Clinic of Conservative and Preventive Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH-8032, Zurich, Switzerland.
Clinic of Orthodontics and Pediatric Dentistry, Center of Dental Medicine, University of Zurich, Plattenstrasse 11, CH-8032, Zurich, Switzerland.
Sci Rep. 2023 Oct 29;13(1):18557. doi: 10.1038/s41598-023-45836-3.
This pilot study investigated whether sonic-powered application of a bulk-fill resin-based composite (RBC) in Class-II or endodontic access cavities reduces void formation. The crowns and roots of 60 bovine teeth with Class-II cavities (C) and endodontic access cavities (E) respectively, were assigned to ten groups (C1-C5, E1-E5). Cavities were filled with RBC (SDR flow + , one increment) using different application techniques: no adaptation (C1 + E1), spreading of RBC on the cavity surfaces with a dental explorer tip (C2 + E2), low (C3 + E3) or high frequency (C4 + E4) direct activation by inserting a sonic-powered tip into RBC and high frequency indirect activation with an ultrasonic insertion tip (C5 + E5). The restorations were light-cured and investigated for voids using microtomography. The number of voids and percentage of voids related to the volume were statistically analysed (α < 0.05). While most voids in Class-II restorations were observed in C4 (p ≤ 0.0031), no significant differences were found between the other groups (p > 0.05). The percentage of voids showed no differences in E1-E5 (p > 0.05). C4 showed a significantly higher percentage of voids compared to C2 (p < 0.001). There is no benefit in applying sonic vibration when filling Class-II or endodontic access cavities.
本初步研究旨在探讨在 II 类或根管治疗入口腔中使用声波驱动的块状填充树脂基复合材料(RBC)是否可以减少空隙形成。将具有 II 类腔(C)和根管治疗入口腔(E)的 60 颗牛牙的牙冠和牙根分别分配到十个组(C1-C5、E1-E5)。使用不同的应用技术填充 RBC(SDR flow + ,一个增量):无适应(C1 + E1)、用牙探针尖端将 RBC 涂在腔表面(C2 + E2)、低频(C3 + E3)或高频(C4 + E4)直接激活,将声波驱动尖端插入 RBC 并使用超声波插入尖端进行高频间接激活(C5 + E5)。用光固化对修复体进行固化,并使用微断层扫描检查空隙。对空隙数量和与体积相关的空隙百分比进行统计学分析(α < 0.05)。虽然在 II 类修复体中观察到的大多数空隙都在 C4 中(p ≤ 0.0031),但其他组之间没有发现显著差异(p > 0.05)。E1-E5 之间的空隙百分比没有差异(p > 0.05)。与 C2 相比,C4 显示出更高的空隙百分比(p < 0.001)。在填充 II 类或根管治疗入口腔时,应用声波振动没有益处。