树脂嵌体修复磨牙髓室底穿孔的形态学及微渗漏研究.doc

树脂嵌体修复磨牙髓室底穿孔的形态学及微渗漏研究 树脂嵌体修复磨牙髓室底穿孔的形态学及微渗漏研究 作者：谢俊 尹仕海 肖俐娟 邹玲 揭有琼 钟素兰 作者单位：1.口腔疾病研究国家重点实验室，四川大学，四川 成都 610041；2.瑞尔齿科，北京 100022；3.四川大学华西口腔医院 牙体牙髓科，四川 成都 610041 【摘要】 目的 研究树脂嵌体修复离体人恒磨牙髓室底穿孔的形态学及封闭效果。方法 将50颗新鲜拔除的离体人恒磨牙随机分为A、B、C 3个实验组（每组15颗牙）和1个对照组（5颗牙）。制备髓室底穿孔后，A组采用树脂嵌体和AH Plus糊剂修复髓室底穿孔，B组采用树脂嵌体和玻璃离子修复髓室底穿孔，C组采用光固化复合树脂直接充填修复髓室底穿孔。对照组5颗离体牙，只开髓不制备髓室底穿孔。体视显微镜下观察髓室底穿孔修复后的外形恢复情况，葡萄糖氧化酶－蒽酮法测定微渗漏情况。结果 嵌体法修复髓室底穿孔的形态恢复优良率为83.3%，直接充填法修复髓室底穿孔的形态恢复优良率为46.7%，两种方法修复的形态恢复优良率之间的差异有统计学意义（P0.05）。3组在各个时间点上任意2组的日均葡萄糖浓度差异都有统计学意义，A组 【关键词】 树脂嵌体 髓室底穿孔 形态学 微渗漏 　　Morphology and microleakage study of repairing subpulpal wall perforation with resinous inlay XIE Jun1，2, YIN Shi-hai1, XIAO Li-juan3, ZOU Ling3, JIE You-qiong1, ZHONG Su-lan1. （1． State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, China；2． Arrail Dental, Beijing 100022, China; 3. Dept. of Conservative Dentistry, West China College of Stomatology, Sichuan University, Chengdu 610041, China） 　　[Abstract] Objective The purpose of this study is to study the sealing ability and the furcal appearance of repairing subpulpal wall perforation with resinous inlay. Methods Fifty newly extracted human molars were randomly divided into three experiment groups（group A, group B, group C, 15 teeth each） and one control group（5 teeth）. In experiment groups, perforations were made perpendicularly to the center of the pulp chamber floor. Perforations of group A and B were repaired with resinous inlay and sealed by AH Plus sealer and luting glass-ionomer, respec-tively. Perforations of group C were directly repaired using light-cure composite resin. Perforations were not made in five teeth of control group. The furcal appearances were evaluated under stereomicroscope after repairing. Microleak-age was measured by glucose oxidase detection． Results The fineness rate of furcal appearances with resinous inlay repairing were 83.3%, while the fineness rate of furcal appearances with light-cure composi