Ranjithkumar S, Velmurugan N, Roy Anna, Hemamalathi S
Department of Conservative Dentistry and Endodontics, Meenakshi Ammal Dental College and Hospital, Alapakkam Main Road, Maduravoyal, Chennai, India.
Indian J Dent Res. 2012 Jul-Aug;23(4):484-9. doi: 10.4103/0970-9290.104954.
The purpose of the study is to compare the regional micro-push-out bond strength of custom-made resin post and a prefabricated resin post luted using self-etch adhesive and/or etch and rinse adhesive system at various regions.
Forty freshly extracted human maxillary central incisors were selected for this study; 1.5-2-mm coronal to the cemento-enamel junction was removed with a diamond disk using a slow speed handpiece under cooling water. Working lengths were established, root canals were sequentially enlarged upto the apex until ISO size 50-K-file and obturated using gutta-percha and AH plus sealer by cold lateral compaction. Post spaces were prepared to a depth of 10 mm using paeso-reamer upto size #3. After preparation, each specimen was embedded in chemically cured acrylic resin. The roots were randomly assigned to four groups: Group I: Custom-made resin post+Self-etch adhesive, Group II: Glass FRC post+Self-etch adhesive, Group III: Custom-made resin post+Etch and Rinse adhesive, Group IV: Glass FRC post+Etch and Rinse adhesive. Fabrication of custom-made resin post was done. All the posts were cemented using a dual cure resin luting cement. Each root was sectioned perpendicular to the long axis using a microtome and subjected to micro-push-out bond strength.
The micro-push-out bond strength in the coronal region, in Group I 13.5 ± 1.66 MPa, Group II 12.08 ± 0.8 MPa, Group III 11.15 ± 1.06 MPa, Group IV 11.81 ± 1.11 MPa. In the middle third region: Group I 11.43 ± 0.740 MPa, Group II 10.584 ± 0.504 MPa, Group III 10.0582 ± 0.830 MPa, Group IV 10.35 ± 0772 MPa. In the apical third: Group I 10.38 ± 0.878 MPa, Group II 9.59 ± 1.06 MPa, Group III 9.34 ± 0.73o MPa, Group IV 8.77 ± 1.02 MPa.
Within the limitations of the study, amongst all the four groups tested, custom-made resin post luted with self-etch system (CMPR-SE) showed higher micro-push-out bond strength values in all regions when compared to the other groups.
本研究旨在比较定制树脂桩和预制树脂桩在不同区域使用自酸蚀粘结剂和/或酸蚀冲洗粘结剂系统粘结后的区域微推出粘结强度。
本研究选取40颗新鲜拔除的人上颌中切牙;使用慢速手机在冷却水冷却下用金刚石盘去除牙骨质-釉质界冠方1.5 - 2毫米的牙体组织。确定工作长度,根管依次扩大至根尖,直至ISO 50号K锉,然后使用牙胶尖和AH plus封闭剂通过冷侧向加压法进行根管充填。使用梨形扩孔钻将桩道制备至10毫米深,直至3号尺寸。制备完成后,将每个标本嵌入化学固化丙烯酸树脂中。将牙根随机分为四组:第一组:定制树脂桩+自酸蚀粘结剂;第二组:玻璃纤维增强树脂桩+自酸蚀粘结剂;第三组:定制树脂桩+酸蚀冲洗粘结剂;第四组:玻璃纤维增强树脂桩+酸蚀冲洗粘结剂。制作定制树脂桩。所有桩均使用双固化树脂粘结水门汀粘结。使用切片机将每个牙根垂直于长轴进行切片,并进行微推出粘结强度测试。
在冠方区域,第一组微推出粘结强度为13.5±1.66兆帕,第二组为12.08±0.8兆帕,第三组为11.15±1.06兆帕,第四组为11.81±1.11兆帕。在中1/3区域:第一组为11.43±0.740兆帕,第二组为10.584±0.504兆帕,第三组为10. .0582±0.830兆帕,第四组为10.35±0.772兆帕。在根尖1/3区域:第一组为10.38±0.878兆帕,第二组为9.59±1.06兆帕,第三组为9.34±0.730兆帕,第四组为8.77±1.02兆帕。
在本研究的局限性范围内,在所有测试的四组中,与其他组相比,使用自酸蚀系统粘结的定制树脂桩(CMPR-SE)在所有区域均显示出更高的微推出粘结强度值。