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修复增粗根管的技术:抗折强度和粘结强度的评估。

Techniques for restoring enlarged canals: an evaluation of fracture resistance and bond strength.

机构信息

Analytical Laboratory of Restorative Biomaterials, Dental School, Federal Fluminense University, Niterói, RJ, Brazil.

出版信息

Int Endod J. 2015 Jan;48(1):28-36. doi: 10.1111/iej.12272. Epub 2014 Mar 26.

Abstract

AIM

To verify the influence of fibreglass post diameter, as well as use of accessory posts on fracture resistance and bond strength, when used for restoring enlarged root canals.

METHODOLOGY

One hundred maxillary single-rooted canine human teeth were decoronated and root canals were prepared using a No.4 drill (White Post, FGM, Joinville, SC, Brazil). The roots were assigned to five groups: (EC1) post No.1 (Exacto Cônico, Angelus, Londrina, PR, Brazil); (EC2) post No.2 (Exacto Cônico, Angelus); (EC3) post No.3 (Exacto Cônico, Angelus); (ECA) post No.1 (Exacto Cônico, Angelus) plus two accessory posts (Reforpin, Angelus); (WP) post No.4 (White Post, FGM). Posts 1-4 have a crescent diameter. Posts were luted (Rely X-Arc, 3M ESPE, USA) and composite resin filling cores were prepared for the fracture resistance test (n = 10). For the push-out test (n = 10), roots were sectioned into 1 mm thick slices. Both tests were performed in a universal testing machine. Data were analysed using anova and Tukey's test.

RESULTS

Groups WP and EC3 had higher fracture resistance than the other groups (P < 0.05), which were statistically similar. Root fractures occurred in 14% of the specimens. Groups EC1 and EC2 had lower bond strength values than Groups EC3 and ECA which were lower than the WP Group (P < 0.05). Bond strength was lower in the apical and middle third than in the cervical third of root canals (P < 0.05).

CONCLUSIONS

Thicker posts were associated with higher resistance to fracture and bond strength to root canals. Using a post plus two accessory posts improved the bond strength but not the fracture resistance.

摘要

目的

验证纤维桩直径以及使用附加桩对修复扩大根管后的抗折强度和粘结强度的影响。

方法

将 100 颗上颌单根恒前磨牙牙冠截断,用 4 号牙钻(White Post,FGM,Joinville,SC,巴西)预备根管。将根分为 5 组:(EC1)1 号桩(Exacto Cônico,Angelus,Londrina,PR,巴西);(EC2)2 号桩(Exacto Cônico,Angelus);(EC3)3 号桩(Exacto Cônico,Angelus);(ECA)1 号桩(Exacto Cônico,Angelus)加 2 个附加桩(Reforpin,Angelus);(WP)4 号桩(White Post,FGM)。1-4 号桩具有渐缩直径。将桩粘固(Rely X-Arc,3M ESPE,美国),并制备复合树脂核进行抗折强度试验(n = 10)。对于推出试验(n = 10),将根切成 1 毫米厚的切片。在万能试验机上进行两项试验。使用方差分析和 Tukey 检验对数据进行分析。

结果

WP 组和 EC3 组的抗折强度高于其他组(P < 0.05),统计学上相似。14%的标本发生根折。EC1 组和 EC2 组的粘结强度值低于 EC3 组和 ECA 组,低于 WP 组(P < 0.05)。根尖和中部的粘结强度低于根管颈部(P < 0.05)。

结论

较厚的桩与较高的抗折强度和根管粘结强度相关。使用桩加 2 个附加桩可提高粘结强度,但不能提高抗折强度。

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