Gunes Betul, Aydinbelge Hale Ali
Department of Endodontics, Faculty of Dentistry, University of Osmangazi, Eskişehir, Turkey.
Department of Endodontics, Faculty of Dentistry, University of Selcuk, Selcuklu-Konya, Turkey.
J Conserv Dent. 2014 Sep;17(5):476-80. doi: 10.4103/0972-0707.139846.
The aim of this in vitro study was to evaluate the effects of different ultrasonic surgical-tips and power-settings on micro-leakage of root-end filling material.
The root canals were instrumented using rotary-files and were filled with tapered gutta-percha and root canal sealer using a single-cone technique. The apical 3 mm of each root was resected and the roots were divided into six experimental groups; negative and positive control groups. Root-end cavities were prepared with diamond-coated, zirconum-nitride-coated and stainless-steel ultrasonic retro-tips at half-power and high-power settings. The time required to prepare the root-end cavities for each group was recorded. Root-end cavities were filled with Super-EBA. Leakage values of all samples evaluated with glucose penetration method on 7, 14, 21 and 28(th) days. The results were statistically analyzed with Kruskal-Wallis and Hollander-Wolfe tests.
The mean time required to prepare retro cavities using diamond-coated surgical tip at high-power setting was significantly less than other groups (P < 0.01). There were no statistically significant differences in the glucose penetration between the groups at first and second weeks (P > 0.01). Diamond-coated surgical tip showed the least leakage at high-power setting at 3(rd) and 4(th) weeks (P < 0.01).
Under the conditions of this study, cavity preparation time was the shortest and the leakage of the root-end filling was the least when diamond-coated retro-tip used at high-power setting.
本体外研究旨在评估不同超声手术头及功率设置对根尖充填材料微渗漏的影响。
使用旋转锉对根管进行预备,采用单锥技术用锥形牙胶尖和根管封闭剂进行充填。切除每颗牙根根尖3mm部分,并将牙根分为六个实验组;阴性和阳性对照组。分别使用镀金刚石、氮化锆涂层和不锈钢超声倒充头在半功率和全功率设置下制备根尖窝洞。记录每组制备根尖窝洞所需时间。根尖窝洞用Super-EBA充填。在第7、14、21和28天,采用葡萄糖渗透法评估所有样本的渗漏值。结果采用Kruskal-Wallis和Hollander-Wolfe检验进行统计学分析。
在全功率设置下,使用镀金刚石手术头制备倒充窝洞的平均时间显著少于其他组(P<0.01)。在第一周和第二周,各组间葡萄糖渗透情况无统计学显著差异(P>0.01)。在第3周和第4周,镀金刚石手术头在全功率设置下渗漏最少(P<0.01)。
在本研究条件下,使用镀金刚石倒充头在全功率设置时,窝洞制备时间最短,根尖充填物渗漏最少。