Department of Conservative Dentistry and Endodontics, Tagore Dental College and Hospital, Chennai, Tamil Nadu, India.
Indian J Dent Res. 2020 Nov-Dec;31(6):857-861. doi: 10.4103/ijdr.IJDR_508_19.
Temperature rise on external root surface has a deleterious effect on the periodontium.
To compare and evaluate the temperature changes on the external root surfaces using three different heated gutta-percha obturation techniques and also to evaluate the effect of remaining dentin thickness (RDT) on the temperature rise during obturation.
In vitro study with a customized temperature measurement setup.
Thirty decoronated human maxillary central incisors were cleaned and shaped using standardized method. RDT was measured using cone beam computed tomography. They were divided into three groups of 10 samples each. Group 1 was obturated by traditional warm vertical compaction, Group 2 using solid core obturation, and Group 3 by warm vertical compaction technique using GP heater in vibration mode. AH Plus sealer was used as cement sealer. During obturation, the temperature rise was measured using K-type thermocouples in the coronal, middle, and apical thirds. The highest temperature rise during the procedure was recorded.
Data were analyzed by one-way analysis of variance and post hoc Tukey's test.
Traditional warm vertical compaction had the highest temperature change followed by warm vertical compaction using GP heater in vibration mode and solid core obturation.
There was a temperature rise on external root surfaces in the three techniques evaluated. Solid core obturation technique showed the least temperature change. There was no significance in the effect of RDT on temperature rise during obturation.
根管外部表面升温会对牙周组织产生有害影响。
比较和评估三种不同加热牙胶根管封闭技术在根管外部表面的温度变化,并评估剩余牙本质厚度(RDT)对封闭过程中升温的影响。
体外研究,使用定制的温度测量装置。
清洁和标准化方法对 30 颗去冠的上颌中切牙进行根管预备。使用锥形束计算机断层扫描(CBCT)测量 RDT。将它们分为三组,每组 10 个样本。第 1 组采用传统热垂直加压法进行根管封闭,第 2 组采用实心核法,第 3 组采用 GP 加热振动法进行热垂直加压法。使用 AH Plus 封闭剂作为水泥封闭剂。在根管封闭过程中,使用 K 型热电偶在冠、中、根尖三分之一处测量温度升高。记录程序中最高的温度升高。
使用单向方差分析和事后 Tukey 检验对数据进行分析。
传统热垂直加压法的温度变化最大,其次是 GP 加热振动法和实心核法。
在所评估的三种技术中,根管外部表面都有温度升高。实心核法显示的温度变化最小。RDT 对封闭过程中的升温没有显著影响。