Fiore Peter M Di, Phebus Jeffrey G, Himel Van T, de Rijk Waldemar G
Department of Endodontics, University of Texas School of Dentistry, Houston, USA.
Department of Endodontics, University of Tennessee College of Dentistry, Memphis, USA.
Eur Endod J. 2017 Feb 6;2(1):1-6. doi: 10.5152/eej.2017.17047. eCollection 2017.
The purpose of this study was to determine the ability of a methacrylate resin dentin bonding agent to adhere to the dentin surfaces of prepared and conditioned root canals with either 32% phosphoric acid (PA) or 17% ethylenediaminetetraacetic acid (EDTA).
Prior to the application of the methacrylate resin, the root canals of 54 intact, caries-free, single- rooted, de-crowned, extracted human maxillary incisor and canine teeth were endodontically prepared and conditioned with either 32% PA or 17% EDTA or with distilled water as the unconditioned control. The resin-treated roots were cross-sectioned at three levels and scanning electron microscope (SEM) imaged for circumferential views of the root canals at 60-90× magnification and site-specific views at 250× magnification, and then randomly coded for independent and blind evaluation by four calibrated examiners. The circumferential surface of the root canals that showed no resin adhesion were digitally measured and subtracted from the digitally measured total root canal circumference, and resin adhesion was expressed as a percentage of the circumference.
The mean percentages of resin adhesion were 97% for the PA group, 94% for the EDTA group, and 76% for the control group. There were statistically significant differences among the PA, EDTA, and control groups.
Root canals conditioned with 32% PA or 17% EDTA had more resin adhesion than unconditioned root canals. Root canals conditioned with 32% PA had more resin adhesion than those conditioned with 17% EDTA.
本研究旨在确定一种甲基丙烯酸酯树脂牙本质粘结剂与经32%磷酸(PA)或17%乙二胺四乙酸(EDTA)预备和预处理的根管牙本质表面的粘结能力。
在应用甲基丙烯酸酯树脂之前,对54颗完整、无龋坏、单根、去冠的拔除人上颌切牙和尖牙的根管进行牙髓预备,并用32% PA或17% EDTA或蒸馏水作为未处理对照进行预处理。将树脂处理过的牙根在三个水平进行横截面切片,用扫描电子显微镜(SEM)以60 - 90倍放大倍数对根管进行周向观察,以250倍放大倍数进行特定部位观察,然后随机编码,由四位经过校准的检查人员进行独立盲法评估。对未显示树脂粘结的根管周向表面进行数字测量,并从根管总周向数字测量值中减去,树脂粘结率以周向百分比表示。
PA组树脂粘结的平均百分比为97%,EDTA组为94%,对照组为76%。PA组、EDTA组和对照组之间存在统计学显著差异。
用32% PA或17% EDTA预处理的根管比未处理的根管具有更高的树脂粘结性。用32% PA预处理的根管比用17% EDTA预处理的根管具有更高的树脂粘结性。