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冠部与根部节段间的后倾角度对根管治疗后牙齿抗折性的影响

Influence of Post Angulation between Coronal and Radicular Segment on the Fracture Resistance of Endodontically Treated Teeth.

作者信息

Haralur Satheesh B, Lahig Anas Abdullah, Al Hudiry Yahya Ahmed, Al-Shehri Abdullah Hassan, Al-Malwi Ahmed Abdullah

机构信息

Associate Professor, Department of Prosthodontics, College of Dentistry, King Khalid University, Kingdom of Saudi Arabia.

Intern, College of Dentistry, King Khalid University, Abha, Asir, Saudi Arabia.

出版信息

J Clin Diagn Res. 2017 Aug;11(8):ZC90-ZC93. doi: 10.7860/JCDR/2017/27965.10470. Epub 2017 Aug 1.

Abstract

INTRODUCTION

The objectives of coronal restoration in the Endodontically Treated Teeth (ETT) include rehabilitation of aesthetics, function and prevention of coronal leakage. The long axis of root and the coronal segment in the maxillary anterior teeth varies according to the occlusal scheme. The restorative dentist is required to fabricate the post angulation in compatibility to contour of the adjacent teeth.

AIM

To evaluate the influence of the angle between the long axes of core facial surface and the radicular segment of the post on fracture resistance of ETT.

MATERIALS AND METHODS

Total of 30 maxillary intact canines was root canal treated, sectioned 2 mm above the CEJ. The custom made nickel-chromium endodontic posts were fabricated using direct method. The samples were divided among three groups of 10 each. The angle between coronal segment and radicular segment of post in Group-I, Group-II, Group-III were 5°, 10° and 15° respectively. The teeth samples were cemented with full veneer metal crown and tested under universal testing machine. The static load at the angle of 130° was applied until the fracture to record the fracture strength. The obtained data was statistically analysed with ANOVA and Tukey post-hoc test.

RESULTS

The Group-III showed the highest fracture strength with 666.15 N. The Group-II and Group-I recorded the mean fracture strength at 443.37 N and 276.74 N respectively.

CONCLUSION

The endodontic post with higher angle between the long axis of facial surface and radicular segment long axis had the positive correlation to the fracture strength in ETT.

摘要

引言

根管治疗牙(ETT)进行冠部修复的目的包括恢复美观、功能以及防止冠部微渗漏。上颌前牙牙根的长轴和冠部节段会根据咬合方案而有所不同。修复牙医需要制作与相邻牙齿外形相适配的桩道角度。

目的

评估桩核唇面长轴与桩根段长轴之间的角度对根管治疗牙抗折性的影响。

材料与方法

选取30颗完整的上颌尖牙进行根管治疗,在牙骨质界上方2mm处截断。采用直接法制作定制的镍铬合金根管桩。将样本分为三组,每组10个。第一组、第二组、第三组桩的冠部节段与根段之间的角度分别为5°、10°和15°。牙齿样本用全冠金属冠粘结,在万能试验机上进行测试。在130°角施加静态载荷直至折断,记录折断强度。所得数据采用方差分析和Tukey事后检验进行统计学分析。

结果

第三组的折断强度最高,为666.15N。第二组和第一组的平均折断强度分别为443.37N和276.74N。

结论

在根管治疗牙中,桩核唇面长轴与根段长轴之间角度较大的根管桩与抗折强度呈正相关。

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