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四种根管充填方法的界面及封闭能力的超微结构研究:Resilon与牙胶的对比

Ultramicroscopic study of the interface and sealing ability of four root canal obturation methods: Resilon versus gutta-percha.

作者信息

Castelo-Baz Pablo, Martin-Biedma Benjamin, Lopes Maria Manuela, Pires-Lopes Luis, Silveira Joao, López-Rosales Elisardo, Varela-Patiño Purificación

机构信息

Unit of Dental Pathology and Therapeutics, Faculty of Medicine and Dentistry, University of Santiago de Compostela, Santiago de Compostela, La Coruña, Spain.

出版信息

Aust Endod J. 2013 Dec;39(3):159-63. doi: 10.1111/j.1747-4477.2012.00370.x. Epub 2012 Sep 24.

Abstract

Recently, filling materials have been introduced based on the dentine adhesion technologies used in conservative dentistry in an attempt to seal the root canal more effectively. The purpose of this study was to investigate the interface between the canal and root-filling material. Sealing ability of four root canal obturation methods was analysed by means of scanning electron microscopy. Extracted single-rooted teeth were endodontically treated and filled with gutta-percha/Pulp Canal Sealer using the Thermafil (TH) technique, gutta-percha/Pulp Canal Sealer using the System B (SB) technique, Resilon points/RealSeal (RS) and RealSeal 1/RealSeal (RS1). Specimen interfaces were analysed using field-emission scanning electron microscopy. The adhesive groups RS and RS1, formed hybrid layers but showed areas of separation (gaps) similar to those in the conventional obturation groups. The RS and RS1 groups showed less separation in the coronal third, but the separation was similar to that in the TH and SB groups in the middle and apical thirds. The sealing ability of Resilon is not superior to that of existing materials.

摘要

最近,基于保守牙科中使用的牙本质黏附技术引入了填充材料,试图更有效地封闭根管。本研究的目的是研究根管与根管充填材料之间的界面。通过扫描电子显微镜分析四种根管充填方法的封闭能力。拔除的单根牙进行根管治疗,采用热牙胶垂直加压充填技术(TH)用牙胶/根管封闭剂充填,采用System B热牙胶充填技术(SB)用牙胶/根管封闭剂充填,采用Resilon尖/RealSeal封闭剂(RS)以及RealSeal 1/RealSeal封闭剂(RS1)充填。使用场发射扫描电子显微镜分析样本界面。黏结组RS和RS1形成了混合层,但显示出与传统充填组相似的分离区域(间隙)。RS和RS1组在冠方三分之一处的分离较少,但在根中三分之一和根尖三分之一处的分离与TH组和SB组相似。Resilon的封闭能力并不优于现有材料。

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