根管封闭剂iRootSP及AHPlus对牙根抗折强度的影响.docVIP

根管封闭剂iRootSP及AHPlus对牙根抗折强度的影响 　　【摘要】 目的：探讨根管封闭剂iRoot SP及AH Plus对牙根抗折强度的影响。方法：选取45颗符合标准的下颌前磨牙，经根管预备后随机数字表法分为三组，实验组A使用iRoot SP+牙胶尖，组B使用AH Plus+牙胶尖，对照组C不使用根管封闭剂直接使用牙胶尖，三组均行热牙胶垂直加压充填法充填根管。将标本用万能实验机垂直加载直至标本发生折裂，记录牙根折裂时的抗压载荷。结果：实验组A和B的平均抗压载荷值分别为（236.04±34.67）N、（228.55±41.86）N，对照组C为（172.93±12.37）N，实验组与对照组比较差异有统计学意义（P0.05）。结论：根管封闭剂iRoot SP与AH P1us均能够提高牙根抗压载荷，两种封闭剂对牙根抗压载荷的影响短期内无明显差别。 　　【关键词】 根管封闭剂； iRoot SP； AH Plus； 抗折强度 　　【Abstract】 Objective： To compare the fracture resistance of roots filled with gutta percha （GP） and different root canal sealers. Method： Forty-five human maxillary premolars match our standards were instrumented and randomly divided into Group A and B， and Group C. Group A was filled with an epoxy resin-based sealer （AH Plus） and GP， Group B was filled with a calcium silicate-based sealer （iRoot SP） and GP， Group C was filled with GP only. All the groups were filled with vertical compaction technique. Compressive loading was carried out using a universal testing machine until fracture occurred， the force required to fracture was measured in Newtons. Result： The mean fracture load values of Groups A and B was （236.04±34.67）N， （228.55±41.86）N， Groups C（185.93±12.37）N， there were no significant differences in fracture strength between Group A and B （P0.05）， which the results were significantly superior to Group C （P0.05）. Conclusion： All the root canal sealers used in the present study increased the fracture resistance of instrumented root canals， there is no difference in root strength between them. 　　【Key words】 Root canal sealer； iRoot SP； AH Plus； Fracture resistance 　　First-author’s address： Shenzhen Shekou People’s Hospital， Shenzhen 518000， China 　　doi：10.3969/j.issn.1674-4985.2014.22.010 　　iRoot SP是最近被引入牙体牙髓专业的新型生物陶瓷材料，主要用作根管封闭剂和侧穿修补。此类型生物陶瓷材料用作根管封闭剂已被证实具有良好的密闭性、化学稳定性、生物相容性、抗菌活性、X线阻射性和碱性pH[1]。目前有关根管封闭剂iRoot SP对牙根抗折强度的影响方面的研究较少，本实验以人离体单根管下颌前磨牙为研究对象，比较iRoot SP+牙胶尖及树脂型根管封闭剂AH Plus+牙胶尖配合热牙胶垂直加压充填法充填根管后牙根抗压载荷值的变化，探讨其对牙根抗折强度的影响。 　　1 材料与方法 　　1