Wu M K, Kontakiotis E G, Wesselink P R
Department of Cariology Endodontology, Academic Centre for Dentistry Amsterdam, The Netherlands.
J Endod. 1998 Aug;24(8):557-60. doi: 10.1016/S0099-2399(98)80077-0.
A tight and long-lasting seal of root-end fillings is of prime clinical importance. A hundred standard bovine root sections, each 3 mm high and with a central pulp lumen of 2.6 mm in diameter, were filled with five commonly used or potential root-end filling materials. At 24 h, or at 3, 6, or 12 months after filling, leakage along these filling materials was determined under a low headspace pressure of 10 kPa (0.1 atm) using a fluid transport model. During the first 3 months, the percentage of gross leakage (> 20 microliters day-1) increased noticeably for Tytin amalgam (from 20 to 100%) and Super-EBA (from 0 to 55%), whereas it decreased noticeably for mineral trioxide aggregate (MTA; from 55% to 0%). Thereafter, the increased leakage of amalgam and Super-EBA decreased with time, whereas the improved seal of MTA was maintained until the end of the experiment. At 3-, 6-, and 12-month time intervals, both glass ionomer cements (Fuji II and Hi Dense) and MTA showed less leakage than the conventional amalgam and Super-Eba, of which amalgam leaked more.
根尖充填物形成紧密且持久的封闭对临床至关重要。将100个标准牛牙根切片,每个高3毫米,中央牙髓腔直径为2.6毫米,用五种常用或潜在的根尖充填材料进行充填。在充填后24小时或3、6或12个月,使用流体传输模型在10 kPa(0.1个大气压)的低顶空压力下测定沿这些充填材料的渗漏情况。在最初的3个月内,钛合金汞合金(从20%增至100%)和超强EBA(从0增至55%)的总渗漏率(>20微升/天)显著增加,而三氧化矿物凝聚体(MTA)的总渗漏率则显著下降(从55%降至0%)。此后,汞合金和超强EBA渗漏增加的情况随时间减少,而MTA改善后的封闭效果一直保持到实验结束。在3个月、6个月和12个月的时间间隔时,玻璃离子水门汀(富士II和高密)和MTA的渗漏均少于传统汞合金和超强EBA,其中汞合金渗漏更多。