Zarei Mina, Shahrami Fatemeh, Vatanpour Mehdi
Department of Endodontics, Faculty of Dentistry and Dental Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
J Oral Sci. 2009 Jun;51(2):181-5. doi: 10.2334/josnusd.51.181.
Retreatment procedures in endodontic practice require complete removal of the original root filling materials. The aim of this study was to compare the amount of residual filling material on the walls of root canals that were obturated with gutta-percha or Resilon. Thirty extracted single-rooted human teeth were selected and instrumented by RaCe rotary instruments up to MAF #35. They were randomly divided into two groups of 15 teeth each. Group 1 was obturated with gutta-percha and AH26 sealer and group 2 was obturated with the Resilon/Epiphany system by lateral condensation technique. All canals were then retreated using Gates-Glidden drills, MAF #40 and chloroform. The teeth were split longitudinally and photographs were taken by a digital camera connected to a stereomicroscope and then samples were analyzed. The amount of residual material and time of retreatment were determined in each group at three levels in the canal. Data were analyzed by Mann-Whitney and Friedman tests. The Resilon group had significantly more residual material in the canal than the Gutta-percha group (P = 0.009). According to the level of the canal, the differences were statistically significant (P = 0.013) only in the Resilon group. Time required for retreatment in the two groups was not significantly different (P = 0.381). Orthograde retreatment of Resilon was less efficient than that of gutta-percha.
牙髓病治疗中的再治疗程序需要完全去除原来的根管充填材料。本研究的目的是比较用牙胶或Resilon充填的根管壁上残留充填材料的量。选取30颗拔除的单根人牙,用RaCe旋转器械预备至MAF #35。将它们随机分为两组,每组15颗牙。第1组用牙胶和AH26封闭剂充填,第2组用Resilon/Epiphany系统通过侧向加压技术充填。然后所有根管均使用Gates-Glidden钻、MAF #40和氯仿进行再治疗。将牙齿纵向劈开,用连接到体视显微镜的数码相机拍照,然后对样本进行分析。在根管的三个水平上测定每组中残留材料的量和再治疗时间。数据采用Mann-Whitney检验和Friedman检验进行分析。Resilon组根管内的残留材料明显多于牙胶组(P = 0.009)。根据根管水平,仅在Resilon组差异有统计学意义(P = 0.013)。两组再治疗所需时间无显著差异(P = 0.381)。Resilon的正向再治疗效率低于牙胶。