首页|玷污层及不同根尖倒充填材料对根尖倒充填后微渗漏影响的体外研究

玷污层及不同根尖倒充填材料对根尖倒充填后微渗漏影响的体外研究

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目的:探讨对应用3种根管倒充填材料玷污层去留对根尖微渗漏的影响,以期为临床应用提供依据。方法:选取64颗单根管牙,常规根管预备后,冷牙胶侧向加压充填根管,根尖切除后进行根管倒预备,将其随机分为实验组与对照组(每组各32颗)。实验组:17%EDTA +2%氯亚明去除玷污层,对照组:用5mL 生理盐水冲洗。从2组中随机抽取 2颗牙做扫面电镜检测。各组分别用 MTA、GIC 和 HG 进行倒充填。去除根管上段充填物,将离体牙置于微渗漏模型,于第1、2、4、7、10、15、20和30天检测从冠方向根方漏出的葡萄糖的浓度。结果:MTA 的封闭性在各个时间点均优于 GIC、HG。离体牙同一种处理方法(去除或保留)下不同倒充填材料两两相比,均有统计学差异(P <0.05)。同一种倒充填材料在去除与保留玷污层处理中,MTA 、GIC 去除玷污层在各个时间点的葡萄糖渗出浓度均低于保留玷污层,而用 HG 行倒充填则无统计学差异(P >0.05)。结论:MTA 的根尖封闭性优于 GIC、HG,应用 MTA、GIC 作为根尖倒充填材料去除玷污层后根尖封闭性更好,而 HG 没有差异。
In vitro studies of smear layer and retrograde fil ing material impact on apical microleakage after down -fil ed
Objective:Af ect apical microleakage after fil ing material with the smear layer on the application of three root canal.Method:Select 64 single root canal teeth after root canal preparation,cold lateral condensation gut a -percha root canal fil ing,after removal of the apical root canal preparation down.Randomly divided into experimental group and control group (n =30 each).Experimental group:17%EDTA +1% chloramine -T remove the smear layer,In the control group:5ml saline.Randomly selected from two groups do SEMobservation.Each group was randomly divided into 3 groups were MTA,GIC,HG were down fil ing,taking root canal fil ing the upper section.Placing micro -leakage model.First detected in concentrations ranging from 0 days 1,2,4,7,10,15,20,30 crown direction leaked square root of glucose.Results:MTA's closure at each time point were superior GIC,HG.Dif erent back molars same treatment (re-moval or retention)under the fil ing material compared pairwise dif erences were statistical y significant P <0.05).With a fil ing material in the smear layer removal and retention process, MTA,GIC remove the smear layer and MTA,GIC retain glucose smear layer at each time point oozing concentrations were lower than retain the smear layer,HG compared to tarnish the removal or retention layer was no significant dif erence (P >0.05).Conclusion:MTA apical closure than GIC,HG,application MTA,GIC as a retrograde fil ing material after removal of the smear lay-er apical sealing bet er,but no dif erence in HG.

Retrograde fil ing techniqueSmear layerGlucose oxidaseSEM

李永立、张丽萍、武燃、刘鹏

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河北联合大学附属医院口腔科 河北 唐山 063000

根尖倒充术 玷污层 葡萄糖氧化酶法 扫描电镜

2015

医学美学美容(中旬刊)
陕西省东方美容文化研究所

医学美学美容(中旬刊)

影响因子:0.212
ISSN:1004-4949
年,卷(期):2015.(2)
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