Sarı Tuğrul, Özyesil Atilla G
Department of Prosthodontics, Bezmialem Vakıf University Faculty of Dentistry, Istanbul, Turkey.
J Prosthodont. 2014 Jan;23(1):45-9. doi: 10.1111/jopr.12054. Epub 2013 May 31.
Commercial fiber-reinforced dowel systems are marketed as having better adhesion and sealing ability than conventional metallic dowel systems. The aim of this in vitro study was to evaluate the microleakage of teeth restored with nine dowel systems.
Ninety mandibular second premolar teeth were decoronated, and nine homogenous groups were composed of ten teeth each. Root canal and dowel space preparations were made, and eight fiber-reinforced composite dowel systems and one stainless steel dowel system were used to fabricate dowel restorations. Microleakage measurements of the restored teeth were made with a modified fluid filtration method, and data were collected. One sample Kolmogorov-Smirnov, one-way ANOVA, and Tukey-HSD tests were performed on the relative microleakage data of the groups.
Microleakage values were reported relative to those for teeth with unfilled canals. The highest and lowest relative microleakage values were recorded for the metallic Parapost (7.06 × 10(-4) %) and fiber-reinforced Everstick (3.55 × 10(-4) %) groups, respectively. Significant differences in relative microleakage between the fiber-reinforced dowels and stainless steel dowels were observed. Significant differences among the fiber-reinforced dowel groups were observed as well.
The sealing ability of all fiber-reinforced composite dowels is not better than that of stainless steel dowels, and there are significant differences among different fiber-reinforced dowel systems as well. Differences among commercial dowel systems must be taken into consideration when making a selection.
商业纤维增强桩系统在市场上宣传其具有比传统金属桩系统更好的粘结和密封能力。本体外研究的目的是评估用九种桩系统修复的牙齿的微渗漏情况。
将90颗下颌第二前磨牙去冠,分为9个同质组,每组10颗牙。进行根管和桩道预备,使用8种纤维增强复合桩系统和1种不锈钢桩系统制作桩修复体。采用改良的液体过滤法对修复后的牙齿进行微渗漏测量,并收集数据。对各组的相对微渗漏数据进行单样本柯尔莫哥洛夫-斯米尔诺夫检验、单因素方差分析和图基- Honestly Significant Difference检验。
微渗漏值相对于未充填根管的牙齿报告。金属Parapost组(7.06×10⁻⁴%)和纤维增强Everstick组(3.55×10⁻⁴%)分别记录到最高和最低的相对微渗漏值。观察到纤维增强桩与不锈钢桩之间相对微渗漏存在显著差异。纤维增强桩组之间也观察到显著差异。
所有纤维增强复合桩的密封能力并不优于不锈钢桩,不同纤维增强桩系统之间也存在显著差异。选择时必须考虑商业桩系统之间的差异。