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镍铬合金和非贵金属烤瓷铸造桩对根管治疗后牙齿抗折性的影响。

Effect of Nickel-Chromium and Non-Precious Gold Color Alloy Cast Posts on Fracture Resistance of Endodontically Treated Teeth.

作者信息

Gholami Fatemeh, Kohani Parisa, Aalaei Shima

机构信息

Dental Caries Prevention Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

Private Practice, Qazvin, Iran.

出版信息

Iran Endod J. 2017 Summer;12(3):303-306. doi: 10.22037/iej.v12i3.10586.

Abstract

INTRODUCTION

Root canal-treated teeth are weaker than vital teeth and are more susceptible to fractures. Therefore, special precautions should be adhered to, such as the use of various types of cast or prefabricated posts. Regarding the effect of post material on fracture resistance of teeth, the aim of this study was to evaluate the effect of non-precious gold color alloy (NPG) and nickel-chrome (Ni-Cr) cast posts on resistance of endodontically treated teeth.

METHODS AND MATERIALS

In this study, 30 freshly extracted single-rooted premolar teeth were randomly divided into two groups. After root canal treatment, post patterns were made with Duralay in group 1 and cast with Ni-Cr alloy; in group 2, the patterns were cast with NPG alloy. Zinc phosphate cement was used for cementation in this study. Shear force was applied at 1 mm/min at 45C to the buccal cusps until root fracture occurred. Independent sample test was used for data analysis by using SPSS version 21. The level of significance was set at 0.05.

RESULTS

Mean fracture resistance values were 1380±454 N for Ni-Cr versus 1964±640 N for NPG, with significant differences (=0.007).

CONCLUSION

The fracture resistance of endodontically treated teeth with non-precious gold color alloy cast post was higher than that of endodontically treated teeth with Ni-Cr cast post.

摘要

引言

根管治疗后的牙齿比活髓牙更脆弱,更容易发生骨折。因此,应采取特殊预防措施,例如使用各种类型的铸造桩或预成桩。关于桩材料对牙齿抗折性的影响,本研究的目的是评估非贵金属烤瓷合金(NPG)和镍铬(Ni-Cr)铸造桩对根管治疗后牙齿抗折性的影响。

方法和材料

在本研究中,30颗新鲜拔除的单根前磨牙被随机分为两组。根管治疗后,第1组用Duralay制作桩核,然后用Ni-Cr合金铸造;第2组用NPG合金铸造桩核。本研究使用磷酸锌水门汀进行粘结。在45℃下以1mm/min的速度对颊尖施加剪切力,直至牙根发生骨折。使用SPSS 21版软件进行独立样本t检验进行数据分析。显著性水平设定为0.05。

结果

Ni-Cr组的平均抗折力值为1380±454N,而NPG组为1964±640N,差异有统计学意义(P=0.007)。

结论

使用非贵金属烤瓷合金铸造桩的根管治疗后牙齿的抗折性高于使用Ni-Cr铸造桩的根管治疗后牙齿。

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