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热塑性热凝牙胶充填材料与冷塑性热凝牙胶充填材料的牙本质适应性:一项研究。

Dentinal Adaptation of Warm Thermoplastic Obturating Material and Cold Thermoplastic Obturating Material: An Study.

作者信息

Raghuwanshi Swadhin, Jain Pradeep, Patni Pallav Mahesh, Pandey Sanket Hans, Hiremath Hemalatha, Baghel Shabdika

机构信息

Department of Conservative Dentistry and Endodontics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India.

Department of Orthodontics and Dentofacial Orthopaedics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India.

出版信息

Contemp Clin Dent. 2019 Jan-Mar;10(1):64-68. doi: 10.4103/ccd.ccd_312_18.

Abstract

INTRODUCTION

The objective of endodontic obturation is to provide a complete seal along the length of the root canal system, thereby ensuring the healing and sustained health of the periradicular tissue. Root canal obturation involves the three-dimensional filling of the entire root canal system and is a critical step in endodontic therapy. Gutta-percha has universally been accepted as the gold standard for root canal filling materials. However, it lacks bonding to the internal tooth structure resulting in the absence of complete seal.

AIM

The aim of the present study is to compare the dentinal adaptation of warm thermoplastic obturating material and cold thermoplastic obturating materials.

MATERIALS AND METHODS

Thirty single-rooted, anterior noncarious human teeth extracted for periodontal or orthodontic reasons were used for the study. The samples were stored in distilled water until obturation. The specimens were then randomly divided into three groups of ten specimens each: Control group - Cold lateral condensation with AH Plus, Group I - Endosure with AH Plus, and Group II - GuttaFlow 2 with master cone. The obturation for each group was done following manufacturer's instructions. Under On-demand software, the area of voids at the level of 3 mm, 5 mm, and 8 mm from the apex was observed for all the samples. The obtained results were submitted for statistical analysis.

RESULTS

The result in the present study showed that Endosure provides a better consistent seal as compared to cold lateral condensation, or GuttaFlow 2 techniques.

CONCLUSION

Mean void value was maximum for GuttaFlow 2 group, followed by cold lateral condensation, Endosure. Though there was a difference in the mean void values, it was not statistically significant except between Endosure and GuttaFlow 2. The result in the present study showed that Endosure provides a better seal as compared to cold lateral compaction, GuttaFlow 2 or Endosure technique.

摘要

引言

根管充填的目的是沿根管系统全长提供完全封闭,从而确保根尖周组织的愈合和持续健康。根管充填涉及整个根管系统的三维充填,是牙髓治疗中的关键步骤。牙胶已被普遍公认为根管充填材料的金标准。然而,它与牙齿内部结构缺乏粘结性,导致无法实现完全封闭。

目的

本研究的目的是比较热塑性根管充填材料和冷塑性根管充填材料与牙本质的适应性。

材料与方法

本研究使用了30颗因牙周或正畸原因拔除的单根前牙非龋人类牙齿。样本保存在蒸馏水中直至进行充填。然后将标本随机分为三组,每组十个标本:对照组 - 用AH Plus进行冷侧方加压充填,第一组 - 用AH Plus进行Endosure热塑性注射充填,第二组 - 用主尖锉配合GuttaFlow 2进行充填。每组均按照制造商的说明进行充填。在On-demand软件下,观察所有样本根尖上方3mm、5mm和8mm处的空隙面积。将获得的结果进行统计分析。

结果

本研究结果表明,与冷侧方加压充填或GuttaFlow 2技术相比,Endosure热塑性注射充填能提供更好的一致性封闭效果。

结论

GuttaFlow 2组的平均空隙值最大,其次是冷侧方加压充填组,Endosure热塑性注射充填组最小。尽管平均空隙值存在差异,但除了Endosure热塑性注射充填组和GuttaFlow 2组之间外,差异无统计学意义。本研究结果表明,与冷侧方加压充填、GuttaFlow 2或Endosure技术相比,Endosure热塑性注射充填能提供更好的封闭效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c2d2/6974998/452343cee5b4/CCD-10-64-g001.jpg

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