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使用氢氧化钙与牙胶尖进行根管的根尖封闭。

Apical seal of root canals with gutta-percha points with calcium hydroxide.

作者信息

Holland Roberto, Murata Sueli Satomi, Barbosa Henrian Gonzaga, Garlipp Osvaldo, de Souza Valdir, Dezan Junior Eloi

机构信息

Department of Restorative Dentistry, Faculty of Dentistry of Araçatuba, UNESP, Araçatuba, SP, Brazil.

出版信息

Braz Dent J. 2004;15(1):26-9. doi: 10.1590/s0103-64402004000100005. Epub 2004 Aug 16.

Abstract

The objective of this research was to determine if gutta-percha points with calcium hydroxide [Ca(OH)2] improve the apical seal after root canal filling and if the master point does it alone. Human single recently extracted teeth were biomechanically prepared and the root canals filled by the lateral condensation technique with ZOE and gutta-percha points, with or without calcium hydroxide. The teeth were placed into a 2% methylene blue solution in a vacuum environment for 24 h after which they were processed for stereomicroscope evaluation. Better results were observed with the teeth filled with gutta-percha points with calcium hydroxide (p=0.01). We conclude that these new points make a better apical seal and that these results can also be obtained with the calcium hydroxide master point associated with regular ones (p=0.05).

摘要

本研究的目的是确定含氢氧化钙[Ca(OH)₂]的牙胶尖在根管充填后是否能改善根尖封闭,以及主尖单独使用时是否能达到这一效果。选取近期拔除的单颗人牙进行生物力学预备,采用侧向加压技术用氧化锌丁香酚和牙胶尖充填根管,分别使用含或不含氢氧化钙的牙胶尖。将牙齿置于2%亚甲蓝溶液中,在真空环境下放置24小时,之后进行处理以用于体视显微镜评估。观察发现,使用含氢氧化钙牙胶尖充填的牙齿取得了更好的结果(p = 0.01)。我们得出结论,这些新型牙胶尖能实现更好的根尖封闭,并且使用与普通牙胶尖联合使用的氢氧化钙主尖也能获得同样的结果(p = 0.05)。

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