Scotti N, Forniglia A, Bergantin E, Paolino D S, Pasqualini D, Berutti E
Department of Surgical Sciences, Dental School Lingotto, University of Turin, Turin, Italy.
Int Endod J. 2014 Apr;47(4):366-72. doi: 10.1111/iej.12156. Epub 2013 Aug 6.
To evaluate ex vivo the bond strength and adaptation of fibre posts with oval and circular cross sections luted in oval canals with post spaces prepared using dedicated drills or ultrasonic tips.
Forty extracted premolars with oval canals were root filled, then randomly divided into four groups according to the post space preparation device and the shape of the luted fibre post: dedicated drill + round post, dedicated drill + oval post, ultrasonic tip + round post and ultrasonic tip + oval post. Posts were cemented with a self-adhesive cement (RelyX Unicem 2; 3M ESPE). Samples were sectioned in 1-mm-thick slices and observed under a microscope, and the area occupied by the post within the post space area was calculated. Bond strength was then measured using a push-out test, and the failure modes were evaluated with a stereomicroscope at 40× magnification. Fibre post adaptation and push-out test results were evaluated by analysis of variance (P < 0.05).
Fibre posts, both round and oval, were better adapted to the apical region of the post space (P = 0.001). In oval canals, the bond strength was significantly higher in coronal regions, when the post space was prepared with a dedicated drill and an oval post was luted (P < 0.0001). Adhesive failures between cement and post were the most frequent type of failure in all groups.
Circular and oval posts achieved similar adaptation to oval canals, but the use of ultrasonic tips and round posts resulted in reduced bond strength values.
体外评估使用专用钻或超声尖制备桩道的椭圆形根管中,椭圆形和圆形横截面纤维桩的粘结强度及适应性。
选取40颗具有椭圆形根管的离体前磨牙进行根管充填,然后根据桩道制备器械及粘结纤维桩的形状随机分为四组:专用钻+圆形桩、专用钻+椭圆形桩、超声尖+圆形桩和超声尖+椭圆形桩。使用自粘结水门汀(RelyX Unicem 2;3M ESPE)粘结桩。将样本切成1毫米厚的切片,在显微镜下观察,并计算桩在桩道区域内所占的面积。然后使用推出试验测量粘结强度,并在40倍放大率下用体视显微镜评估失败模式。通过方差分析评估纤维桩适应性和推出试验结果(P<0.05)。
圆形和椭圆形纤维桩均能更好地适应桩道的根尖区域(P=0.001)。在椭圆形根管中,当使用专用钻制备桩道并粘结椭圆形桩时,冠部区域的粘结强度显著更高(P<0.0001)。所有组中,水门汀与桩之间的粘结失败是最常见的失败类型。
圆形和椭圆形桩对椭圆形根管的适应性相似,但使用超声尖和圆形桩会导致粘结强度值降低。