Zarei Mina, Javidi Maryam, Kazemi Zeinab, Afkhami Farzaneh
Associated Professor, Dental Material Research Center, Department of Endodontics, Dental School, Mashhad University of Medical Sciences, Mashhad, Iran.
Professor, Dental Material Research Center, Department of Endodontics, Dental School, Mashhad University of Medical Sciences, Mashhad, Iran.
J Dent (Tehran). 2015 Aug;12(8):599-606.
This study aimed to assess and compare the apical sealing ability of HEROfill® Soft-Core system and lateral condensation technique in fine curved canals using the fluid filtration method.
Forty human mesiobuccal root canals of mandibular first molars with 25° to 40° curvatures were instrumented to an apical size 30/0.04. Roots were randomly assigned to two experimental groups of 15, designated as groups A and B. Two control groups, each containing five teeth, served as positive and negative controls. Group A was obturated using lateral condensation technique and group B with the HEROfill® Soft-Core system. The groups were tested for microleakage using an in vitro fluid filtration apparatus with 0.5 atm pressure at zero, two, four, six, eight and 10 minutes. Independent t-test was used to analyze the microleakage data.
The mean and standard deviation (SD) values for fluid microleakage in the lateral condensation group were 0.58±0.49 μL/min, 0.68±0.35 μL/min, 0.74±0.22 μL/min, 0.71±0.29 μL/min and 0.60± 0.29 μL/min at two, four, six, eight and 10 minutes, respectively. The mean and SD values for fluid microleakage in the HEROfill® group were 0.53±0.42 μL/min, 0.67±0.34 μL/min, 0.69±0.26 μL/min, 0.73±0.33 μL/min and 0.63±0.26 μL/min at two, four, six, eight and 10 minutes, respectively. The difference between the lateral condensation and HEROfill® groups was not statistically significant at two (P=0.776), four (P=0.909), six (P=0.562), eight (P=0.861) or 10 (P=0.765) minutes.
The HEROfill® system and cold lateral condensation technique were equally effective for apical sealing of curved canals.
本研究旨在采用液体过滤法评估和比较HEROfill® Soft-Core系统与侧向加压充填技术在弯曲细小根管中的根尖封闭能力。
选取40颗下颌第一磨牙近中颊根,根管弯曲度为25°至40°,预备至根尖尺寸30/0.04。将牙根随机分为两组,每组15颗,分别为A组和B组。另有两个对照组,每组各含5颗牙,分别作为阳性和阴性对照。A组采用侧向加压充填技术进行根管充填,B组采用HEROfill® Soft-Core系统进行充填。使用体外液体过滤装置在0.5个大气压下于0、2、4、6、8和10分钟时对各组进行微渗漏测试。采用独立t检验分析微渗漏数据。
侧向加压充填组在2、4、6、8和10分钟时液体微渗漏的平均值及标准差分别为0.58±0.49 μL/min、0.68±0.35 μL/min、0.74±0.22 μL/min、0.71±0.29 μL/min和0.60±0.29 μL/min。HEROfill®组在2、4、6、8和10分钟时液体微渗漏的平均值及标准差分别为0.53±(此处原文有误,应为0.42) μL/min、0.67±0.34 μL/min、0.69±0.26 μL/min、0.73±0.33 μL/min和0.63±0.26 μL/min。侧向加压充填组与HEROfill®组在2分钟(P = 0.776)、4分钟(P = 0.909)、6分钟(P = 0.562)、8分钟(P = 0.861)或10分钟(P = 0.765)时的差异无统计学意义。
HEROfill®系统与冷侧向加压充填技术在弯曲根管的根尖封闭方面同样有效。