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水平放置的玻璃纤维桩对采用直接树脂复合材料修复的根管治疗后牙齿的增强效果。

Strengthening effect of horizontally placed fiberglass posts in endodontically-treated teeth restored with direct resin composite.

作者信息

Favero Fernando José, De Melo Tiago André Fontoura, Stona Deborah, Mota Eduardo Gonçalves, Spohr Ana Maria, Burnett Luiz Henrique

出版信息

Am J Dent. 2015 Jun;28(3):143-9.

Abstract

PURPOSE

To assess the fracture strength of cavity preparations, directly restored with resin composite, with and without the presence of fiberglass posts with different diameters.

METHODS

84 extracted third molars were embedded in acrylic resin and divided into six groups (n = 14 per group): healthy (H); cavity preparation (P); cavity preparation + endodontic treatment (PE); PE + resin composite (R); PE + R + 2 horizontally transfixed fiberglass posts 1.1 mm in diameter (PERP1); PE + R + 2 fiberglass posts 1.5 mm in diameter (PERP2). The MOD cavity preparations were standardized with their width corresponding to 2/3 of the buccolingual distance and occlusogingival depth of 4 mm, with 2 mm remaining above the cemento-enamel junction. Endodontic treatments were performed in the PE, R, PERP1 and PERP2 groups. The buccal surface received two demarcations to create orifices for placement of the PERP1 and PERP2 posts. Once the fiberglass posts were placed, the teeth were restored with resin composite. In group R, only resin composite was used. After 24 hours, the teeth were subjected to the fracture toughness test on a universal testing machine. A 10 KN load cell and crosshead speed of 1 mm/minute was used until fracture occurred. After testing, the teeth were inspected for the type of fracture classified as: pulpal floor fracture (AP) or cuspal fracture (CP).

RESULTS

The data were subjected to ANOVA and Tukey's test (P < 0.05%), demonstrating a statistical difference between groups: H 3830NA; P 778ND; PE 572.93ND; R 1782NC; PERP1 2988NB; PERP2 3100NAB. The fracture pattern was similar between the tested groups, showing 50% of fracture for cusps and pulpal floor.

摘要

目的

评估直接用树脂复合材料修复的窝洞预备体在有无不同直径玻璃纤维桩情况下的抗折强度。

方法

84颗拔除的第三磨牙嵌入丙烯酸树脂中,分为六组(每组n = 14):健康组(H);窝洞预备组(P);窝洞预备 + 根管治疗组(PE);PE + 树脂复合材料组(R);PE + R + 2根直径1.1 mm的水平贯穿玻璃纤维桩组(PERP1);PE + R + 2根直径1.5 mm的玻璃纤维桩组(PERP2)。MOD窝洞预备体标准化,其宽度对应于颊舌径的2/3,咬合龈向深度为4 mm,在牙骨质 - 釉质界上方保留2 mm。PE、R、PERP1和PERP2组进行根管治疗。颊面有两条标记线,用于为PERP1和PERP2桩的放置创建孔口。放置玻璃纤维桩后,用树脂复合材料修复牙齿。在R组中,仅使用树脂复合材料。24小时后,在万能试验机上对牙齿进行断裂韧性测试。使用10 KN的测力传感器和1 mm/分钟的十字头速度,直至发生断裂。测试后,检查牙齿的骨折类型,分为:髓室底骨折(AP)或牙尖骨折(CP)。

结果

数据进行方差分析和Tukey检验(P < 0.05%),表明各组之间存在统计学差异:H组3830NA;P组778ND;PE组572.93ND;R组1782NC;PERP1组2988NB;PERP2组3100NAB。测试组之间的骨折模式相似,牙尖和髓室底骨折各占50%。

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