Department of Restorative Dentistry and Endodontics, Faculty of Dental Medicine, Victor Babes University of Medicine and Pharmacy, Bd. Revolutiei no.9, 300 070, Timisoara, Romania.
Odontology. 2012 Jan;100(1):54-60. doi: 10.1007/s10266-011-0017-2. Epub 2011 May 7.
The purpose of this study was to compare the apical sealing capacity of three types of gutta-percha master cones of the same apical size and different tapers following root canal preparation with nickel-titanium ProTaper Universal rotary instruments and microstructural replication with System B and Obtura III. Thirty extracted human incisors having one single straight root canal (type I Weine) were instrumented with rotary ProTaper to an F3 (30/.09) and gauged to confirm a final apical size of #30. Teeth were divided into three groups (n = 10) to be obturated as follows: Group 1: master cone Meta 0.06 taper/AH Plus, Group 2: master cone fine-medium Autofit 0.08 taper/AH Plus, and Group 3: master cone ProTaper F3 0.09 taper/AH Plus. The chosen technique was the continuous wave of compaction (System B and Obtura III). Teeth were embedded in acrylic and incrementally reduced at 0.5 and 1.0 mm from the apical foramina in a grinding machine for metallographic samples. Sections were examined and digitally photographed under a metallographic optical microscope in normal and polarized light and the images were processed. The total cross-sectional area of the root canal, the gutta-percha/sealer/voids' areas were quantified for each sample and statistically compared using one-way ANOVA and Kruskal-Wallis tests. No statistically significant differences between groups were observed (P > 0.05); however, the mean percentage of the gutta-percha-filled area was slightly higher in Group 1 at both levels of observation. Despite different tapers, all the three types of cones provided a good sealing capacity in the last apical millimeter of the root canal, with good gutta-percha-sealer ratio and few or no voids.
本研究的目的是比较三种相同根尖尺寸和不同锥度的牙胶主锥在使用镍钛 ProTaper Universal 根管预备旋转器械和 System B 与 Obtura III 进行根管微结构复制后的根尖封闭能力。30 颗具有单一直根管(I 型 Weine)的人离体切牙用 ProTaper 旋转器械预备至 F3(30/.09)并测量以确认最终根尖尺寸为#30。牙齿分为三组(每组 10 颗)进行以下根管充填:组 1:Meta 0.06 锥度/AH Plus 牙胶主锥,组 2:Autofit 0.08 锥度/ AH Plus 牙胶主锥,组 3:ProTaper F3 0.09 锥度/AH Plus 牙胶主锥。选择的技术是连续波压实(System B 和 Obtura III)。牙齿用丙烯酸树脂包埋,在研磨机上从根尖孔以 0.5 和 1.0 毫米的增量逐渐减少,用于金相样品。在金相光学显微镜下,在正常光和偏振光下检查和数字化拍摄切片,并对图像进行处理。对每个样本的根管总横截面积、牙胶/密封剂/空隙区域进行定量,并使用单向方差分析和 Kruskal-Wallis 检验进行统计学比较。各组之间未观察到统计学差异(P>0.05);然而,在两个观察水平上,组 1 的牙胶填充面积的平均值略高。尽管锥度不同,但三种类型的牙胶主锥在根尖最后 1 毫米处均提供了良好的密封能力,牙胶/密封剂比例良好,空隙较少或没有。