Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia.
Specialty Dental Center, Ministry of Health, Jazan 45142, Saudi Arabia.
Medicina (Kaunas). 2023 Mar 3;59(3):502. doi: 10.3390/medicina59030502.
The coronal seal in root canal-treated teeth may be compromised depending on the accuracy of post space preparation and post cementation along with remaining gutta-percha. Root canal treatment can be compromised by endotoxins released by the coronal bacteria as a result of microleakage. The study was conducted by undergraduate students to measure the gap between the cemented post and residual gutta-percha. In total, 217 endodontically treated teeth were evaluated with intraoral peri-apical radiographs. Based on the intraoral periapical radiographic examination in the CS-R4 program, Group I had no gap, Group II had a gap of >0 to 2 mm, and Group III had a gap of more than 2 mm between the end of the cemented post and the remaining gutta-percha. In total, 40% ( = 87) of the teeth had no gap, 59% (127) had a gap of >0 to 2 mm, and 1% ( = 3) had a gap of more than 2 mm between the cemented post end and remaining gutta. Chi square test revealed a significant difference in the gap between the post and remaining gutta-percha between males and females students ( < 0.001). In terms of the gap between the cemented post end and the residual gutta-percha, the root canal treated teeth with post and core by undergraduates were clinically acceptable.
根管治疗后的牙齿的冠向封闭可能会受到影响,这取决于根管预备的准确性、根管内桩的粘结以及残余牙胶的情况。根管治疗可能会因根管冠部细菌释放的内毒素而受到影响,这是由于微渗漏造成的。本研究由本科生进行,旨在测量粘结后的桩与残余牙胶之间的间隙。共有 217 颗牙髓病治疗后的牙齿接受了口腔内根尖射线照相检查。根据 CS-R4 方案的口腔内根尖射线照相检查,I 组无间隙,II 组有 0 到 2 毫米的间隙,III 组有超过 2 毫米的间隙。共有 40%(87 颗)的牙齿没有间隙,59%(127 颗)的牙齿有 0 到 2 毫米的间隙,1%(3 颗)的牙齿有超过 2 毫米的间隙。卡方检验显示,男女生学生之间在桩与残余牙胶之间的间隙存在显著差异(<0.001)。就粘结后的桩端和残余牙胶之间的间隙而言,本科生制作的带桩核的根管治疗后牙齿在临床上是可以接受的。