Kurt Melike, Hazar Bodrumlu Ebru
Zonguldak Bulent Ecevit University,Dentist, Faculty of Dentistry, Department of Pediatric Dentistry, Turkey.
Zonguldak Bulent Ecevit University, Associate Professor, PhD, Faculty of Dentistry, Department of Pediatric Dentistry, Turkey.
Acta Stomatol Croat. 2025 Mar;59(1):15-25. doi: 10.15644/asc59/1/2.
The complex anatomy of root canals in primary teeth makes root canal treatment and canal filling difficult. Root canal filling materials should meet the basic requirements for hermetic filling in terms of their physicochemical properties, such as radiopacity and viscosity, which might be affected by heat.
The aim of this study was to investigate the effect of different temperatures on the filling quality and hermetic obturation ability of primary root canal filling pastes.
Primary root canal filling pastes containing calcium hydroxide with barium sulphate and calcium hydroxide with iodoform were heated to four different temperatures (4°C, 23°C, 39°C and 55°C). After instrumentation, 80 endodontic blocks were filled with the heat-treated sealers. Digital radiographs were taken and analysed. The results were analyzed using Tukey's HSD, two-way Robust ANOVA, and the Bonferroni test for multiple comparisons.
The results of this study, the obturation radiopacity values of calcium hydroxide paste containing barium sulphate showed significant differences at different temperature values. Paste at 4°C showed significantly higher radiopacity (p<0.001). Paste at 55°C showed both significantly higher radiopacity (p<0.001), and the total unfilled area values obtained at 55°C was found to be significantly lower than the other temperatures (p=0.025).
It was observed that the preheating process had a positive effect both on the filling quality and hermetic obturation capacity of primary root canal sealants at high temperatures.
乳牙根管的复杂解剖结构使根管治疗和根管充填变得困难。根管充填材料应在物理化学性质方面满足严密充填的基本要求,如射线不透性和粘度,而这些性质可能会受到热的影响。
本研究旨在探讨不同温度对乳牙根管充填糊剂充填质量和严密充填能力的影响。
将含硫酸钡氢氧化钙和含碘仿氢氧化钙的乳牙根管充填糊剂加热至四个不同温度(4℃、23℃、39℃和55℃)。根管预备后,用热处理后的封闭剂充填80个根管模型。拍摄并分析数字化根尖片。结果采用Tukey's HSD、双向稳健方差分析和Bonferroni检验进行多重比较分析。
本研究结果显示,含硫酸钡氢氧化钙糊剂在不同温度下的充填射线不透性值存在显著差异。4℃时的糊剂射线不透性显著更高(p<0.001)。55℃时的糊剂射线不透性也显著更高(p<0.001),且55℃时获得的总未充填面积值显著低于其他温度(p=0.025)。
观察到预热过程对高温下乳牙根管封闭剂的充填质量和严密充填能力均有积极影响。