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根管根尖部三种充填技术的评估

EVALUATION OF THREE OBTURATION TECHNIQUES IN THE APICAL PART OF ROOT CANAL.

作者信息

Vadachkoria O, Mamaladze M, Jalabadze N, Chumburidze T, Vadachkoria D

机构信息

Dental Clinic ZIP/Zahnarzt in Passing/ Munich, Germany; Tbilisi State Medical University; Georgian Technical University, Center for Structure Researches; Dental Clinic, Training and Research Center - UniDent, Tbilisi, Georgia.

出版信息

Georgian Med News. 2019 Jul-Aug(292-293):17-21.

Abstract

The purpose of endodontic treatment is root canal preparation, irrigation and reliable filling. If this procedure results in quality tooth restoration, then long-term tooth function is guaranteed. All stages of the endodontic treatment process are important, but the final treatment procedure is root canal obturation, in which the dentist discusses the intended purpose. The process of root canal obturation is a time-consuming and costly manipulation. In this process, complete filling of the apical (peak) root is crucial. Therefore, the aim of this study was to determine the quality of canal filling in apical third of root using 3 techniques: lateral condensation, and thermoplastic Gutta Master and Gutta Fussion obturators. The quality of obturation was evaluated on 36 extracted human teeth. Teeth were divided into 3 groups according to the obturation technique (A, B, C study groups). In each group, the roots of the tooth were sectioned by 2 transverse cuts (perpendicular to the long axis) into 3 segments - apical, middle and coronal thirds. A scanning electron microscopic (SEM) study of apical thirds was performed. The SEM study had to identify the gap between material and root dentin, distant from the canal in all three techniques. The extent of the gap was assessed using modified criteria by R. Tanikodas (2016). The study revealed that absolutely no hermetic obturation of the canal system was recorded in any of the study groups. In all cases, microleakage of different degree and localization between the filling material and the canal wall was observed. However, the worst results were revealed in group A, where interphase weakening was the most frequent. Gutta-Master and Gutta-Fussion thermoplastic obturation showed better adhesion to the walls, but the degree of obturation in group C teeth was better than the results in specimens where the canals had been filled with Gutta-Master.

摘要

牙髓治疗的目的是进行根管预备、冲洗和可靠充填。如果这一过程能实现高质量的牙齿修复,那么牙齿的长期功能就能得到保证。牙髓治疗过程的所有阶段都很重要,但最后一个治疗步骤是根管充填,在此过程中牙医会说明预期目的。根管充填过程是一项耗时且成本高昂的操作。在这个过程中,根尖(顶端)根管的完全充填至关重要。因此,本研究的目的是使用三种技术——侧向加压充填法、热塑性牙胶尖(Gutta Master)和热熔牙胶(Gutta Fussion)充填器,来确定根尖三分之一根管的充填质量。在36颗拔除的人牙上评估充填质量。根据充填技术将牙齿分为3组(A、B、C研究组)。在每组中,将牙根通过2条横向切口(垂直于长轴)切成3段——根尖、中部和冠部三分之一。对根尖三分之一进行扫描电子显微镜(SEM)研究。SEM研究必须确定在所有三种技术中材料与牙根牙本质之间远离根管的间隙。使用由R. Tanikodas(2016年)修改后的标准评估间隙程度。研究表明,在任何一个研究组中均未记录到根管系统的完全密闭充填。在所有情况下,均观察到充填材料与根管壁之间存在不同程度和位置的微渗漏。然而,A组的结果最差,其中相间弱化最为常见。热塑性牙胶尖(Gutta-Master)和热熔牙胶(Gutta-Fussion)充填显示出对管壁更好的粘附性,但C组牙齿的充填程度优于使用热塑性牙胶尖(Gutta-Master)充填根管的标本。

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