Santos M D, Walker W A, Carnes D L
Department of Endodontics, Wilford Hall Medical Center, Lackland AFB, TX, USA.
J Endod. 1999 Sep;25(9):609-12. doi: 10.1016/S0099-2399(99)80319-7.
This study evaluated the sectional gutta-percha obturation technique advocated by Lightspeed Technology, Inc. Single relatively straight-canaled teeth were prepared with rotary instruments and divided into three groups. Groups A and B served as controls and were obturated using laterally condensed gutta-percha and either Roth's 801 or Ketac-Endo sealer. Group C was obturated using the Lightspeed technique that included placement of a 5-mm apical section of gutta-percha, followed by backfill with Ketac-Endo sealer and a single gutta-percha cone. All teeth were suspended in India ink for 14 days then cleared. Four additional teeth, which were obturated as in group C then sectioned, revealed a tightly adapted apical section of gutta-percha with a very thin layer of sealer. However, voids were noted in the middle and coronal areas. There was no significant difference in apical microleakage among the three groups. The sectional method was significantly faster than lateral condensation and seems to offer promise as an effective obturation method.
本研究评估了Lightspeed技术公司所倡导的分段式牙胶尖充填技术。使用旋转器械预备单根相对较直的牙齿,并将其分为三组。A组和B组作为对照组,采用侧向加压牙胶尖并分别使用Roth 801或Ketac-Endo封闭剂进行充填。C组采用Lightspeed技术进行充填,包括放置一段5毫米的根尖段牙胶尖,随后用Ketac-Endo封闭剂和一根牙胶尖进行回充。所有牙齿均悬浮于印度墨水中14天,然后进行透明处理。另外四颗牙齿,按照C组方法进行充填后切片,显示根尖段牙胶尖紧密贴合,封闭剂层非常薄。然而,在中部和冠部区域发现有空隙。三组之间根尖微渗漏无显著差异。分段式方法比侧向加压法明显更快,似乎有望成为一种有效的充填方法。