根管内桩间隙处理对纤维桩与根牙本质推出结合强度的影响。

Hamid Kermanshah, Behnam Bolhari, Faraz Sedaghat, Ladan Ranjbar Omrani
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引用次数: 0

摘要

目的:纤维桩的主要缺点是与根管壁的结合强度较低。本研究的目的是评估不同根管桩间距处理对纤维桩与根管牙本质推出结合强度的影响。材料与方法:将40颗经根管治疗的人前磨牙进行牙槽预备后,随机分为4个实验组:1组为对照组,2组为Endsolv R, 3组为超声清洗组,4组为Clearfil修复组。然后用Panavia f2.0胶结水泥进行粘接。采用热循环推出法评价根管中部纤维桩与根管壁的结合强度。数据分析采用单因素方差分析和Tamhane多重比较检验。在体视显微镜下测定各组的失效模式。结果:各组间平均推出粘结强度比较,差异有统计学意义(P0.05)。结论:超声清洁和Clearfil修复可以改善根管管壁,显著提高根管纤维桩的粘结强度。
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Effect of Intracanal Post Space Treatments on Push-Out Bond Strength of Fiber Posts to Root Dentin.

Objectives: The main disadvantage of fiber posts is their low bond strength to root canal wall. The aim of the present study was to assess the effect of different root canal post space treatments on push-out bond strength of fiber posts to root canal dentin.

Materials and methods: After post space preparation in 40 endodontically treated human premolars, the teeth were randomly divided into four experimental groups: Group 1: control group, group 2: Endsolv R, group 3: ultrasonic cleaning, group 4: Clearfil Repair. Afterwards, the posts were bonded with Panavia F 2.0 bonding cement. The bond strength of fiber posts to root canal wall in the middle part of canal was evaluated following thermocycling using push-out test. Data were analyzed using one-way ANOVA and Tamhane's multiple comparisons test. The failure mode of each group was determined under a stereomicroscope.

Results: There was a significant difference in the mean push-out bond strength among the groups (P<0.05). The lowest bond strength was noted in the control group. The control group had significant differences with ultrasonic and Clearfil Repair groups (P<0.05). The bond strength of Endsolv R group increased; however, it was not significant (P>0.05).

Conclusions: It seems that ultrasonic cleaning and Clearfil Repair can modify the root canal wall and significantly increase the bond strength of fiber posts.

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