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使用两种不同再治疗系统,比较热垂直加压充填法与单尖法充填NeoSEALER Flo后的可再治疗性。

Retreatability of NeoSEALER Flo obturated with warm vertical compaction versus single-cone technique using two different retreatment systems.

作者信息

Elzanaty Toka Kamaleldeen, Elashiry Mohamed M, Mahran Abeer Hashem

机构信息

Department of Endodontics, Faculty of Dentistry, Assiut University, Assiut, Egypt.

Department of Endodontics, Dental College of Georgia, Augusta University, Augusta, GA, USA.

出版信息

J Conserv Dent Endod. 2024 Mar;27(3):286-292. doi: 10.4103/JCDE.JCDE_314_23. Epub 2024 Mar 6.

Abstract

AIM

The aim of this study was to compare the retreatability of NeoSEALER Flo obturated with warm vertical compaction (WVC) and single-cone (SC) techniques using two different retreatment systems.

MATERIALS AND METHODS

Thirty-two root canals were shaped and obturated with NeoSEALER Flo either in an SC obturation technique or a WVC technique. Samples were retreated using ProTaper retreatment or EdgeFile XR retreatment system. The percentage of remaining debris after retreatment was analyzed under a scanning electron microscope using ImageJ software. The time taken to reach full working length (WL) and induce patency was recorded.

STATISTICAL ANALYSIS

Statistical analysis was performed using an unpaired -test and a one-way analysis of variance test.

RESULTS

The percentage of remaining debris after retreatment was significantly higher in the SC technique than in the WVC technique, regardless of the retreatment system used. EdgeFile XR system removed more filling material than the ProTaper retreatment system, regardless of the obturation technique. The apical region showed significantly higher remaining debris than other regions in all groups. The WL and patency were achieved faster in the SC group, while in the WVC group, the EdgeFile XR system was faster.

CONCLUSIONS

The WVC technique showed better retrieval of the filling material; however, a longer time was taken for retreatment. EdgeFile XR system performed better in removing filling materials from inside the canals.

摘要

目的

本研究旨在比较使用两种不同再治疗系统,采用热垂直加压(WVC)和单尖法(SC)技术用NeoSEALER Flo进行根管充填后的再治疗可行性。

材料与方法

32颗根管分别采用SC充填技术或WVC技术,用NeoSEALER Flo进行预备和充填。样本使用ProTaper再治疗系统或EdgeFile XR再治疗系统进行再治疗。再治疗后剩余碎屑的百分比在扫描电子显微镜下使用ImageJ软件进行分析。记录达到工作长度(WL)并实现通畅所需的时间。

统计分析

采用独立样本t检验和单因素方差分析进行统计分析。

结果

无论使用何种再治疗系统,SC技术再治疗后剩余碎屑的百分比均显著高于WVC技术。无论采用何种充填技术,EdgeFile XR系统比ProTaper再治疗系统去除的充填材料更多。在所有组中,根尖区域的剩余碎屑显著高于其他区域。SC组更快达到WL并实现通畅,而在WVC组中,EdgeFile XR系统更快。

结论

WVC技术显示出更好的充填材料取出效果;然而,再治疗所需时间更长。EdgeFile XR系统在从根管内去除充填材料方面表现更好。

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