不同胶凝剂胶结解剖桩的骨折模式分析

Raísa Cristina Madeira Barbosa, N. Souza, A. Pereira, V. Rodrigues, I. Santana
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摘要

对玻璃纤维销(GFP)牙体解剖和不同固接剂固定后的断裂模式进行了体外分析。选用30颗牛下颌骨单根牙。对牙根进行根管治疗,根据使用的胶结剂随机分为两组,G1:自粘树脂水泥(RelyX U200-3M ESPE), G2:常规树脂水泥(allem - fgm)。解剖钉固接后,标本在37℃的缓冲液中保存7天。然后在流水下切开根,切下6片1mm厚的薄片,共180个标本。对所有标本进行推出试验,然后置于光镜下评估骨折类型。两组最常见的骨折类型为牙本质内骨折(G1 = 32.2%;G2 = 30%)。G2组牙本质与骨水泥粘连失败的发生率有统计学意义(p=0.007),其中第三颈椎牙本质粘连骨折发生率(38.3%)高于第三根尖牙本质粘连骨折发生率(20.0%)(p=0.027)。结果表明,自动粘接水泥(RelyX U200-3M ESPE)在分析骨折模式方面具有更积极的效果。
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ANÁLISE DO PADRÃO DE FRATURAS EM PINOS ANATOMIZADOS CIMENTADOS COM DIFERENTES AGENTES CIMENTANTES
The breaking pattern in teeth with glass fiber pins (GFP), anatomized and fixed with different cementing agents, is analyzed in vitro. Thirty bovine mandibular uni-radicular teeth were used. Roots were treated endodontically and randomly divided into two groups according to the cementing agent employed, or rather, G1: auto-adhesive resinous cement (RelyX U200-3M ESPE), and G2: conventional resinous cement (Allcem-FGM). After the anatomization and cementation of pins, the specimens were stored in a buffer at 37oC for 7 days. Roots were then cut under flowing water and six 1mm-thick slices were cut, totaling 180 specimens. The push-out test was performed for all specimens and then placed under a light microscope to assess the type of fracture. The most frequent type of fracture for the two groups comprised coesine in dentin (G1 = 32.2%; G2 = 30%). There was a statistically greater frequency in adhesive failures between dentin and cement in G2 (p=0.007), with a statistically higher frequency (p=0.027) of cohesive fracture in dentin in the third cervical (38.3%) when compared to the third apical (20.0%). Results suggest that auto-adhesive cement (RelyX U200-3M ESPE) had more positive results in the analysis of fracture patterns.
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