不同磨桩材料对喇叭形根管的适应性研究

Ahmed Y. Abdo, W. Al-Zordk, A. Sakrana
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引用次数: 0

摘要

目的:利用微计算机断层成像技术评价不同磨桩材料的内部适应性。材料与方法:40颗下颌第一前磨牙随机分为4组(n=10)。三组采用不同磨桩材料进行大张开根管治疗:CV组;定制Vita瓷柱,组CP;定制PEKK帖,组CF;定制纤维桩和一组使用现成纤维桩在正常根管中(RF组)。所有牙齿均接受根管治疗,并在牙髓-牙釉质交界处上方1.5 mm处切片。将杜仲胶从根管中移除,距离切割部位总深度为9mm。直接扫描根管后磨铣桩核30根,正常根管用预制纤维桩10根。胶结采用自粘、自固化多联速树脂水泥。采用微计算机断层扫描测量水泥厚度和空隙体积。结果:不同部位、不同断面组间骨水泥距离差异有统计学意义(p<0.05)。水泥距的平均值±标准差为154±67µm。RF组颈、中段颊部骨水泥距离明显增加。各组间空隙量无显著差异。结论:由纤维、聚醚酮酮和Vita Enamic制备的不同CAD/CAM铣削桩材料具有良好的内部适应性。孔洞沿冠状-尖状方向增多。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Adaptation of Different Milled Post Materials with Flared Root Canals
: Objective: To evaluate the internal adaptation of different milled post materials using microcomputed tomography. Materials and Methods: Forty mandibular first premolar teeth were distributed into four equal groups (n=10). Three groups in which different milled post materials were used in widely flared root canals: group CV; Custom made Vita Enamic posts, group CP; Custom made PEKK posts, group CF; Custom made fiber posts and one group in which ready-made fiber posts were used in normal root canal (group RF). All teeth received root canal treatment and were sectioned 1.5 mm above the cemento-enamel junction. The gutta-percha was removed from the root canals to a total depth of 9 mm from the cutting site. Thirty milled post-and-core were milled after direct scanning of the flared root canals and ten prefabricated fiber posts were used for the normally flared root canals. Cementation was done using self-adhesive, self-cure multilink speed resin cement. Cement thickness and voids volume was measured using microcomputed tomography scanning. Results : There was a significant difference in cement distance between groups at the different sites and sections (p<0.05). The mean ± standard deviation of cement distance was 154 ± 67 µm. There was a significant increase in buccal cement distance in the cervical and middle sections in the group (RF). There was no significant difference in voids volume between groups. Conclusions: Different CAD/CAM milled post materials fabricated from fiber, Polyetherketoneketone, and Vita Enamic presented adequate internal adaptation to flared root canals. The voids increased in the apical-coronal direction.
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