗا ﻲﻳﺎﻧاﻮﺗ
نآ ﻪﺸﻳر جﺎﻋ ﻪﺑ )
ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻲﺤﻄﺳ تﺎﻴﺻﻮﺼﺧ
ﻪﻧ ناﺪﻨﭼ
ﺐﺳﺎﻨﻣ ر جﺎﻋ ﻳ ﻪﺸ ﻦﻳا ياﺮﺑ رﺎﻛ
( دﻮﻤﻧ هرﺎﺷا )
14
، 13 (.
ﺮﺑ هوﻼﻋ
يﺮﮕﻳد ﻞﻜﺸﻣ نﺎﻣز لﻮﻃ رد هﺪﺷ دﺎﺠﻳا ﻲﻨﻳزر ﺪﻧﺎﺑ ﺐﻳﺮﺨﺗ ﻦﻳا ﺖﺳا هداد نﺎﺸﻧ تﺎﻌﻟﺎﻄﻣ زا ﻲﻀﻌﺑ رد ﻪﻛ ﺖﺳا )
16 - 15 (.
Shahrami
مﺎﺠﻧا مﺎﮕﻨﻫ مﺮﻓوﺮﻠﻛ رد نﻮﻠﻳزر ندﻮﻤﻧ ﻞﺣ يراﻮﺷد
ﻣ نﺎﻣرد هدﺎﻣ ﻦﻳا تﻼﻜﺸﻣ زا ﺮﮕﻳد ﻲﻜﻳ ار دﺪﺠ ﻲﻣ
ﺪﻧاد ) 17 .(
نﻮﻨﻛﺎﺗ ﺪﻳﺪﺟ ﻢﺘﺴﻴﺳ ﻦﻳا مﻮﻣ و ﺮﻬﻣ ﻲﻳﺎﻧاﻮﺗ ﻲﺳرﺮﺑ ﺖﻬﺟ
ﺖﺳا هﺪﺷ مﺎﺠﻧا ﻪﻌﻟﺎﻄﻣ ﻦﻳﺪﻨﭼ .
تﺎﻘﻴﻘﺤﺗ
Shipper
،
Aptekar
Stratton
،
Verissimo
،
Shashidhar
و
Tunga
هﺪﻨﻫد نﺎﺸﻧ
ﻲﻣ ﺎﻛﺮﭘ ﺎﺗﻮﮔ ﻪﺑ ﺖﺒﺴﻧ نﻮﻠﻳزر ﺮﺘﻤﻛ ﺖﺸﻧﺰﻳر ﺪﺷﺎﺑ
) 22 - 18
، 7 .(
ﻲﺳرﺮﺑ رد ﻲﻓﺮﻃ زا يﺎﻫ
Pasqualini
و
Cavenago
ﺖﺸﻧﺰﻳر
ﺸﻴﺑ ﺮﺘ ﻪﺑ ﺖﺒﺴﻧ نﻮﻠﻳزر و ﺎﻛﺮﭘ ﺎﺗﻮﮔ
ﺎﺑ نآ ﺮﺘﻤﻛ ﻖﺑﺎﻄﺗ
هراﻮﻳد ﺪﺷ هﺪﻳد لﺎﻧﺎﻛ يﺎﻫ )
24
، 23 (.
Williams
،
Baumgathner
،
Biggs
و
De Almeida-Gomes
توﺎﻔﺗ دﻮﺧ تﺎﻘﻴﻘﺤﺗ رد
ﻲﻨﻌﻣ هﺪﻫﺎﺸﻣ ﺎﻛﺮﭘﺎﺗﻮﮔ و نﻮﻠﻳزر ﺖﺸﻧ ﺰﻳر ﻦﻴﺑ يراد
ﻧدﺮﻜﻧ ﺪ ) 28 25-
(.
ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﺞﻳﺎﺘﻧ ندﻮﺑ ﺾﻗﺎﻨﺘﻣ
ﺖﺳد ﻪﺑ درﻮﻣ رد هﺪﻣآ
تﺎﻌﻟﺎﻄﻣ مﺎﺠﻧا ﺖﻴﻤﻫا ﻦﺘﻓﺮﮔ ﺮﻈﻧ رد ﺎﺑ و هدﺎﻣ ﻦﻳا ﺖﺸﻧﺰﻳر ﻟﺎﺑﺮﻏ رد داﻮﻣ ﺖﺸﻧﺰﻳر ﻪﺑ طﻮﺑﺮﻣ ﮕ
داﻮﻣ بﺎﺨﺘﻧا ﺖﻬﺟ يﺮ
،لﺎﻧﺎﻛ هﺪﻨﻨﻛﺮﭘ ود ﺖﺸﻧ ﺰﻳر ﻪﺴﻳﺎﻘﻣ ﻪﻌﻟﺎﻄﻣ ﻦﻳا مﺎﺠﻧا زا فﺪﻫ
لﺎﻧﺎﻛ ندﺮﻛﺮﭘ شور )
نﻮﻠﻳزر / ﻲﭘا ﻮﮔ و ﻲﻧﺎﻓ ﺎﻛﺮﭘﺎﺗ
/ ﺮﻠﻴﺳ
(AH26
ترﻮﺻ ﻪﺑ دﻮﺑ ﻲﻫﺎﮕﺸﻳﺎﻣزآ
.
ﻲﺳرﺮﺑ شور
ﻪﻌﻟﺎﻄﻣ ﻦﻳا مﺎﺠﻧا ﺖﻬﺟ 32
ﻋ ــ دﺪ ﻻﺎﺑ ﻚﻓ لاﺮﺘﻧﺎﺳ ناﺪﻧد ي
ﻊﻤﺟ نﺎﺴﻧا هﺪﺷ هﺪﻴﺸﻛ ﺪﺷ يروآ
. ﺢﻄﺳ ناﺪﻧد ﻪﺸﻳر ﻂﺳﻮﺗ ﺎﻫ
ﺰﻴﻤﺗ ترﻮﻛ و ﺪﻳدﺮﮔ
ﻲﻧﻮﻔﻋﺪﺿ ﺖﻬﺟ
،ندﻮﻤﻧ ﻪﻧﻮﻤﻧ مﺎﻤﺗ ﻪﺑ ﺎﻫ
تﺪﻣ 24 ﻢﻳﺪﺳ ﺖﻳﺮﻠﻛﻮﭙﻴﻫ لﻮﻠﺤﻣ رد ﺖﻋﺎﺳ 6
/ 2 ﺪﺻرد
ﺪﺷ يراﺪﻬﮕﻧ ﺪﻧ
. ناﺪﻧد ﻦﻳا ﻪﻌﻟﺎﻄﻣ لﻮﻃ رد ﻦﻴﻟﺎﺳ لﻮﻠﺤﻣ رد ﺎﻫ
راﺮﻗ ﺪﻨﺘﻓﺮﮔ .
