J Endod:氢氧化钙涂布对2种根管封闭剂牙本质渗透性的影响:一项共聚焦扫描电镜观察

2018-05-05 lishiting MedSci原创

这篇研究的目的是为了评估氢氧化钙(Ca[OH]2)对epoxy resin-based sealer (AH 26; Dentsply Maillefer, Ballaigues, Switzerland)和tricalcium silicate-based sealer (BioRoot RCS; Septodont, Saint Maurdes Fosses, France)的牙本质小管渗透性

这篇研究的目的是为了评估氢氧化钙(Ca[OH]2)对epoxy resin-based sealer (AH 26; Dentsply Maillefer, Ballaigues, Switzerland)和tricalcium silicate-based sealer (BioRoot RCS; Septodont, Saint Maurdes Fosses, France)的牙本质小管渗透性的影响。

研究使用52颗单根管下颌前磨牙。4个样本作为阳性对照。24个样本接受Ca(OH)2涂布并使用罗丹明B标记,其他不使用Ca(OH)2。2周后,使用被动超声及大量冲洗去除Ca(OH)2。样本进一步再分为2个亚组,根管充填采用单根ProTaper F4牙胶锥核(Dentsply Maillefer)辅以受检封闭剂的一种(带有绿色荧光标记)。2周后,样本分别在根尖、中和冠水平横向切开。通过成像软件检测渗透深度和百分比。采用Kruskal-Wallis, Siegel Castellan post hoc和Mann-Whitney U检验对数据进行统计学评估,显著性水平设置为P = .05。

结果显示,两种封闭剂的平均渗透深度和百分比水平均在根尖1/3最低。尽管存在Ca(OH)2残留(P < .05),但BioRoot RCS在所有测试部位的渗透性均要明显高于AH 26 (P < .05)。Ca(OH)2导致BioRoot RCS在根中和冠1/3部位的牙本质小管渗透性较短(P < .05),但却并不影响其渗透百分比(P > .05)。

结论:被动超声作用和大量冲洗并不足以去除根管内的Ca(OH)2。BioRoot RCS要比AH 26具有更高的牙本质小管渗透性能,即使存在Ca(OH)2存留的情况下。另外,Ca(OH)2会减小测试封闭剂牙本质小管的渗透深度和百分比;然而,它对AH 26却起到了更加显著的作用。

原始出处

Uzunoglu-Özyürek E, Erdoğan Ö, et al. Effect of Calcium Hydroxide Dressing on the Dentinal Tubule Penetration of 2 Different Root Canal Sealers: A Confocal Laser Scanning Microscopic Study. J Endod. 2018 Apr 18. pii: S0099-2399(18)30129-8. doi: 10.1016/j.joen.2018.02.016.

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    2018-05-06 wzb521zf

    一起学习学习

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=2070315, encodeId=699320e031537, content=<a href='/topic/show?id=f0a066295b8' target=_blank style='color:#2F92EE;'>#渗透性#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66295, encryptionId=f0a066295b8, topicName=渗透性)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=917c196, createdName=sjzlzc007, createdTime=Tue Jun 05 03:51:00 CST 2018, time=2018-06-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2061235, encodeId=bbaa2061235d0, content=<a href='/topic/show?id=5bd4622567b' target=_blank style='color:#2F92EE;'>#根管封闭剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=25, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62256, encryptionId=5bd4622567b, topicName=根管封闭剂)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d64f419, createdName=qindq, createdTime=Mon Jun 04 02:51:00 CST 2018, time=2018-06-04, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1441898, encodeId=775c1441898d8, content=<a href='/topic/show?id=67526e55924' target=_blank style='color:#2F92EE;'>#牙本质#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=30, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67559, encryptionId=67526e55924, topicName=牙本质)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=37364903098, createdName=ms8538335253054589, createdTime=Mon May 07 02:51:00 CST 2018, time=2018-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1443045, encodeId=5f86144304530, content=<a href='/topic/show?id=674546e8323' target=_blank style='color:#2F92EE;'>#封闭剂#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=48, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=46783, encryptionId=674546e8323, topicName=封闭剂)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b88a5021004, createdName=12498dd9m12暂无昵称, createdTime=Mon May 07 02:51:00 CST 2018, time=2018-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1522900, encodeId=75491522900b6, content=<a href='/topic/show?id=c72462241ff' target=_blank style='color:#2F92EE;'>#根管#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=62241, encryptionId=c72462241ff, topicName=根管)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ba5e11492705, createdName=zhaozhouchifen, createdTime=Mon May 07 02:51:00 CST 2018, time=2018-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1569924, encodeId=5277156992473, content=<a href='/topic/show?id=e14a6395908' target=_blank style='color:#2F92EE;'>#氢氧化钙#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=63959, encryptionId=e14a6395908, topicName=氢氧化钙)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f8f315601930, createdName=tongyongming, createdTime=Mon May 07 02:51:00 CST 2018, time=2018-05-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=312522, encodeId=05b9312522ab, content=一起学习学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=76, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/vi_32/TDiaAWyicHgedzX3wKo3qcxudVJib7AfibfvNeufHRF2jG3Bw8MmZyWjIhtBV1mpJI7Sy9n7RcBKK5t3CuOKuOFxkg/0, createdBy=dd702206933, createdName=wzb521zf, createdTime=Sun May 06 10:17:36 CST 2018, time=2018-05-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=312242, encodeId=d176312242f1, content=谢谢分享.学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/NUyjXTCJjo6Nx0VGA4QMDzOP8oAgnV4h51EjSfehJ9QxyiaSmw8PB56BhY8KXFSxHCibXrzcy4abrzSibXQPxJ9kzrLcJyhhB8a/0, createdBy=1d3b1672603, createdName=明月清辉, createdTime=Sat May 05 12:28:33 CST 2018, time=2018-05-05, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=312234, encodeId=4acf31223475, content=谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib06iaV3D9Tg5K46ZAxBHmHsph32KkfsWGwmickB6RsCUD8KruE4vo5CpvXfdu16GBpp4ibh6WJu1o9iatP1LWKDmvmic/0, createdBy=be6f1940165, createdName=1e0ece0dm09(暂无匿称), createdTime=Sat May 05 12:05:09 CST 2018, time=2018-05-05, status=1, ipAttribution=)]
    2018-05-05 明月清辉

    谢谢分享.学习了

    0

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    2018-05-05 1e0ece0dm09(暂无匿称)

    谢谢分享

    0

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