Ramzi Hasan, Shokouhinejad Noushin, Saghiri Mohammad Ali, Samieefard Ardavan
Department of Endodontics, Dental Research Center/School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.
Iran Endod J. 2010 Fall;5(4):161-6. Epub 2010 Nov 15.
The purpose of this study was to evaluate the efficacy of three methods in removal of Resilon/new Epiphany self-etch (SE) soft resin endodontic obturation system.
Thirty extracted single rooted human teeth were prepared for endodontic treatment and obturated with Resilon/Epiphany SE. The roots were randomly divided into three groups; group 1 roots were retreated using Mtwo R/Mtwo files; group 2 were retreated using Mtwo R/Mtwo accompanied with chloroform; and group 3 were retreated using Mtwo R/Mtwo accompanied with Endosolv R. The cleanliness of canal walls was determined using scanning electron microscopy. Data were analyzed using ANOVA and LSD tests.
Endosolv R combined with rotary files was more efficient in material removal compared to chloroform combined with rotary files and rotary files alone (P<0.05). Also, chloroform combined with rotary file was more efficient than rotary file alone in removing filling material from the root canals. Significant difference was found within group 1 between the coronal third compared to the middle and apical thirds (P<0.05). In group 2, there were more material remnants in the apical third (P<0.05). In group 3, there was no significant difference between the three segments of the root canals (P>0.05).
All techniques left filling material remnants and debris on the root canal walls. Endosolv R combined with rotary files most effectively removed filling materials from the root canals, especially in the apical third.
本研究的目的是评估三种方法去除Resilon/新型Epiphany自酸蚀(SE)软树脂根管充填系统的效果。
选取30颗拔除的单根人牙进行根管治疗,并用Resilon/Epiphany SE进行充填。将牙根随机分为三组;第1组牙根使用Mtwo R/Mtwo锉进行再治疗;第2组使用Mtwo R/Mtwo锉并辅以氯仿进行再治疗;第3组使用Mtwo R/Mtwo锉并辅以Endosolv R进行再治疗。使用扫描电子显微镜确定根管壁的清洁度。数据采用方差分析和LSD检验进行分析。
与单独使用氯仿和单独使用旋转锉相比,Endosolv R与旋转锉联合使用在去除材料方面更有效(P<0.05)。此外,氯仿与旋转锉联合使用在从根管中去除充填材料方面比单独使用旋转锉更有效。在第1组中,冠部三分之一与中部和根尖三分之一相比存在显著差异(P<0.05)。在第2组中,根尖三分之一有更多的材料残留(P<0.05)。在第3组中,根管的三个节段之间没有显著差异(P>0.05)。
所有技术都在根管壁上留下了充填材料残留和碎屑。Endosolv R与旋转锉联合使用最有效地从根管中去除了充填材料,尤其是在根尖三分之一处。