华西口腔医学杂志

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2种侧压器进入弯曲根管的深度及充填质量的比较

夏智敏1,彭  彬2,边  专2,樊明文2   

  1. 1.武汉大学医学院职业技术学院  口腔系,湖北  武汉 430060;2.武汉大学口腔医院  牙体牙髓科,湖北  武汉 430079
  • 收稿日期:2006-10-25 修回日期:2006-10-25 出版日期:2006-10-20 发布日期:2006-10-20
  • 通讯作者: 彭 彬,Tel: 027-87161981
  • 作者简介:夏智敏(1967-),女,湖北人,副教授,硕士
  • 基金资助:

    “十五”国家科技攻关计划资助项目(2004BA720A23);湖北省科委创新群体基金资助项目(2004ABC004)

Comparison of Penetration and Obturation Density Using Nickel-titanium and Stainless-steel Spreader in Curved Canals

XIA Zhi-min1, PENG Bin2, BIAN Zhuan2, FAN  Ming-wen2
  

  1. 1. Dept. of Stomatology, Vocational School, Wuhan University, Wuhan 430060, China; 2. Dept. of Endodontics, College of Stomatology, Wuhan University, Wuhan 430079, China
  • Received:2006-10-25 Revised:2006-10-25 Online:2006-10-20 Published:2006-10-20

摘要:

目的  比较镍钛(NiTi)侧方加压器和不锈钢(SS)侧方加压器进入不同程度弯曲根管的深度和根充质量。方法  选择40颗离体弯曲单根管的下颌前磨牙,依据根管弯曲度将其分为小于等于20°和大于20°。采用机用镍钛ProFile器械预备根管,测定2种侧压器进入有主牙胶尖根管的深度,并采用冷牙胶侧方加压充填技术充填根管,在距根尖2 mm和4 mm处对根管作水平片切,记录图像并分析根管中牙胶面积的百分比(PGP)。结果  在弯曲度大于20°的根管中,NiTi侧压器进入根管的深度及根尖2 mm处PGP均大于SS侧压器(P<0.05);在弯曲度小于等于20°的根管中,二者的差异无统计学意义(P>0.05)。采用不同侧压器充填的根管距根尖4 mm处的PGP的差异均无统计学意义(P>0.05)。结论  NiTi侧压器在严重弯曲根管中较SS侧压器能获得较好的进入深度及充填质量。

关键词: 侧方加压器, 弯曲根管, 根管充填

Abstract:

Objective  To compare the initial penetration depth of nickel-titanium(NiTi) and stainless-steel(SS)spreader during lateral compaction and the quality of the seal in curved canals. Methods  Forty extracted mandibular premolars with a single curved canal were divided into two groups: no more than 20° and more than 20° based on degree of curvature. All canals were instrumented using a rotary instrumentation technique. NiTi and SS spreaders were used to obturate the canals containing a master cone while the penetration depths were measured. Horizontal sections were cut in 2 and 4 mm from the apex and photographed under stereomicroscope. The percentage of gutta-percha-filled are(PGP) of cross-sections was measured using an image analysis program. Results  In canals of more than 20°, the penetration depths and PGP of 2 mm from the apex of NiTi spreaders were higher than SS spreader. In canals of no more than 20°, there were no significant difference between them(P>0.05). At 4 mm from the apex, there was no significant difference between two groups. Conclusion  NiTi spreaders has a higher penetrated depth and obturation density than SS spreaders in severed curved canals.

Key words: spreader, curved canal, canal filling