[Comparison of apical sealing ability of three bioceramic root canal sealers in vitro].

Jingya Zhu, Rihong Huang, Xiangni Zeng, Li Jiang, Fei He
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Abstract

Objectives: We aimed to compare the apical sealing properties of three endodontic sealers, namely, C-Root SP (C-R), iRoot SP, and GuttaFlow Bioseal (GFB) in vitro.

Methods: Eighty-two single-rooted premolars and anterior teeth were prepared by using M3 machine with nickel-titanium file and randomly divided into six experimental groups (n=12) and two control groups (n=5). Group A1: single-cone technique (SC)+C-R; group B1: SC+iRoot SP; group C1: SC+GFB; group A2: single-cone with ultrasonic activation (SU)+C-R; group B2: SU+iRoot SP; group C2: SU +GFB; group D: positive control group, and group E: negative control group. Dye penetration length and lateral root canal filling in each group were measured by dye penetration test. A scanning electron microscope (SEM) was used to observe the interface between gutta pertscha, root canal sealer, and dentin wall. Dye penetration length was measured and analyzed by Kruskal-Wallis test, and data on lateral root canal filling were evaluated using Chi-square.

Results: The dye penetration length in group A1 was lower than that in groups C1 and A2 (P<0.05) but was not significantly different from the other groups (P>0.05). Lateral root canal filling was not significantly different among all groups (P>0.05). SEM showed that GFB was slightly better than C-R and iRoot SP in binding to gutta pertcha and dentin wall.

Conclusions: GFB, C-R, and iRoot SP demonstrate excellent apical sealing ability. Under the conditions tested in this study, SU did not yield significantly improve the apical sealing ability of the three root canal sealers.

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三种生物陶瓷根管封闭器的根管封闭性能比较。
目的:比较C-Root SP (C-R)、iRoot SP和GuttaFlow Bioseal (GFB)三种牙髓密封剂的体外根尖密封性能。方法:采用镍钛锉M3机器制备单根前磨牙和前牙82颗,随机分为6个实验组(n=12)和2个对照组(n=5)。A1组:单锥技术(SC)+C-R;B1组:SC+iRoot SP;C1组:SC+GFB;A2组:单锥超声激活(SU)+C-R;B2组:SU+iRoot SP;C2组:SU +GFB;D组为阳性对照组,E组为阴性对照组。染料渗透试验测定各组染料渗透长度和根管侧充填情况。采用扫描电镜观察了胶砂、根管封闭剂与牙本质壁之间的界面。采用Kruskal-Wallis检验对染料渗透长度进行测量和分析,采用卡方法对侧根管填充数据进行评价。结果:A1组染料穿透长度明显低于C1、A2组(p < 0.05)。各组间根管充填率差异无统计学意义(P < 0.05)。扫描电镜(SEM)显示,GFB与牙本质和牙本质壁的结合能力略好于C-R和iRoot SP。结论:GFB、C-R和iRoot SP具有良好的根尖密封能力。在本研究测试的条件下,SU并没有显著提高三种根管密封剂的根尖密封能力。
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