Mehrvarzfar P, Rezvani Y, Jalalian E
Associate Professor, Department of Endodontics, Dental Branch, Islamic Azad University of Medical Sciences, Tehran, Iran.
J Dent (Tehran). 2012 Spring;9(2):156-61. Epub 2012 Jun 30.
Bacterial leakage and root fractures are the most important reasons of root canal treatment failure. Due to the lack of adhesion of gutta percha to the canal walls, Resilon has been introduced as a root-filling material able to bond to the root walls. Metal posts may predispose the tooth walls to oblique and vertical fracture which usually leads to tooth loss; whereas, fiber posts may reinforce the remaining tooth structure. The purpose of this study was to compare the effect of Resilon and gutta-percha on the fracture resistance of root canal following restoring with quartz fiber posts.
Forty-four maxillary incisor root canals were chemo-mechanically prepared, then randomly divided into three groups: 1-Control group (n=20), 2-Experimental group (n=20) and a negative control group (n=4). Root filled teeth were restored with quartz fiber posts and composite resin cores. Four teeth with a conservative prepared access cavities and without any further post preparation were used as a negative control group. After simulating the clinical situation, specimens were loaded in the Universal Testing Machine for compressive strength test. All data were statistically analyzed by the T-test.
The mean compressive strengths for group 1 was 535.8 ± 155.23 N and 645.93 ± 182.98N for group 2, which were statistically significant (p-value= 0.047).
Root canals filled with Resilon were significantly more resistant than that of gutta-percha, following restoration with quartz fiber posts.
细菌渗漏和牙根折断是根管治疗失败的最重要原因。由于牙胶与根管壁缺乏黏附性,Resilon作为一种能够与根壁黏合的根管充填材料被引入。金属桩可能使牙壁易于发生斜向和垂直折断,这通常会导致牙齿脱落;而纤维桩可能会增强剩余牙体结构。本研究的目的是比较Resilon和牙胶在使用石英纤维桩修复后对根管抗折性的影响。
对44颗上颌中切牙的根管进行化学机械预备,然后随机分为三组:1-对照组(n = 20),2-试验组(n = 20)和阴性对照组(n = 4)。根管充填后的牙齿用石英纤维桩和复合树脂核进行修复。四颗经保守预备髓腔且未进行任何进一步桩预备的牙齿用作阴性对照组。模拟临床情况后,将标本在万能试验机上加载进行抗压强度测试。所有数据采用t检验进行统计学分析。
第1组的平均抗压强度为535.8±155.23N,第2组为645.93±182.98N,差异具有统计学意义(p值 = 0.047)。
在用石英纤维桩修复后,用Resilon充填的根管比用牙胶充填的根管具有显著更高的抗折性。