Nikhil Vineeta, Bansal Parul, Sawani Shefali
Department of Conservative Dentistry and Endodontics, Subharti Dental College, Meerut, Uttar Pradesh, India.
J Conserv Dent. 2015 Mar-Apr;18(2):119-23. doi: 10.4103/0972-0707.153073.
To compare the effect of three root canal sealer activation techniques on percentage and depth of sealer penetration of MTA Fillapex and AH Plus sealers.
Sixty teeth prepared till F5 ProTaper size were divided into three equal groups on the basis of sealer activation technique (G1: Ultrasonics, G2: Lentulo spiral, and G3: Counter-clockwise rotary motion). Each group was further divided into two equal subgroups on the basis of type of sealer used: AH Plus (Denstply, Konstanz, Germany) or MTA Fillapex (Angelus, Londrina, PR, Brazil) and obturated with gutta-percha. Horizontal sections at 3 and 6 mm from the apex were obtained and the percentage and depth of penetration of sealers into dentinal tubules were measured using confocal laser scanning microscopy (CLSM). Statistical analysis was performed utilizing Kruskal-Wallis and Mann-Whitney U tests with a significance level of 5%.
G1 showed significantly (P < 0.001) high percentage and depth of sealer penetration than G2 and G3 while the difference was insignificant (P > 0.05) between G2 and G3.
Percentage and depth of sealer penetration are influenced by the type of sealer used sealer activation technique and by the root canal level. Ultrasonic method of sealer activation and MTA Fillapex showed the best results.
比较三种根管封闭剂激活技术对MTA Fillapex和AH Plus封闭剂封闭剂渗入百分比及深度的影响。
60颗预备至F5 ProTaper规格的牙齿,根据封闭剂激活技术分为三组(G1:超声法;G2:螺旋输送器法;G3:逆时针旋转法)。每组又根据所用封闭剂类型进一步分为两个亚组:AH Plus(德国康斯坦茨登士柏公司)或MTA Fillapex(巴西隆德里纳安热卢斯公司),并用牙胶尖充填。在距根尖3mm和6mm处获取水平切片,使用共聚焦激光扫描显微镜(CLSM)测量封闭剂渗入牙本质小管的百分比和深度。采用Kruskal-Wallis检验和Mann-Whitney U检验进行统计学分析,显著性水平为5%。
G1组封闭剂渗入百分比和深度显著高于G2组和G3组(P < 0.001),而G2组和G3组之间差异不显著(P > 0.05)。
封闭剂渗入百分比和深度受所用封闭剂类型、封闭剂激活技术及根管水平的影响。超声激活封闭剂的方法和MTA Fillapex表现出最佳效果。