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本科生行根管治疗术后牙的桩核间隙的放射学评估:一项回顾性的横断面研究。

Radiographic Evaluation of the Gap between Cemented Post and Remaining Gutta-Percha in Endodontically Treated Teeth Performed by Undergraduate Students: A Retrospective Cross-Sectional Study.

机构信息

Department of Prosthetic Dental Sciences, College of Dentistry, Jazan University, Jazan 45142, Saudi Arabia.

Specialty Dental Center, Ministry of Health, Jazan 45142, Saudi Arabia.

出版信息

Medicina (Kaunas). 2023 Mar 3;59(3):502. doi: 10.3390/medicina59030502.

Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d3c/10056096/09a2d45af6fe/medicina-59-00502-g001.jpg

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