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不同临床经验操作者进行的单根管根管充填中的孔隙率分布:一项显微CT评估

Porosity Distribution in Single Cone Root Canal Fillings Performed by Operators with Different Clinical Experience: A microCT Assessment.

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 Jun 10;10(12):2569. doi: 10.3390/jcm10122569.

Abstract

The objective of this study was to assess the porosity distribution of BioRoot RCS/single gutta-percha point root-canal fillings performed by a general dental practitioner and endodontist. Fourteen plastic models of maxillary premolars with two roots were selected and shaped with HyFlex EDM instruments to a size 40/0.04 taper and randomly divided into two experimental groups. A total of 14 canals in each group were obturated by two different operators with one HyFlex EDM size 40 gutta-percha point and BioRoot RCS sealer. The specimens were scanned with a high-resolution micro-computed tomography scanner, and the porosity of the fillings at the coronal, middle, and apical thirds of the root canals was qualified and quantified. The differences between groups and root-canal thirds were compared using Mann-Whitney, Friedman, and Wilcoxon tests with the significance level set at < 0.05. The highest number of pores was observed in the apical third of root-canal fillings in both groups; however, the porosity distribution between the two groups was not significantly different in the apical and middle thirds ( > 0.05). Statistically significant differences were determined only in the coronal third ( < 0.05). The predominance of open pores was detected in all root-canal thirds and groups, with no significant differences in the number of open pores between the coronal and middle thirds ( > 0.05).

摘要

本研究的目的是评估由普通牙科医生和牙髓病医生进行的BioRoot RCS/单根牙胶尖根管充填的孔隙率分布。选择了14个带有两根牙根的上颌前磨牙塑料模型,并用HyFlex EDM器械将其预备成40/0.04锥度的尺寸,然后随机分为两个实验组。每组共14个根管由两名不同的操作人员使用一根HyFlex EDM 40号牙胶尖和BioRoot RCS封闭剂进行充填。使用高分辨率微型计算机断层扫描仪对标本进行扫描,并对根管冠部、中部和根尖三分之一处充填物的孔隙率进行定性和定量分析。使用Mann-Whitney、Friedman和Wilcoxon检验比较组间和根管三分之一处的差异,显著性水平设定为<0.05。两组根管充填物的根尖三分之一处观察到的孔隙数量最多;然而,两组在根尖和中部三分之一处的孔隙率分布没有显著差异(>0.05)。仅在冠部三分之一处确定有统计学显著差异(<0.05)。在所有根管三分之一处和组中均检测到开放孔隙占优势,冠部和中部三分之一处开放孔隙的数量没有显著差异(>0.05)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e9de/8230067/a93aaa10cdf5/jcm-10-02569-g001.jpg

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