Uzal Moisés, Aranguren José, Pérez Alejandro R, Ramírez-Muñoz Ana, Navarrete Natalia
Department of Endodontics, Rey Juan Carlos University, Madrid, Spain.
Department of Clinical Dentistry, Universidad Europea de Madrid, Faculty of Biomedical.
Iran Endod J. 2025;20(1):e16. doi: 10.22037/iej.v20i1.45131. Epub 2025 Feb 26.
This study aimed to assess the thermal behavior of five different commercial gutta-percha brands using optical thermography. We focused on temperature differences and heat transfer characteristics at different apical distances.
Gutta-percha cones from the following brands were tested: Autofit Greater Taper, Protaper Gold F2, TruNatomy Prime, ZARC Gutta-percha points # 25/0.06, and Reciproc Blue R25. A specific heating system was used to subject the cones to thermal imaging. Measurements were taken at 1-, 2-, 3-, and 4-mm apical distances for 5 mm and 10 mm cone lengths. Statistical analyses included Student's t-tests and Analysis of Variance with the significance level set at 0.05.
Upon intragroup comparison, we found subtle distinctions in thermal behavior when examining gutta-percha cone lengths (5 mm 10 mm). TruNatomy exhibited statistically significant variations (<0.05) at 2- and 3-mm distances. Conversely, ZARC and Reciproc Blue R25 displayed notable differences (<0.05) at 2-, 3-, and 4-mm distances. In contrast, Autofit Greater Taper and Protaper Gold F2 consistently diverged across all distances (<0.05). In intergroup comparisons of 5 mm length, significant variances (<0.05) emerged among brands at 1- and 2-mm distances. At 10 mm length, TruNatomy differed significantly (<0.05) from other brands across all distances. The heat tip maintained an average maximum temperature of 154.54C.
Thermal behavior of gutta-percha brands varied significantly, with implications for endodontic treatments. While differences were observed in heat transfer and maximum temperatures, all brands remained within safe temperature ranges for clinical use. Understanding these variations can aid clinicians in selecting appropriate gutta-percha for specific clinical scenarios, ultimately optimizing root canal obturation quality.
本研究旨在使用光学热成像技术评估五种不同商业品牌牙胶尖的热行为。我们关注不同根尖距离处的温度差异和热传递特性。
测试了以下品牌的牙胶尖:Autofit大锥度、Protaper Gold F2、TruNatomy Prime、ZARC牙胶尖#25/0.06以及Reciproc Blue R25。使用特定的加热系统对牙胶尖进行热成像。对于5毫米和10毫米的牙胶尖长度,在根尖距离为1毫米、2毫米、3毫米和4毫米处进行测量。统计分析包括学生t检验和方差分析,显著性水平设定为0.05。
在组内比较中,我们发现检查牙胶尖长度(5毫米对10毫米)时热行为存在细微差异。TruNatomy在2毫米和3毫米距离处表现出统计学上的显著差异(<0.05)。相反,ZARC和Reciproc Blue R25在2毫米、3毫米和4毫米距离处显示出显著差异(<0.05)。相比之下,Autofit大锥度和Protaper Gold F2在所有距离处始终存在差异(<0.05)。在5毫米长度的组间比较中,各品牌在1毫米和2毫米距离处出现显著差异(<0.05)。在10毫米长度时,TruNatomy在所有距离处与其他品牌均有显著差异(<0.05)。热尖端的平均最高温度为154.54℃。
牙胶品牌的热行为存在显著差异,这对牙髓治疗有影响。虽然在热传递和最高温度方面观察到差异,但所有品牌在临床使用中仍处于安全温度范围内。了解这些差异有助于临床医生为特定临床情况选择合适的牙胶,最终优化根管充填质量。