،ﻲﺳﺮﺘﺳد هﺮﻔﺣ يزﺎﺳ هدﺎﻣآ زا ﺲﭘ هدﺎﻔﺘﺳا ﺎﺑ دﺮﻛرﺎﻛ لﻮﻃ
ﻚﻳ زا
k-file
رﺎﻤﺷ ه 30 ﻛ ﺎﺑ ندﺮﻛ ﻢ 1
ﻲﻠﻴﻣ زا ﺮﺘﻣ زا ،لﻮﻃ
ﻲﻣ هﺪﻳد و جرﺎﺧ لﺎﻜﻴﭘا ﻦﻣارﻮﻓ زا ﻞﻳﺎﻓ كﻮﻧ ﻪﻛ ﻲﻧﺎﻣز ،ﺪﺷ
ﻪﺑ
ﺖﺳد ﺪﻣآ . نﺎﺴﻜﻳ رﻮﻈﻨﻣ ﻪﺑ لﺎﻧﺎﻛ ﺮﻄﻗ يزﺎﺳ
،ﻦﻣاﺮﻓ لﺎﻜﻴﭘا و ﺎﻫ
هدﺎﻣآ لﺎﻧﺎﻛ يزﺎﺳ ﺎﻫ
ةرﺎﻤﺷ ﻞﻳﺎﻓ ﺎﺗ 50
ﺎﺑ لﺎﻜﻴﭘا ﻪﻴﺣﺎﻧ رد
ﻚﻴﻨﻜﺗ دراﺪﻧﺎﺘﺳا
Step-back
ﺪﺷ مﺎﺠﻧا . ﻞﻳﺎﻓ هدﺎﻔﺘﺳا درﻮﻣ يﺎﻫ
k-file
ﻞﻴﺘﺳا ﺲﻠﻨﺘﺳا ﺲﻨﺟ زا و )
Mani, Japan
( ﺪﻧدﻮﺑ . رد
رﺎﻛ ﻦﻴﺣ
، ﺸﺘﺴﺷ ﻢﻳﺪﺳ ﺖﻳﺮﻠﻛﻮﭙﻴﻫ ﺎﺑ ناواﺮﻓ يﻮ 6
/ 2
% ) ـ ﻪﻧژﻮﺑ
ناﺮﻳا ( و ﻦﻴﻨﭽﻤﻫ تﺪﻣ ﻪﺑ
1 ﺎﺑ ﻪﻘﻴﻗد 17 EDTA
% )
Merck,
لﺎﻧﺎﻛ ﻲﻟﺎﻜﻴﭘا ﺖﺸﻧﺰﻳر ﻪﺴﻳﺎﻘﻣ ناﺪﻧد ﻪﺸﻳر
هﺪﺷﺮﭘ يﺎﻫ ...
476
Germany
(
،ﺮﻴﻤﺳا ﻪﻳﻻ ﻦﺘﺷادﺮﺑ رﻮﻈﻨﻣ ﻪﺑ ﺻ
ــ ﮔ ترﻮ ــ ﻓﺮ ــ ﺖ .
ﻢﻳﺪﺳ ﺖﻳﺮﻠﻛﻮﭙﻴﻫ فﺬﺣ ياﺮﺑ لﺎﻣﺮﻧ ﻦﻴﻟﺎﺳ ﺎﺑ ﻲﻳﺎﻬﻧ يﻮﺸﺘﺴﺷ و مﺎﺠﻧا EDTA
و ﺪﺷ
ًﺎﺘﻳﺎﻬﻧ ﻧﺎﻛ ــ لﺎ ﺑ ﺎﻫ ــ ﺎ طوﺮﺨﻣ يﺬﻏﺎﻛ
ﺘﺳا ــ ﻞﻳﺮ ) ﺖﻧدﺎﻨﻴﺳ - ناﺮﻳا ( ﺪﺷ ﻚﺸﺧ ﺪﻧ
.
زا 32 د ناﺪﻧ هﺪﺷ هدﺎﻣآ
، 28 ود رد ﻲﻓدﺎﺼﺗ رﻮﻃ ﻪﺑ ناﺪﻧد
هوﺮﮔ 14 ﻲﻳﺎﺗ ﺪﻧﺪﺷ ﻢﻴﺴﻘﺗ .
ناﺪﻧد هوﺮﮔ يﺎﻫ 1
ﺎﻛﺮﭘﺎﺗﻮﮔ ﻂﺳﻮﺗ
(Gapadent ,Korea)
ﺮﻠﻴﺳ و ) AH26
Densply, Germany
( ﻪﺑ
ﺒﻧﺎﺟ ﻢﻛاﺮﺗ شور ﻲ
و ناﺪﻧد هوﺮﮔ يﺎﻫ 2
ﺎﺑ ﻠﻳزر ــ نﻮ و
ﭘا ــ ﻲ ﻧﺎﻓ ــ ﻲ )
(Pentron Clinical Technologies, LC, USA
ﺮﭘ
ﺪﺷ ﺪﻧ . نﻮﻠﻳزر ﻢﺘﺴﻴﺳ ﻂﺳﻮﺗ ﻪﺸﻳر لﺎﻧﺎﻛ ندﺮﻛﺮﭘ ياﺮﺑ /
ﻲﭘا ﻲﻧﺎﻓ
هﺪﻧزﺎﺳ ﻪﻧﺎﺧرﺎﻛ رﻮﺘﺳد ﻖﺒﻃ
، ﺎﺑ لﺎﻧﺎﻛ ندﺮﻛ ﻚﺸﺧ زا ﺲﭘ
طوﺮﺨﻣ
،يﺬﻏﺎﻛ ﺮﻤﻳاﺮﭘ ﻚﻳ ﻂﺳﻮﺗ چا ﻒﻠﺳ طوﺮﺨﻣ
ﺬﻏﺎﻛ ي
و ﺪﺷ هدﺮﺑ لﺎﻧﺎﻛ ﻞﺧاد ﻂﺳﻮﺗ ﻲﻓﺎﺿا ﺮﻤﻳاﺮﭘ
طوﺮﺨﻣ يﺬﻏﺎﻛ
ﺪﺷ جرﺎﺧ و بﺬﺟ يﺮﮕﻳد .
