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不同锥度大锥度牙胶连续垂直热加压充填的效率:一项研究。

Efficiency of Using Different Greater Taper Gutta-Percha Cones in Continuous Warm Vertical Condensation: An Study.

机构信息

Clinical Dental Sciences Department, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Kingdom of Saudi Arabia.

Clinical Dental Sciences Department, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Kingdom of Saudi Arabia, Phone: +966 559594130, e-mail:

出版信息

J Contemp Dent Pract. 2021 Jan 1;22(1):56-61.

Abstract

AIM

The aim of this randomized study is to evaluate the efficiency of gutta-percha cones that match a nickel-titanium instrumentation system and nonmatching greater taper cones, when used with continuous warm vertical condensation technique.

MATERIAL AND METHODS

Thirty-six straight canals were prepared using ProTaper Next files, and the apical third was obturated using either ProTaperNext cones (group A), ISO uniform greater taper cones (group B), or nonstandardized cones (group C). Cone adaptation time was quantified by the number of required modifications. Micro-computed tomography was used to measure voids and sealer percentage.

RESULTS

There was no significant difference between the groups regarding void volume ( = 0.666), percentage ( = 0.379), and the number of modifications ( = 0.757). Sealer percentage, however, was significantly lower in group B when compared to group A ( = 0.0194).

CONCLUSION

In straight canals, matching gutta-percha cones were not associated with significantly better obturation or saving time to fit the cone.

CLINICAL SIGNIFICANCE

Using gutta-percha cones that do not match a nickel-titanium instrumentation system to obturate the straight canals with continuous warm vertical condensation technique is as efficient as using matching cones in terms of obturation quality and ease of cone fit.

摘要

目的

本随机研究旨在评估与镍钛器械系统匹配的牙胶尖和不匹配的较大锥度牙胶尖在使用连续垂直热加压技术时的效果。

材料和方法

使用 ProTaper Next 锉预备 36 个直根管,并用 ProTaperNext 牙胶尖(A 组)、ISO 标准大锥度牙胶尖(B 组)或非标准化牙胶尖(C 组)进行根尖三分之一的充填。通过所需修改次数来量化牙胶尖的适配时间。采用微计算机断层扫描测量空隙和密封剂百分比。

结果

各组间的空隙体积( = 0.666)、百分比( = 0.379)和修改次数( = 0.757)均无显著差异。然而,与 A 组相比,B 组的密封剂百分比显著降低( = 0.0194)。

结论

在直根管中,匹配的牙胶尖并不与更好的充填效果或节省适配牙胶尖的时间相关。

临床意义

使用不匹配镍钛器械系统的牙胶尖进行直根管的连续垂直热加压充填与使用匹配牙胶尖在充填质量和牙胶尖适配性方面同样有效。

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