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三种根管充填技术封闭能力的微观评估

Microscopic assessment of the sealing ability of three endodontic filling techniques.

作者信息

Cueva-Goig Roger, Forner-Navarro Leopoldo, Llena-Puy M Carmen

机构信息

Associate Professor. Department of Stomatology, Universitat de València, Spain.

Professor. Department of Stomatology, Universitat de València, Spain.

出版信息

J Clin Exp Dent. 2016 Feb 1;8(1):e27-31. doi: 10.4317/jced.52847. eCollection 2016 Feb.

Abstract

BACKGROUND

Several techniques have been proposed for root canal filling. New rotary files, with non-standardized taper, are appearing, so, points adapted to the taper of the last instrument used to prepare the canal can help in the obturation process. The aim of this study is to assess the sealing ability of different root canal filling techniques.

MATERIAL AND METHODS

Root canals from 30 teeth were shaped with Mtwo and divided in three groups; A, standard lateral condensation with size 35 and 20 gutta-percha points; B, standard lateral condensation and injected gutta-percha; C, single gutta-percha point (standardized 35 Mtwo), continuous wave technique and injected gutta-percha. Root surfaces were covered with nail varnish, except for the apical 2 mm, and submerged in a NO3Ag2 solution; apical stain penetration was measured in mm. Data were compared using the Kruskal-Wallis test with a 90% confidence interval.

RESULTS

A and B groups showed stain leakage in the 90% of the cases, whereas it was of 80% for group C. Stain leakage intervals were 1-5 mm for groups A and B and 1-3 mm for group C. There were no statistically significant differences between the three studied groups (p>.05).

CONCLUSIONS

All the analyzed root canal filling techniques showed some apical stain leakage, without significant differences among them.

KEY WORDS

Gutta-percha filling, microleakage, single cone, injected gutta-percha, warm gutta-percha.

摘要

背景

已经提出了几种根管充填技术。新型旋转锉出现,其锥度不标准,因此,与用于预备根管的最后器械锥度相适配的牙胶尖有助于充填过程。本研究的目的是评估不同根管充填技术的封闭能力。

材料与方法

选取30颗牙齿的根管,用Mtwo器械进行预备,并分为三组;A组,采用35号和20号牙胶尖进行标准侧方加压充填;B组,标准侧方加压充填并注射牙胶;C组,采用单根标准化35号Mtwo牙胶尖、连续波技术并注射牙胶。除根尖2mm外,根管表面用指甲油覆盖,然后浸入硝酸银溶液中;测量根尖染色渗透的毫米数。使用Kruskal-Wallis检验在90%置信区间内比较数据。

结果

A组和B组在90%的病例中出现染色渗漏,而C组为80%。A组和B组的染色渗漏范围为1 - 5mm,C组为1 - 3mm。三组之间无统计学显著差异(p>0.05)。

结论

所有分析的根管充填技术均显示出一定程度的根尖染色渗漏,它们之间无显著差异。

关键词

牙胶充填、微渗漏、单锥、注射牙胶、热牙胶

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a812/4739364/4020d9ef35ce/jced-8-e27-g001.jpg

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