زا ﺲﭘ 10 ﻪﻴﻧﺎﺛ
، ﻲﭘا ﺮﻠﻴﺳ ﺎﻓ
ﻲﻧ
ﻞﻳﺎﻓ ﻚﻳ ﻂﺳﻮﺗ هرﺎﻤﺷ
50 ﺪﺷ ﻞﻤﺣ لﺎﻧﺎﻛ ﻞﺧاد ﻪﺑ .
ﺲﭙﺳ
طوﺮﺨﻣ ﺑ نﻮﻠﻳزر دراﺪﻧﺎﺘﺳا ﺎ
ﺰﻳﺎﺳ 50 د ﻞﺧاد دﺮﻛرﺎﻛ لﻮﻃ ر
و ﺪﺷ هداد راﺮﻗ لﺎﻧﺎﻛ ﻲﺒﻧﺎﺟ ﻢﻛاﺮﺗ شور ﺎﺑ لﺎﻧﺎﻛ ﻪﻴﻘﺑ ندﺮﻛ ﺮﭘ
ﻂﺳﻮﺗ طوﺮﺨﻣ ﻞﻴﻤﻜﺗ ﻲﻧﺎﻓ ﻲﭘا ﺮﻠﻴﺳ ﻪﺑ ﻪﺘﺸﻏآ ﻲﻋﺮﻓ يﺎﻫ
ﺪﻳدﺮﮔ . ﻊﻄﻗ زا ﺲﭘ طوﺮﺨﻣ
يﺎﻫ
،نﻮﻠﻳزر ﺮﻛ ﻢﻛاﺮﺘﻣ ﻲﻳﺎﻬﻧ ند
و ﺖﻓﺮﮔ ترﻮﺻ ﻲﺘﺳد ﺮﮔﻼﭘ ﻚﻳ ﻂﺳﻮﺗ رد
ﻚﻳ ﻊﺒﻨﻣ ﺖﻳﺎﻬﻧ
يرﻮﻧ ) LED Vivaden, Germany
( تﺪﻣ ﻪﺑ 40
يور ﻪﻴﻧﺎﺛ
و نﻮﻴﺳاﺰﻳﺮﻤﻴﻠﭘ ﺎﺗ ﺖﻓﺮﮔ راﺮﻗ هﺪﺷ ﺮﭘ ﻪﺸﻳر ﻲﻟﺎﻧوﺮﻛ ﻪﻴﺣﺎﻧ دﻮﺷ زﺎﻏآ ﻲﻧﺎﻓ ﻲﭘا رﻮﻴﻛ لاود ﺮﻠﻴﺳ نﺪﺷ ﺖﺨﺳ .
ﺖﻴﻔﻴﻛ
ﻲﮔدﺮﻛﺮﭘ ﻲﻟاﻮﮕﻨﻴﻟﻮﻛﺎﺑ ﻲﻓاﺮﮔﻮﻳدار ﻂﺳﻮﺗ ﺎﻫ لﺮﺘﻨﻛ
ﺪﺷ .
ﻪﻌﻟﺎﻄﻣ ﻦﻳا رد 4
ناﻮﻨﻋ ﻪﺑ ناﺪﻧد ﺖﺒﺜﻣ لﺮﺘﻨﻛ
ﻲﻔﻨﻣ و
رد ﻪﻛ ﺪﻧﺪﺷ بﺎﺨﺘﻧا 2
ﺖﺒﺜﻣ لﺮﺘﻨﻛ هوﺮﮔ ناﺪﻧد
، لﺎﻧﺎﻛ ندﺮﻛﺮﭘ
ﺎﺗﻮﮔ ﻂﺳﻮﺗ ﺎﻛﺮﭘ
و ﺖﻓﺮﮔ ترﻮﺻ ﺮﻠﻴﺳ نوﺪﺑ .
ﻦﻳا زا فﺪﻫ ،رﺎﻛ
ﻪﻧﻮﻤﻧ ﻦﺘﺷاد ﺎﻬﻧآ رد ﺖﺸﻧ ﺰﻳر ﻪﻛ ﺖﺳا ﻲﻳﺎﻫ
ﻲﺘﺣار ﻪﺑ ترﻮﺻ
دﺮﻴﮕﺑ و رد 2 د ﻲﻔﻨﻣ لﺮﺘﻨﻛ هوﺮﮔ ناﺪﻧ
، ﻛ ﺮﭘ زا ﺲﭘ ندﺮ
لﺎﻧﺎﻛ ﺎﻫ ﺪﺷ هﺪﻧﺎﺷﻮﭘ ﻦﺧﺎﻧ كﻻ ﺎﺑ ﻪﺸﻳر ﺢﻄﺳ ﻲﻣﺎﻤﺗ ، .
لﺎﻧﺎﻛ ندﺮﻛﺮﭘ زا ﺲﭘ
،ﺎﻫ ﻲﺳﺮﺘﺳد هﺮﻔﺣ لﺎﻧوﺮﻛ ﻪﻴﺣﺎﻧ رد
لوﺰﻳﻮﻛ ﺖﻗﻮﻣ نﺎﻤﺴﻧﺎﭘ ﺮﻴﻤﺧ ﻂﺳﻮﺗ )
يﺎﭽﻠﮔ - ناﺮﻳا ( ﺮﭘ ﺪﺷ . ﻪﻧﻮﻤﻧ ﻪﻤﻫ ﺎﻫ
ﺑ ــ
،ﻪﺘﻔﻫ ﻚﻳ تﺪﻣ ﻪ ﺖﺑﻮﻃر رد رﻮﺗﺎﺑﻮﻜﻧا ﻞﺧاد
100 % يﺎﻣد و
0c
37 ﺪﻧﺪﺷ يراﺪﻬﮕﻧ .
ﻠﺣﺮﻣ رد ﻪ ﺳ ﺪﻌﺑ ﻪﺸﻳر ﺢﻄ
ناﺪﻧد ﺰﺟ ﻪﺑ ﺎﻫ 2
ﻲﻠﻴﻣ ﻲﻟﺎﻜﻴﭘا ﺮﺘﻣ )
ﻲﻔﻨﻣ لﺮﺘﻨﻛ هوﺮﮔ زا ﺮﻴﻏ (
،
ﺪﺷ هﺪﻧﺎﺷﻮﭘ ﻦﺧﺎﻧ كﻻ ﻪﻳﻻ ود ﻂﺳﻮﺗ .
