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使用两种染料渗透技术评估牙胶尖/AH Plus和Resilon/Epiphany充填根管的根尖微渗漏情况。

An Evaluation of Apical Leakage in Gutta-percha/ AH Plus and Resilon/Epiphany-filled Root Canals Using Two Dye Penetration Techniques.

作者信息

Reddy Asha, Garg Gaurav, Janardhanan Sreeja, Uthappa Roshan, Arora Suraj, Singh Nitin K

机构信息

Department of Conservative Dentistry and Endodontics, Sri Balaji Dental College, Moinabad, Telangana, India, Phone: +919676077601, e-mail:

Department of Restorative Dental Sciences, College of Dentistry, King Khalid University, Abha, Kingdom of Saudi Arabia.

出版信息

J Contemp Dent Pract. 2019 Feb 1;20(2):152-157.

Abstract

AIM

Aim of the present study was to evaluate the apical leakage in gutta-percha/AH plus and resilon/epiphany filled root canals using two dye penetration techniques.

MATERIALS AND METHODS

Sixty freshly extracted human single-rooted teeth were collected. The crown portion of each tooth was sectioned from the cementoenamel junction using a diamond disk. The canals were instrumented using Step back technique up to a caliber of 40. The roots were randomly divided into four experimental groups of 15 sample units each. All the groups are obturated using lateral compaction technique. Samples were placed in India ink and stored in an incubator for 7 days after which they were thoroughly washed under tap water and dried. The roots were divided into longitudinal splitting technique with diamond disks and using clearing technique was checked for linear dye penetration using stereomicroscope. The surfaces were scanned and surfaces with greatest dye penetration were measured by using De winter Biowizard software system.

RESULTS

The mean leakage for groups I, II, III, and IV are 2.31980, 2.68140, 4.11567, and 4.21047 respectively. One-way ANOVA was applied to the mean leakage scores of different groups, found a significant difference between mean leakage scores. F value of 3.266 and it was found to be significant with a value of 0.028. Significant differences were obtained for mean comparisons of groups I and III, groups I and IV and groups III and IV. Further, between groups I and II, groups II and III, and groups III and IV no significant differences were observed.

CONCLUSION

In conclusion, gutta-percha/AH Plus sealed root canals showed lesser leakage than the Resilon Epiphany groups and there was no significant difference in the two different methodologies used for dye penetration.

CLINICAL SIGNIFICANCE

Tightly adapted endodontic filling material is one of the goals in successful clinical endodontics and Improvements in the adhesive technology have fostered attempts to reduce apical and coronal leakage by bonding to the root canal walls to obtain a solid monoblock.

摘要

目的

本研究的目的是使用两种染料渗透技术评估牙胶/AH plus和热塑性树脂/Epiphany充填根管的根尖微渗漏情况。

材料与方法

收集60颗新鲜拔除的人单根牙。使用金刚石切割片从牙骨质釉质界处截除每颗牙的冠部。采用逐步后退技术预备根管至40号。将牙根随机分为4个实验组,每组15个样本单位。所有组均采用侧向加压技术进行根管充填。样本置于印度墨水中,在培养箱中保存7天,之后在自来水下彻底冲洗并干燥。使用金刚石切割片将牙根进行纵向劈开,并采用透明技术,使用体视显微镜检查线性染料渗透情况。对牙根表面进行扫描,并使用De winter Biowizard软件系统测量染料渗透最大的表面。

结果

I组、II组、III组和IV组的平均渗漏值分别为2.31980、2.68140、4.11567和4.21047。对不同组的平均渗漏分数进行单因素方差分析,发现平均渗漏分数之间存在显著差异。F值为3.266,P值为0.028,差异具有统计学意义。I组与III组、I组与IV组以及III组与IV组的平均比较存在显著差异。此外,I组与II组、II组与III组以及III组与IV组之间未观察到显著差异。

结论

总之,牙胶/AH Plus封闭的根管显示出比热塑性树脂/Epiphany组更小的渗漏,并且在两种不同的染料渗透方法之间没有显著差异。

临床意义

紧密适配的根管充填材料是成功的临床根管治疗的目标之一,并且粘接技术的改进促使人们尝试通过与根管壁粘接来减少根尖和冠部渗漏,以获得一个坚固的整体。

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