Teixeira Fabricio B, Teixeira Erica C N, Thompson Jeffrey Y, Trope Martin
Endodontic Department at Piracicaba School of Dentistry, State University of Campinas, São Paulo, Brazil.
J Am Dent Assoc. 2004 May;135(5):646-52. doi: 10.14219/jada.archive.2004.0255.
The authors evaluated the fracture resistance of endodontically treated teeth filled with either gutta-percha or a new resin-based obturation material.
The authors prepared and randomly divided 80 single-canal extracted teeth into five groups: lateral and vertical condensation with gutta-percha, lateral and vertical condensation with the new resin-based obturation material, and a control group with no filling material. The specimens were stored in 100 percent humidity for two weeks, mounted in polyester resin and loaded to failure.
The authors found statistically significant differences among the experimental groups (P < .05). The groups with the new material displayed higher mean fracture loads and the gutta-percha groups lower mean fracture load values than the control unfilled group. However, the differences were not significant. The groups with the new material displayed significantly higher mean fracture loads than gutta-percha groups independent of the filling technique used.
Filling the canals with the new resin-based obturation material increased the in vitro resistance to fracture of endodontically treated single-canal extracted teeth when compared with standard gutta-percha techniques. CLINICAL IMPLICATIONS; If other properties of the new resin-based obturation material compare favorably with those of gutta-percha for filling the root canal, it should be considered as a replacement for gutta-percha, as the results of this study indicate that it could provide enhanced resistance to tooth fracture.
作者评估了用牙胶或一种新型树脂类充填材料充填的经根管治疗牙齿的抗折性。
作者准备了80颗单根管离体牙并随机分为五组:牙胶侧方加压和垂直加压组、新型树脂类充填材料侧方加压和垂直加压组,以及一个未充填材料的对照组。将标本在100%湿度下储存两周,固定于聚酯树脂中并加载直至破坏。
作者发现各实验组之间存在统计学显著差异(P < .05)。与未充填的对照组相比,新型材料组显示出更高的平均抗折载荷,牙胶组的平均抗折载荷值更低。然而,差异并不显著。无论采用何种充填技术,新型材料组的平均抗折载荷均显著高于牙胶组。
与标准牙胶技术相比,用新型树脂类充填材料充填根管可提高经根管治疗的单根管离体牙的体外抗折性。临床意义:如果新型树脂类充填材料的其他性能在充填根管方面优于牙胶,应考虑将其作为牙胶的替代品,因为本研究结果表明它可以增强牙齿的抗折性。