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根管牙本质的水分含量会影响使用微计算机断层扫描检测微裂纹。

Moisture content of root canal dentine affects detection of microcracks using micro-computed tomography.

机构信息

Department of Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany.

Department of Medical Statistics, University Medical Center Göttingen, Göttingen, Germany.

出版信息

Int Endod J. 2018 Mar;51(3):357-363. doi: 10.1111/iej.12850. Epub 2017 Sep 18.

Abstract

AIM

To evaluate the effect of moisture content in root canal dentine on detection of microcracks using micro-computed tomography.

METHODOLOGY

Ten roots with and without craze lines or cracks (each n = 5) were selected and scanned six times with different moisture conditions of root dentine using a micro-CT scanner at a high resolution of 10.5 μm. Scanning conditions were as follows: (i) after 30-day wet storage, (ii) after 2-h dry time, (iii) after 48-h wet storage, (iv) after 24-h dry time, (v) after 48-h wet storage, (vi) after 2-h dry time. From each scan, cross-sectional images were obtained at intervals of 1 mm (total n = 708) and evaluated for the presence of dentinal microcracks twice by five calibrated blinded observers. Statistical analysis was performed by nonparametric analysis of variance for longitudinal data (P < 0.05).

RESULTS

Intra-rater percentage agreement ranged between 92% and 98%, whereas inter-rater percentage agreement was 81% and 83%, respectively. No significant differences between all wet groups as well as between both groups with 2-h dry time were detected (P > 0.05). Almost no cracks were observed after wet storage with a significant increase of cracks after 2-h dry time (P < 0.001). Significantly more microcracks were identified after 24 h than after 2-h dry time (P < 0.004).

CONCLUSIONS

Moisture content of dentine influenced detection of microcracks when evaluated using micro-CT. Scanning should be performed on dried specimens to allow reliable identification of dentinal defects. Formation of new cracks during dry periods up to 24 h was disproved.

摘要

目的

利用微计算机断层扫描评估根管牙本质含水量对微裂纹检测的影响。

方法

选择有或无微裂纹或裂纹的 10 个牙根(每组 n=5),在高分辨率 10.5μm 下使用微 CT 扫描仪分别在根管牙本质的六种不同水分条件下进行六次扫描。扫描条件如下:(i)湿储存 30 天后,(ii)干燥 2 小时后,(iii)湿储存 48 小时后,(iv)干燥 24 小时后,(v)湿储存 48 小时后,(vi)干燥 2 小时后。从每次扫描中,以 1mm 的间隔获取横截面图像(总 n=708),由五名经过校准的盲法观察者进行两次评估,以检测牙本质微裂纹的存在。通过非参数方差分析对纵向数据进行统计分析(P<0.05)。

结果

内部观察者的百分比一致性在 92%至 98%之间,而外部观察者的百分比一致性分别为 81%和 83%。所有湿组之间以及 2 小时干燥时间的两组之间均未检测到显著差异(P>0.05)。湿储存后几乎没有观察到裂缝,但在 2 小时干燥后裂缝显著增加(P<0.001)。在 24 小时后比在 2 小时干燥时间后识别出更多的微裂缝(P<0.004)。

结论

当使用微计算机断层扫描评估时,牙本质的水分含量会影响微裂纹的检测。为了能够可靠地识别牙本质缺陷,应在干燥标本上进行扫描。在长达 24 小时的干燥期间形成新裂缝的说法是站不住脚的。

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