Kontakiotis Evangelos G, Tzanetakis Giorgos N, Loizides Alexios L
Department of Endodontics, Dental School, University of Athens, Athens, Greece.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Jun;103(6):854-9. doi: 10.1016/j.tripleo.2006.12.014. Epub 2007 Apr 20.
This study was performed to determine in vitro the short- and long-term sealing ability of a recently developed silicon-based root canal filling material (Gutta-Flow).
Sixty human upper central incisors were divided into 3 groups (n = 20). The root canals were instrumented and obturated with laterally compacted gutta-percha and AH26 sealer (group 1), continuous-wave thermal compaction (System B technique) and AH26 sealer (group 2), and Gutta-Flow technique (group 3). Leakage along entire root canal fillings was measured by the movement of an air bubble in a micropipette connected to the experimental root using a fluid-transport model. Short-term leakage measurements were carried out for 3 hours after 24 hours of equilibrium establishment. Leakage was measured again and at 3, 6, and 12 months after the initial measurement.
At the 3-hour measurement, no significant differences were found among the 3 experimental groups. Long-term leakage measurements showed that at 3 and 6 months no significant differences were existed between Gutta-Flow and the other 2 techniques. However, at 12 months, root canal fillings with Gutta-Flow leaked significantly less than fillings of lateral compaction and System B technique.
Gutta-Flow technique showed a similar sealing ability to either lateral compaction or System B technique. This comparison improved significantly over time. These findings may be related to the possible expanding capacity of the material and the partial dissolution of the sealer over time in the other 2 groups.
本研究旨在体外测定一种新开发的硅基根管充填材料(Gutta-Flow)的短期和长期封闭能力。
将60颗人上颌中切牙分为3组(每组n = 20)。根管进行预备,分别采用侧向加压热牙胶和AH26封闭剂(第1组)、连续波热压技术(System B技术)和AH26封闭剂(第2组)以及Gutta-Flow技术(第3组)进行充填。使用流体传输模型,通过连接到实验牙根的微量移液器中气泡的移动来测量整个根管充填物的渗漏情况。在建立平衡24小时后进行3小时的短期渗漏测量。在初始测量后3个月、6个月和12个月再次测量渗漏情况。
在3小时测量时,3个实验组之间未发现显著差异。长期渗漏测量表明,在3个月和6个月时,Gutta-Flow与其他2种技术之间不存在显著差异。然而,在12个月时,采用Gutta-Flow技术的根管充填物渗漏明显少于侧向加压和System B技术的充填物。
Gutta-Flow技术显示出与侧向加压或System B技术相似的封闭能力。随着时间的推移,这种比较有显著改善。这些发现可能与材料可能的膨胀能力以及其他2组中封闭剂随时间的部分溶解有关。