Mohammadian Fatemeh, Farahanimastary Farzad, Dibaji Fatemeh, Kharazifard Mohammad Javad
Department of Endodontics, Dental School, International Campus of Tehran University of Medical Sciences, Tehran, Iran.
Dental School, International Campus of Tehran University of Medical Sciences, Tehran, Iran.
Iran Endod J. 2017 Winter;12(1):38-42. doi: 10.22037/iej.2017.08.
This study aimed to evaluate the dentine-sealer interface in three different sealers using scanning electron microscopy (SEM).
Thirty extracted human single-rooted teeth were prepared using ProTaper rotary files and were randomly divided into three groups (=10) including BC Sealer, AH-Plus and Dorifill. The root canals were filled with cold lateral condensation technique and stored for 7 days in 100% humidity at 37C. Cross sections were prepared from the coronal, middle, and apical sections of the roots. Then SEM images were taken and the width of gaps was measured by software. Sectional images were evaluated by two endodontists. Data were analyzed using two- and one-way ANOVA and Kruskal-Wallis tests.
The mean gap width was significantly lower in coronal area in BC Sealer group compared to Dorifill (=0.043) and likewise in AH-Plus group compared to Dorifill (=0.018). There was no significant difference between BC Sealer and AH-Plus group in this area (=0.923). No significant difference was detected in apical and middle zones among three sealers (=0.367 and 0.643, respectively). Dentine-sealer interface showed no significant difference in three sealers in the apical area (=0.051), but dentine-BC Sealer interface was better than AH-Plus in middle and coronal areas, and both outperformed Dorifill (=0.001).
BC Sealer and AH-Plus had less gaps than Dorifill in coronal area. In addition, BC Sealer had better dentine interface in middle and coronal area compared to AH-Plus, and both performed better than Dorifill. Reverse relationship was observed between the mean gap width and dentine-sealer interface quality.
本研究旨在使用扫描电子显微镜(SEM)评估三种不同根管封闭剂与牙本质的界面情况。
使用ProTaper旋转锉对30颗拔除的人单根牙进行预备,并随机分为三组(每组n = 10),分别使用BC封闭剂、AH-Plus和多瑞充填剂。采用冷侧方加压技术充填根管,并在37℃、湿度100%的环境中储存7天。从牙根的冠部、中部和根尖部制备横截面。然后拍摄SEM图像,并使用软件测量间隙宽度。由两名牙髓病医生对切片图像进行评估。使用双向和单向方差分析以及Kruskal-Wallis检验对数据进行分析。
与多瑞充填剂相比,BC封闭剂组在冠部区域的平均间隙宽度显著更低(P = 0.043),同样,AH-Plus组与多瑞充填剂相比也是如此(P = 0.018)。在该区域,BC封闭剂组和AH-Plus组之间无显著差异(P = 0.923)。三种封闭剂在根尖区和中部区域未检测到显著差异(分别为P = 0.367和P = 0.643)。三种封闭剂在根尖区域的牙本质-封闭剂界面无显著差异(P = 0.051),但在中部和冠部区域,牙本质-BC封闭剂界面优于AH-Plus,且两者均优于多瑞充填剂(P = 0.001)。
在冠部区域,BC封闭剂和AH-Plus的间隙比多瑞充填剂少。此外,与AH-Plus相比,BC封闭剂在中部和冠部区域具有更好的牙本质界面,且两者均比多瑞充填剂表现更好。平均间隙宽度与牙本质-封闭剂界面质量之间呈负相关。