Dibaji Fatemeh, Afkhami Farzaneh, Bidkhori Babak, Kharazifard Mohammad Javad
Department of Endodontics, Dental School, Tehran University of Medical Sciences, International Campus , Tehran, Iran.
General Dentist, Tehran, Iran.
Iran Endod J. 2017 Winter;12(1):50-54. doi: 10.22037/iej.2017.10.
INTRODUCTION: Vertical root fracture inevitably leads to tooth extraction. Thus, root filling with obturating materials and sealers that can reinforce the tooth would be an ideal way to reduce fracture in root treated teeth. This study aimed to assess the fracture resistance of roots following the application of different sealers including Epiphany, iRoot sealer and AH-plus. METHODS AND MATERIALS: Fifty extracted human single-canal premolars without caries, curvature or cracks were used in this study. Tooth crowns were cut to yield 13-mm-long roots. Five roots were put in the negative control group and were left unprepared. Forty-five canals were prepared using ProTaper rotary files up to F3 and were then randomly divided into three groups based on the sealer type (=15). The root canals were filled using cold lateral condensation technique with gutta-percha and AH-Plus sealer, gutta-percha and iRoot sealer and Resilon and Epiphany sealer, in groups one to three, respectively. The roots were then mounted in acrylic molds for fracture resistance testing and subjected to compressive load at a crosshead speed of 1mm/min until fracture. Data were analyzed using the one-way ANOVA. RESULTS: The mean fracture resistance was 673.38±170.42 N in AH-Plus, 562.00±184.68 N in iRoot, 708.03±228.05 N in Resilon and 592.59±117.29 N in the control group. No statistically significant difference was found between the experimental groups and the negative control group (=0.26). CONCLUSION: Application of AH-Plus, bioceramic and Resilon sealers did not change the fracture resistance of roots compared to that of unprepared root canals.
引言:垂直根折不可避免地会导致牙齿拔除。因此,使用能够增强牙齿的充填材料和封闭剂进行根管充填将是减少根管治疗后牙齿折裂的理想方法。本研究旨在评估应用不同封闭剂(包括Epiphany、iRoot封闭剂和AH-plus)后牙根的抗折性能。 方法和材料:本研究使用了50颗拔除的无龋、无弯曲或裂纹的人类单根管前磨牙。将牙冠切断,得到13毫米长的牙根。5个牙根放入阴性对照组,不做处理。使用ProTaper旋转锉将45个根管预备至F3,然后根据封闭剂类型随机分为三组(每组15个)。第一组至第三组分别使用冷侧压技术,用牙胶和AH-Plus封闭剂、牙胶和iRoot封闭剂以及Resilon和Epiphany封闭剂充填根管。然后将牙根安装在丙烯酸模具中进行抗折测试,并以1毫米/分钟的十字头速度施加压缩载荷直至折断。使用单因素方差分析对数据进行分析。 结果:AH-Plus组的平均抗折力为673.38±170.42牛,iRoot组为562.00±184.68牛,Resilon组为708.03±228.05牛,对照组为592.59±117.29牛。实验组与阴性对照组之间未发现统计学上的显著差异(P = 0.26)。 结论:与未预备的根管相比,应用AH-Plus、生物陶瓷和Resilon封闭剂并未改变牙根的抗折性能。
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