Mehrvarzfar Payman, Saghiri Mohammad Ali, Karamifar Kasra, Khalilak Zohre, Maalek Nahid
Department of Endodontics, Dental School, Azad University of Medical Science, Tehran, Iran.
Iran Endod J. 2010 Summer;5(3):117-20. Epub 2010 Aug 15.
Adequate root canal seal following retreatment is essential for a successful outcome. Resilon/Epiphany (R/E) obturation system has been introduced as a substitute for conventional gutta-percha/sealer method. This in vitro study compared the amount of apical microleakage of R/E with gutta-percha/AH26 (GP/AH26) sealer as secondary root canal filling following retreatment in human teeth.
Fifty human single-rooted lower premolar teeth were selected. After preparing them with ProTaper rotary NiTi instruments, all the canals were obturated using GP/AH26 sealer. After 10 days, all the samples were retreated using the same rotary NiTi instruments. The samples were divided randomly into two experimental groups A and B (n=20) and positive and negative control groups (n=5). In group A, all canals were obturated using GP/AH26 sealer and in group B all canals were obturated using R/E. After one week incubation in 37˚C with 100% humidity, the amount of apical microleakage was evaluated with fluid filtration model. All the apical microleakage data were analyzed with Mann-Whitney U test.
The mean amounts of apical microleakage were 0.317 ± 0.287 and 0.307 ± 0.281 µL/8min (fluid pressure=30 cm H2O) in experimental group A and B respectively; the difference was not statistically significant (P>0.05).
R/E seems to be a good alternative for retreatment as a secondary root canal filling material. However, Resilon/Epiphany obturation system does not completely avert microleakage.
再治疗后进行充分的根管封闭对于获得成功的治疗效果至关重要。Resilon/Epiphany(R/E)充填系统已作为传统牙胶尖/封闭剂方法的替代品被引入。本体外研究比较了R/E与牙胶尖/AH26(GP/AH26)封闭剂作为人牙再治疗后根管二次充填时根尖微渗漏的量。
选取50颗人单根下颌前磨牙。用ProTaper旋转镍钛器械预备根管后,所有根管均使用GP/AH26封闭剂充填。10天后,所有样本使用相同的旋转镍钛器械进行再治疗。样本随机分为两个实验组A和B(n = 20)以及阳性和阴性对照组(n = 5)。A组所有根管使用GP/AH26封闭剂充填,B组所有根管使用R/E充填。在37˚C、湿度100%的条件下孵育一周后,采用液体过滤模型评估根尖微渗漏量。所有根尖微渗漏数据采用Mann-Whitney U检验进行分析。
实验组A和B的根尖微渗漏平均量分别为0.317 ± 0.287和0.307 ± 0.281 µL/8min(流体压力 = 30 cm H2O);差异无统计学意义(P>0.05)。
R/E似乎是一种很好的再治疗根管二次充填材料替代品。然而,Resilon/Epiphany充填系统并不能完全避免微渗漏。