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两种根管封闭剂和根管预备与粘结前间隔时间对纤维桩粘结强度的影响。

The effect of two endodontic sealers and interval before post-preparation and cementation on the bond strength of fiber posts.

机构信息

State Key Laboratory of Oral Diseases, Sichuan University, Chengdu, 610041, China.

National Clinical Research Center for Oral Diseases, Department of Endodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China.

出版信息

Clin Oral Investig. 2021 Nov;25(11):6211-6217. doi: 10.1007/s00784-021-03920-w. Epub 2021 Apr 5.

Abstract

OBJECTIVES

To evaluate the effect of different endodontic sealers (epoxy resin-based and bioceramic-based) and the time of post-cementation on the bond strength of a fiber post cemented with resin cement.

METHODS

Forty human premolars were instrumented and divided into 4 groups. According to the type of sealer and the time of post-cementation: AH-IM (AH Plus, post-cemented immediately after root canal treatment), SP-IM (iRoot SP, post-cemented immediately after root canal treatment), AH-OW (AH Plus, post-cementation after one week), and SP-OW (iRoot SP, post-cementation after one week). In each group, the samples were submitted to push-out test, and failure mode was assessed. Levene's test, one-way ANOVA, and Kruskal-Wallis analysis were applied for statistical analysis (α = 5%).

RESULTS

The highest mean push-out bond strength was obtained from the SP-IM group in the apical part (10.45 ± 5.15MPa), while the lowest was observed in samples from the AH-OW group in the middle part (2.63 ± 1.54 MPa). One-way ANOVA showed that within the same root region, the time of post-cementation had a negative influence on the bonding strength in the SP groups in the middle and apical portion (P<0.05), however, when comparing the effect of type of sealers on bonding strength between the OW groups or IM groups within the same root region, no significant difference was observed regardless of the post cementation time (P>0.05).

CONCLUSIONS

The bond strength of the fiber post was higher when the post was cemented immediately after root canal treatment when the bioceramic sealer was applied.

CLINICAL RELEVANCE

The correct choice of an endodontic sealer and the proper time of post-cementation may help to obtain the best quality of post-and-core restoration.

摘要

目的

评估不同根管封闭剂(环氧树脂基和生物陶瓷基)和粘固后时间对树脂水门汀粘结纤维桩的粘结强度的影响。

方法

40 个人工前磨牙被分为 4 组。根据封闭剂的类型和粘固后时间:AH-IM(AH Plus,根管治疗后立即粘固)、SP-IM(iRoot SP,根管治疗后立即粘固)、AH-OW(AH Plus,根管治疗后一周粘固)和 SP-OW(iRoot SP,根管治疗后一周粘固)。在每组中,样本都进行了推出试验,并评估了失效模式。应用莱文检验、单因素方差分析和克鲁斯卡尔-沃利斯分析进行统计学分析(α=5%)。

结果

在根尖部,SP-IM 组的平均推出粘结强度最高(10.45±5.15MPa),而在中间部,AH-OW 组的粘结强度最低(2.63±1.54MPa)。单因素方差分析显示,在同一根区,粘固后时间对 SP 组中间和根尖部的粘结强度有负面影响(P<0.05),然而,当比较 OW 组或 IM 组在同一根区的不同封闭剂类型对粘结强度的影响时,无论粘固后时间如何,都没有观察到显著差异(P>0.05)。

结论

当应用生物陶瓷封闭剂时,纤维桩在根管治疗后立即粘固时,粘结强度更高。

临床意义

正确选择根管封闭剂和适当的粘固后时间可能有助于获得最佳的桩核修复质量。

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