ﺲﭙﺳ ﻮﻤﻧ ﻧ ﻪ ﺎﻫ ﻪﺑ تﺪﻣ
48 ﻠﻴﺘﻣ ﻲﮕﻧر لﻮﻠﺤﻣ رد ﺖﻋﺎﺳ ﻦ
ﻮﻠﺑ 5 / 2 % راﺮﻗ ﺪﻨﺘﻓﺮﮔ . ﻪﻧﻮﻤﻧ ﺎﻫ
زا ﺪﻌﺑ
،ﮓﻧر زا ندﺮﻛ جرﺎﺧ تﺪﻣ ﻪﺑ
ﻚﻳ يرﺎﺟ بآ ﺮﻳز ﺖﻋﺎﺳ
ﻪﺘﺴﺷ ﺲﭙﺳ و ﺷ ﻚﺸﺧ ﺪ ﺪﻧ .
ﻧ
ًﺎﺘﻳﺎﻬ ﺖﻬﺟ ﻪﺸﻳر نداد شﺮﺑ ﺖﻟﻮﻬﺳ ياﺮﺑ ﺎﻫ
هزاﺪﻧا يﺮﻴﮔ
ﮓﻧر ذﻮﻔﻧ
، جﺎﺗ ناﺪﻧد ﺎﻫ ﻪﻴﺣﺎﻧ زا زﺮﻓ ﻂﺳﻮﺗ ﻊﻄﻗ CEJ
و هﺪﺷ
ﻪﺸﻳر ﺎﻫ ﺪﻧﺪﺷ ﺖﻧﺎﻣ ﺰﺒﺳ ﻞﻳﺮﻛا رد .
ﺲﭙﺳ ﻪﻧﻮﻤﻧ ﺎﻫ ﺰﻛﺮﻣ زا
ﻲﻟﻮﻃ ﻊﻄﻘﻣ ﻲﺳﺎﻤﻟا ﻚﺴﻳد ﻂﺳﻮﺗ ﻪﺸﻳر
) ناوﺎﻛ ﺰﻴﺗ -
ناﺮﻳا ( ،
ﺪﺷ هداد شﺮﺑ ه
و و ﻲﻟﺎﻛﺎﺑ ﻪﻤﻴﻧ ود ﻪﺑ ﺴﻘﺗ ﻲﻟاﻮﮕﻨﻴﻟ
ﺪﻧﺪﺷ ﻢﻴ .
ﻮﻳﺮﺘﺳا ﻪﻠﻴﺳو ﻪﺑ جﺎﺗ ﺖﻤﺳ ﻪﺑ ﺲﻜﭘآ زا ﻮﻠﺑ ﻦﻠﻴﺘﻣ ﻲﻄﺧ ﺖﺸﻧ و هﺪﻫﺎﺸﻣ پﻮﻜﺳوﺮﻜﻴﻣ ﺖﺒﺛ
ﺪﻳدﺮﮔ . تﺎﻋﻼﻃا ﺖﺳد ﻪﺑ ﺎﺑ هﺪﻣآ
زا هدﺎﻔﺘﺳا نﻮﻣزآ
T- test
ﺪﻨﺘﻓﺮﮔ راﺮﻗ ﻞﻴﻠﺤﺗ و ﻪﻳﺰﺠﺗ درﻮﻣ .
ﺞﻳﺎﺘﻧ زا هﺪﻣآ ﺖﺳد ﻪﺑ ﺞﻳﺎﺘﻧ ﻪﻛ داد نﺎﺸﻧ ﻪﻌﻟﺎﻄﻣ ﻦﻳا
ﻦﻴﮕﻧﺎﻴﻣ
ﻤﻧ رد ﻲﻟﺎﻜﻴﭘا ﺖﺸﻧﺰﻳر ــ
ﻪﻧﻮ ﻫ ﭘ يﺎ ــ ﺗ هﺪﺷ ﺮ ــ ﮔ ﻂﺳﻮ ــ ﺎﻛﺮﭘﺎﺗﻮ /
و AH26
نﻮﻠﻳزر / ﻲﭘا ﻲﻧﺎﻓ ﻲﻨﻌﻣ فﻼﺘﺧا يرﺎﻣآ ﺮﻈﻧ زا يراد
دراﺪﻧ ) 848 / 0
= .(p
ﻦﻴﮕﻧﺎﻴﻣ هوﺮﮔ رد ﺖﺸﻧ ﺰﻳر ناﺰﻴﻣ رﺎﻴﻌﻣ فاﺮﺤﻧا و ﮔ
ــ ﺎﻛﺮﭘﺎﺗﻮ /
ﺐﻴﺗﺮﺗ ﻪﺑ AH26
26 / 5 ﻲﻠﻴﻣ ﺮﺘﻣ و 76 / 1 هوﺮﮔ رد و نﻮﻠﻳزر
/
ﻲﭘا ﻲﻧﺎﻓ 04 / 5 ﺮﺘﻣ ﻲﻠﻴﻣ و
01 / 2 دﻮﺑ .
ﻛ هوﺮﮔ رد لﺮﺘﻨ
ﮓﻧر ﺖﺒﺜﻣ رﻮﻃ ﻪﺑ
ﻪﺸﻳر لﻮﻃ رد ﻞﻣﺎﻛ ﺎﻫ
رد ﻲﮕﻧر ذﻮﻔﻧ ﭻﻴﻫ ﻲﻔﻨﻣ لﺮﺘﻨﻛ هوﺮﮔ رد و دﻮﺑ هدﺮﻛ ذﻮﻔﻧ لﺎﻧﺎﻛ ﻪﻌﻟﺎﻄﻣ مﺎﺠﻧا شور ﺖﺤﺻ ﺮﮕﻧﺎﺸﻧ ﻪﻛ ،ﺪﺸﻧ هﺪﻳد ﺎﻫ
ﻲﻣ ﺪﺷﺎﺑ .
