Department of Endodontics, Faculty of Stomatology, Capital Medical University, Beijing China.
Int Endod J. 2011 Nov;44(11):1041-6. doi: 10.1111/j.1365-2591.2011.01919.x. Epub 2011 Sep 11.
Two types of gutta-percha master points consisting of different phases of the material were compared during the filling of lateral canals and depressions in the apical region of root canals when using warm vertical compaction (WVC).
Two split-tooth models were constructed one with lateral canals 1, 2 and 3 mm from the working length (WL) and another with depressions 1 and 3 mm from the WL. For each model, canal filling was performed with either alpha-phase or beta-phase gutta-percha. The gutta-percha was condensed with a System B plugger placed 7, 5 or 3 mm from the WL. The mean depth of gutta-percha penetration into the lateral canals and the percentage of depression area covered by gutta-percha were measured. A two-factor analysis of variance and a Student-Newman-Keuls test (P < 0.05) were used to compare the two gutta-percha and three plugger insertion depths.
At the 1-2 mm apical levels, alpha-phase gutta-percha and deeper plugger depth elicited better flow into canals and depressions (P < 0.01). At the 3 mm apical level, the alpha-phase and beta-phase gutta-percha penetrated to the same extent with 3- and 5-mm plugger insertions (P > 0.05); however, with the 7-mm plugger insertion, the alpha-phase gutta-percha flowed significantly more deeply than the beta-phase gutta-percha (P < 0.01). At the 2-3 mm apical levels, the 3 and 5 mm plugger depths elicited similar flow (P > 0.05); both elicited significantly better flow than the 7 mm plugger depth (P < 0.01).
The alpha-phase gutta-percha with deep plugger insertion during warm vertical compaction using a System B heat source moved singificantly more into lateral canals and depressions than the beta-phase gutta-percha.
在使用热垂直加压(WVC)技术对根管的侧支和根尖区域凹陷进行填充时,比较了两种不同相态的牙胶尖在填充根管侧壁和凹陷时的效果。
构建了两个分体牙模型,一个模型的侧支距离工作长度(WL)为 1、2 和 3mm,另一个模型的凹陷距离 WL 为 1 和 3mm。对于每个模型,使用 alpha 相或 beta 相牙胶进行根管填充。牙胶使用 System B 插压器进行压缩,插压器距离 WL 分别为 7、5 或 3mm。测量牙胶向侧壁和凹陷的穿透深度,以及牙胶覆盖凹陷区域的百分比。采用双因素方差分析和 Student-Newman-Keuls 检验(P<0.05)比较两种牙胶和三种插压器插入深度的差异。
在 1-2mm 根尖水平,alpha 相牙胶和更深的插压器深度更有利于牙胶向侧壁和凹陷流动(P<0.01)。在 3mm 根尖水平,3 和 5mm 插压器插入深度时,alpha 相和 beta 相牙胶的穿透深度相同(P>0.05);然而,在 7mm 插压器插入深度时,alpha 相牙胶的流动深度明显大于 beta 相牙胶(P<0.01)。在 2-3mm 根尖水平,3 和 5mm 插压器深度产生的流动相似(P>0.05);两者都比 7mm 插压器深度产生的流动更好(P<0.01)。
在使用 System B 热源进行热垂直加压时,alpha 相牙胶与深部插压器结合使用时,向侧支和凹陷中的移动明显多于 beta 相牙胶。