华西口腔医学杂志

• 基础研究 • 上一篇    下一篇

根管充填后牙根抗折强度的研究

窦磊1,2  叶玲1  谭红1  陈巧2   

  1. 1.口腔疾病研究国家重点实验室  华西口腔医院牙体牙髓病科(四川大学),成都 610041;2.口腔疾病与生物医学重庆市重点实验室,重庆医科大学附属口腔医院牙体牙髓病科,重庆 401147
  • 出版日期:2013-06-01 发布日期:2013-06-01
  • 通讯作者: 谭红,Tel:028-61153080
  • 作者简介:窦磊(1984—),男,四川人,硕士
  • 基金资助:

    重庆市医学重点学科(牙体牙髓病学)建议经费基金资助项目(2011)

Research on root fracture resistance after root canal filling

Dou Lei1, 2, Ye Ling1, Tan Hong1, Chen Qiao2.   

  1. 1. Dept. of Conservative Dentistry and Endodontics, State Key Laboratory of Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China; 2. Chongqing Key Laboratory for Oral Diseases and Bio-medical Science, Dept. of Conservative Dentistry and Endodontics, The Affiliated Hospital of Stomatology, Chongqing Medical University, Chongqing 401147, China
  • Online:2013-06-01 Published:2013-06-01

摘要:

目的  比较3种不同的根管充填技术对根管充填后牙根抗折强度的影响。方法  40颗完整的离体单根管恒牙经根管预备后随机分成4组,3个实验组分别采用冷牙胶侧压充填、热牙胶垂直加压充填、单尖充填法充填,对照组不予充填。将标本用万能实验机垂直加载直至标本发生纵裂,记录牙根纵裂时的最大抗压载荷和纵裂的类型。结果  3个实验组的平均抗压载荷值分别为(210.04±64.57)、(232.55±50.74)、(216.80±78.03) N,对照组为(179.93±34.03) N;3个实验组之间、实验组与对照组间的差异均无统计学意义(P>0.05)。85.0%的牙根纵裂发生于颊舌方向。结论  3种根管充填技术产生的楔力不会降低牙根的最大抗压载荷,3种充填技术对牙根抗折强度的影响无明显区别。

关键词: 侧压充填, 垂直加压充填, 单尖充填法, 抗折强度

Abstract:

Objective   To compare the fracture resistance of roots filled with three different root canal filling tech-niques. Methods     Forty extracted single-rooted permanent teeth were instrumented and randomly divided into four groups. Three experimental groups were filled with lateral compaction technique, vertical compaction technique and single-cone technique, respectively. No filling was performed in control group. All specimens were subjected to a vertical load to cause vertical root fracture. The force required to fracture was measured and the fracture lines was classified. Results   Three experimental groups exhibited higher mean fracture load values than that of control group (179.93 N±34.03 N). There was no significant difference among the three experimental groups, and the mean fracture load values were (210.04±64.57), (232.55±50.74), (216.80±78.03) N, respectively. Eighty-five percent of root frac-ture lines were found in the bucco-lingual direction. Conclusion   Root canal filling alone can’t influence the root strength significantly. There is no difference in root strength after three canal filling techniques.

Key words: lateral compaction, vertical compaction, single-cone technique, fracture resistance