Yanpiset Kallaya, Banomyong Danuchit, Chotvorrarak Kanet, Srisatjaluk Ratchapin Laovanitch
Department of Operative Dentistry and Endodontics, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Department of Oral Microbiology, Faculty of Dentistry, Mahidol University, Bangkok, Thailand.
Restor Dent Endod. 2018 Jul 5;43(3):e30. doi: 10.5395/rde.2018.43.e30. eCollection 2018 Aug.
To evaluate sealing ability of root canals obturated with bioceramic-impregnated gutta percha cone (BCC) or gutta percha (GP), with bioceramic sealer (BCS) or AH Plus (AH; Dentsply-Maillefer), in roundly-prepared canals using matched single-cone technique, based on bacterial leakage test, and to analyze obturation quality using micro-computed tomography (CT) analysis.
Ninety-two distobuccal roots of maxillary molars were prepared using nickel-titanium files to apical size 40/0.06. The roots were divided into 4 groups ( = 20) that were obturated with a master cone and sealer: GP/AH, BCC/AH, GP/BCS, and BCC/BCS. Bacterial leakage model using was used to evaluate sealing ability for 60-day period. Obturated samples from each group ( = 4) were analyzed using micro-CT.
All groups showed bacterial leakage at 20%-45% of samples with mean leakage times of 42-52 days. There were no significant differences in bacterial leakage among the groups. Micro-CT showed minimal gaps and voids in all groups at less than 1%.
In roundly-prepared canals, the single cone obturation with BCC/BCS was comparable to GP/AH for bacterial leakage at 60 days.
基于细菌渗漏试验,采用匹配单尖技术,评估用生物陶瓷浸渍牙胶尖(BCC)或牙胶(GP)与生物陶瓷封闭剂(BCS)或AH Plus(AH;登士柏-迈利费)充填的圆形预备根管的封闭能力,并使用微计算机断层扫描(CT)分析来分析充填质量。
使用镍钛锉将92颗上颌磨牙的远中颊根预备至根尖尺寸40/0.06。将这些根分为4组(每组n = 20),分别用主尖和封闭剂进行充填:GP/AH、BCC/AH、GP/BCS和BCC/BCS。使用细菌渗漏模型评估60天内的封闭能力。对每组的充填样本(每组n = 4)进行微CT分析。
所有组均有20%-45%的样本出现细菌渗漏,平均渗漏时间为42-52天。各组之间的细菌渗漏无显著差异。微CT显示所有组中的间隙和空隙最小,均小于1%。
在圆形预备的根管中,60天时BCC/BCS单尖充填在细菌渗漏方面与GP/AH相当。