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机械性或冷侧向压实:牙本质缺陷的发生率。

Mechanical or cold lateral compaction: The incidence of dentinal defects.

作者信息

Hasheminia Seyed Mohsen, Farhad Ali Reza, Saatchi Masoud, Nejad Hamidreza Sadegh, Sanei Maryam

机构信息

Dental Materials Research Center, Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

Torabinejad Dental Research Center, Department of Endodontics, School of Dentistry, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Dent Res J (Isfahan). 2015 Nov-Dec;12(6):513-9. doi: 10.4103/1735-3327.170548.

Abstract

BACKGROUND

The incidence of dentinal defects may influence the outcome of root canal treatment. The aims of this study were to evaluate and compare the incidence of dentinal defects following root canal obturation with two different techniques.

MATERIALS AND METHODS

A total of 110 mesial roots of human mandibular first molars were selected. Twenty-seven roots were left unprepared as negative controls (NCs). The mesiobuccal canals of 83 roots were prepared using rotary instruments. Twenty-seven roots were left unobturated as positive controls (PCs). Twenty-eight roots were obturated with cold lateral compaction (CLC) technique and the others were obturated with mechanical lateral compaction (MLC) technique. In the CLC and MLC groups, spreader penetration depth was measured by an electromechanical testing machine in canals containing master Gutta-percha cones. After root canal obturation, all the roots were sectioned horizontally at four levels from the apex and evaluated under a stereomicroscope at a magnification of ×40. The presence of dentinal defects was noted. Data were analyzed using the Chi-square and t-tests.

RESULTS

The number of defects was not significantly different between the CLC, MLC, and PC groups. The CLC, MLC, and PC groups had significantly more defects compared to the NC group.

CONCLUSION

According to the results of this study, the MLC and CLC techniques were the same in producing dentinal defects.

摘要

背景

牙本质缺陷的发生率可能会影响根管治疗的效果。本研究的目的是评估和比较两种不同技术进行根管充填后牙本质缺陷的发生率。

材料与方法

共选取110颗人类下颌第一磨牙的近中根。27颗根不做处理作为阴性对照(NC)。83颗根的近中颊根管使用旋转器械进行预备。27颗根不进行充填作为阳性对照(PC)。28颗根采用冷侧向加压(CLC)技术进行充填,其余根采用机械侧向加压(MLC)技术进行充填。在CLC组和MLC组中,使用机电测试机在含有主牙胶尖的根管中测量充填器的穿透深度。根管充填后,所有根从根尖开始在四个水平进行水平切片,并在放大倍数为×40的体视显微镜下进行评估。记录牙本质缺陷的存在情况。数据采用卡方检验和t检验进行分析。

结果

CLC组、MLC组和PC组之间的缺陷数量没有显著差异。与NC组相比,CLC组、MLC组和PC组的缺陷明显更多。

结论

根据本研究结果,MLC技术和CLC技术在产生牙本质缺陷方面相同。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eda2/4696352/511aedb1f140/DRJ-12-513-g001.jpg

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