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用盐水或酒精溶液最终冲洗对根管密封性的影响
Nidambur Vasudev Ballal1, Rajkumar Narkedamalli1, Josette Camilleri2
1Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, 576104, Karnataka, India. matthias.zehnder@zzm.uzh.ch.
Swiss dental journal
|September 16, 2024
概括
用盐水或80%乙醇进行最终灌并没有改善AH Plus或BioRoot RCS密封器的根管密封性. 两种最终冲洗溶液都没有在内牙治疗中防止泄漏的标准协议上提供显著的好处.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科材料科学 牙科材料科学
背景情况:
- 牙周灌清洁,消毒,并使根管牙条件为堵塞.
- 评估最终的灌解决方案对于优化根管密封和长期治疗成功至关重要.
研究的目的:
- 评估使用环氧树脂 (AH Plus) 和酸水泥 (BioRoot RCS) 密封剂时,是否用盐水或80%乙醇进行最终灌可以提高根管密封性.
- 为了比较两种当代内牙密封器的密封效果,遵循不同的最终灌协议.
主要方法:
- 提取的人类牙经历了仪器仪表和闭塞,使用AH Plus或BioRoot RCS.
- 密封体特定的灌方案包括二化,1-基乙烯-1,1-二酸和乙烯基二胺三酸 (EDTA).
- 牙在堵塞和泄漏评估之前用盐酸,80%的乙醇进行了最后冲洗,或者没有最后冲洗 (控制) 使用Rhodamine B.
主要成果:
- 密封剂类型显著影响了顶点染料透率 (P < 0.05),AH Plus显示出稍微更好的密封.
- 最后的冲洗方案 (盐水或乙醇) 并没有显著影响根管密封性 (P > 0.05).
- 泄漏模式不同:AH Plus显示了密封器-牙接口的泄漏,而BioRoot RCS在密封器-牙接口和密封器-牙接口都有泄漏.
结论:
- 在测试条件下,用盐水或80%乙醇进行最终灌,对于改善AH Plus或BioRoot RCS的根管密封性没有明显的好处.
- 密封器类型的选择是影响根管密封效率的更关键因素,而不是添加盐水或乙醇最终冲洗.
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