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热与非热兼容生物陶瓷封闭剂在热牙胶垂直加压充填中的边缘适应性:一项体外扫描电镜研究

Marginal adaptation of heat and non-heat compatible bioceramic sealers in warm obturation: an in vitro SEM study.

作者信息

Jearanaiphaisarn Thanomsuk, Leelayuttakarn Thanida, Amatamahuthana Panisara, Chenpairojsakul Pinmanus, Subbalekha Keskanya, Chivatxaranukul Pavena

机构信息

Intercollaborative Endodontics and Engineering Research Group, Department of Operative Dentistry, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand.

Department of Operative Dentistry, Faculty of Dentistry, Chulalongkorn University, 34 Henri Dunant Road, Pathumwan, Bangkok, 10330, Thailand.

出版信息

Sci Rep. 2025 Jul 31;15(1):28016. doi: 10.1038/s41598-025-13631-x.

Abstract

This study compared the marginal adaptation of iRoot SP (non-heat compatible sealer) and Endosequence BC HiFlow (heat-compatible sealer) after root canal obturation using single cone or warm vertical compaction techniques. Forty mandibular premolars were prepared and randomly divided into four groups based on sealer type and obturation technique. After obturation and incubation, the roots were sectioned at coronal, middle, and apical levels. Gap widths between the sealer and dentine were measured under a scanning electron microscope at 1,000X, and the average width at each level was calculated and analysed using one-way ANOVA and Tukey HSD post hoc test. No significant differences in gap width among the groups were observed at coronal and apical levels. At the middle level, HiFlow with warm vertical compaction had narrower gaps than with the single cone technique ( < 0.05). Coronal gaps were consistently larger than apical gaps ( < 0.01). Warm vertical compaction did not adversely affect the marginal adaptation of either iRoot SP or HiFlow. Both sealers can be used with the warm obturation technique without compromising sealing ability. Notably, HiFlow demonstrated improved adaptation, indicating potentially enhanced sealing performance.

摘要

本研究比较了使用单锥技术或热垂直加压技术进行根管充填后,iRoot SP(非热相容性封闭剂)和Endosequence BC HiFlow(热相容性封闭剂)的边缘适应性。制备了40颗下颌前磨牙,并根据封闭剂类型和充填技术随机分为四组。充填和孵育后,在冠部、中部和根尖水平对牙根进行切片。在扫描电子显微镜下以1000倍放大倍数测量封闭剂与牙本质之间的间隙宽度,并计算每个水平的平均宽度,使用单因素方差分析和Tukey HSD事后检验进行分析。在冠部和根尖水平,各实验组之间的间隙宽度无显著差异。在中部水平,热垂直加压技术使用HiFlow时的间隙比单锥技术更窄(P<0.05)。冠部间隙始终大于根尖间隙(P<0.01)。热垂直加压技术对iRoot SP或HiFlow的边缘适应性均无不利影响。两种封闭剂均可与热充填技术配合使用,而不影响密封能力。值得注意的是,HiFlow表现出更好的适应性,表明其密封性能可能得到增强。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/df56/12314082/6deed0a6d3f2/41598_2025_13631_Fig1_HTML.jpg

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