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新型牙髓腔充填系统及其与根管内牙本质的界面粘结强度——体外研究。

New endodontic obturation systems and their interfacial bond strength with intraradicular dentine - ex vivo studies.

机构信息

Department of Conservative Dentistry, Medical University of Bialystok, Bialystok, Poland.

出版信息

Adv Med Sci. 2011;56(2):327-33. doi: 10.2478/v10039-011-0031-1.

DOI:10.2478/v10039-011-0031-1
PMID:21940263
Abstract

PURPOSE

To comparatively evaluate adhesive properties of selected root canal fillings through the measurement of the material-dentine interfacial bond strength.

MATERIAL AND METHODS

Fifty extracted single-rooted human teeth with one canal each were prepared using Hero instruments to size 30.04. Teeth were divided into four subgroups depending on the root canal filling material and the method of obturation: Resilon/Epiphany - a thermoplastic method (IA), Resilon/Epiphany - a matching single-point method (IB), gutta-percha/Roeko Seal Automix - a thermoplastic method (IIA) and gutta-percha/Roeko Seal Automix - a matching single-point method (IIB). The obturated roots were cut perpendicular to the long axis to create 1.7 mm thick slices. The bond strength was measured for each test slice with push -out testing machine.

RESULTS

The highest push-out bond strength was registered in subgroup IB (3.98 ± 1.33 MPa). Significantly lower bond strength was observed in subgroups IA (0.50 ± 0.24 MPa), IIA (0.33 ± 0.18 MPa) and IIB (0.08 ± 0.03 MPa) (p<0.001). No statistically significant differences in material-dentine interfacial bond strength values were observed between IA and IIA, IA and IIB, IIA and IIB subgroups (p > 0.05).

CONCLUSIONS

The push-out bond strength of the material-dentine interface was dependent on the type of material used and the root canal filling technique. The R/E system exhibited better adhesion ability to intraradicular dentine than G/RSA. The highest bond strength was observed for Resilon/Epiphany introduced with the single-cone technique.

摘要

目的

通过测量材料-牙本质界面结合强度来比较评价几种根管充填材料的黏附性能。

材料和方法

50 颗具有单根管的人离体单根恒牙使用 Hero 根管预备器械预备至 30.04 号。根据根管充填材料和根管充填技术将样本分为四组:Resilon/Epiphany 热塑注射技术(IA 组)、Resilon/Epiphany 冷牙胶侧方加压技术(IB 组)、冷牙胶侧方加压技术(IIA 组)和热牙胶垂直加压技术(IIB 组)。将根管充填后的样本垂直牙长轴切割,制成 1.7mm 厚的样本。使用推出实验机测量每组样本的结合强度。

结果

IB 组的结合强度最高(3.98±1.33MPa)。IA 组(0.50±0.24MPa)、IIA 组(0.33±0.18MPa)和 IIB 组(0.08±0.03MPa)的结合强度显著较低(p<0.001)。IA 组与 IIA 组、IA 组与 IIB 组、IIA 组与 IIB 组之间的材料-牙本质界面结合强度值无统计学差异(p>0.05)。

结论

根管充填材料与牙本质之间的结合强度取决于所使用的材料类型和根管充填技术。R/E 系统比 G/RSA 对牙本质具有更好的黏附能力。使用单根管技术时,Resilon/Epiphany 系统具有最高的结合强度。

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