Andelin Wallis E, Browning David F, Hsu G-Hong Robert, Roland David D, Torabinejad Mahmoud
Department of Endodontics, Loma Linda University School of Dentistry, CA 92350, USA.
J Endod. 2002 Aug;28(8):573-4. doi: 10.1097/00004770-200208000-00002.
Forty-six single rooted extracted human teeth were used in this study. After cleaning and shaping, twenty canals were randomly selected for obturation with MTA placed in an orthograde manor (Group 1). Another twenty roots were obturated with gutta-percha and Kerr EWT sealer, using warm vertical compaction (Group 2). The apical 3 mm of each root in both groups were resected at approximately 45 degrees to its long axis. The teeth were aged for 48 h in a humidor. The root-ends of the teeth in Group 2 were then prepared and received MTA as a root-end filling material to a depth of 3 mm. Six roots were used as positive and negative controls. The roots of all teeth were placed in contact with India ink for 48 h. The roots were split and examined for dye leakage. There was no discernible leakage in teeth with resected MTA or those with MTA placed as a retrograde root-end filling material. We found no significant difference in dye leakage between resected MTA (Group 1) and non-resected MTA (Group 2). Based on these results it appears that the resection of set MTA does not affect its sealing ability.
本研究使用了46颗拔除的单根人牙。清洁和预备根管后,随机选择20个根管,采用正压法用MTA进行充填(第1组)。另外20个根管采用热垂直加压法,用牙胶尖和Kerr EWT封闭剂进行充填(第2组)。两组中每个牙根的根尖3mm均以约45度角与其长轴方向进行切除。将牙齿置于保湿器中48小时进行老化。然后对第2组牙齿的根尖进行预备,并使用MTA作为根尖充填材料充填至3mm深度。6个牙根用作阳性和阴性对照。所有牙齿的牙根与印度墨水接触48小时。将牙根劈开并检查染料渗漏情况。采用MTA切除或作为逆行根尖充填材料放置MTA的牙齿均未发现明显渗漏。我们发现切除MTA(第1组)和未切除MTA(第2组)之间在染料渗漏方面没有显著差异。基于这些结果,似乎凝固后的MTA切除并不影响其封闭能力。