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采用锥形单根管和两种硅酸钙基密封剂进行根管充填:使用微计算机断层扫描分析空隙。

Root fillings with a matched-taper single cone and two calcium silicate-based sealers: an analysis of voids using micro-computed tomography.

机构信息

Department of General Surgery and Medical-Surgical Specialties, University of Catania, Catania, Italy.

Endodontic Division, Faculty of Dentistry, Beirut Arab University, Beirut, Lebanon.

出版信息

Clin Oral Investig. 2020 Dec;24(12):4487-4492. doi: 10.1007/s00784-020-03313-5. Epub 2020 May 7.

Abstract

OBJECTIVES

To compare the percentage of voids in matched-taper single-cone fillings with GuttaFlow Bioseal or BioRoot RCS root canal sealers, using micro-computed tomography.

MATERIALS AND METHODS

Forty-eight single-rooted mandibular premolars were prepared using rotary files and randomly allocated into 2 groups (n = 24), wherein the canals were filled with a matched-taper single gutta-percha cone and one of the two sealers: Group 1, GuttaFlow Bioseal and Group 2, BioRoot RCS. The specimens were scanned with micro-CT before and after root canal filling. A specialized software was used to calculate the voids volume percentage (V%) in the filling for the whole root canal, root canal thirds, and the last millimeter from the apex. Data were statistically analyzed by ANOVA and Tukey tests (p < 0.05).

RESULTS

Root canals filled with GuttaFlow Bioseal had significantly less V% than those filled with BioRoot RCS in all the root-thirds (p < 0.05) except at the apical 1 mm (p > 0.05). Comparing the root-thirds, GuttaFlow Bioseal showed similar V% in all regions (p > 0.05), while BioRoot RCS group had significantly greater V% in the coronal third compared with the other thirds (p < 0.05).

CONCLUSIONS

Root canals filled with a matched-taper single cone and GuttaFlow Bioseal had significant less voids than those with BioRoot RCS, except at the apical 1 mm.

CLINICAL RELEVANCE

Voids in root fillings have been reported to have a negative impact on root canal treatment. This study highlights the percentage of voids in root fillings composed of a single cone of gutta-percha with two types of calcium silicate-based bioceramic sealers.

摘要

目的

通过微计算机断层扫描比较 GuttaFlow Bioseal 或 BioRoot RCS 根管封闭剂与匹配锥度单根管填充的空泡百分比。

材料和方法

使用旋转锉制备 48 颗下颌前磨牙,随机分为 2 组(n=24),其中根管用匹配锥度的单根管牙胶尖和两种密封剂之一填充:第 1 组为 GuttaFlow Bioseal,第 2 组为 BioRoot RCS。在根管填充前后,对标本进行微 CT 扫描。使用专门的软件计算整个根管、根管三分之一和根尖最后 1 毫米处填充的空隙体积百分比(V%)。数据采用方差分析和 Tukey 检验进行统计学分析(p<0.05)。

结果

在所有根管三分之一处(p<0.05),除根尖 1 毫米处(p>0.05)外,用 GuttaFlow Bioseal 填充的根管的 V%明显低于用 BioRoot RCS 填充的根管。比较根管三分之一处,GuttaFlow Bioseal 在所有区域的 V%相似(p>0.05),而 BioRoot RCS 组的冠部三分之一的 V%明显高于其他三分之一(p<0.05)。

结论

与 BioRoot RCS 相比,用匹配锥度单根管填充的根管和 GuttaFlow Bioseal 的空隙明显较少,除根尖 1 毫米外。

临床意义

已有研究报道根管填充中的空隙会对根管治疗产生负面影响。本研究强调了由单根管牙胶尖和两种类型的硅酸钙基生物陶瓷密封剂组成的根管填充中的空隙百分比。

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