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使用四种不同的根管口屏障对根管治疗后牙齿抗折性的比较评估:一项研究。

A comparative evaluation of fracture resistance of endodontically treated teeth using four different intraorifice barriers: An study.

作者信息

Chauhan Parul, Garg Ashima, Mittal Rakesh, Kumar Hemashi

机构信息

Department of Conservative Dentistry and Endodontics, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India.

出版信息

J Conserv Dent. 2019 Sep-Oct;22(5):420-424. doi: 10.4103/JCD.JCD_227_19. Epub 2020 Aug 4.

Abstract

AIM

The aim of this study is to evaluate and compare the fracture resistance of endodontically treated teeth using four intraorifice barriers.

MATERIALS AND METHODS

Fifty extracted single-rooted mandibular premolars were selected, decoronated, and prepared with rotary Protaper universal system and obturated with gutta-percha and AH Plus sealer. Samples were divided into five groups ( = 10) on the basis of intraorifice barrier material used. Group 1: Biodentine, Group 2: Conventional glass ionomer cement (GIC), Group 3: Resin-modified glass ionomer cement (RMGIC), Group 4: Nanohybrid composite, Group 5: No barrier (control).Except for control specimens, coronal 3-mm gutta-percha was removed and filled with different intraorifice barrier materials in respective groups. Fracture resistance of specimens was tested using universal testing machine.

STATISTICAL ANALYSIS USED

One-way analysis of variance test and Tukey's test.

RESULTS

Mean fracture resistance of all experimental groups (with intraorifice barriers placed) were higher than control group (no intraorifice barrier placed). Biodentine showed the highest mean fracture resistance while RMGIC showed the least and the difference between their mean fracture resistance was statistically significant. There was no statistically significant difference among other experimental groups.

CONCLUSION

Placement of intraorifice barriers in endodontically treated teeth can significantly increase fracture resistance and this increase in fracture resistance is material dependent.

摘要

目的

本研究的目的是评估和比较使用四种根管口屏障材料对经根管治疗的牙齿的抗折性能。

材料与方法

选取50颗拔除的单根下颌前磨牙,去除冠部,用旋转ProTaper通用系统进行预备,并用牙胶尖和AH Plus封闭剂进行充填。根据所使用的根管口屏障材料将样本分为五组(每组 = 10)。第1组:生物活性玻璃;第2组:传统玻璃离子水门汀(GIC);第3组:树脂改性玻璃离子水门汀(RMGIC);第4组:纳米混合复合材料;第5组:无屏障(对照组)。除对照样本外,去除冠部3毫米的牙胶尖,在各相应组中用不同的根管口屏障材料进行充填。使用万能试验机测试样本的抗折性能。

所用统计分析方法

单因素方差分析和Tukey检验。

结果

所有实验组(放置根管口屏障)的平均抗折性能均高于对照组(未放置根管口屏障)。生物活性玻璃的平均抗折性能最高,而树脂改性玻璃离子水门汀的平均抗折性能最低,且它们的平均抗折性能之间的差异具有统计学意义。其他实验组之间无统计学显著差异。

结论

在经根管治疗的牙齿中放置根管口屏障可显著提高抗折性能,且这种抗折性能的提高取决于材料。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3423/7537759/e20128e11bc3/JCD-22-420-g001.jpg

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