Hashem Ahmed Abdel Rahman, Ghoneim Angie G, Lutfy Reem A, Fouda Manar Y
Endodontic Department, Ain Shams University, Cairo, Egypt.
J Endod. 2009 Apr;35(4):537-40. doi: 10.1016/j.joen.2009.01.003. Epub 2009 Feb 26.
The bond strength of ActiV GP root canal filling system and gutta-percha/AH plus sealer when used after final rinse with different irrigation protocols was evaluated in this study. Forty roots were randomly divided into four groups (n = 10) according to the final irrigation regimen: group 1, 5 mL 17% EDTA; group 2, 5 mL 17% EDTA followed by 5 mL 2% chlorhexidine gluconate (CHX); group 3, 5 mL MTAD; and group 4, 5 mL MTAD followed by 5 mL 2% CHX. Each group was further subdivided into two subgroups (n = 5): in subgroup a, the root canals were filled using warm gutta-percha and AH plus sealer, and in subgroup b, the root canals were filled using the ActiV GP obturation system. Two-millimeter thick horizontal sections from the coronal and midthirds of each root were sliced for the push-out bond strength measurement. EDTA/CHX/ActiV GP (2.46 +/- 1.02 MPa) yielded significantly the highest mean bond strength value. The significantly lowest bond strength was recorded for EDTA/ActiV GP (1.12 +/- 0.72 MPa). It was concluded that the bond strength of ActiV GP was improved by using 2% CHX in the final irrigation after 17% EDTA, whereas CHX did not enhance the effect of MTAD on the bond strength of the material. The bond strength of gutta-percha/AH plus was adversely affected by MTAD and MTAD/CHX.
本研究评估了在使用不同冲洗方案进行最终冲洗后,ActiV GP根管充填系统与牙胶/AH plus封闭剂的粘结强度。根据最终冲洗方案,将40颗牙根随机分为四组(n = 10):第1组,5 mL 17%乙二胺四乙酸(EDTA);第2组,5 mL 17% EDTA,随后5 mL 2%葡萄糖酸氯己定(CHX);第3组,5 mL甲基丙烯酸甲酯-四环素-酸性磷酸酶(MTAD);第4组,5 mL MTAD,随后5 mL 2% CHX。每组再进一步细分为两个亚组(n = 5):亚组a中,根管采用热牙胶和AH plus封闭剂充填;亚组b中,根管采用ActiV GP充填系统充填。从每颗牙根的冠部和中三分之一处切取2毫米厚的水平切片,用于测量推出粘结强度。EDTA/CHX/ActiV GP(2.46±1.02兆帕)产生的平均粘结强度值显著最高。EDTA/ActiV GP(1.12±0.72兆帕)的粘结强度显著最低。得出的结论是,在17% EDTA后的最终冲洗中使用2% CHX可提高ActiV GP的粘结强度,而CHX并未增强MTAD对该材料粘结强度的影响。MTAD和MTAD/CHX对牙胶/AH plus的粘结强度有不利影响。