Saunders E M, Saunders W P
Department of Conservative Dentistry, The Dental School, University of Dundee, Scotland.
Endod Dent Traumatol. 1995 Aug;11(4):181-5. doi: 10.1111/j.1600-9657.1995.tb00484.x.
The purpose of this study was to assess long-term coronal leakage in root fillings achieved by 2 gutta-percha techniques using 2 calcium hydroxide-containing sealers. The root canals of 90 single-rooted teeth with mature apices were prepared chemomechanically. The teeth were placed randomly into four experimental groups (n = 20) and obturated with either lateral condensation of cold gutta-percha or a thermo-plasticized gutta-percha delivery system, JS Quickfill, using Sealapex or Apexit as the sealer. A further five teeth were placed in each of negative or positive control groups. After root filling the teeth were sectioned at the cementoenamel junction and stored in saline solution at 37 degrees for 1 yr. Coronal leakage was then determined with an India ink tracer (using a reduced pressure model) and a clearing technique. The extent of coronal leakage was measured at x6 magnification. Non-parametric analysis showed that there was significantly more leakage with the thermally softened gutta-percha technique than with lateral condensation (p < 0.05). There was no significant difference in leakage between the groups obturated with lateral condensation (p > 0.005) but, with the thermoplasticized technique, there was more leakage with the sealer Sealapex (p < 0.05).
本研究的目的是评估使用两种含氢氧化钙封闭剂的两种牙胶技术进行根管充填后的长期冠部微渗漏情况。对90颗根尖成熟的单根管牙进行化学机械预备。将牙齿随机分为四个试验组(n = 20),分别采用冷牙胶侧方加压充填或热塑牙胶输送系统JS Quickfill进行充填,封闭剂分别选用Sealapex或Apexit。另外,阴性对照组和阳性对照组各放置五颗牙齿。根管充填后,在牙骨质牙釉质界处将牙齿截断,并在37℃的盐溶液中保存1年。然后使用印度墨水示踪剂(采用减压模型)和透明技术测定冠部微渗漏情况。在6倍放大倍数下测量冠部微渗漏的程度。非参数分析表明,热软化牙胶技术的渗漏明显多于侧方加压技术(p < 0.05)。侧方加压充填组之间的渗漏无显著差异(p > 0.005),但在热塑技术中,使用封闭剂Sealapex时渗漏更多(p < 0.05)。