不同根管封闭技术对根管内纤维桩与根内牙本质结合强度的影响。

Chang-yuan Zhang, Hao Yu, Q. Lin, Y. Taira, Hui Cheng
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引用次数: 1

摘要

目的评价两种根管封闭技术和三种根管内灌洗液预处理后纤维桩与根内牙本质的结合强度。方法收集96颗人前磨牙,采用全根管或部分根管封闭技术进行治疗。根据空间后灌洗液(2.5% NaOCl, 37%磷酸蚀刻和蒸馏水)将根进一步分为3个亚组(n = 16)。纤维桩用自粘树脂水泥粘接,经5000次热循环后将根切成3片(颈、中、尖)。测定推出键强度并进行方差分析(α = 0.05)。利用体视显微镜观察试件的破坏模式。结果灌洗液、根管封闭技术和根区对根管黏结强度有显著影响(P < 0.001)。完全封闭根管的根管结合强度明显低于部分封闭根管。在三种灌水溶液中,2.5% NaOCl处理的黏结强度最高。在根区中,颈段的结合强度明显高于中、根尖部分。最常见的失效模式是混合型失效。结论部分根管封闭技术使根管纤维桩与根内牙本质的结合强度提高。胶结前用2.5% NaOCl溶液冲洗和磷酸蚀刻可提高纤维桩与根状牙本质的推出结合强度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effects of Different Root Canal Obturation Techniques on the Bond Strength of Fiber Post to Intraradicular Dentine.
OBJECTIVE To evaluate the bond strength of fiber posts to intraradicular dentine pretreated with two root canal obturation techniques and three postspace irrigation solutions. METHODS A total of 96 human premolars were collected and treated with complete or partial root canal obturation techniques. The roots were further divided into three subgroups (n = 16) based on postspace irrigation solutions: 2.5% NaOCl, 37% phosphoric acid etching, and distilled water. The fiber posts were bonded with self-adhesive resin cement, and the roots were sectioned into three slices (cervical, middle, and apical regions) after 5,000 thermocycles. The push-out bond strengths were determined and subjected to analysis of variance (α = 0.05). A stereomicroscope was used to observe the failure modes of the specimens. RESULTS The irrigation solution, root canal obturation technique, and root region had significant effects on bond strength (P < 0.001). The completely obturated root canals showed significantly lower bond strength than the partially obturated root canals. The 2.5% NaOCl treatment produced the highest bond strength among the three irrigation solutions. Among the root regions, the cervical part showed significantly greater bond strength than the middle and apical parts. The most common failure mode was mixed failure. CONCLUSION The partial root canal obturation technique provided better bond strength of the fiber post to intraradicular dentine. Irrigation with 2.5% NaOCl solution and phosphoric acid etching before cementation improved the push-out bond strength of the fiber posts to intraradicular dentine.
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