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采用新型桩置入技术对经根管治疗的宽颈和喇叭口状牙齿抗折性的比较评估——一项研究。

Comparative evaluation of fracture resistance of wide and flared endodontically treated teeth with new techniques of postplacement - An study.

作者信息

Priyanka Banavathu, Parvathaneni Krishna Prasad, Raju T B V G, Seshadri Abitha, Dondapati Gowtam Dev

机构信息

Department of Conservative Dentistry and Endodontics, Sree Sai Dental College and Research Institute, Srikakulam, Andhra Pradesh, India.

出版信息

J Conserv Dent Endod. 2024 Nov;27(11):1141-1145. doi: 10.4103/JCDE.JCDE_240_24. Epub 2024 Nov 11.

Abstract

AIM

This study aims to compare and evaluate the fracture resistance of endodontically treated maxillary anterior teeth restored using new postplacement techniques.

METHODOLOGY

Forty-five single-rooted maxillary anterior teeth ( = 15) were selected and decoronated at the cementoenamel junction. The working length was determined using a 15K file. Biomechanical preparation was done up to size 70 and the teeth were obturated. After 1 week, the root-filling material, gutta-percha, was removed, and postspace was prepared using a size 3 and 4 peeso reamer. The samples were divided into three groups ( = 15). Group I: Coltene Tenax fiber Post-reinforced with composite (anatomical post). Group II: Coltene Tenax fiber postreinforced with a leno-woven polyethylene; Ribbond fibers. Group III: Coltene Tenax fiber Post-luted with a dual cure cement. After postcementation, core buildup was done. Fracture resistance was measured using a universal testing machine.

RESULTS

Statistical analysis was done using one-way analysis of variance and Tukey's tests. A statistically significant difference was seen in the mean maximum load () between the groups. Group I showed the highest mean maximum load (), followed by Group II and Group III. A significant value ( = 0.025) was noted.

CONCLUSION

Coltene Tenax fiber postreinforced with composite (anatomical post) showed the highest fracture resistance in endodontically treated maxillary anteriors.

摘要

目的

本研究旨在比较和评估采用新的桩置入技术修复的根管治疗上颌前牙的抗折性能。

方法

选取45颗单根上颌前牙(每组15颗),在牙骨质釉质界处截冠。使用15K锉确定工作长度。进行生物力学预备至70号,然后对牙齿进行充填。1周后,去除根管充填材料牙胶,使用3号和4号Peeso扩孔钻制备桩道。将样本分为三组(每组15颗)。第一组:用复合树脂增强的科尔tene Tenax纤维桩(解剖型桩)。第二组:用平纹编织聚乙烯增强的科尔tene Tenax纤维桩;Ribbond纤维桩。第三组:用双固化水门汀粘结的科尔tene Tenax纤维桩。桩粘结后,进行核桩修复。使用万能试验机测量抗折性能。

结果

采用单因素方差分析和Tukey检验进行统计分析。各组间平均最大载荷( )存在统计学显著差异。第一组显示出最高的平均最大载荷( ),其次是第二组和第三组。记录到显著的 值( = 0.025)。

结论

用复合树脂增强的科尔tene Tenax纤维桩(解剖型桩)在根管治疗的上颌前牙中显示出最高的抗折性能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c0c/11702880/4f3e58a0fddc/JCDE-27-1141-g001.jpg

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