Walia T, Ghanbari A H, Mathew S, Ziadlou A H
Department of Growth and Development, College of Dentistry, Ajman University of Science and Technology, Ajman, United Arab Emirates.
General Dentist, Islamic Azad University of Tehran, Tehran, Iran.
Eur Arch Paediatr Dent. 2017 Feb;18(1):17-23. doi: 10.1007/s40368-016-0258-4. Epub 2016 Nov 24.
This in vitro study evaluated the efficacy of three different obturation techniques with regards to quality of two filling pastes-Ca(OH)/iodoform syringe paste and zinc oxide eugenol paste in primary molars.
Root canals of 45 extracted primary molars were prepared and randomly divided into three groups of 15 teeth each. Group A-canals were filled with Ca(OH)/iodoform syringe paste, Group B-zinc oxide eugenol paste with handheld lentulo spiral and Group C-zinc oxide eugenol paste with rotary lentulo spiral. The quality of filled root canals was evaluated with conventional radiography in antero-posterior and lateral dimensions.
There were significant differences between all groups in the presence of voids (p = 0.03) and length of filling (p = 0.002). Half of the sampled teeth in handheld lentulo spiral group had voids in the filled canals, while 80% of the teeth filled with Ca(OH)/iodoform syringe resulted in overfilling of the paste.
All three delivery methods for the obturation of primary molars' root canals showed inherent limitations in terms of voids and quality of filling. Voids are inevitable and were present in all the techniques. Overfilling was more frequently seen with the syringe method, while the lentulo spiral technique, both handheld and rotary, showed a better quality of filling.
本体外研究评估了三种不同的根管充填技术对两种充填糊剂(氢氧化钙/碘仿注射器糊剂和氧化锌丁香油糊剂)在乳磨牙中的充填质量。
对45颗拔除的乳磨牙进行根管预备,并随机分为三组,每组15颗牙。A组根管用氢氧化钙/碘仿注射器糊剂充填,B组用手持螺旋输送器充填氧化锌丁香油糊剂,C组用旋转螺旋输送器充填氧化锌丁香油糊剂。通过常规X线片在前后位和侧位评估充填根管的质量。
在有无空隙(p = 0.03)和充填长度(p = 0.002)方面,所有组之间均存在显著差异。手持螺旋输送器组中一半的抽样牙齿充填根管内有空隙,而80%用氢氧化钙/碘仿注射器充填的牙齿出现糊剂超充。
乳磨牙根管充填的所有三种输送方法在空隙和充填质量方面均显示出固有局限性。空隙不可避免,在所有技术中均存在。注射器法更常出现超充,而手持和旋转的螺旋输送器技术显示出更好的充填质量。