ﺚﺤﺑ و ﺮﻬﻣ ﻚﻳ دﻮﺟو رﻮﻈﻨﻣ ﻪﺑ ﻪﺸﻳر لﺎﻧﺎﻛ ﻞﺧاد رد راﺪﻳﺎﭘ مﻮﻣ
ﻟﺎﻌﻣ ﺖﻴﻘﻓﻮﻣ ﻪﻴﻟوا طﺮﺷ كﺮﺤﻣ داﻮﻣ ذﻮﻔﻧ زا يﺮﻴﮔﻮﻠﺟ ﻪﺸﻳر ﻪﺠ
ﻲﻣ ﺪﺷﺎﺑ . هداد نﺎﺸﻧ يدﺪﻌﺘﻣ تﺎﻌﻟﺎﻄﻣ بوﺮﻜﻴﻣ ﻪﻛ ﺪﻧا
و ﺎﻫ
جﺎﺗ ﻲﮔدﺮﻛﺮﭘ ندﻮﺑ ﺺﻗﺎﻧ ترﻮﺻ رد ﺪﻧردﺎﻗ ﺎﻬﻧآ تﻻﻮﺼﺤﻣ نﺎﻫد ﻂﻴﺤﻣ ضﺮﻌﻣ رد ﻪﺸﻳر لﺎﻧﺎﻛ ﻦﺘﻓﺮﮔ راﺮﻗ و ناﺪﻧد ﻪﺑ
ﺞﻳرﺪﺗ ﺮﭘ داﺪﺘﻣا رد ﺚﻋﺎﺑ و هدﺮﻛ ذﻮﻔﻧ ﻪﺸﻳر لﺎﻧﺎﻛ ﻲﮔدﺮﻛ
ﺪﻧﻮﺷ نﺎﻣرد ﺖﺴﻜﺷ )
28 (.
ﻨﻳا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻪﻜ
ﺮﮔا هدﺎﻣ ﺪﻧاﻮﺘﺑ يا
ﻲﺗارذ دورو يﻮﻠﺟ ﻚﭼﻮﻛ
زا ﺮﺗ هزاﺪﻧا بوﺮﻜﻴﻣ ﺎﻫ ﻞﺧاد ﻪﺑ لﺎﻧﺎﻛ
دﺮﻴﮕﺑ ار
،
ًﺎﺗﺪﻋﺎﻗ بوﺮﻜﻴﻣ ذﻮﻔﻧ ﻊﻧﺎﻣ ﺪﺷ ﺪﻫاﻮﺧ ﻢﻫ ﺎﻫ
. رد
ﻘﻴﻘﺤﺗ ﺪﻨﻧﺎﻤﻫ ﻪﻌﻟﺎﻄﻣ ﻦﻳا تﺎ
Aptekar
،
Verissimo
و
De Almeida-Gomes
ﻳﺎﻧاﻮﺗ ﻲﺳرﺮﺑ ﺖﻬﺟ ﮓﻧر ذﻮﻔﻧ شور زا ﻲ
ﺮﻬﻣ ﻲﺳرﺮﺑ درﻮﻣ هدﺎﻣ ود مﻮﻣ و ﺪﺷ هدﺎﻔﺘﺳا
) 19،21،28 (.
ﺖﻬﺟ ﺰﻳر عﻮﻗو زا يﺮﻴﮔﻮﻠﺟ هﺪﻨﻨﻛﺮﭘ داﻮﻣ ،ﻲﻟﺎﻜﻴﭘا ﺖﺸﻧ
ﻲﺣاﻮﻧ رد يﺪﻌﺑ ﻪﺳ مﻮﻣ و ﺮﻬﻣ ﻚﻳ دﺎﺠﻳا ﻪﺑ ردﺎﻗ ﺪﻳﺎﺑ لﺎﻧﺎﻛ ﺪﻨﺷﺎﺑ لﺎﻧوﺮﻛ و لﺎﻜﻴﭘا .
ناﻮﻨﻋ ﻪﺑ يدﺎﻳز نﺎﻴﻟﺎﺳ ﺮﻠﻴﺳ و ﺎﻛﺮﭘﺎﺗﻮﮔ
ﺖﺳا ﻪﺘﻓﺮﮔ راﺮﻗ هدﺎﻔﺘﺳا درﻮﻣ لﺎﻧﺎﻛ هﺪﻨﻨﻛﺮﭘ هدﺎﻣ
، و هزوﺮﻣا ﻲﻟ
ﺗ و داﻮﻣ ﻚﻴﻨﻜ دﺎﺠﻳا نﺎﻜﻣا ﻪﻛ ﺪﻨﺘﺴﻫ سﺮﺘﺳد رد يﺪﻳﺪﺟ يﺎﻫ
ﺖﻴﻘﻓﻮﻣ ﺞﻳﺎﺘﻧ ا ﺎﺑ ﺮﺗﺰﻴﻣآ
ﻳ دﺎﺠ و هﺪﻨﻨﻛﺮﭘ هدﺎﻣ ﻦﻴﺑ ﺮﺘﻬﺑ ﻖﺑﺎﻄﺗ
ﺮﺘﻤﻛ ﺖﺸﻧﺰﻳر زوﺮﺑ ﻪﺠﻴﺘﻧ رد و لﺎﻧﺎﻛ هراﻮﻳد ﺪﻧراد ار
.
ناﺰﻴﻣ ﺎﺑ لﺎﻜﻴﭘا ﺖﺸﻧﺰﻳر ﻦﻴﺑ طﺎﺒﺗرا تﺎﻌﻟﺎﻄﻣ ﻲﻀﻌﺑ هداد نﺎﺸﻧ ار ﺮﻠﻴﺳ ﺪﻧﺎﺑ مﺎﻜﺤﺘﺳا ﺪﻧا
) 29،30 .(
ﺟﻮﻣ يﺎﻫﺮﻠﻴﺳ دﻮ
ياﺮﺑ ﻲﻧاﺪﻨﭼ ﻲﻳﺎﻧاﻮﺗ ﺪﻧراﺪﻧ لﺎﻧﺎﻛ هراﻮﻳد و ﺎﻛﺮﭘﺎﺗﻮﮔ ﻪﺑ نﺪﻴﺒﺴﭼ
ﻲﻣ ﻦﻳا و ياﺮﺑ يﺮﻴﺴﻣ ﺪﻧاﻮﺗ
ﺪﻨﻛ دﺎﺠﻳا ﺖﺸﻧﺰﻳر .
