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充填材料与根尖充填材料之间界面的扫描电子显微镜评估

SEM evaluation of the interface between filling and root-end filling materials.

作者信息

Rosa R A, Santini M F, Heiden K, Só B B, Kuga M C, Pereira J R, Só M V R

机构信息

Conservative Dentistry Department, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.

Department of Restorative Dentistry, Araraquara Dental School, São Paulo State University, Araraquara, SP, Brazil.

出版信息

Scanning. 2014 Mar-Apr;36(2):252-7. doi: 10.1002/sca.21097. Epub 2013 Jun 3.

Abstract

The aim of this ex vivo study was to evaluate, by scanning electron microscopy (SEM), the presence of gaps at the interface between filling material and three root-end filling materials. Thirty human upper molars disto-buccal roots were instrumented and filled with gutta-percha and eugenol-based sealer. The apicoectomy was performed 2 mm from the apex and retrograde cavities were prepared with ultrasonic points (3 mm in deep). The samples were divided into three experimental groups (n = 10): Group I-white mineral trioxide aggregate (MTA); Group II-Super EBA; and Group III-Portland cement. The root-end filling materials were inserted into the retocavities using a MTA carrier. After 48 h, the roots were transversally sectioned in order to obtain the apical 5 mm. Next, each specimen was prepared longitudinally with crescent granulation of abrasives water-wet sandpapers in order to expose the filling and root-end filling materials. Then, the specimens were subjected to slow dehydration with silica gel, mounted onto specific stubs and coated with paladium coverage for SEM analysis of the interface between filling and root-end filling materials. The percentage of gaps at the interfacial area was calculated by using Image Tool 3.0 software. Super EBA presented the higher percentage of gaps (1.5 ± 0.67%), whereas MTA presented the lowest values (0.33 ± 0.20%; p = 0.0004). Despite the statistical differences observed between Super EBA and MTA, all the root-end filling materials presented great adaptation to the filling material, presenting small amount of gaps.

摘要

本体外研究的目的是通过扫描电子显微镜(SEM)评估充填材料与三种根尖充填材料之间界面处间隙的存在情况。选取30颗人类上颌磨牙的远中颊根进行预备,并用牙胶和丁香酚类封闭剂充填。在距根尖2mm处进行根尖切除术,并用超声尖制备倒凹洞形(深3mm)。将样本分为三个实验组(n = 10):第一组——白色矿物三氧化物凝聚体(MTA);第二组——超级EBA;第三组——波特兰水泥。使用MTA输送器将根尖充填材料插入倒凹洞中。48小时后,将牙根横向切片以获得根尖5mm的部分。接下来,每个标本用湿水磨砂纸纵向打磨成月牙形颗粒,以暴露充填材料和根尖充填材料。然后,将标本用硅胶缓慢脱水,安装在特定的短柱上,并用钯覆盖进行SEM分析,以观察充填材料与根尖充填材料之间的界面。使用Image Tool 3.0软件计算界面区域间隙的百分比。超级EBA的间隙百分比更高(1.5±0.67%),而MTA的间隙百分比最低(0.33±0.20%;p = 0.0004)。尽管在超级EBA和MTA之间观察到统计学差异,但所有根尖充填材料与充填材料的贴合度都很高,间隙量很小。

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