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作为根管二次充填材料的Resilon与牙胶尖的对比研究:一项体外研究。

A comparative study between resilon and gutta-percha as a secondary root canal filling materials: an in vitro study.

作者信息

Mehrvarzfar Payman, Saghiri Mohammad Ali, Karamifar Kasra, Khalilak Zohre, Maalek Nahid

机构信息

Department of Endodontics, Dental School, Azad University of Medical Science, Tehran, Iran.

出版信息

Iran Endod J. 2010 Summer;5(3):117-20. Epub 2010 Aug 15.

Abstract

INTRODUCTION

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.

MATERIALS AND METHODS

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.

RESULTS

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).

CONCLUSION

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.

摘要

引言

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。

材料与方法

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。

结果

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)。

结论

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。

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