根管密封剂和根管后等待时间影响根管纤维桩的粘结强度

T. Bohrer, P. Fontana, V. Wandscher, V. Morari, R. Pillar, Mariana-De-Carlo Bello, L. Valandro, O. Kaizer
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引用次数: 1

摘要

纤维桩的耐磨性受根管密封剂和根管后等待时间等因素的影响。目的研究不同的根管封闭剂和两种不同的根管后等待时间对根管纤维桩结合强度的影响。材料和方法对72颗牛牙齿进行了根管治疗,并使用三种根管密封剂进行填充:丁香酚基,环氧树脂基或矿物三氧化物骨料基。37℃保存24小时或30个月。在各自的储存时间后,使用RelyX U200准备根管,用于固定光纤桩。进行了推出试验和故障分析。采用双向方差分析比较牙髓封闭剂的效果,采用t检验比较牙髓治疗后等待时间的效果。结果AH Plus密封剂在牙髓治疗后30个月的粘结强度最高(11.26 Mpa) (p < 0.05),而与Endofill密封剂的粘结强度差异无统计学意义。无论牙髓治疗后的等待时间如何,Endofill和MTA Fillapex封口剂的效果没有显著差异。结论使用的根管密封剂和根管后等待时间对纤维桩的粘附阻力有影响。纤维桩在根管充填后30个月进行胶结,粘连性明显增加,而在根管治疗后立即进行胶结,粘连性降低,尤以丁香酚基根管密封剂为佳。
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Endodontic sealers and post-endodontic waiting time affect the bond strength of the fiber posts
Abstract Introduction The resistance adhesive of a fiber post can be affected by several factors, such as the endodontic sealer and post-endodontic waiting time. Objective The aim of this study was to evaluate the effect of different endodontic sealers and two different post-endodontic waiting times on the bond strength of fiber posts. Material and method Seventy-two bovine teeth were endodontically treated and filled using three endodontic sealers: eugenol-based, epoxy resin-based, or mineral trioxide aggregate-based. The specimens were stored at 37°C for 24 hours or for 30 months. After the respective storage times, the root canals were prepared for luting fiber posts using RelyX U200. Push-out tests and analysis of failures were performed. The push-out data were analyzed by two-way analysis of variance to compare the effects of the endodontic sealer and with the t-test to compare the effects of post-endodontic waiting time. Result The AH Plus sealer yielded the highest bond strength values at 30 months post-endodontics (11.26 Mpa) (p < 0.05), however no had difference with Endofill sealer at the same time. Endofill and MTA Fillapex sealers did not differ significantly in their effects, irrespective of the post-endodontic waiting time. Conclusion In conclusion, the endodontic sealer used and post-endodontic waiting time affect the adhesive resistance of fiber posts. The adhesion increases significantly when the fiber post is cemented 30 months after the root canal filling, while the adhesion is reduced when cementing immediately after root canal treatment, in particular for eugenol-based endodontic sealers.
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