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不同剩余牙胶尖水平对桩修复牙根尖封闭性影响的比较研究:一项研究。

Comparative Study of the Effect on Apical Sealability with Different Levels of Remaining Gutta-Percha in Teeth Prepared to Receive Posts: An Study.

作者信息

Baruah Kaveri, Mirdha Nitin, Gill Bobbin, Bishnoi Nirmala, Gupta Tarun, Baruah Queentaj

机构信息

Department of Conservative Dentistry and Endodontics, Vyas Dental College and Hospital, Jodhpur, Rajasthan, India.

出版信息

Contemp Clin Dent. 2018 Sep;9(Suppl 2):S261-S265. doi: 10.4103/ccd.ccd_196_18.

Abstract

OBJECTIVE

The objective of this study is to compare the apical sealability of mineral trioxide aggregate (MTA) Fillapex and Endosequence BC sealer at three different lengths of remaining gutta-percha after postspace preparation.

MATERIALS AND METHODS

A total of 80 freshly extracted human maxillary anterior teeth were decoronated, biomechanically prepared, and randomly divided into four groups; Group A and Group B served as positive and negative control with 10 teeth each. The teeth in Group C and Group D (with 30 teeth each) were obturated with gutta-percha using MTA Fillapex sealer and Endosequence BC sealer, respectively. Teeth in Group C and Group D were further subdivided into three subgroups depending on the length of remaining apical gutta-percha, i.e., 3, 4, and 5 mm after postspace preparation. Apical leakage was assessed using dye penetration method under stereomicroscope.

RESULTS

In both the Groups C and D, there was overall no statistically significant difference in leakage; however, Group C showed slightly more leakage than Group D. There was a statistically significant difference in leakage at 3 mm and 5 mm level in both groups.

CONCLUSION

Although less microleakage occurred, the bioceramic sealers could not totally eliminate leakage.

摘要

目的

本研究的目的是比较在桩腔预备后三种不同长度的剩余牙胶尖情况下,矿物三氧化物凝聚体(MTA)Fillapex和Endosequence BC封闭剂的根尖封闭性。

材料与方法

总共80颗新鲜拔除的人类上颌前牙进行去冠、生物力学预备,并随机分为四组;A组和B组分别作为阳性和阴性对照,每组各10颗牙。C组和D组(每组各30颗牙)分别使用MTA Fillapex封闭剂和Endosequence BC封闭剂进行牙胶尖充填。C组和D组的牙齿根据剩余根尖牙胶尖的长度进一步细分为三个亚组,即桩腔预备后剩余3、4和5毫米。在体视显微镜下使用染料渗透法评估根尖微渗漏。

结果

在C组和D组中,总体上微渗漏没有统计学上的显著差异;然而,C组的微渗漏略多于D组。两组在3毫米和5毫米水平的微渗漏有统计学上的显著差异。

结论

尽管生物陶瓷封闭剂产生的微渗漏较少,但不能完全消除渗漏。

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