Habib Barry, von Fraunhofer Joseph Anthony, Driscoll Carl F
Department of Restorative Dentistry, Baltimore College of Dental Surgery, University of Maryland, Baltimore, MD 21201, USA.
J Prosthodont. 2005 Sep;14(3):164-9. doi: 10.1111/j.1532-849X.2005.00349.x.
The first purpose of this study was to compare the retentive values of zinc phosphate and Panavia F resin cements when used for luting cast dowel and cores. The second purpose was to determine whether the use of a lubricant when making the resin pattern for a custom dowel and core would have an effect on the final retention of dowels cemented with either zinc phosphate or Panavia F cements.
Sixty-three caries-free extracted single-rooted human teeth were randomly divided into three groups of 21. Root canal preparations were standardized for all 63 teeth. Clinical protocols for fabricating and cementing dowel and core restorations were examined, comparing zinc phosphate and Panavia F resin cements. Direct dowel patterns were fabricated using the Para Post system and cast in a noble metal alloy. Group I dowel spaces were lubricated with GC lubricant prior to dowel pattern fabrication and cleaned with Cavidry solvent before cementing the cast dowel and core with zinc phosphate cement. Group II dowel spaces were rinsed with water only prior to dowel pattern fabrication. The dowels and cores in this group were cemented with Panavia F resin cement. Group III dowel spaces were lubricated with GC lubricant prior to dowel pattern fabrication; the dowel spaces were cleaned with Cavidry solvent before the cast dowel and cores were cemented with Panavia F cement. The tensile force necessary to remove the cast dowel and cores was determined using a universal testing machine. Results were statistically analyzed using one-way ANOVA and Tukey's HSD test.
The dowels and cores in Group I had significantly higher retentive values than either of the two Panavia F groups (p< or = 0.001). No difference in retentive values (p > 0.05) was found between dowels luted with either of the lubricating agents in the Panavia F groups.
Zinc phosphate cement had higher retentive values when cementing cast dowel and cores than Panavia F. The type of lubricant used for the resin dowel fabrication (water or GC lubricant that was removed with a solvent) had no effect on the retention of cast dowels cemented with Panavia F.
本研究的首要目的是比较磷酸锌水门汀和Panavia F树脂水门汀用于粘结铸造桩核时的固位值。第二个目的是确定在制作定制桩核的树脂模型时使用润滑剂是否会对用磷酸锌或Panavia F水门汀粘结的桩核的最终固位产生影响。
63颗无龋的离体单根人牙随机分为三组,每组21颗。对所有63颗牙齿的根管预备进行标准化。检查了制作和粘结桩核修复体的临床方案,比较了磷酸锌水门汀和Panavia F树脂水门汀。使用Para Post系统制作直接桩核模型,并铸造在贵金属合金中。第一组在制作桩核模型前用GC润滑剂润滑桩核间隙,在用磷酸锌水门汀粘结铸造桩核前用Cavidry溶剂清洁。第二组在制作桩核模型前仅用水冲洗桩核间隙。该组的桩核用Panavia F树脂水门汀粘结。第三组在制作桩核模型前用GC润滑剂润滑桩核间隙;在用Panavia F水门汀粘结铸造桩核前用Cavidry溶剂清洁桩核间隙。使用万能试验机测定去除铸造桩核所需的拉力。结果采用单因素方差分析和Tukey's HSD检验进行统计学分析。
第一组的桩核固位值明显高于两个Panavia F组中的任何一组(p≤0.001)。在Panavia F组中,用任何一种润滑剂粘结的桩核的固位值没有差异(p>0.05)。
在粘结铸造桩核时,磷酸锌水门汀的固位值高于Panavia F。用于树脂桩制作的润滑剂类型(水或用溶剂去除的GC润滑剂)对用Panavia F粘结的铸造桩的固位没有影响。