Department of Endodontics, University of Iowa, Iowa City, Iowa, 52242-1001, USA.
J Endod. 2013 Jan;39(1):125-8. doi: 10.1016/j.joen.2012.10.014. Epub 2012 Nov 13.
A novel carrier-based obturation system, GuttaCore, was developed to facilitate more efficient nonsurgical retreatments. This ex vivo study evaluated the time required for re-treating GuttaCore and 2 other common obturation materials in moderately curved canals with ProTaper retreatment and ProTaper files.
Sixty mesial roots of mandibular molars with the same mean curvature were randomly divided into 3 experimental groups: warm vertical, Thermafil Plus, and GuttaCore. Ten teeth served as positive and negative controls. The mesiobuccal canal in each sample was prepared to ISO size 30 with 0.04 taper. The warm vertical group was obturated by using a continuous-wave technique of gutta-percha compaction, and the Thermafil Plus and GuttaCore groups were obturated according to manufacturers' instructions. After allowing sealer to set, each specimen was sequentially treated with ProTaper Retreatment files D1, D2, and D3 and ProTaper Universal file F3 to the predetermined working length. The time taken to reach working length (T1) and the time required for obturation material removal (T2) were recorded.
One-way analysis of variance followed by post hoc Tukey-Kramer test indicated that the mean total time to remove filling material for the GuttaCore group was significantly shorter than those observed in the other groups (P < .05). No significant difference was observed between warm vertical and Thermafil Plus groups.
GuttaCore is removed in less time from moderately curved canals with ProTaper files than either thermoplasticized gutta-percha or Thermafil Plus materials.
一种新型的基于载体的根管充填系统 GuttaCore 被开发出来,以促进更有效的非手术再治疗。本体外研究评估了使用 ProTaper 再治疗和 ProTaper 锉在中度弯曲根管中重新处理 GuttaCore 和其他 2 种常见的根管充填材料所需的时间。
60 颗下颌磨牙的近中根具有相同的平均曲率,随机分为 3 个实验组:热垂直、Thermafil Plus 和 GuttaCore。10 颗牙作为阳性和阴性对照。每个样本的近颊根管用 0.04 锥度的 ISO 尺寸 30 号 ProTaper 预备。热垂直组采用热牙胶垂直加压技术充填,Thermafil Plus 和 GuttaCore 组按制造商的说明进行充填。在密封剂凝固后,每个标本依次用 ProTaper 再治疗锉 D1、D2 和 D3 和 ProTaper 通用锉 F3 处理到预定的工作长度。记录到达工作长度的时间(T1)和去除充填材料的时间(T2)。
单因素方差分析后用 Tukey-Kramer 检验表明,GuttaCore 组去除充填材料的总时间明显短于其他组(P <.05)。热垂直组和 Thermafil Plus 组之间无显著性差异。
与热塑牙胶或 Thermafil Plus 材料相比,GuttaCore 用 ProTaper 锉从中度弯曲根管中去除的时间更短。