3种根管封闭剂充填效果的Micro-CT评估
Evaluation of the filling effects of three root canal sealers by Micro-CT
作者:黄日鸿, 曾祥倪, 蒋丽, 张立霞, 朱静雅, 何飞
Author:Huang Rihong, Zeng Xiangni, Jiang Li, Zhang Lixia, Zhu Jingya, He Fei
收稿日期:2025-01-06 年卷(期)页码:2025,43(5):722-722-727
期刊名称:华西口腔医学杂志
Journal Name:West China Journal of Stomatology
关键字:根管充填,根管封闭剂,iRoot SP,C-Root SP,GuttaFlow Bioseal,Micro-CT,
Key words:root canal filling,root canal sealer,iRoot SP,C-Root SP,GuttaFlow Bioseal,Micro-CT,
基金项目:深圳市自然科学基金(JCYJ20210324114005016);深圳市自然科学基金(JCY-J20180228164611173)
中文摘要
目的 应用Micro-CT评价3种生物材料根管封闭剂iRoot SP、C-Root SP及GuttaFlow Bioseal(GFB)的根管充填效果。 方法 选取60颗单根单管离体前磨牙,截冠使工作长度统一为12 mm,机用镍钛根管预备至30号06锥度。样本随机分成6组,使用3种根管封闭剂、2种充填法进行根管充填,分别为iRoot SP+单尖法充填、C-Root SP+单尖法充填、GFB+单尖法充填、iRoot SP+超声活化单尖法充填、C-Root SP+超声活化单尖法充填、GFB+超声活化单尖法充填。对充填样本进行Micro-CT扫描,Mimics 22.0软件进行根管系统三维重建,计算根管整体充填率及根冠1/3、根中1/3、根尖1/3的分段充填率。 结果 3种根管封闭剂的整体充填率均大于90%。单尖法根管充填时,GFB的根管整体充填率、根冠1/3及根中1/3段充填率均低于iRoot SP、C-Root SP(P<0.01),iRoot SP与C-Root SP充填率间的差异均无统计学意义(P>0.05)。超声活化单尖法根管充填时,GFB的根管整体充填率及各段充填率均低于iRoot SP、C-Root SP(P<0.01),iRoot SP与C-Root SP充填率间的差异均无统计学意义(P>0.05)。2种充填方法对比,除C-Root SP单尖法充填时根尖1/3充填率低于超声活化单尖法(P<0.01),GFB单尖法充填时根冠1/3充填率高于超声活化单尖法(P<0.01)外,其余充填率间的差异均无统计学意义(P>0.05)。 结论 3种生物材料根管封闭剂使用单尖法及超声活化单尖法充填根管的整体充填率良好,其中iRoot SP与C-Root SP的充填效果相似,相比GFB具有更好的充填质量。C-Root SP配合超声活化单尖法能提高根尖段充填率。
英文摘要
ObjectiveThis study aimed to evaluate the filling effects of three biomaterial root canal sealers [iRoot SP, C-Root SP, and GuttaFlow Bioseal (GFB)] by using Micro-CT.MethodsSixty single-canal detached premolars were selected. After crown amputation, their uniform working length was set at 12 mm and prepared to a 06 taper 30# with M3 nickel-titanium file. The samples were randomly divided into six groups with different sealers and obturation techniques: iRoot SP+single-cone technique (SC), C-Root SP+SC, GFB+SC, iRoot SP+single cone-mediated ultrasonic technique (SU), C-Root SP+SU, and GFB+SU. Samples were scanned by Micro-CT, and the total and segmented filling rates were calculated with Mimics 22.0 software after 3D reconstruction.ResultsThe overall filling rate of the three biomaterial root canal sealers was higher than 90%. The overall and coronal third and middle third segment filling rate of groups iRoot SP+SC, C-Root SP+SC was higher than that of group GFB+SC (P<0 .01), with no significant difference between groups iroot sp+sc and c-root sp+sc (P>0.05). On the apical third, no significant difference was found among each group (P>0.05). The overall and segment filling rate of groups iRoot SP+SU and C-Root SP+SU was higher than that of GFB+SU (P<0 .01), with no significant difference between groups iroot sp+su and c-root sp+su (P>0.05). The filling rate of the apical 1/3 of group C-Root+SC was lower than that of group C-Root+SU (P<0 .01), and the filling rate of the coronal 1/3 of group gfb+sc was higher than that in the gfb+su (P<0 .01). nevertheless, no significant difference was found in other filling rate of two obturation techniques (P>0.05).ConclusionThe overall filling rate of the three biomaterial root canal sealers using SC and SU are satisfactory. iRoot SP and C-Root SP have similar filling rates, which are significantly higher than that of GFB. C-Root SP combined with SU technique can improve the filling quality of the root apical.
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