Generali Luigi, Prati C, Pirani C, Cavani F, Gatto M R, Gandolfi M G
Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance, School of Dentistry, Endodontic Section, University of Modena and Reggio Emilia, Modena, Italy.
Endodontic Clinical Section, School of Dentistry, Department of Biomedical and Neuromotor Sciences, University of Bologna, Bologna, Italy.
Clin Oral Investig. 2017 May;21(4):1267-1276. doi: 10.1007/s00784-016-1878-0. Epub 2016 Jun 14.
The aim of the present study is to evaluate the possible correlation between sealer penetration into dentinal tubules and sealing ability both in presence and absence of smear layer.
Fourteen maxillary central incisors were treated with 5.25 % NaOCl +10 % EDTA to remove the smear layer (SL-free group) or 5.25 % NaOCl without EDTA (SL group). Root canals were filled using #25 Thermafil Obturators with Topseal sealer labelled with 0.1 wt% rhodamine B. Sealing ability was measured as fluid filtration rate with a fluid-flow meter using water supplemented with 0.3 % calcein fluorescent dye. Specimens were sectioned, observed under confocal microscope to co-localize the presence of sealer (rhodamine B labelling) into dentinal tubules and gaps (calcein labelling) into the root canal. The depth of sealer penetration into dentinal tubules and the percentage of sealer penetration around the root canal were measured at 3, 5 and 8 mm from the apex.
No significant differences between groups were observed in fluid filtration rate nor in depth of calcein penetration. Sealer penetration depth and percentage into dentinal tubules were not significantly different between groups, except at 8-mm level in absence of smear layer.
Sealer penetration at 3- and 5-mm levels was not influenced by smear layer while it was significantly reduced at 8-mm level. Fluid filtration rate was not correlated either with depth of calcein penetration nor with sealer penetration into dentinal tubules.
The sealing ability of Topseal sealer is not affected by presence or absence of smear layer.
本研究旨在评估在有或无玷污层的情况下,封闭剂渗入牙本质小管与封闭能力之间的可能相关性。
14颗上颌中切牙分别用5.25%次氯酸钠+10%乙二胺四乙酸处理以去除玷污层(无玷污层组)或只用5.25%次氯酸钠处理(玷污层组)。使用带有标记0.1 wt%罗丹明B的Topseal封闭剂的#25热牙胶尖充填根管。用流体流量计以补充了0.3%钙黄绿素荧光染料的水测量流体过滤速率来评估封闭能力。将标本切片,在共聚焦显微镜下观察,以确定封闭剂(罗丹明B标记)在牙本质小管中的存在以及根管中缝隙(钙黄绿素标记)的共定位情况。在距根尖3、5和8 mm处测量封闭剂渗入牙本质小管的深度以及根管周围封闭剂的渗入百分比。
两组在流体过滤速率和钙黄绿素渗入深度方面均未观察到显著差异。除了在无玷污层的8 mm水平处,两组封闭剂渗入牙本质小管的深度和百分比没有显著差异。
在3 mm和5 mm水平处,封闭剂的渗入不受玷污层影响,而在8 mm水平处显著降低。流体过滤速率与钙黄绿素渗入深度以及封闭剂渗入牙本质小管均无相关性。
Topseal封闭剂的封闭能力不受玷污层存在与否的影响。