手用镍钛锉及K锉预备根管后充填Guttaflow常温流动牙胶体外效果观察.docVIP

手用镍钛锉及K锉预备根管后充填Guttaflow常温流动牙胶体外效果观察【摘要】 目的 体外观察Protaper 手用法预备和K锉预备的根管后使用注射式常温牙胶充填系统（GuttaFlow） 充填的根尖封闭性比较。方法 30颗离体人上下颌前磨牙, 随机分为两组，截冠开髓拔髓, 按照Protaper 及K锉的使用要求进行根管预备, 至F3，干燥根管，Guttaflow充填根管,直接观察超充情况，X 线片评价整体的充填效果，透明牙法观察根尖渗漏情况。结果 Protaper组10 个根管中有2个出现少量牙胶超充。K锉组10个根管中有3个出现少量牙胶超充。X线示Protaper组及K锉组未见欠充，与管壁未见明显空隙，可充填进入侧支根管，Protaper组根管三维形态优于K锉组。结论 使用Protaper 与K锉均能预备根管简便快速, 根管形态良好，有可能出现牙胶超充，但超出量较少，根管能获得良好的封闭性。 【关键词】 Protaper；Guttaflow；K锉；根管预备；根管充填 The effect observation of protaper and K file preparation root canal fills the Guttaflow normal temperature flowing tooth rubber in vitroCHENG Gang.Hospital of TCM in Linyi,Shandong 276002,China 【Abstract】 Objective To observe the root tip closure of Guttalow after diferent root canal preparation by Protaper and K file in vitro.Methods The crowns were removed at the CEJ from 30 maxillary molars extracted from humans. The 20roots were prepared by Protaper to F3, which means the master file was equal to 30# K file. The root canals were dried,then were obturated by injecting Guttaflow. The overfilling of Guttaflow was observed with naked eyes. The obturations were evaluated by digital X-rays.Results 2 root canals had gutta overfilled（group Guttaflow）, and 3 root canals had overfilled （group K-File）.X-ray showed that there was no underfilling or no visible space between Guttaflow and the wall of the canal at two groups.Transparent method showed there was significant difference between the two groups.Conclusion It would be easier and better to prepare the root canal with Protaper and K file.Guttaflow might be overfilled.but the overfilling is just a little Root canal can obtain good closure. 【Key words】 Protaper; Guttaflow;K file;Root canal preparation;Root canal obturation 作者单位：276002 临沂市中医医院 根管充填的目的是封闭根管系统，隔离根尖周组织中的细菌及组织液再次进入根管内。理想的根管充填材料应具有良好的封闭性能，根管预备的成功与否与根管充填相辅相成。Guttaflow常温牙胶是根管充填新型材料，而Protaper镍钛根管锉是现代根管治疗技术中，重要的不可缺省的根管预备工具，使用镍钛器械和冠根向深入技术（Crown-down）进行根管预备已经成为牙髓病学界广泛承认的技术。本文将Protaper与K锉预备后的根管充填Guttaflow常温牙胶，为临床新