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使用三种根端封闭材料作为根尖塞治疗后的密封能力、边缘适应性及其相关性。

Sealing ability, marginal adaptation and their correlation using three root-end filling materials as apical plugs.

机构信息

Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, SP, Brazil.

出版信息

J Appl Oral Sci. 2010 Mar-Apr;18(2):127-34. doi: 10.1590/s1678-77572010000200006.

Abstract

OBJECTIVE

This study used dye leakage assay and scanning electron microscopy to evaluate, respectively, the sealing ability and marginal adaptation of three root-end filling materials used as apical plugs, as well as the possible correlation between these properties.

MATERIAL AND METHODS

Ninety-eight single-rooted human teeth were prepared to simulate an open apex. The teeth were allocated to three experimental groups (n = 30), which received a 5-mm thick apical plug of (1) gray MTA Angelus, (2) CPM and (3) MBPc, and two controls groups (n = 4). After immersion in 0.2% Rhodamine B solution for 48 h, the teeth were sectioned longitudinally and analyzed by Image Tool 3.0 software. The marginal adaptation between apical plugs and the root canal walls were analyzed by SEM.

RESULTS

MBPc had significantly less (p<0.05) apical leakage than the other materials. Regarding marginal adaptation, CPM showed the best numerical results, though without statistical significance from the other materials (p<0.05). There was no correlation between the two properties.

CONCLUSIONS

When used as apical plugs, the tested root-end filling materials had similar marginal adaptation to the dentin walls, but MBPc had the best sealing ability, as demonstrated by the least apical leakage from all tested materials.

摘要

目的

本研究采用染料渗漏试验和扫描电镜分别评价 3 种作为根尖塞的根端封闭材料的密封能力和边缘适应性,并探讨这两种性能之间的可能相关性。

材料与方法

98 颗单根人牙被制备成模拟开放根尖。将这些牙随机分为 3 个实验组(n = 30),分别接受 5mm 厚的根尖塞:(1)灰色 MTA Angelus,(2)CPM,和(3)MBPc,以及 2 个对照组(n = 4)。在 0.2%罗丹明 B 溶液中浸泡 48 小时后,将牙齿纵向切片,并用 Image Tool 3.0 软件进行分析。扫描电镜分析根尖塞与根管壁之间的边缘适应性。

结果

MBPc 的根尖渗漏明显少于其他材料(p<0.05)。关于边缘适应性,CPM 显示出最好的数值结果,但与其他材料相比无统计学意义(p<0.05)。这两种性能之间没有相关性。

结论

当用作根尖塞时,测试的根端封闭材料与牙本质壁具有相似的边缘适应性,但 MBPc 具有最好的密封能力,因为它显示出所有测试材料中最少的根尖渗漏。

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