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用于最终冲洗的各种冲洗方案,以提高根管内纤维桩的粘结强度。

Various irrigation protocols for final rinse to improve bond strengths of fiber posts inside the root canal.

作者信息

Bitter Kerstin, Hambarayan Ani, Neumann Konrad, Blunck Uwe, Sterzenbach Guido

机构信息

Department of Operative Dentistry, University School of Dental Medicine, Charité - Universitätsmedizin Berlin, Berlin, Germany.

出版信息

Eur J Oral Sci. 2013 Aug;121(4):349-54. doi: 10.1111/eos.12057. Epub 2013 May 18.

Abstract

Irrigation after post space preparation and its effects on the bond strength of different adhesive strategies are still an issue of interest. The aim of the present study was to investigate the effects of various irrigation protocols (IPs) on the push-out bond strengths of fiber posts. One-hundred and fifty extracted human anterior teeth were divided into three groups (n = 50 each) and endodontically treated. The post space was irrigated before post placement using the following five IPs in each group: IP1 (control): 5 ml of distilled water; IP2: 5.25% sodium hypochlorite (NaOCl) applied with passive ultrasonic irrigation (PUI); IP3: 1% NaOCl applied with PUI; IP4: 18% ethylenediaminetetracetic acid (EDTA) followed by 5.25% NaOCl; and IP5: 2% chlorhexidine (CHX). Fiber posts placement in each group was performed using three different adhesive strategies. A self-etch adhesive system revealed higher bond strength (16.2 ± 6.9 MPa) compared with an etch-and-rinse adhesive (8.5 ± 4.2 MPa) and a self-adhesive resin cement (9.2 ± 4.7 MPa). The use of 18% EDTA/5.25% NaOCl increased the bond strength of the self-adhesive resin cement. Conversely, this IP decreased the bond strength for the etch-and-rinse adhesive system, whilst 1% NaOCl enhanced the bond strength for the same system. Consequently, each adhesive strategy may need to be adapted to a specific IP.

摘要

根管预备后冲洗及其对不同粘接策略粘接强度的影响仍是一个备受关注的问题。本研究的目的是探讨不同冲洗方案(IPs)对纤维桩推出粘接强度的影响。将150颗拔除的人上前牙分为三组(每组n = 50)并进行根管治疗。在桩置入前,每组使用以下五种冲洗方案冲洗根管:IP1(对照组):5 ml蒸馏水;IP2:5.25%次氯酸钠(NaOCl)配合被动超声冲洗(PUI);IP3:1% NaOCl配合PUI;IP4:18%乙二胺四乙酸(EDTA),然后用5.25% NaOCl;IP5:2%氯己定(CHX)。每组纤维桩的置入采用三种不同的粘接策略。与酸蚀冲洗粘接剂(8.5±4.2 MPa)和自粘接树脂水门汀(9.2±4.7 MPa)相比,自酸蚀粘接系统显示出更高的粘接强度(16.2±6.9 MPa)。使用18% EDTA/5.25% NaOCl可提高自粘接树脂水门汀的粘接强度。相反,该冲洗方案降低了酸蚀冲洗粘接系统的粘接强度,而1% NaOCl则提高了同一系统的粘接强度。因此,每种粘接策略可能需要适应特定的冲洗方案。

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