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充填材料对树脂和石英纤维桩增强薄壁根管粘结界面的影响。

Influence of filling materials on the bonding interface of thin-walled roots reinforced with resin and quartz fiber posts.

机构信息

Department of Restorative Dentistry, Faculty of Dentistry, University of São Paulo, Ribeirão Preto, São Paulo, Brazil.

出版信息

J Endod. 2011 Apr;37(4):531-7. doi: 10.1016/j.joen.2010.12.009.

Abstract

INTRODUCTION

A common complication during the restoration of severely destroyed teeth is the loss of coronal root dentine. The aim of this study was to evaluate the influence of different sealers on the bonding interface of weakened roots reinforced with resin and fiber posts.

METHODS

Sixty extracted maxillary canines were used. The crowns were removed, and the thickness of root dentine was reduced in the experimental (n = 40) and positive control (n = 10) groups. The specimens of experimental group were assigned to four subgroups (n = 10) according to the filling material: gutta-percha + Grossmann's sealer, gutta-percha + AH Plus (Dentsply De Trey Gmbh, Konstanz, Germany), gutta-percha + Epiphany (Pentron Clinical Technologies, Wallingford, CT), and Resilon (Resilon Research LLC, Madison, CT) + Epiphany. In the negative control group (n = 10), canals were not filled. After post space preparation, the roots were restored with composite resin light-activated through a translucent fiber post. After 24 hours, specimens were transversally sectioned into 1-mm-thick slices. Push-out test and scanning electron microscopic (SEM) analyses of different regions were performed. Data from push-out test were analyzed by using Tukey post hoc multiple comparison tests. The percentage of failure type was calculated. Data from SEM analysis were compared by Friedman and Kruskal-Wallis tests (α = 0.05).

RESULTS

The mean bond strength was significantly higher in the negative control group as compared with the other groups (P < .05). In all groups, the most frequent type of failure was adhesive. Overall, apical and middle regions presented a lower density of resin tags than the coronal region (P < .05).

CONCLUSIONS

The push-out bond strength was not affected by sealer or region. The canal region affected significantly the resin tag morphology and density at the bonding interface.

摘要

简介

在严重破坏的牙齿修复过程中,冠部根牙本质丧失是一种常见的并发症。本研究旨在评估不同密封剂对用树脂和纤维桩加固的弱化根管粘结界面的影响。

方法

使用 60 颗上颌尖牙。实验组(n = 40)和阳性对照组(n = 10)的牙冠被去除,牙本质的根部厚度减少。实验组的标本根据填充材料分为四组(n = 10):牙胶+ Grossmann 密封剂、牙胶+AH Plus(Dentsply De Trey Gmbh,康斯坦茨,德国)、牙胶+Epiphany(Pentron Clinical Technologies,Wallingford,CT)和 Resilon(Resilon Research LLC,Madison,CT)+Epiphany。在阴性对照组(n = 10)中,根管未填充。在准备好桩腔后,用透光纤维桩将根管用光固化复合树脂修复。24 小时后,将标本横向切成 1mm 厚的切片。对不同区域进行推出试验和扫描电子显微镜(SEM)分析。推出试验的数据采用 Tukey 后测多重比较检验进行分析。计算失效类型的百分比。SEM 分析的数据采用 Friedman 和 Kruskal-Wallis 检验(α = 0.05)进行比较。

结果

与其他组相比,阴性对照组的粘结强度显著更高(P <.05)。在所有组中,最常见的失效类型是黏附性失效。总体而言,根尖和中间区域的树脂突密度低于冠部区域(P <.05)。

结论

密封剂或区域对接头的推出粘结强度没有影响。根管区域对接头粘结界面的树脂突形态和密度有显著影响。

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