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本科生、研究生和牙髓病专科医生进行的单根管充填的显微计算机断层扫描评估

Microcomputed Tomographic Assessment of the Single Cone Root Canal Fillings Performed by Undergraduate Student, Postgraduate Student and Specialist Endodontist.

作者信息

Drukteinis Saulius, Bilvinaite Goda, Tusas Paulius, Shemesh Hagay, Peciuliene Vytaute

机构信息

Institute of Dentistry, Faculty of Medicine, Vilnius University, Zalgirio 115, LT-08217 Vilnius, Lithuania.

Academic Centre for Dentistry Amsterdam (ACTA), Gustav Mahlerlaan 3044, 1081 LA Amsterdam, The Netherlands.

出版信息

J Clin Med. 2021 Mar 5;10(5):1080. doi: 10.3390/jcm10051080.

Abstract

The present study evaluated the obturation quality of root canals filled with BioRoot RCS sealer and single gutta-percha point by undergraduate student (US), postgraduate student (PS) and endodontist (ED). Twenty-one plastic models of upper premolars were enlarged with HyFlex EDM instruments to a size 40/0.04 taper and randomly divided into three groups (7 teeth/14 canals per group): US, PS and ED. After the obturation of root canals with BioRoot RCS and one HyFlex EDM size 40 gutta-percha point, plastic models were scanned using micro-computed tomography scanner (µCT) SkyScan 1272 at isotropic resolution of 10 µm. The porosity distribution was evaluated separately for the apical, middle and coronal thirds. The Kruskal-Wallis, Mann-Whitney, Friedman and Wilcoxon tests with the significance level set at 5% were used for data analysis. The µCT evaluation revealed open pores being the dominant type of porosity in all experimental groups and root canal thirds, with the highest percentage of pores in the apical third of root canal fillings. The quality and homogeneity of single cone root canals fillings remained similar between the groups in the apical and middle thirds ( > 0.05). Significant differences were observed only in the coronal third ( < 0.05).

摘要

本研究评估了本科学生(US)、研究生(PS)和牙髓病医生(ED)使用BioRoot RCS封闭剂和单根牙胶尖充填根管的充填质量。使用HyFlex EDM器械将21个上颌前磨牙塑料模型扩大到40/0.04锥度,并随机分为三组(每组7颗牙/14个根管):US组、PS组和ED组。用BioRoot RCS和一根HyFlex EDM 40号牙胶尖充填根管后,使用微计算机断层扫描仪(µCT)SkyScan 1272以10 µm的各向同性分辨率对塑料模型进行扫描。分别评估根尖、根管中部和冠部三分之一处的孔隙率分布。数据分析采用Kruskal-Wallis、Mann-Whitney、Friedman和Wilcoxon检验,并将显著性水平设定为5%。µCT评估显示,在所有实验组和根管的三个部分中,开放孔隙是孔隙率的主要类型,根管充填物根尖三分之一处的孔隙率最高。在根尖和根管中部三分之一处,各组之间单根管牙胶充填的质量和均匀性相似(>0.05)。仅在冠部三分之一处观察到显著差异(<0.05)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/85e8/7961753/0227475cb687/jcm-10-01080-g001.jpg

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