使用多切片计算机断层扫描评估三种不同咬合技术的质量:体外研究

Huda A. Abduallah, Omar B. Taha, Ahmed M. Jasim
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引用次数: 2

摘要

在对根管空间进行彻底清洁、塑形和消毒后,对该空间进行三维封固将是根管治疗的最终目标。通过持久的三维封闭,可以消除和防止与牙周的任何沟通。本研究的目的是使用多层 CT 扫描来确定:(i) 空隙的数量;(ii) 空隙的直径或长度;(iii) 在使用以下材料进行封固的根管中,材料/组织界面处是否存在空隙:(a) E & Q Master (b) Lateral Condensation 和 (c) Soft Core 系统。本研究使用了 30 颗新鲜拔出的人类下颌前磨牙。分离根管后,将牙齿分为三组,每组 10 颗。G1 使用 E&Q Master 封闭,G2 使用 Lateral Condensation 封闭,G3 使用 Soft Core 封闭。所有组别均使用 GuttaFlow 作为封闭剂。封堵后,用多层 CT 对所有标本进行分析,所得数据经方差分析后进行邓肯多重范围检验,P<0.05 为差异有统计学意义。总体而言,用 E&Q 泥封闭的牙槽骨空洞数最少(3.0),而用侧向冷凝封闭的牙槽骨空洞数最多(3.9),两者差异有统计学意义。用软岩心封堵的牙槽表现出最高的空隙直径平均值(0.77 毫米),而用 E&Q 磁体和侧冷凝封堵的牙槽表现出最低的空隙直径平均值(分别为 0.62 毫米和 0.61 毫米),两者差异有统计学意义。所有技术的外部空隙百分比都高于内部空隙。使用软核系统封固的根管出现内空洞的比例最高(9.230%)。结论E&Q封堵大师显示空洞数量较少。使用软核系统封堵的空隙直径最大。在所有的充填技术中,外腔空隙都高于内腔空隙。
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Evaluation the Quality Three Different Obturation Technique Using Multi-Slice Computed Tomography: An In-Vitro Study
After endodontic space has been completely cleaned, shaped and disinfected, a three-dimensional obturation of this space will be the ultimate objectiv e of endodontic therapy. With a durable three dimensional obturation any communication with the periodontium will be eliminated and prevented. The aim of this study was to use multi-slice CT scanning to determine: (i) number of voids (ii) diameter or length of voids and (iii) presence of voids at material/tissue interfaces in root canals obturated with: (a) E & Q Master (b) Lateral Condensation, and (c) Soft Core system. Thirty freshly extracted human mandibular premolar teeth were used in this study. After pr eparation of the root canals, the teeth were divided into three groups with 10 teeth in each groups. G1 obturated with E&Q master, G2 obturated with Lateral Condensation, and G3 was obturated with Soft Core. GuttaFlow was used as sealer for all groups. After obturation all the specimen were analyzed with multi-slice CT, the data obtained was statistically analyzed us ing ANOVA test followed by Duncan's multiple range test ,a val ue of p< 0.05 was considered statistically significant.Voids are obs erved in all groups, Neither technique was free of voids or p erfectly smooth. Overall, the canals that obturated with E&Q mas ter showed the lowest number of voids (3.0), whereas those ob turated with lateral condensation showed the highest number (3.9) and the differences was statistically significant. The canals t hat obturated with Soft core showed the highest mean of voids diameter ( 0.77 mm) , whereas those obturated with E&Q m aster and lateral condensation had the lowest mean (0.62 mm and 0.61 mm) respectively, and the differences were statisti cally significant. The percentage of outer voids was higher for a ll techniques than the inner voids. The presence of inner voids was the highest in canals that obturated with soft core system (9.230%). Conclusion: E&Q master of obturation show the low est number of voids. Obturation with Soft core show the highest m ean of voids diameter. In all obturation techniques, the outer voi ds was higher than inner voids.
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