Malik Gauri, Bogra Poonam, Singh Simranjeet, Samra Rupandeep K
Department of Conservative Dentistry and Endodontics, Gian Sagar Dental College and Research Center, Banur, Punjab, India.
Department of Conservative Dentistry and Endodontics, D.A.V(C), College, Yamuna Nagar, Haryana, India.
J Conserv Dent. 2013 Nov;16(6):540-5. doi: 10.4103/0972-0707.120961.
The purpose of this study was to compare the sealing ability of Mineral Trioxide Aggregate (MTA) and Glass Ionomer Cement (GIC) when used over gutta-percha as intracanal sealing materials. The study also evaluated the sealing ability of Zinc oxide eugenol (ZOE) cement and Acroseal sealer.
Teeth were obturated with gutta-percha using sealer ZOE (group A, C, D) and Acroseal (group B). The groups were further divided into 2 subgroups (15 premolars each) on the basis of intracanal sealing material used: GIC subgroups (A1, B1) and MTA in subgroups (A2, B2). The clearing technique was used in this study for leakage evaluation. Seventy mandibular premolars were prepared using step-back technique and divided into experimental groups A and B (30 premolars each) and the positive and negative control groups C and D (5 premolars each).
Coronal microleakage was determined under stereomicroscope using 15X magnification. Data was statistically analyzed using one-way ANOVA followed by Post-Hoc Multiple comparison (Bonferroni).
MTA group leaked significantly less than GIC group (P < 0.05). Acroseal exhibited better sealing ability than ZOE sealer. Teeth with no intracanal barrier showed almost complete leakage.
MTA may be preferred over GIC as an intracanal barrier.
本研究旨在比较矿物三氧化物凝聚体(MTA)和玻璃离子水门汀(GIC)作为根管内封闭材料覆盖牙胶时的封闭能力。该研究还评估了氧化锌丁香酚(ZOE)水门汀和Acroseal封闭剂的封闭能力。
使用ZOE封闭剂(A组、C组、D组)和Acroseal封闭剂(B组)用牙胶对牙齿进行根管充填。根据所使用的根管内封闭材料,将这些组进一步分为2个亚组(每组15颗前磨牙):GIC亚组(A1、B1)和MTA亚组(A2、B2)。本研究采用透明技术评估渗漏情况。使用逐步后退技术制备70颗下颌前磨牙,并分为实验组A和B(每组30颗前磨牙)以及阳性和阴性对照组C和D(每组5颗前磨牙)。
在体视显微镜下以15倍放大率测定冠部微渗漏。数据采用单因素方差分析,随后进行事后多重比较(Bonferroni法)进行统计学分析。
MTA组的渗漏明显少于GIC组(P < 0.05)。Acroseal的封闭能力优于ZOE封闭剂。没有根管屏障的牙齿几乎完全渗漏。
作为根管屏障,MTA可能比GIC更受青睐。