ﻢﺘﺴﻴﺳ رد
نﻮﻠﻳزر / ﻲﻣ ﺎﻋدا ﻲﻧﺎﻔﻴﭘا و يﺰﻛﺮﻣ هﺪﻨﻨﻛﺮﭘ هدﺎﻣ ﻪﺑ ﺮﻠﻴﺳ ﻪﻛ دﻮﺷ
و هﺪﻴﺒﺴﭼ لﺎﻧﺎﻛ هراﻮﻳد دﺎﺠﻳا ﺎﺑ
ﺮﺳ رد ﻪﭼرﺎﭙﻜﻳ لﺎﺼﺗا ﻚﻳ ﺎﺗ
ﺮﺳ
لﺎﻧﺎﻛ لﻮﻃ
، ﻋﺎﺑ ﺚ ﻫﺎﻛ ﻲﻣ ﺖﺸﻧﺰﻳر ﺶ ددﺮﮔ
. تﺎﻘﻴﻘﺤﺗ
Shipper
،
Aptekar
،
Stratton
،
Verissimo
،
Tunga Shashidhar
نﺎﺸﻧ ﺰﻴﻧ
ﻲﻣ ﺎﻛﺮﭘ ﺎﺗﻮﮔ ﻪﺑ ﺖﺒﺴﻧ نﻮﻠﻳزر ﺮﺘﻤﻛ ﺖﺸﻧﺰﻳر هﺪﻨﻫد ﺪﻨﺷﺎﺑ
) 22 -
18
، 7 .(
ﻪﻌﻟﺎﻄﻣ رد ﺮﮕﻳد فﺮﻃ زا
Raina
ﻔﺗ مﻮﻣ و ﺮﻬﻣ ﻦﻴﺑ ﻲﺗوﺎ
ﺎﺗﻮﮔ ﻲﻟﺎﻜﻴﭘا ﺮﻠﻴﺳ و ﺎﻛﺮﭘ
AH Plus
ﺪﻳد ﻲﻧﺎﻔﻴﭘا و نﻮﻠﻳزر ﺎﺑ ﺪﺸﻧ ه
كﻼﺑ ﻮﻧﻮﻣ دﺎﺠﻳا ﻪﺑ ردﺎﻗ نﻮﻠﻳزر ﻪﻛ ﺪﺷ ﻪﺘﻓﺮﮔ ﻪﺠﻴﺘﻧ و ﺖﺴﻴﻧ ) 31 .(
Paque
ﻲﻧﻻﻮﻃ ﻲﻟﺎﻜﻴﭘا مﻮﻣ و ﺮﻬﻣ دﺎﺠﻳا ﻲﻳﺎﻧاﻮﺗ
ﺮﻠﻴﺳ و ﺎﻛﺮﭘ ﺎﺗﻮﮔ ﻲﻟﺎﻜﻴﭘا تﺪﻣ
AH Plus
ار ﻲﻧﺎﻔﻴﭘا و نﻮﻠﻳزر ﺎﺑ
ﻲﻳﺎﺠﺑﺎﺟ ﻦﻴﺑ ﻲﺗوﺎﻔﺗ و دﻮﻤﻧ ﻪﺴﻳﺎﻘﻣ ﻊﻳﺎﻣ نﻮﻴﺳاﺮﺘﻠﻴﻔﻧا شور ﺎﺑ ﻦﻳا رد ﻊﻳﺎﻣ ﺪﻳﺪﻧ شور ود
) 32 ( . ﺳا ﻦﻴﻨﭼ يو ﺘ
ﻪﻛ هدﻮﻤﻧ لﻻﺪ
يﺮﻴﮔﻮﻠﺟ رد ﺶﻘﻧ ﻦﻳﺮﺘﻤﻬﻣ ﺮﻠﻴﺳ و يﺰﻛﺮﻣ هﺪﻨﻨﻛﺮﭘ هدﺎﻣ ﻢﺠﺣ ﺰﻳر زا ﻲﻣ يزﺎﺑ ار ﺖﺸﻧ ﺪﻨﻛ
.
Gulsahi
بﺎﺒﺣ ﺖﺣﺎﺴﻣ ﺮﻠﻴﺳ رد ﺎﻫ
هزاﺪﻧا ار نﻮﻠﻳزر و ﺎﻛﺮﭘﺎﺗﻮﮔ فاﺮﻃا هﺪﻫﺎﺸﻣ ﻲﺗوﺎﻔﺗ و دﻮﻤﻧ يﺮﻴﮔ
دﺮﻜﻧ ) 33 ( . ﻪﻠﻤﺟ زا يﺮﮕﻳد ﻦﻴﻘﻘﺤﻣ
Williams
و
Baumgathner
و
Biggs
و
De Almeida-Gomes
شور زا هدﺎﻔﺘﺳا ﺎﺑ ﺰﻴﻧ يﺎﻫ
هداد نﺎﺸﻧ ﻒﻠﺘﺨﻣ نﻮﻠﻳزر ﻪﻛ ﺪﻧا
/ ﻲﭘا ﻲﮔدﺮﻛﺮﭘ ﻚﻳ ﻲﻧﺎﻓ
ﻮﻨﻣ ﻲﻤﻧ دﺎﺠﻳا كﻼﺑ ﺮﻠﻴﺳ و ﺎﻛﺮﭘﺎﺗﻮﮔ ﻞﺜﻣ و ﺪﻨﻛ
ﺖﺸﻧ AH26
ﻢﺘﺴﻴﺳ ﻦﻴﻨﭼ زا هدﺎﻔﺘﺳا ﻢﻏﺮﻴﻠﻋ ﻲﻟﺎﻜﻴﭘا و ﻲﻟﺎﻧوﺮﻛ قﺎﻔﺗا ﻲﻳﺎﻫ
ﻲﻣ ﺪﺘﻓا ) 28 - 25 (.
ﻪﻌﻟﺎﻄﻣ ﺞﻳﺎﺘﻧ ﺮﺿﺎﺣ
ﺰﻴﻧ نﺎﺸﻧ ﻲﻣ ﻪﻛ ﺪﻫد
ﻲﻨﻌﻣ توﺎﻔﺗ ﻂﺳﻮﺗ هﺪﻣآ ﺖﺳد ﻪﺑ ﻲﻟﺎﻜﻴﭘا مﻮﻣ و ﺮﻬﻣ ﻦﻴﺑ يراد
نﻮﻠﻳزر / ﻲﭘا ﻲﻧﺎﻓ ﺎﺑ ﻪﺴﻳﺎﻘﻣ رد ﺎﻛﺮﭘﺎﺗﻮﮔ
/ دراﺪﻧ دﻮﺟوAH26
.
