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四种根尖充填材料微渗漏的比较:一项体外研究

Comparison of the Microleakages of Four Root-End Filling Materials: An In Vitro Study.

作者信息

S Angitha, Azhar Saleem, Manan Rishi, Bansal Neetu, Singh Digvijay, Chauhan Bharat

机构信息

Conservative Dentistry and Endodontics, Institute of Dental Studies & Technologies, Ghaziabad, IND.

出版信息

Cureus. 2023 Jun 15;15(6):e40461. doi: 10.7759/cureus.40461. eCollection 2023 Jun.

Abstract

INTRODUCTION

When a nonsurgical endodontic treatment is ineffective, surgery is necessary. This entails putting a retrofilling to seal the tooth's apex. Exposing the lesion, performing a curettage, exposing the root apex, resecting it, preparing the root end, and lastly filling the cavity with the proper material are all steps in endodontic surgery. Thus, the aim of this study is to compare the apical microleakage of four root-end filling materials in cavities prepared using ultrasonic retro tip in in vitro conditions.

MATERIALS AND METHODS

An in vitro study was conducted on 60 extracted single-rooted teeth and was cut at the cementoenamel junction (CEJ). They were biomechanically prepared and obturated. Apical 3 mm root-end resection was done using a diamond disc. Root-end cavities were made using an ultrasonic retro tip. Teeth were separated into four groups and filled with SuperEBA ethoxy-benzoic acid (EBA; Keystone Industries, New Jersey), mineral trioxide aggregate (MTA), Biodentine (Septodont, France), and TotalFill Bioceramic Root Repair Material (BC RRM; FKG Dentaire Sàrl, Switzerland). The samples were kept in methylene blue dye and split longitudinally. The degree of dye penetration was observed under a stereomicroscope and scored. Finally, the results were analyzed.

RESULTS

TotalFill BC RRM and Biodentine showed the least apical microleakage (p <0.05). Group 1 samples had the highest mean microleakage, followed by Group 2, Group 3, and Group 4 samples.

CONCLUSION

All of the sample groups showed some evidence of microleakage, but not all of the samples showed leaking. SuperEBA (Group 1) demonstrated the highest microleakage when compared to the other groups.

摘要

引言

当非手术性牙髓治疗无效时,手术是必要的。这需要进行根尖倒充填以封闭牙根尖。暴露病变、进行刮治、暴露根尖、切除根尖、预备根尖末端,最后用合适的材料充填窝洞,这些都是牙髓手术的步骤。因此,本研究的目的是在体外条件下比较四种根尖充填材料在使用超声倒充填钻制备的窝洞中根尖微渗漏情况。

材料与方法

对60颗拔除的单根牙进行体外研究,并在牙骨质牙釉质界(CEJ)处截断。对其进行生物力学预备和充填。使用金刚石盘进行根尖3mm的根尖切除术。使用超声倒充填钻制备根尖窝洞。将牙齿分为四组,分别用超EBA乙氧基苯甲酸(EBA;新泽西州凯斯通工业公司)、矿物三氧化物凝聚体(MTA)、生物陶瓷(法国Septodont公司)和TotalFill生物陶瓷根修复材料(BC RRM;瑞士FKG Dentaire Sàrl公司)进行充填。将样本置于亚甲蓝染料中并纵向劈开。在体视显微镜下观察染料渗透程度并评分。最后对结果进行分析。

结果

TotalFill BC RRM和生物陶瓷的根尖微渗漏最少(p<0.05)。第1组样本的平均微渗漏最高,其次是第2组、第3组和第4组样本。

结论

所有样本组均显示出一定程度的微渗漏证据,但并非所有样本都有渗漏。与其他组相比,超EBA(第1组)的微渗漏最高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/822a/10349657/7838638260d3/cureus-0015-00000040461-i01.jpg

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