Haralur Satheesh B, Al-Qahtani Ali Saad, Al-Qarni Marie Mohammed, Al-Homrany Rami Mohammed, Aboalkhair Ayyob Ehsan
Department of Prosthodontics, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia.
J Conserv Dent. 2016 Jan-Feb;19(1):63-7. doi: 10.4103/0972-0707.173201.
Remaining dentin wall thickness may influence the fracture resistance of tooth.
To investigate the effect of various coronal dentin wall widths on the fracture strength of root canal treated teeth.
Fifty recently extracted single canal mandibular premolars were used for the study. Ten unrestored teeth were used as control (Group 1); remaining teeth were root canal treated and divided into four groups (n = 10). The Groups 2a, 2b and 3a, 3b were having 2.5 mm, 1.5 mm remaining dentin with and without post, respectively. The samples fracture resistance was tested under the universal testing machine. The data were analyzed with one-way ANOVA and post-hoc Tukey test for comparative evaluation.
The mean fracture strength observed in Group 1 was (29.75 Mpa) followed by Group 2a (28.97 Mpa), Group 2b (27.70 Mpa), Group 3a (23.39 Mpa), and Group 3b (16.38 Mpa). There was no statistically significant difference between control and Groups 2a and 2b with P > 0.05. The post contributed significantly for fracture resistance in Group 3a.
The endodontic post is not required in root canal treated teeth >2.5 mm coronal dentin wall width while the post is essential for a tooth with <1.5 mm dentin wall width to improve fracture resistance.
剩余牙本质壁厚度可能会影响牙齿的抗折性。
研究不同冠部牙本质壁宽度对根管治疗后牙齿抗折强度的影响。
选取50颗近期拔除的单根管下颌前磨牙用于本研究。10颗未修复的牙齿作为对照组(第1组);其余牙齿进行根管治疗并分为四组(每组n = 10)。第2a组、2b组以及第3a组、3b组分别有2.5毫米、1.5毫米的剩余牙本质,其中第2a组和3a组有桩,第2b组和3b组无桩。在万能试验机上测试样本的抗折性。采用单因素方差分析和事后Tukey检验对数据进行分析以进行比较评估。
第1组观察到的平均抗折强度为(29.75兆帕),其次是第2a组(28.97兆帕)、第2b组(27.70兆帕)、第3a组(23.39兆帕)和第3b组(16.38兆帕)。对照组与第2a组和2b组之间无统计学显著差异,P > 0.05。桩对第3a组的抗折性有显著贡献。
对于冠部牙本质壁宽度>2.5毫米的根管治疗牙齿,无需使用根管桩,而对于牙本质壁宽度<1.5毫米的牙齿,桩对于提高抗折性至关重要。