Melton D, Cobb S, Krell K V
Department of Endodontics, College of Dentistry, University of Iowa, Iowa City.
Oral Surg Oral Med Oral Pathol. 1990 Aug;70(2):221-5. doi: 10.1016/0030-4220(90)90123-a.
Temporary restorative materials are an important component of endodontic therapy. They must both adequately seal the access preparation between visits and protect the obturated canal(s) from microleakage until a permanent restoration can be placed. The efficacy of Cavit and T.E.R.M. (a new light-cured composite product) was compared with the use of a carbon black coronal microleakage protocol. The teeth examined had previously received coronal restorations. After the teeth were accessed, restored with Cavit or T.E.R.M., and exposed to the dye, they were cleared. Three-dimensional assessment then revealed that Cavit more consistently provided an effective seal. In addition, a great deal of microleakage was observed around the permanent restoration-tooth interface. This indicates that perhaps leaking permanent restorations should be removed in their entirety before initiation of endodontic treatment.
临时修复材料是牙髓治疗的重要组成部分。它们必须在就诊期间充分封闭开髓洞形,并保护充填好的根管免受微渗漏,直至能够进行永久修复。采用炭黑冠部微渗漏检测方案,比较了Cavit和T.E.R.M.(一种新型光固化复合产品)的效果。所检查的牙齿先前已进行了冠部修复。在开髓、用Cavit或T.E.R.M.修复并接触染料后,将牙齿清理干净。三维评估结果显示,Cavit更能始终如一地提供有效的封闭。此外,在永久修复体与牙齿的界面周围观察到大量微渗漏。这表明,或许在开始牙髓治疗之前,应将渗漏的永久修复体全部拆除。