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三种当代牙胶尖的热行为研究与温度分析

The investigation of thermal behavior and temperature analysis of three types of contemporary gutta-percha points.

作者信息

Wang Hsin-Hui, Chiu Liang-Han, Hsu Yung-Hao, Hsieh Sung-Chih

机构信息

Department of Dentistry, Wan-Fang Hospital, Taipei Medical University, Taipei, Taiwan.

School of Dentistry, College of Oral Medicine, Taipei Medical University, Taipei, Taiwan.

出版信息

J Dent Sci. 2025 Jan;20(1):83-88. doi: 10.1016/j.jds.2024.09.024. Epub 2024 Oct 12.

Abstract

BACKGROUND/PURPOSE: The impact of thermal behavior on the clinical performance of gutta-percha points (GP) is unclear. This study aimed to investigate the thermal behavior of three different types of GP and their temperature changes (TC) in a simulated clinical environment.

MATERIALS AND METHODS

The GP tested were Conform Fit® Gutta-Percha Points (CF), Autofit™ Feathered Tip Gutta Percha (AF), and Gutta Percha Root Canal Points (GC). The phase transition temperatures of the samples were analyzed using differential scanning calorimetry (DSC). The TC at the tips of the GP was examined with the heat source positioned at specific distances from the tip. Additionally, the TC of the GP in the apical foramen of a simulated canal during the warm vertical compaction (WVC) technique was evaluated. Differences in the apical temperature of the GP during WVC were compared using two-way ANOVA, with statistical significance set at  < 0.05.

RESULTS

The phase transition temperatures peaked at approximately 51 °C and 61 °C. The temperature analysis showed the maximum average temperatures of AF and CF decreased to 38 °C when the heat source was 3 mm from the tip. During WVC, the average maximum apical temperatures for AF, CF, and GC were 37.7 °C, 36.0 °C, and 35.5 °C, respectively. Both the elapsed time of WVC and the brand of GP significantly ( < 0.05) affected the apical temperature.

CONCLUSION

The apical temperature elevation of the GP during WVC was minimal. Neither AF nor CF reached the moldable temperatures when the heat source was 3 mm away.

摘要

背景/目的:热行为对牙胶尖(GP)临床性能的影响尚不清楚。本研究旨在调查三种不同类型牙胶尖在模拟临床环境中的热行为及其温度变化(TC)。

材料与方法

测试的牙胶尖为Conform Fit®牙胶尖(CF)、Autofit™羽尖牙胶(AF)和牙胶根管尖(GC)。使用差示扫描量热法(DSC)分析样品的相变温度。将热源置于距牙胶尖特定距离处,检测牙胶尖尖端的温度变化。此外,评估了热垂直加压(WVC)技术过程中模拟根管根尖孔处牙胶尖的温度变化。使用双向方差分析比较WVC过程中牙胶尖根尖温度的差异,设定统计学显著性为P < 0.05。

结果

相变温度在约51°C和61°C时达到峰值。温度分析表明,当热源距离尖端3 mm时,AF和CF的最高平均温度降至38°C。在WVC过程中,AF、CF和GC的平均最高根尖温度分别为37.7°C、36.0°C和35.5°C。WVC的持续时间和牙胶尖品牌均对根尖温度有显著影响(P < 0.05)。

结论

WVC过程中牙胶尖的根尖温度升高幅度最小。当热源距离为3 mm时,AF和CF均未达到可塑形温度。

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