Universidad de Buenos Aires, Facultad de Odontología, Cátedra de Endodoncia, Buenos Aires, Argentina.
Universidad de Buenos Aires, Facultad de Odontología, Cátedra de Diagnóstico por Imágenes, Buenos Aires, Argentina.
Acta Odontol Latinoam. 2024 Apr;37(1):3-12. doi: 10.54589/aol.37/1/3.
Identifying the presence, size, type and location of voids in an endodontic obturation is of great clinical importance because it enables evaluation of the three-dimensionality of the sealing techniques, which can be related to the success of the endodontic treatment.
To analyze by micro-CT the presence of voids in lower single-rooted premolar root canal obturations prepared using the single cone and ultrasound vibration technique.
Twenty extracted single-rooted lower premolars were selected, and the root canal prepared surgically and chemically. In GROUP 1 - Without Vibration, the canal was obturated with a single cone and bioceramic, without applying vibration. In GROUP 2 - With Vibration, the gutta-percha cone inside the root canal was held with a cotton plier to which ultrasound vibration was applied for 3 periods of 3 seconds each. A micro-CT scanner was used to acquire and reconstruct images for analysis.
No significant difference was found between obturation techniques, though there were differences between thirds, with the cervical third having a higher percentage of voids than the middle and apical thirds.
The results suggest that the volume of closed, open and total voids does not differ between treatments with and without ultrasound vibration. In the cervical third, the highest volume of voids was related to oval geometry in the teeth evaluated.
通过微 CT 分析使用单尖和超声振动技术制备的下颌单根前磨牙根管充填中是否存在空隙。
选择 20 颗下颌单根前磨牙,手术和化学预备根管。在 GROUP 1-无振动组中,使用单尖和生物陶瓷进行根管充填,未施加振动。在 GROUP 2-有振动组中,将根管内的牙胶尖用棉钳夹住,施加超声振动,每次 3 秒,共 3 次。使用微 CT 扫描仪采集和重建图像进行分析。
两种充填技术之间无显著差异,但不同部位之间存在差异,颈段的空隙百分比高于中段和根尖段。
结果表明,有和没有超声振动的治疗方法之间,闭合、开放和总空隙体积没有差异。在颈段,与评估牙齿的椭圆形几何形状有关,空隙体积最大。