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使用往复式器械处理的并用生物陶瓷封闭剂填充的根管牙本质微裂纹的显微 CT 分析。

Micro-CT analysis of dentinal microcracks on root canals filled with a bioceramic sealer and retreated with reciprocating instruments.

机构信息

Department of Operative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco (UPE), Avenida General Newton Cavalcanti, 1650, Camaragibe, PE, 54753-020, Brazil.

Department of Clinic and Social Dentistry, Federal University of Paraiba (UFPB), João Pessoa, PB, Brazil.

出版信息

Sci Rep. 2020 Sep 17;10(1):15264. doi: 10.1038/s41598-020-71989-6.

Abstract

This study aimed to analyze the potential occurrence of dentinal defects after the removal of a root canal filling with two different sealers using Reciproc (RC) or Reciproc Blue (RB). The mesial roots of 60 mandibular molars with a Vertucci type IV configuration were selected. The samples were initially instrumented with Reciproc (R25) and then divided into the following four experimental groups according to the endodontic sealer and retreatment instrument (n = 15): BC Sealer/Reciproc (BCRC); BC Sealer/Reciproc Blue (BCRB); AH Plus/Reciproc (AHRC); and AH Plus/Reciproc Blue (AHRB). Then, the samples were scanned under micro-CT after obturation and removal of the filling material. Two analyses were conducted. First, an evaluation was performed on all the axial images, and another analysis evaluated each millimeter of the 10 mm from the apex. Dentinal defects were observed in all the samples. All of the identified defects in the images after filling material removal were present in the corresponding images after obturation. The use of AH Plus and EndoSequence BC Sealer, and filling material removal using RC and RB instruments did not induce dentinal defects.

摘要

本研究旨在分析使用 Reciproc(RC)或 Reciproc Blue(RB)两种不同密封剂去除根管填充物后牙本质缺陷的潜在发生情况。选择 60 颗下颌磨牙具有 Vertucci 类型 IV 配置的近中根。最初使用 Reciproc(R25)对样本进行器械处理,然后根据牙髓密封剂和再治疗器械将样本分为以下四个实验组(n = 15):BC 密封剂/Reciproc(BCRC);BC 密封剂/Reciproc Blue(BCRB);AH Plus/Reciproc(AHRC);和 AH Plus/Reciproc Blue(AHRB)。然后,在根管填充材料的封闭和去除后,对样本进行微 CT 扫描。进行了两次分析。首先,对所有轴位图像进行评估,然后对根尖 10mm 内的每毫米进行分析。所有样本中均观察到牙本质缺陷。在填充材料去除后的图像中识别出的所有缺陷都存在于相应的封闭后的图像中。使用 AH Plus 和 EndoSequence BC 密封剂,以及使用 RC 和 RB 器械去除填充材料不会导致牙本质缺陷。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8fc1/7498450/5f1e10b53a9b/41598_2020_71989_Fig1_HTML.jpg

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