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使用新一代牙本质粘结剂对根管充填牙进行体外抗折性研究。

In vitro fracture resistance of root-filled teeth using new-generation dentine bonding adhesives.

作者信息

Hürmüzlü F, Serper A, Siso S H, Er K

机构信息

Department of Restorative Dentistry, School of Dentistry, Cumhuriyet University, Sivas, Turkey.

出版信息

Int Endod J. 2003 Nov;36(11):770-3. doi: 10.1046/j.1365-2591.2003.00738.x.

Abstract

AIM

To compare the fracture resistance of root-filled premolar teeth restored with new-generation dentine bonding adhesives.

METHODOLOGY

Sixty extracted single-rooted human maxillary premolar teeth were used. Access cavities were prepared, and the roots were instrumented with K-files to an apical size 50 using a step-back technique. Root fillings were accomplished using gutta percha (Sure-Endo, Seoul, Korea) and AH Plus root canal sealer (Dentsply DeTrey, Konstanz, Germany) using the lateral condensation technique. The teeth were then randomly divided into six groups of 10 teeth each. A mesiodistocclusal (MOD) cavity was prepared in the teeth to the level of the canal orifices so that the thickness of the buccal wall of the teeth measured 2 mm at the occlusal surface and 3 mm at the cemento-enamel junction. Preparations were restored using the following adhesive systems: Etch & Prime 3.0 (Degussa AG, Hanau, Germany), Clearfil SE Bond (Kuraray, Osaka, Japan), Prompt L-Pop (ESPE, Seefeld, Germany), Panavia F (Kuraray, Osaka, Japan), Optibond Plus (Kerr, Orange, CA, USA) and Admira Bond (Voco, Cuxhaven, Germany); all preparations except those of the Panavia F and Admira Bond groups were further restored with resin composites. The Panavia F group was restored with amalgam and the Admira Bond group with Ormocer (Voco, Cuxhaven, Germany). The teeth were mounted in a Universal Testing Machine (Hounsfield, Surrey, UK), and the buccal walls were subjected to a slowly increasing compressive force until fracture occurred. The force of fracture of the walls of each tooth was recorded and the results in the various groups were compared. Statistical analysis of the data was accomplished using one-way anova.

RESULTS

There was no significant difference in the fracture resistance of any of the test groups.

CONCLUSIONS

In this laboratory study, the type of dentine bonding agents had no influence in the fracture resistance of teeth.

摘要

目的

比较用新一代牙本质粘结剂修复的根管充填前磨牙的抗折性。

方法

使用60颗拔除的单根人上颌前磨牙。制备进入腔,用K锉采用逐步后退技术将根管预备至根尖尺寸50。采用侧方加压技术,用牙胶尖(Sure-Endo,韩国首尔)和AH Plus根管封闭剂(德国登士柏德瑞,康斯坦茨)完成根管充填。然后将牙齿随机分为六组,每组10颗。在牙齿上制备近中-远中-咬合面(MOD)洞至根管口水平,使牙齿颊壁在咬合面的厚度为2mm,在牙骨质-釉质界处为3mm。使用以下粘结系统进行修复:蚀刻与底涂剂3.0(德国汉高德固赛公司)、Clearfil SE Bond(日本大阪可乐丽公司)、Prompt L-Pop(德国赛菲尔德ESPE公司)、Panavia F(日本大阪可乐丽公司)、Optibond Plus(美国加利福尼亚州奥兰治克尔公司)和Admira Bond(德国库克斯港Voco公司);除Panavia F组和Admira Bond组外,所有修复体均用树脂复合材料进一步修复。Panavia F组用银汞合金修复,Admira Bond组用Ormocer(德国库克斯港Voco公司)修复。将牙齿安装在万能试验机(英国萨里郡洪斯菲尔德公司)上,对颊壁施加缓慢增加的压缩力直至发生骨折。记录每颗牙齿壁的骨折力,并比较各组的结果。使用单因素方差分析对数据进行统计分析。

结果

任何测试组的抗折性均无显著差异。

结论

在本实验室研究中,牙本质粘结剂的类型对牙齿的抗折性没有影响。

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