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热垂直加压法侧向根管的充填满用牙胶或热塑聚合物。

Filling of simulated lateral canals with gutta-percha or thermoplastic polymer by warm vertical compaction.

机构信息

Department of Restorative Dentistry, Araraquara School of Dentistry, Universidade Estadual Paulista, Araraquara, SP, Brazil.

出版信息

Braz Oral Res. 2015;29:56. doi: 10.1590/1807-3107BOR-2015.vol29.0056. Epub 2015 Apr 10.

Abstract

The aim of this study was to evaluate the ability of gutta-percha and a thermoplastic synthetic polymer (Resilon) to fill simulated lateral canals, using warm vertical compaction. Forty-five single-rooted human teeth were prepared using the rotary crown-down technique. Artificial lateral canals were made at 2, 5, and 8 mm from the working length (WL) in each root. The specimens were divided into three groups (n = 15), according to the filling material: Dentsply gutta-percha (GD), Odous gutta-percha (GO), and Resilon cones (RE). The root canals were obturated using warm vertical compaction, without endodontic sealer. The specimens were subjected to a tooth decalcification and clearing procedure. Filling of the lateral canals was analyzed by digital radiography and digital photographs, using the Image Tool software. The data were subjected to the Kruskal-Wallis and Dunn tests at 5% significance. RE had the best filling ability in all root thirds (p < 0.05), with similar results for GO in the coronal third. In the middle and apical thirds, GD and GO had similar results (p > 0.05). Resilon may be used as an alternative to gutta-percha as a solid core filling material for use with the warm vertical compaction technique. The study findings point to the potential benefit of the warm vertical compaction technique for filling lateral canals, and the study provides further information about using Resilon and gutta-percha as materials for the warm vertical compaction technique.

摘要

本研究旨在评估使用热垂直加压技术时,牙胶和热塑性合成聚合物(Resilon)填充模拟侧支根管的能力。将 45 颗单根人牙使用旋转冠向下技术进行预备。在每个牙根的工作长度(WL)处 2、5 和 8mm 处制造人工侧支根管。根据填充材料将标本分为三组(n = 15):Dentsply 牙胶(GD)、Odous 牙胶(GO)和 Resilon 锥(RE)。使用热垂直加压而不使用根管封闭剂对根管进行堵塞。将标本进行牙齿脱钙和透明处理。使用 Image Tool 软件通过数字射线照相术和数字照片分析侧支根管的填充情况。将数据在 5%的显著性水平下进行 Kruskal-Wallis 和 Dunn 检验。RE 在所有牙根的第三部分都具有最好的填充能力(p < 0.05),GO 在冠部的第三部分也具有相似的结果。在中间和根尖的第三部分,GD 和 GO 具有相似的结果(p > 0.05)。Resilon 可用作牙胶的替代物,作为使用热垂直加压技术的实心核填充材料。研究结果表明,热垂直加压技术在填充侧支根管方面具有潜在的益处,该研究提供了有关使用 Resilon 和牙胶作为热垂直加压技术材料的更多信息。

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