首页|新型根管充填材料i-MTA SP的根管封闭性能初探

新型根管充填材料i-MTA SP的根管封闭性能初探

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目的:初步探究新型根管充填材料i-MTA SP在不同充填方法下的根管封闭性能.方法:收集 60 个根管弯曲度为 30°的单根管树脂块与 30 颗单根管下颌第一前磨牙或远中单根管的磨牙,根管预备后随机分为 12 个实验组,分别以i-MTA SP与iRoot SP为封闭剂进行充填.在树脂块中(n=10):以热牙胶、单尖法、全生物陶瓷材料的方法完成充填;在离体牙中(n=5):以单尖法和 0.06 锥度牙胶尖、单尖法和 0.04 锥度牙胶尖、全生物陶瓷材料的方法完成充填.于 1 个月后使用micro-CT扫描分析根管内的空隙体积和充填材料体积,计算总体、根尖、根中、冠方空隙率,评估材料的根管封闭性能.结果:在树脂块中,在相同充填方法的情况下,i-MTA SP充填的总体、根尖、根中、冠方空隙率与iRoot SP充填的相近(P>0.05);在相同封闭剂的情况下,全i-MTA SP充填的总空隙率大于i-MTA SP热牙胶充填的空隙率,全iRoot SP充填的总空隙率大于iRoot SP热牙胶充填的空隙率,i-MTA SP单尖充填的根尖段空隙率小于i-MTA SP热牙胶、全i-MTA SP充填的空隙率(P<0.05).在离体牙中各组间空隙率相近(P>0.05).结论:在相同充填条件下i-MTA SP的根管封闭性能与iRoot SP有一定差别,但不存在统计学差异.
Preliminary study on the sealing properties of new root canal filling material i-MTA SP
Objective:To evaluate the root canal sealing properties of new root canal filling material i-MTA SP under different filling conditions.Methods:Sixty single-canal resin blocks with 30° root canal curvature and thirty single-canal mandibular first premolars or molars with a single distal canal were collected.After root canal preparation,they were randomly divided into 12 experimental groups and filled with i-MTA SP and iRoot SP respectively.In the experimental group of resin blocks(n=10):the root canal filling was completed by warm vertical compaction technique,single-cone technique and full bioceramic material filling respectively.In the experimental group of isolated teeth(n=5):the root canal filling was completed by single-cone technique with 0.06 taper gutta percha,single-cone technique with 0.04 taper gutta percha and full bioceram-ics material filling respectively.One month after filling,micro-CT scan was used to analyze the void volume and filling materi-al volume in the root canal,and the percentage of the total,apical,middle and coronal void was calculated to evaluate the sealing properties of the root canal.Results:In the resin block,the total,apical,middle and coronal percentage of void of i-MTA SP filling were similar to those of iRoot SP filling under the same filling method(P>0.05).In the case of the same sealer,the total percentage of void of full i-MTA SP filling was greater than of warm vertical compaction with i-MTA SP,the total percentage of void of full iRoot SP filling was greater than of warm vertical compaction with iRoot SP,and the apical per-centage of void of single-cone technique with i-MTA SP was smaller than of warm vertical compaction with i-MTA SP,full i-MTA SP filling(P<0.05).In the isolated teeth,the percentage of void was similar among groups(P>0.05).Conclusion:The root canal sealing properties of i-MTA SP was slightly worse than that of iRoot SP,and there was no statistical difference.

i-MTA SPiRoot SPFilling methodsPercentage of voidMicro-CT

张纪敏、乔玮玮、狄跃、王莉

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口颌系统重建与再生全国重点实验室,口腔生物医学教育部重点实验室,口腔医学湖北省重点实验室,武汉大学口腔医(学)院 湖北 武汉 430079

武汉大学口腔医(学)院牙体牙髓一科 湖北 武汉 430079

i-MTA SP iRoot SP 充填方法 空隙率 Micro-CT

2024

临床口腔医学杂志
华中科技大学同济医学院附属同济医院,中华口腔医学会口腔黏膜病专业委员会 中华医学会武汉分会

临床口腔医学杂志

CSTPCD
影响因子:0.783
ISSN:1003-1634
年,卷(期):2024.40(9)