Reader C M, Himel V T, Germain L P, Hoen M M
Division of Endodontics, University of Colorado School of Dentistry, Denver.
J Endod. 1993 Aug;19(8):404-8. doi: 10.1016/S0099-2399(06)81505-0.
The three-dimensional obturation of the root canal system is widely accepted as a key factor for successful endodontic therapy. The purpose of this study was to evaluate the obturation of lateral canals and the main canal using three gutta-percha sealer techniques: cold lateral condensation, warm lateral condensation, and warm vertical condensation. Sixty epoxied blocks with five lateral canals placed at varying angles from the main canal were used. Each experimental group was treated by a board-certified endodontist with training and clinical experience in that obturation technique. There was no statistically significant difference (p < 0.05) between the obturation techniques in the ratio of the void area to the gutta-percha-plus-sealer area for the main canal. There was significantly (p < 0.001) more sealer in the lateral canals for the two lateral condensation techniques. The warm obturation techniques had significantly (p < 0.001) more gutta-percha in the lateral canals.
根管系统的三维充填被广泛认为是牙髓治疗成功的关键因素。本研究的目的是使用三种牙胶封闭剂技术评估侧支根管和主根管的充填情况:冷侧向加压充填、热侧向加压充填和热垂直加压充填。使用了60个环氧树脂块,每个块中有5个与主根管呈不同角度的侧支根管。每个实验组由一名在该充填技术方面接受过培训且有临床经验的牙髓专科医生进行治疗。对于主根管,在空隙面积与牙胶加封闭剂面积的比例方面,各充填技术之间无统计学显著差异(p < 0.05)。两种侧向加压充填技术在侧支根管中的封闭剂明显更多(p < 0.001)。热充填技术在侧支根管中的牙胶明显更多(p < 0.001)。