Hashem Qamar, Mustafa Mohammed, Abuelqomsan Mohammed A S, Altuwalah Ahmed, Almokhatieb Ahmed A, Fareed Mohammad, Karobari Mohmed Isaqali
Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin AbdulAziz University, Al-Kharj, 11942, Saudi Arabia.
Department of Restorative and Prosthodontic Dental Sciences, College of Dentistry, Majmaah University, Al-Majmaah, 11952, Saudi Arabia.
BMC Oral Health. 2024 Dec 19;24(1):1505. doi: 10.1186/s12903-024-05302-6.
Coronal microleakage, the passage of fluids and bacteria through the interface between the temporary restoration and the tooth structure, can potentially result in endodontic treatment failure.
This study evaluated and compared the sealing efficacy of various temporary restorative materials utilized during endodontic procedures.
All seventy premolar teeth were extracted, measured, and restored, except for the negative control group, where the teeth were left whole. There were eight distinct groupings created from the teeth. Sound teeth were utilized in the n = 5 (Group 1) negative control group. A cavity after endodontic treatment was left vacant in the positive control group (n = 5, Group 2). Six experimental groups, each with ten specimens, had access cavities restored using various temporary materials (Group 3: Cavit-W, Group 4: Systemp. inlay, Group 5: Cotton + Systemp. inlay, Group 6: Cotton + Cavit-W, Group 7: Teflon + Systemp. inlay and Group 8: Teflon + Cavit-W). The teeth were submitted to thermocycling, and a microleakage test was performed. Depth of dye penetration was measured. The collected data were statistically analyzed (α = 0.05).
Gp 7: Teflon + Systemp. inlay obtained the lowest infiltration values with no significant difference than (Gp 4: Systemp.inlay) and (Gp 8: Teflon + Cavit-W). Whereas (Gp 5: Cotton + Systemp.inlay) and (Gp 6: Cotton + Cavit-W) presented the highest significant microleakage values among other experimental groups.
Regarding temporization after endodontic treatment, Teflon combined with Systemp.inlay and Cavit-W presented the best temporary materials regarding microleakage control. At the same time, cotton combined with Cavit-W presented the worst temporary material for microleakage control. Cotton is not to be used in the temporization of endodontic-treated teeth.
Creating a tight seal in root canals that have undergone endodontic treatment is crucial for a successful, durable final restoration. Clinical and laboratory research results are an essential factor in determining how well endodontic materials seal.
冠部微渗漏,即液体和细菌通过临时修复体与牙体结构之间的界面渗漏,可能导致牙髓治疗失败。
本研究评估并比较了牙髓治疗过程中使用的各种临时修复材料的封闭效果。
除阴性对照组的牙齿保持完整外,其余70颗前磨牙均被拔除、测量并进行修复。从这些牙齿中创建了8个不同的组。n = 5的阴性对照组(第1组)使用健康牙齿。阳性对照组(n = 5,第2组)在牙髓治疗后的窝洞保持空置。六个实验组,每组十个样本,其进入窝洞使用各种临时材料进行修复(第3组:Cavit-W;第4组:Systemp.嵌体;第5组:棉花 + Systemp.嵌体;第6组:棉花 + Cavit-W;第7组:特氟龙 + Systemp.嵌体;第8组:特氟龙 + Cavit-W)。对牙齿进行热循环处理,并进行微渗漏测试。测量染料渗透深度。对收集的数据进行统计学分析(α = 0.05)。
第7组:特氟龙 + Systemp.嵌体获得了最低的渗透值,与第4组:Systemp.嵌体和第8组:特氟龙 + Cavit-W相比无显著差异。而第5组:棉花 + Systemp.嵌体和第6组:棉花 + Cavit-W在其他实验组中呈现出最高的显著微渗漏值。
关于牙髓治疗后的临时修复,特氟龙与Systemp.嵌体以及Cavit-W组合在控制微渗漏方面表现出最佳的临时材料效果。同时,棉花与Cavit-W组合在控制微渗漏方面表现出最差的临时材料效果。棉花不应在牙髓治疗后的牙齿临时修复中使用。
在经过牙髓治疗的根管中形成紧密的封闭对于成功、持久的最终修复至关重要。临床和实验室研究结果是确定牙髓材料封闭效果的重要因素。