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根管预备技术和冲洗液对玻璃纤维桩与牙根牙本质粘结强度的影响。

Influence of instrumentation techniques and irrigating solutions on bond strength of glass fiber posts to root dentin.

作者信息

Marques Eduardo Fernandes, Bueno Carlos Eduardo da Silveira, Veloso Heloisa Helena Pinho, Almeida Gustavo, Pinheiro Sergio Luiz

出版信息

Gen Dent. 2014 Mar-Apr;62(2):50-3.

Abstract

This study sought to evaluate how instrumentation techniques and irrigating solutions affected the bond strength of glass fiber posts. For this study, 80 human maxillary central incisors were selected. Endodontic access was obtained, root canal length was measured, and the coronal third was prepared using Gates-Glidden drills. The specimens were embedded in acrylic resin and randomly assigned to 8 groups (n = 10): manual instrumentation only (Group 1), rotary instrumentation only (Group 2), irrigation with 2.5% sodium hypochlorite (NaOCl) (Group 3), irrigation with 2% chlorhexidine (CHX) (Group 4), manual instrumentation and irrigation with 2.5% NaOCl (Group 5), manual instrumentation and irrigation with 2% CHX (Group 6), rotary instrumentation and irrigation with 2.5% NaOCl (Group 7), and rotary instrumentation and irrigation with 2% CHX (Group 8). Specimens in Groups 5-8 also received a 1 minute final rinse with ethylenediaminetetraacetic acid. Canals were filled and the specimens stored for 30 days in distilled water. The restoration material was removed down to the apical 4 mm of the root canal. The glass fiber posts were luted with resin cement and stored for 24 hours at 37°C. Specimens were subjected to a tensile strength test at a constant speed of 1.0 mm/minute and a load of 2,000 kgf. The results were analyzed by analysis of variance and Tukey's test. Irrigation with 2.5% NaOCl reduced the bond strength of fiber posts significantly (P < 0.01), while CHX showed no effect (P > 0.05). It was concluded that irrigation with 2.5% NaOCl has a negative effect on micromechanical retention of glass fiber posts, whether manual or rotary instrumentation is used.

摘要

本研究旨在评估根管预备技术和冲洗液对玻璃纤维桩粘结强度的影响。本研究选取了80颗人上颌中切牙。开髓后,测量根管长度,并用Gates-Glidden钻预备冠方三分之一根管。将样本嵌入丙烯酸树脂中,并随机分为8组(n = 10):仅手动预备根管(第1组)、仅用旋转器械预备根管(第2组)、用2.5%次氯酸钠(NaOCl)冲洗(第3组)、用2%氯己定(CHX)冲洗(第4组)、手动预备根管并用2.5% NaOCl冲洗(第5组)、手动预备根管并用2% CHX冲洗(第6组)、用旋转器械预备根管并用2.5% NaOCl冲洗(第7组)、用旋转器械预备根管并用2% CHX冲洗(第8组)。第5 - 8组的样本还用乙二胺四乙酸进行了1分钟的最终冲洗。根管充填后,样本在蒸馏水中保存30天。将修复材料去除至根管根尖4 mm处。用树脂水门汀粘结玻璃纤维桩,并在37°C下保存24小时。样本以1.

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