Ali Naushad, Saha Suparna Ganguly, Vijayvargiya Prashansa, Bhardwaj Anuj, Shrivastava Saurabh, Sharma Vini, Sachdeva Harmeet Singh
Department of Conservative Dentistry and Endodontics, College of Dental Science and Hospital, Indore, Madhya Pradesh, India.
Department of Prosthodontics, Mansarovar Dental College, Bhopal, Madhya Pradesh, India.
J Conserv Dent. 2019 Nov-Dec;22(6):593-597. doi: 10.4103/JCD.JCD_553_18. Epub 2020 Aug 20.
The study aimed to evaluate and compare the push-out bond strength of gutta-percha using AH plus, Endosequence BC, and Roeko seal sealer with lateral condensation and thermoplasticized obturation technique.
Sixty single-rooted premolars were instrumented and samples were randomly assigned into three groups based on the sealer used (Group A-AH Plus, Group B-Endosequence BC, Group C-Roeko Seal) which were further divided into two subgroups-A1, B1, and C1 were obturated by the lateral condensation technique and A2, B2, and C2 using the thermoplasticized technique. Each sample was sectioned horizontally using a diamond disc, representing apical, middle, and coronal thirds, respectively. Root segments were then mounted on an acrylic block, and push-out bond strength of each sample was tested using the universal testing machine.
One-way ANOVA, Tukey's test, and unpaired -test.
For mandibular premolar teeth with a single canal using lateral condensation technique, the highest push-out bond strength was found in the A1 group (7.30 ± 0.61 MPa) at the apical level. While using the thermoplasticized technique, the highest push-out bond strength was found in the B2 group (3.71 ± 0.81 MPa) at the apical level. Overall results showed that the lateral condensation technique showed significantly higher push-out bond strength than thermoplasticized technique ( < 0.028).
The push-out bond strength of AH Plus sealer was higher than the Endosequence BC sealer and Roeko seal sealer. Lateral condensation technique has shown higher push-out bond strength than the thermoplasticized technique.
本研究旨在评估和比较使用AH plus、Endosequence BC和Roeko seal封闭剂,采用侧向加压和热塑牙胶充填技术时牙胶的推出粘结强度。
选取60颗单根前磨牙进行根管预备,根据所使用的封闭剂将样本随机分为三组(A组 - AH Plus,B组 - Endosequence BC,C组 - Roeko Seal),每组再进一步分为两个亚组 - A1、B1和C1采用侧向加压技术进行充填,A2、B2和C2采用热塑技术进行充填。使用金刚石切割片将每个样本水平切割,分别代表根尖、根中和冠中1/3。然后将根段固定在丙烯酸块上,使用万能试验机测试每个样本的推出粘结强度。
单向方差分析、Tukey检验和非配对检验。
对于单根管下颌前磨牙,采用侧向加压技术时,A1组在根尖水平的推出粘结强度最高(7.30±0.61MPa)。采用热塑技术时,B2组在根尖水平的推出粘结强度最高(3.71±0.81MPa)。总体结果显示,侧向加压技术的推出粘结强度显著高于热塑技术(P<0.028)。
AH Plus封闭剂的推出粘结强度高于Endosequence BC封闭剂和Roeko seal封闭剂。侧向加压技术的推出粘结强度高于热塑技术。