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后路撑开准备过程中的垂直载荷和扭矩及其对微裂纹发展的影响。

Vertical Load and Torque during Postspace Preparation and Their Influence on Microcrack Development.

机构信息

Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.

King Abdullah International Medical Research Centre, Ministry of National Guard Health Affairs, Riyadh, Kingdom of Saudi Arabia.

出版信息

J Prosthodont. 2022 Mar;31(3):252-256. doi: 10.1111/jopr.13392. Epub 2021 Jun 5.

Abstract

PURPOSE

To investigate, in vitro, the magnitudes of vertical load and torque generated during post space preparation of root canal treated teeth and their influence on microcrack development.

MATERIALS AND METHODS

Forty extracted premolars with single canals were decoronated. The roots were prepared using ProTaper Next system (Dentsply Sirona) to X3 file, obturated, and provisionalized. After a 3-week incubation period, the roots were distributed into 2 groups according to the post drill system used (ParaPost fiber post and RelyX fiber post). During post space preparation, the vertical load, torque, and preparation time were recorded. Before and after the post space preparation, the roots were imaged with micro-computed tomography (SkyScan 1172; Bruker micro-CT) to detect new microcracks. The data were analyzed using the Mann-Whitney U-test and chi-square test.

RESULTS

In ParaPost and RelyX, the post space was prepared in 48.31 ±25.28 and 47.71 ±13.36 seconds, respectively (p = 0.360). The peak vertical load generated with ParaPost (20.23 ±7.80 N) was significantly lower than that of RelyX (29.43 ±5.82 N) (p = 0.010). The maximum torque attained with ParaPost (1.42 ±0.61 N.cm) was found to be significantly lower than that of RelyX (3.23 ±1.58 N.cm) (p = 0.000). No post drill fracture or visible deformation was noticed throughout the experiment. New microcracks were found in three ParaPost samples only.

CONCLUSIONS

The choice of postdrill influenced the loads and torques generated during postspace preparation. The ParaPost system showed favorably lower load and torque values during the postspace preparation compared with the RelyX system.

摘要

目的

体外研究根管治疗后牙在根管预备过程中产生的垂直载荷和扭矩的大小及其对微裂纹发展的影响。

材料和方法

将 40 颗单根管的前磨牙截冠。使用 Protaper Next 系统(登士柏西诺德)将根管预备至 X3 锉,根管充填并临时冠修复。经过 3 周的孵育期后,根据使用的桩核系统(ParaPost 纤维桩和 RelyX 纤维桩)将牙根分为 2 组。在根管预备过程中,记录垂直载荷、扭矩和预备时间。在根管预备前后,使用 micro-CT(SkyScan 1172;布鲁克 micro-CT)对牙根进行成像,以检测新的微裂纹。使用 Mann-Whitney U 检验和卡方检验对数据进行分析。

结果

在 ParaPost 和 RelyX 中,根管预备时间分别为 48.31±25.28 秒和 47.71±13.36 秒(p=0.360)。ParaPost 产生的最大垂直载荷(20.23±7.80 N)显著低于 RelyX(29.43±5.82 N)(p=0.010)。ParaPost 获得的最大扭矩(1.42±0.61 N·cm)明显低于 RelyX(3.23±1.58 N·cm)(p=0.000)。整个实验过程中未发现桩钻断裂或可见变形。仅在 3 个 ParaPost 样本中发现新的微裂纹。

结论

桩钻的选择影响根管预备过程中产生的载荷和扭矩。与 RelyX 系统相比,ParaPost 系统在根管预备过程中显示出较低的载荷和扭矩值。

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