Bates C F, Carnes D L, del Rio C E
Department of Endodontics, Wilford Hall Medical Center, Lackland Air Force Base, TX, USA.
J Endod. 1996 Nov;22(11):575-8. doi: 10.1016/S0099-2399(96)80023-9.
This study evaluated the ability of mineral trioxide aggregate (MTA) to seal the root end effectively. Seventy-six single-rooted, extracted human teeth were cleaned and shaped using a step-back technique. After root-end resection and ultrasonic preparation, 72 root sections were randomly allocated to three groups and filled with dental amalgam and cavity liner, Super-EBA, or MTA. Microleakage was assessed at 24 h, 72 h, 2 wk, 4 wk, 8 wk, and 12 wk, using a fluid filtration measurement system. MTA demonstrated excellent sealing ability throughout 12 wk of fluid immersion, comparable with that observed for Super-EBA. Microleakage in the MTA group, as well as the Super-EBA group, was significantly less (p < 0.05) than in the amalgam group at 24 h, 72 h, and 2 wk. At the subsequent periods, there were no significant differences among the three materials. In this study, MTA was determined to be superior to amalgam, and comparable with Super-EBA in preventing microleakage when used as a root-end filling.
本研究评估了三氧化矿物凝聚体(MTA)有效封闭根尖的能力。使用逐步后退技术对76颗单根的拔除人类牙齿进行清洁和预备。在根尖切除和超声预备后,将72个牙根随机分为三组,分别用银汞合金和洞衬剂、Super-EBA或MTA进行充填。使用流体过滤测量系统在24小时、72小时、2周、4周、8周和12周时评估微渗漏情况。在12周的液体浸泡过程中,MTA表现出优异的封闭能力,与Super-EBA相当。在24小时、72小时和2周时,MTA组以及Super-EBA组的微渗漏明显少于银汞合金组(p<0.05)。在随后的时间段,三种材料之间没有显著差异。在本研究中,MTA被确定在用作根尖充填时,在防止微渗漏方面优于银汞合金,且与Super-EBA相当。