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一种用于从多根牙上去除金属固位体的新方案的评估

Evaluation of a new protocol for removing metal retainers from multirooted teeth.

作者信息

Souza Samir Noronha, Sponchiado Júnior Emílio Carlos, Marques André Augusto Franco, Martins Leandro de Moura, Garrido Ângela Delfina Bittencourt

机构信息

Federal University of Amazonas, Manaus, Brazil.

Federal University of Amazonas, Manaus, Brazil.

出版信息

J Endod. 2015 Mar;41(3):405-8. doi: 10.1016/j.joen.2014.11.014. Epub 2015 Jan 15.

Abstract

INTRODUCTION

The aim of this study was to evaluate in vitro a new protocol for removing intraradicular retainers from multirooted teeth applying ultrasonic vibration.

METHODS

Forty mandibular molars were endodontically treated to receive cast intraradicular retainers, which were distributed into the following 4 groups: group 1: control without a slot and without ultrasound, group 2: control with a slot and without ultrasound, group 3: ultrasonic vibration in the core without a slot, and group 4: ultrasonic vibration in the core with a slot. After the intraradicular retainers were cemented with zinc phosphate, ultrasonic vibration was applied for 1 minute. The test specimens were then submitted to the traction test in the universal testing machine at a speed of 1 mm/min. The maximum traction force required to remove the intraradicular retainer was recorded in newtons, and the data were statistically analyzed using analysis of variance and the Tukey-Kramer test (P < .05).

RESULTS

The results showed statistically significant differences among the groups tested (group 1 = 234.34 N, group 2 = 201.67 N, group 3 = 139.57 N, and group 4 = 83.23 N). The lowest mean value of traction force recorded was when ultrasonic vibration was applied on the core with a slot.

CONCLUSIONS

Creating a slot in the core and the ultrasound application on all surfaces and inside the slot reduced the force required for removing intraradicular metal retainers from multirooted teeth cemented with zinc phosphate.

摘要

引言

本研究的目的是在体外评估一种应用超声振动从多根牙上去除根管内固位体的新方案。

方法

40颗下颌磨牙接受根管治疗后安装铸造根管内固位体,分为以下4组:第1组:无槽且无超声的对照组;第2组:有槽且无超声的对照组;第3组:根管内无槽的超声振动组;第4组:根管内有槽的超声振动组。用磷酸锌粘固根管内固位体后,施加超声振动1分钟。然后将测试样本在万能试验机上以1毫米/分钟的速度进行拉伸试验。记录去除根管内固位体所需的最大拉力,单位为牛顿,并使用方差分析和Tukey-Kramer检验对数据进行统计学分析(P <.05)。

结果

结果显示,测试组之间存在统计学显著差异(第1组 = 234.34牛顿,第2组 = 201.67牛顿,第3组 = 139.57牛顿,第4组 = 83.23牛顿)。记录到的最低平均拉力值是在根管内有槽的情况下施加超声振动时。

结论

在根管内开槽并在所有表面和槽内施加超声,可降低从用磷酸锌粘固的多根牙上去除根管内金属固位体所需的力。

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