Intraradicular Dentinal Changes Following Fiber Postremoval: Micro-computed Tomography Analysis

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Contemporary Clinical Dentistry Pub Date : 2023-01-01 DOI:10.4103/ccd.ccd_484_22
Nathalia Elissa M. Almeida, Fabiola Ormiga, Carolina O. Lima, Thais M. P. Santos, Ricardo T. Lopes, Patrícia de Andrade Risso
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Abstract

Abstract Context: Excessive dentine wear during postremoval can occur due to the adhesion between the cement and the post. Aim: The aim is to evaluate dentine wear and microcrack occurrence following the removal of intraradicular fiberglass posts that were previously cemented with two types of resin cement. Methods: Distal roots ( n = 38) of lower molars were instrumented, filled, prepared for intraradicular postinstallation, and divided into two groups according to the cement used for the posts: RelyX ARC or RelyX U200. The posts were removed through abrasion using ultrasonic diamond tips, after which the degrees of dentine wear (volume/mm 3 ) and microcrack formation were assessed using microcomputed tomographic imaging. Statistical Analysis Used: The Mann–Whitney U ( P ≤ 0.05) and Chi-squared tests ( P ≤ 0.05) were used. Results: After the removal of the posts, no statistically significant difference in root canal volume or microcrack occurrence was observed between the groups ( P > 0.05). The procedure produced significant dentine wear regardless of the type of cement used ( P < 0.05). Conclusions: The removal of fiberglass posts caused extensive dentine wear but did not influence microcrack occurrence. The type of resin cement used did not affect the dentine loss or microcrack appearance that resulted from fiberglass postremoval.
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根状牙本质纤维去除后的改变:显微计算机断层扫描分析
摘要背景:由于骨水泥与桩之间的粘连,拔牙后牙本质会发生过度磨损。目的:目的是评估牙本质磨损和微裂纹的发生后,去除根内玻璃纤维桩,之前用两种类型的树脂水泥胶结。方法:对38例下磨牙远端根进行矫治、充填、根内预备后安装,根据所使用的骨水泥分为RelyX ARC组和RelyX U200组。采用超声金刚石针尖磨损去除牙柱,然后使用显微计算机层析成像评估牙本质磨损程度(体积/mm 3)和微裂纹形成情况。统计学方法:采用Mann-Whitney U检验(P≤0.05)和卡方检验(P≤0.05)。结果:根管拔除后,两组间根管体积及微裂发生率差异无统计学意义(P >0.05)。无论使用何种类型的水泥,这一过程都会产生明显的牙本质磨损(P <0.05)。结论:玻璃纤维桩的拔除导致牙本质大面积磨损,但对微裂纹的发生没有影响。所使用的树脂水泥的类型不影响由于玻璃纤维去除后造成的牙本质损失或微裂纹的外观。
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来源期刊
Contemporary Clinical Dentistry
Contemporary Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.50
自引率
0.00%
发文量
52
审稿时长
23 weeks
期刊介绍: The journal Contemporary Clinical Dentistry (CCD) (Print ISSN: 0976-237X, E-ISSN:0976- 2361) is peer-reviewed journal published on behalf of Maharishi Markandeshwar University and issues are published quarterly in the last week of March, June, September and December. The Journal publishes Original research papers, clinical studies, case series strictly of clinical interest. Manuscripts are invited from all specialties of Dentistry i.e. Conservative dentistry and Endodontics, Dentofacial orthopedics and Orthodontics, Oral medicine and Radiology, Oral pathology, Oral surgery, Orodental diseases, Pediatric Dentistry, Periodontics, Clinical aspects of Public Health dentistry and Prosthodontics. Review articles are not accepted. Review, if published, will only be by invitation from eminent scholars and academicians of National and International repute in the field of Medical/Dental education.
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