使用温热垂直加压技术和生物陶瓷及树脂基密封剂进行根管治疗的效果：一项随机临床试验。

Outcome of root canal treatment using warm vertical compaction with bioceramic and resin-based sealers: A randomised clinical trial.

机构信息

Stomatology Hospital, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Hangzhou, China.

出版信息

Aust Endod J. 2023 Sep;49 Suppl 1:170-178. doi: 10.1111/aej.12713. Epub 2022 Nov 15.

DOI:10.1111/aej.12713

PMID:36378149

Abstract

This study aimed to compare the effect of a bioceramic sealer (iRoot SP) and a resin-based sealer (AH Plus) on the outcome of root canal treatment in a 2-year follow-up. Seventy-six teeth with irreversibly or necrotic pulp were recruited. After instrumentation and disinfection, the root canals were obturated using warm vertical compaction with iRoot SP (n = 43) or AH Plus (n = 33). Patients were followed up by clinical and radiographic examination at 6 12 and 24 months with recall rates of 84.2%, 65.8% and 48.7%, respectively. During each recall session, the success rates were 80%, 85.2% and 85% in the iRoot SP group and 82.8%, 91.3% and 88.2% in the AH Plus group. The success rates of the two groups did not differ significantly (p > 0.05). The bioceramic sealer resulted in a similar clinical performance and success rate to the resin-based sealer in endodontic treatment during a 2-year follow-up.

摘要

本研究旨在比较生物陶瓷封剂（iRoot SP）和树脂基封剂（AH Plus）在 2 年随访期内对根管治疗效果的影响。共招募了 76 颗不可复性或坏死牙髓的牙齿。经过器械和消毒后，使用 iRoot SP（n=43）或 AH Plus（n=33）进行温热垂直加压法充填根管。患者分别在 6、12 和 24 个月进行临床和影像学随访，召回率分别为 84.2%、65.8%和 48.7%。在每次召回期间，iRoot SP 组的成功率分别为 80%、85.2%和 85%，AH Plus 组的成功率分别为 82.8%、91.3%和 88.2%。两组的成功率无显著差异（p>0.05）。生物陶瓷封剂在 2 年随访期间的根管治疗中表现出与树脂基封剂相似的临床性能和成功率。