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不同热牙胶充填系统根管充填致密性的体外研究

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目的 利用Micro-CT评价不同热牙胶充填系统对根管充填致密性的影响.方法 选取30颗圆/椭圆形单根管前磨牙,根长统一为12 mm,随机分为A、B、C三组(每组10个样本),控制组间距根尖5 mm处根管截面的长径、短径、长径/短径及预备后的管腔体积无统计学意义.分别使用"BeeFill 2in1"型热牙胶充填系统、"Fi-P""Fi-E"型热牙胶充填系统及冷牙胶侧方加压充填技术完成充填.1周后,应用Micro-CT扫描并测量分析各组根管充填物与根管管腔在整体、根颈1/3、根中1/3、根尖1/3的体积比并进行统计学分析.结果 "BeeFill 2in1"型和"Fi-P""Fi-E"型热牙胶充填系统的整体、根颈1/3、根中1/3、根尖1/3根管充填物体积比均明显高于冷牙胶侧方加压充填技术(P<0.05);"BeeFill 2in1"型和"Fi-P""Fi-E"型热牙胶充填系统组间差异无统计学意义(P>0.05);"BeeFill 2in1"型热牙胶充填系统、"Fi-P""Fi-E"型热牙胶充填系统、冷牙胶侧方加压充填技术组内根颈1/3、根中1/3的根管充填物体积比高于根尖1/3根管充填物体积比(P<0.05).结论 与传统冷牙胶侧方加压充填技术相比,"BeeFill 2in1"型热牙胶充填系统和"Fi-P""Fi-E"型热牙胶充填系统在根管充填致密性方面有显著的优越性.
In vitro study of root canal filling density with different warm gutta-percha obturation systems
Objective To evaluate the effect of different warm gutta-percha obturation systems on root canal filling densi-ty by Micro-CT.Methods 30 single-rooted premolar teeth with oval-shaped or round-shaped canals were selected,and root length was uniform at 12 mm.The teeth were randomly divided into group A,group B and group C(with 10 samples in each group).There were no statistically differences in long diameter,short diameter,long diameter/short diameter,and prepared lumen volume of the root canal cross-section at a distance of 5 mm between the control groups."BeeFill 2in1"warm gutta-percha obturation system,"Fi-P"and"Fi-E"warm gutta-percha obturation systems,and cold gum lateral pressure filling technology were used to complete the filling,respectively.Micro-CT was used to scan,measure and analyze the volume ratio of root canal filling material to root canal cavity in the whole root canal,the 1/3 of the root neck,the 1/3 of the root middle,and the 1/3 of the root tip in each group,and statistical analysis was conducted.Results The percentage of volumes of root canal filling materials in the whole root canal,the 1/3 of the root neck,the 1/3 of the root middle,and the 1/3 of the root tip in"BeeFill 2in1"warm gutta-percha obturation system,"Fi-P"and"Fi-E"warm gutta-percha obturation systems were significantly higher than those of the cold gum lateral pressure filling technology(P<0.05).There was no statistically signif-icant difference between"BeeFill 2in1"warm gutta-percha obturation system,"Fi-P"and"Fi-E"warm gutta-percha obtu-ration systems(P>0.05).The percentage of volumes of root canal filling materials in the 1/3 of the root neck,the 1/3 of the root middle in"BeeFill 2in1"warm gutta-percha obturation system,"Fi-P"and"Fi-E"warm gutta-percha obturation systems,and the cold gum lateral pressure filling technology was higher than that in the 1/3 of the root tip in root canal filling volume(P<0.05).Conclusion"BeeFill 2in1"warm gutta-percha obturation system,"Fi-P"and"Fi-E"warm gutta-percha obturation systems have more obvious superiority in root canal filling density than cold gum lateral pressure filling technology.

Micro-CTroot canal fillingwarm gutta-perchacold gum lateral pressure filling

陈镜滟、秦静、李贤玉

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广西医科大学口腔医学院/附属口腔医院,广西南宁 530021

广西壮族自治区卫生健康委员会口腔感染性疾病防治重点实验室,广西南宁 530021

Micro-CT 根管充填 热牙胶 冷牙胶侧方加压充填

广西自然科学基金广西医科大学附属口腔医院口腔医学研究生联合培养基金

2018GXNSFAA050083GCP202102

2024

右江医学
右江民族医学院附属医院

右江医学

影响因子:0.779
ISSN:1003-1383
年,卷(期):2024.52(4)
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