هﺪﻴﭽﻴﭘ هﺪﻳﺪﭘ ﺖﺸﻧ ﺰﻳر ﻪﻠﻤﺟ زا ﻲﻔﻠﺘﺨﻣ ﻞﻣاﻮﻋ ﻪﻛ ﺖﺳا يا
دﻮﺟو و ﺮﻠﻴﺳ ﻲﻳﺎﻴﻤﻴﺷ و ﻲﻜﻳﺰﻴﻓ صاﻮﺧ ،لﺎﻧﺎﻛ ندﺮﻛﺮﭘ ﻚﻴﻨﻜﺗ ﺪﻧراد ﺶﻘﻧ نآ رد ﺮﻴﻤﺳا ﻪﻳﻻ )
25 .(
،قﻮﻓ دراﻮﻣ ﺮﺑ هوﻼﻋ ﻞﻳﻻد
ﻲﻣ نﺎﺸﻧ ﻪﻛ دراد دﻮﺟو يدﺪﻌﺘﻣ نﻮﻠﻳزر اﺮﭼ ﺪﻫد
/ ا ﻲﭘ ﻲﻧﺎﻓ ﺮﻬﻣ
مﻮﻣ و ﺎﻛﺮﭘﺎﺗﻮﮔ ﻪﺑ ﺖﺒﺴﻧ يﺮﺘﻬﺑ ﺮﻠﻴﺳ و
ﻲﻤﻧ دﺎﺠﻳا ﺪﻨﻛ
ﻪﻛ
ﻞﺧاد رد داﻮﻣ ﻦﻳا دﺮﺑرﺎﻛ ﻲﻜﻴﻨﻜﺗ يراﻮﺷد زا ﻲﺷﺎﻧ ﺎﻬﻧآ ﺐﻠﻏا ﻲﻣ لﺎﻧﺎﻛ يﺎﻀﻓ ﺪﻨﺷﺎﺑ
. ﻲﻣ دراﻮﻣ ﻦﻳا ﻪﻠﻤﺟ زا ﻪﺑ ناﻮﺗ
دﺮﺑرﺎﻛ
هراﻮﻳد رد چا ﻒﻠﺳ ﺮﻤﻳاﺮﭘ بﻮﻠﻄﻣﺎﻧ ﻲﻓﺎﻛﺎﻧ ﺮﻴﺨﺒﺗ ،لﺎﻧﺎﻛ يﺎﻫ
ﻪﺘﺸﻏآ مﺪﻋ ،ﺮﻤﻳاﺮﭘ زا لﻼﺣ هراﻮﻳد يور ﺮﻠﻴﺳ ﺐﺳﺎﻨﻣ يزﺎﺳ
يﺎﻫ
لﺎﻧﺎﻛ و هرﺎﭘ و ﻲﮕﺘﺨﻴﺴﮔ ﻢﻫ زا ﻦﻴﻨﭽﻤﻫ ﻪﻳﻻ نﺪﺷ
ﺮﻠﻴﺳ يﺎﻫ
ﻲﭘا نداد راﺮﻗ مﺎﮕﻨﻫ رد ﻲﻧﺎﻓ طوﺮﺨﻣ
يﺎﻫ نﻮﻠﻳزر هرﺎﺷا
دﺮﻛ ) 28 (.
ﻴﻠﭘ مﺎﮕﻨﻫ ﻦﻳزر ضﺎﺒﻘﻧا لﺎﻧﺎﻛ ﻞﺧاد ﺖﻤﺳ ﻪﺑ نﻮﻴﺳاﺰﻴﻤ
ﻪﺸﻳر ﺰﻴﻧ ﻲﻣ ﺪﻧاﻮﺗ هراﻮﻳد ﺎﺑ هدﺎﻣ ﻖﺑﺎﻄﺗ ﻦﺘﻓر ﺖﺳد زا ﻪﺑ ﺮﺠﻨﻣ
ددﺮﮔ لﺎﻧﺎﻛ )
23 (.
،ﻦﻳا ﺮﺑ هوﻼﻋ ﻪﺸﻳر لﺎﻧﺎﻛ ﻢﺘﺴﻴﺳ
ﺖﻠﻋ ﻪﺑ
ندﻮﺑ ﻚﻳرﺎﺑ ﮓﻨﻳﺪﻧﺎﺑ ﺖﻬﺟ بﻮﻠﻄﻣﺎﻧ ﻲﻜﻴﻣﻮﺗﺎﻧآ هدوﺪﺤﻣ ﻚﻳ
ﻲﻣ ﺪﺷﺎﺑ ) 14
، 13 ( . ﺑ ﺮﮕﻳد ﺖﻳدوﺪﺤﻣ ــ
ﻋ ﮓﻨﻳﺪﻧﺎ ــ
ﺐﻳﺮﺨﺗ ،ﻲﺟﺎ
د ﻲﻨﻳزر ﺪﻧﺎﺑ ﺖﺳا نﺎﻣز لﻮﻃ ر
. ﻳا ــ رد ﻪﻠﺌﺴﻣ ﻦ مﺎﺠﻧا تﺎﻌﻟﺎﻄﻣ
ﻂﺳﻮﺗ هﺪﺷ
،Gesi Armstrong
و
Hashimoto
نﺎﺸﻧ ﻲﺑﻮﺧ ﻪﺑ
ﺖﺳا هﺪﺷ هداد )
34
، 16
، 15 ( . تﺎﻌﻟﺎﻄﻣ ﻦﻳا سﺎﺳا ﺮﺑ
، ﺖﺳد زا
هﺪﻫﺎﺸﻣ ﻞﺑﺎﻗ لوا هﺎﻣ ﻪﺳ رد هﺎﮕﺸﻳﺎﻣزآ رد ﺪﻧﺎﺑ مﺎﻜﺤﺘﺳا ﻦﺘﻓر ﺖﺳا و ﻲﻣ ﺶﻳاﺰﻓا ﻦﻳزر ﺮﺘﺸﻴﺑ ﺐﻳﺮﺨﺗ ﺎﺑ ﺖﺸﻧ ناﺰﻴﻣ ﺪﺑﺎﻳ
.
لﺎﻧﺎﻛ ﻲﻟﺎﻜﻴﭘا ﺖﺸﻧﺰﻳر ﻪﺴﻳﺎﻘﻣ ناﺪﻧد ﻪﺸﻳر
هﺪﺷﺮﭘ يﺎﻫ ...
478
رﻮﻃ ﻪﺑ ﺑ ﺞﻳﺎﺘﻧ فﻼﺘﺧا ﻲﻠﻛ ﻪ
ﺮﻛذ تﺎﻌﻟﺎﻄﻣ زا هﺪﻣآ ﺖﺳد
ﻲﻣ ار هﺪﺷ ﻞﻴﺒﻗ زا ﻲﻠﻣاﻮﻋ ﻪﺑ ناﻮﺗ
دﺮﺑرﺎﻛ شور ﺖﻴﺳﺎﺴﺣ
نﻮﻠﻳزر ﻢﺘﺴﻴﺳ /
ﻲﭘا ﻞﻤﻋ دﺮﻓ ترﺎﻬﻣ ﺶﻘﻧ ﻪﺠﻴﺘﻧ رد و ﻲﻧﺎﻓ
داد ﺖﺒﺴﻧ ﺖﺸﻧ ﺰﻳر ﻲﺳرﺮﺑ شور و هﺪﻨﻨﻛ .
