根管锉及邪合面充填物对前磨牙牙体抗折强度影响.docVIP

根管锉及邪合面充填物对前磨牙牙体抗折强度影响 　 作者：邹波,于丹,夏勇,吴比林,高惠璇 【摘要】 目的:观察不同根管锉预备根管及不同邪合面充填物对前磨牙牙体抗折强度的影响。方法:将70颗离体上颌第一前磨牙随机分成对照组(A组，不做任何处理，B1、B2和B3组(不锈钢K锉预备根管后B1组常规双垫银汞充填，B2组光固化树脂充填，B3组玻璃离子水门汀充填，C1、C2和C3组(ProTaper手动锉预备根管后C1组常规双垫银汞充填，C2组光固化树脂充填，C3组玻璃离子水门汀充填。所有牙齿制作试件，用多功能力测量机测试每颗牙的破坏载荷,比较各组抗折强度的差别。结果:各实验组抗折能力均低于对照组。而实验组中，ProTaper手动锉预备组抗折能力低于不锈钢K锉预备组，常规双垫银汞充填组低于光固化树脂充填和玻璃离子水门汀充填组；B3组抗折能力最强，C1组最低。结论:不锈钢K锉预备、光固化树脂充填和玻璃离子水门汀充填对牙齿抗折强度的影响小于ProTaper手动锉预备和常规双垫银汞充填。 【关键词】 根管预备;前磨牙;抗折强度 ［Abstract］Objective: To observe the effects of different root canal file and the restoration of occlusal surface on the fracture resistance of premolars. Methods: Seventy maxillary first premolars were randomly divided into seven groups. The teeth in the control group(group Awere not treated. Teeth in the experimental groups were dealt with different root canal file and restoration. Test piece was made by all the teeth. The fracture resistances of teeth were tested with multi_function testing machine. Results: Compared with control group, the fracture resistance in the experimental groups were lower. The fracture resistances of groups preparing with ProTaper file were lower than those of groups with stainless steel K file. The fracture resistances of groups with amalgam restoration were lower than those of groups with light_cured resin and glass ionomer cement restoration. Conclusion: The stainless steel K file, light cured resin and glass ionomer cement are less affected the fracture resistance of the premolar than the ProTaper file and the amalgam. ［Key Words］root canal preparation, premolars, fracture resistance 根管治疗是目前口腔科治疗牙髓病及根尖周病最彻底、最完善的方法。而根管预备则是治疗成败的关键因素之一，但随着锥度较大、成形效果好的镍钛根管锉逐渐在临床上普及应用,使得牙齿折裂这一根管治疗术后并发症的发生率也有进一步提高的趋势。本实验采用临床上常用的不锈钢K锉和ProTaper手动锉对离体牙根管预备后分别用银汞、光固化树脂和玻璃离子水门汀充填,对其抗折能力进行比较,观察根管预备后对牙齿抗折能力的影响，以及不同邪合面充填材料对牙齿抗折能力的影响。 1 材料与方法 1.1 离体牙选择及分组 收集14～16岁本地男孩因正畸需要拔除的新鲜上颌第一前磨牙,刷除残留的牙龈和牙周膜组织，用体积分数0.9%的NS清洗，拍摄近远中向和颊舌向X光片，选取双根管且无侧支根管及副根管的牙齿，用牙科专用游标卡尺测量牙冠及牙根长度、牙颈部近远中径和颊舌径，选择牙齿长度21.3～22.1mm,牙颈部厚度5.9～6.2m