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根管治疗后牙齿抗折性的比较评估:不同修复材料的分析

Comparative Evaluation of Fracture Resistance in Endodontically Treated Teeth: An Analysis of Different Restorative Materials.

作者信息

Chaudhary Sajal, Mishra Pankaj, Singh Santosh Kumar, Verma Purnima, Khan Ruba, Upadhayay Ayushi

机构信息

Department of Conservative Dentistry and Endodontics, People's College of Dental Sciences and Research Centre, People's University, Bhopal, Madhya Pradesh, India.

出版信息

J Pharm Bioallied Sci. 2025 Jun;17(Suppl 2):S1650-S1652. doi: 10.4103/jpbs.jpbs_216_25. Epub 2025 Jun 18.

Abstract

BACKGROUND

Endodontically treated teeth are susceptible to fractures due to loss of structural integrity. Reinforcing these teeth with appropriate restorative materials is crucial for restoring their function and longevity. The study was undertaken to compare the fracture resistance of endodontically treated teeth restored with different restorative materials.

MATERIALS AND METHODS

This study involved five groups: a control group with no reinforcement, and four experimental groups restored with fiber-reinforced composite, bulk fill flowable composite, self-adhering flowable composite, and resin-modified glass ionomer cement (RMGIC). Single-rooted premolars were standardized and subjected to compressive forces using a Universal Testing Machine to measure their fracture resistance.

RESULTS

All restorative materials significantly improved fracture resistance compared to the control group. Bulk fill flowable composite exhibited the highest fracture resistance, followed by fiber-reinforced composite, flowable composite, and RMGIC.

CONCLUSION

The study demonstrates the importance of material selection in enhancing the fracture resistance of endodontically treated teeth. Bulk fill flowable composite was found to be the most effective in resisting fractures, suggesting its suitability for high-load-bearing applications in clinical practice.

摘要

背景

经牙髓治疗的牙齿由于结构完整性丧失而容易发生骨折。用适当的修复材料加固这些牙齿对于恢复其功能和寿命至关重要。本研究旨在比较用不同修复材料修复的经牙髓治疗牙齿的抗折性。

材料与方法

本研究分为五组:一组为未加固的对照组,四组为分别用纤维增强复合材料、大块充填可流动复合材料、自粘结可流动复合材料和树脂改性玻璃离子水门汀(RMGIC)修复的实验组。对单根前磨牙进行标准化处理,并使用万能试验机对其施加压缩力以测量其抗折性。

结果

与对照组相比,所有修复材料均显著提高了抗折性。大块充填可流动复合材料表现出最高的抗折性,其次是纤维增强复合材料、可流动复合材料和RMGIC。

结论

该研究证明了材料选择在提高经牙髓治疗牙齿抗折性方面的重要性。发现大块充填可流动复合材料在抵抗骨折方面最有效,表明其适用于临床实践中的高负荷应用。

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