Hoppe Carolina Bender, Scarparo Roberta Krochenborger, Böttcher Daiana Elisabeth, Leitune Vicente Castelo Branco, Collares Fabrício Mezzomo, Samuel Susana Maria Werner, Grecca Fabiana Soares
Department of Conservative Dentistry, Federal University of Rio Grande do Sul, UFRGS , Porto Alegre , Brazil.
Acta Odontol Scand. 2015 May;73(4):292-7. doi: 10.3109/00016357.2014.942875. Epub 2015 Jan 26.
The purpose of this study was to evaluate the immediate and long-term bond strengths to root dentin of Epiphany/Resilon and AH Plus/gutta-percha fillings, after using either lateral condensation or Tagger's hybrid thermomechanical compaction techniques.
Eighty human single-rooted teeth were used. The root canals were prepared by means of hand crown-down technique up to a #45 K-file and irrigation with 1% sodium hypochlorite was performed. Samples were randomly divided into eight (n=10) experimental groups divided according to filling material (gutta-percha/AH Plus and Resilon/Epiphany), obturation technique (Lateral compaction and Tagger's hybrid thermomechanical compaction) and storage time (24 h and 6 months). During storage, the samples were kept at 37°C and 100% humidity. After the two experimental periods, each root was sectioned perpendicular to its long axis into three serial slices and push-out tests were carried out using a universal testing machine. Statistical significant differences were set by ANOVA and Tuckey post-hoc (p<0.05).
Using thermocompaction technique, the samples filled with Epiphany/Resilon decreased significantly the bond strength after a 6 months storage-period (p<0.05) and the ones filled with AH Plus/gutta-percha presented a tendency to lower values of the push-out test, although not statistically significant. For both materials, dentin bond strength of the specimens filled by means of lateral condensation remained stable throughout the experimental periods.
Under the limitations of the current study, it can be concluded that the thermocompaction technique and the storage time can influence push-out bond strength when used with methacrylate-based sealers.
本研究旨在评估采用侧向加压或塔格(Tagger)混合热机械压实技术后,Epiphany/Resilon和AH Plus/牙胶充填材料与牙根牙本质的即刻和长期粘结强度。
使用80颗人类单根牙。采用手工冠向下技术预备根管至45号K锉,并使用1%次氯酸钠进行冲洗。样本随机分为八个(n = 10)实验组,根据充填材料(牙胶/AH Plus和Resilon/Epiphany)、充填技术(侧向加压和塔格混合热机械压实)和储存时间(24小时和6个月)进行分组。在储存期间,样本保持在37°C和100%湿度环境。两个实验期结束后,将每颗牙根垂直于其长轴切成三个连续切片,并使用万能试验机进行推出试验。通过方差分析和Tuckey事后检验设定统计学显著性差异(p < 0.05)。
采用热压实技术时,Epiphany/Resilon充填的样本在储存6个月后粘结强度显著降低(p < 0.05),而AH Plus/牙胶充填的样本推出试验值有降低趋势,尽管无统计学显著性。对于两种材料,通过侧向加压充填的样本在整个实验期内牙本质粘结强度保持稳定。
在本研究的局限性下,可以得出结论,热压实技术和储存时间在与甲基丙烯酸酯类封闭剂一起使用时会影响推出粘结强度。