不同孔内屏障材料对根管治疗后牙齿的加固作用

D. Gupta, S. Kamat, S. Hugar, G. Nanjannawar, Ruchika Gupta, Saquib Mulla
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引用次数: 0

摘要

背景:骨折发生率在接受牙髓治疗的牙齿中更为常见,因此牙髓治疗应通过放置各种修复材料来加固这些牙齿。目的:比较评价不同牙缝内屏障材料在增强需要根管治疗的牙齿抗折性方面的作用。方法:将60颗单根拔除的下颌前磨牙分为4组(n=15);第1组-光固化玻璃离聚物水泥,第2组-纳米杂化复合材料(NHC),第3组-高铜汞合金,第4组对照。将标本去冠状动脉化至14mm的标准化长度,并按照国际标准化组织(ISO)#30尺寸的主心尖锉进行仪器化。采用牙胶冷侧压技术进行充填。除对照组外,从冠状部分消除3 mm的闭塞,并放置验证内屏障材料。万能试验机用于测试断裂阻力。统计分析:采用方差分析法对所获得的数据进行分析,并通过post-hoc tukey检验进行配对比较(P<0.05)。结果:NHCs对骨折发生率有更好的抵抗力。对照组的数值最低。结论:在根管治疗的情况下,在牙齿中放置牙缝内屏障材料可以降低骨折发生率。
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Reinforcement of endodontically treated teeth by different intraorifice barrier materials
Background: Fracture incidences are more common in teeth with endodontic therapy and hence endodontic therapy should aim toward the reinforcement of such teeth by placing various restorative materials. Aims: Comparative evaluation of different intraorifice barrier material on strengthening the fracture resistance of teeth requiring endodontic therapy. Methods: Sixty extracted human mandibular premolars with one root were divided into four groups (n = 15); Group 1- Light cured Glass ionomer cement, Group 2 - Nanohybrid composite (NHC), Group 3 - High copper amalgam, Group 4-Control. Decoronation of specimens was done to a standardized length of 14 mm and was instrumented up to International Organization for Standardization (ISO) #30 size master apical file. Gutta percha was used to carry out the obturation by the cold lateral compaction technique. With the exception of the control group, elimination of 3 mm obturation from the coronal portion was done and intraorifice barrier materials were placed. Universal Testing Machine was used for testing fracture resistance. Statistical Analysis: Analysis of variance was applied to analyze the data obtained and pairwise comparison was done by post hoc tukey's test (P < 0.05). Results: Better resistance to fracture incidence was seen with NHCs. Control group presented the least values. Conclusion: On placement of intraorifice barrier materials in teeth with endodontic therapy, there was a reduction in fracture incidence.
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