ﻪﺠﻴﺘﻧ يﺮﻴﮔ
،ﻲﻠﺒﻗ هﺪﺷ مﺎﺠﻧا تﺎﻌﻟﺎﻄﻣ ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻮﻳﺰﻫدا داﻮﻣ ﻪﭼﺮﮔا
داﺪﻌﺘﺳا يﺮﺘﺸﻴﺑ ﻪﻌﺳﻮﺗ ﺖﻴﻠﺑﺎﻗ و ار
ﺞﻳار داﻮﻣ ﻪﺑ ﺖﺒﺴﻧ يزوﺮﻣا
ﻨﻫ ﻲﻟو ﺪﻧراد ــ
ﻬﻧآ زا هدﺎﻔﺘﺳا شور ﺖﻳﺰﻣ زﻮ ــ
هﺪﺸﻧ رﺎﻜﺷآ ﺎ
ﺖﺳا . ﺮﺿﺎﺣ ﻪﻌﻟﺎﻄﻣ ﻂﻳاﺮﺷ ﻦﺘﻓﺮﮔ ﺮﻈﻧ رد ﺎﺑ و
ﻪﺘﻓﺎﻳ ﺑ يﺎﻫ ﻪ
ﻲﻣ هﺪﻣآ ﺖﺳد ﻪﻛ دﺮﻛ طﺎﺒﻨﺘﺳا ﻦﻴﻨﭼ ناﻮﺗ
ﺪﻨﭼﺮﻫ نﻮﻠﻳزر / ﻲﭘا ﺎﺗﻮﮔ ﻪﺑ ﺖﺒﺴﻧ ﻲﺻﺎﺧ يﺮﺗﺮﺑ ﻲﻧﺎﻓ ﺎﻛﺮﭘ
/ و دراﺪﻧAH26
ﻲﻟ رد
و ﻲﻳﺎﻴﻤﻴﺷ ،ﻲﻜﻳﺰﻴﻓ بﻮﻠﻄﻣ تﺎﻴﺻﻮﺼﺧ نﺪﺷ ﺖﺑﺎﺛ ترﻮﺻ ﻲﻣ ،يﺪﻌﺑ تﺎﻘﻴﻘﺤﺗ رد ﻚﻳژﻮﻟﻮﻴﺑ نآ ناﻮﺗ
ﻲﻨﻳﺰﮕﻳﺎﺟ ناﻮﻨﻋ ﻪﺑ ار
شور ياﺮﺑ ﺖﻓﺮﮔ ﺮﻈﻧ رد لﺎﻧﺎﻛ ندﺮﻛ ﺮﭘ لﻮﻤﻌﻣ يﺎﻫ
.
يراﺰﮕﺳﺎﭙﺳ ﺖﻧوﺎﻌﻣ رد بﻮﺼﻣ ﻲﻳﻮﺠﺸﻧاد ﻪﻣﺎﻧ نﺎﻳﺎﭘ ﻞﺻﺎﺣ ﻪﻟﺎﻘﻣ ﻦﻳا
ﻳ ﻲﻜﺷﺰﭙﻧاﺪﻧد هﺪﻜﺸﻧاد ﻲﺸﻫوﮋﭘ دﺰ
هرﺎﻤﺷ ﻪﺑ 411
ﻲﻣ ﺪﺷﺎﺑ . رد
،ﻦﻤﺿ ﺰﻴﻧ ﻪﻟﺎﻘﻣ ﺶﻳاﺮﻳو رد نﺎﻴﻤﻴﻜﺣ ﻢﻧﺎﺧ رﺎﻛﺮﺳ تﺎﻤﺣز زا
ﻲﻣ يراﺰﮕﺳﺎﭙﺳ دﻮﺷ
.
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لﺎﻧﺎﻛ ﻲﻟﺎﻜﻴﭘا ﺖﺸﻧﺰﻳر ﻪﺴﻳﺎﻘﻣ ناﺪﻧد ﻪﺸﻳر
هﺪﺷﺮﭘ يﺎﻫ ...
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Comparison of Apical Microleakage between Canals Filled with Gutta- percha/AH-26 and the Resilon/epiphany System by Dye Penetration Method
Ghateh AH(DDS,MS)1, Tabrizizadeh M(DDS,MS)2, Heshmat Mohajer AR(DDS)3, Razavi AR(DDS)*4, Mokhtari F(DDS)5, Saadat J(DDS)6, Mousavi A(DDS)7
1,2,4,5
Department of Endodontics, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3Endodontic, Private Practice
6Dentist, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
7Department of Pediatric, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Received: 25 Feb 2012 Accepted: 20 Jul 2012
Abstract
Introduction: Root canal obturation is a critical factor in success or failure of a root canal treatment. The material used for root canal obturation must be able to provide a perfect seal. This study aimed to compare the ability of gutta-percha/AH26 and resilon/epiphany to prevent apical microleakage.
Methods: To conduct this experimental study, 32 extracted single root human teeth were used. Crowns of the teeth were cut and root canals were instrumented using hand K-file in a step-back manner. Smear layer was removed by irrigation with 17% EDTA for 1 minute. The samples were randomly divided into two similar groups and were filled with gutta-percha/AH26 or resilon/epiphany. The specimens were placed in 2% methylene blue solution for 48 hours. The teeth were sectioned longitudinally and the leakage was measured in a linear fashion from apex to crown by stereomicroscope. Data were evaluated by t-test.
Results: Based on the study data, there was no statistically significant difference between Gutta- percha/AH26 and Epiphany/Resilon groups (p>0.05).
Conclusion: Considering no significant difference between microleakage of gutta-percha and resilon, resilon could be considered as a suitable root filling material after conducting further studies about its physical, chemical, and biologic properties.
Kaywords: Gutta-Percha; Resilon; Epiphany; Dye Penetration
This paper should be cited as:
Ghateh AH, Tabrizizadeh M, Heshmat Mohajer AR, Razavi AR, Mokhtari F, Saadat J, Mousavi A.Comparison of apical microleakage between canals filled with gutta-percha/AH-26 and the resilon/epiphany system by dye penetration method. J Shahid Sadoughi Univ Med Sci 2012; 20(4): 474-81.
*Corresponding author: Tel: +98 9121834718, Email: [email protected]
