中国临床解剖学杂志 ›› 2019, Vol. 37 ›› Issue (4): 442-445.doi: 10.13418/j.issn.1001-165x.2019.04.016

• 临床研究 • 上一篇    下一篇

根管荡洗后不同根管湿润度对根充效果的影响

马会青, 郑乾坤, 张权, 付颖, 古亦夫   

  1. 锦州医科大学附属第二医院口腔内科,  锦州   121000
  • 出版日期:2019-07-25 发布日期:2019-08-01
  • 通讯作者: 付颖,主任医师,E-mail:lykqfy@126.com
  • 作者简介:马会青(1989-),女,硕士研究生,研究方向:牙体牙髓病基础与临床,E-mail:1058947714@qq.com
  • 基金资助:
    辽宁省教育厅服务地方科研项目资助(JYTFUDF20 1745),锦州医科大学大学生创新创业训练计划项目(编号:201817)

Effects of different root canals wettability on root filling after root canal irrigation 

MA Hui-qing, ZHENG Qian-kun, ZHANG Quan, FU Ying, GU Yi-fu    

  1. Department of Oral Medicine, The Second Affiliated Hospital of Jinzhou Medical University, Jinzhou 121000,Liaoning Province, China
  • Online:2019-07-25 Published:2019-08-01

摘要: 目的 比较根管治疗中不同的根管湿润度对根管充填效果的影响。  方法 收集完整的单根管离体牙50颗,沿颈部截牙冠使根尖孔距截面10 mm。根管预备至30#,常规冲洗配合超声荡洗后用不同的根管干燥方法,根管水分测量仪测量根管内水分,分5组,A组:0,完全干燥;B组:0.1~5,C组:5.1~10;D组:10.1~15;E组:>15,完全湿润(15为牙根管水分测量仪饱和值)。即刻侧向加压法充填根管,X-线片检查无欠充和超充,确保充填完善。横劈,扫描电镜观察牙胶尖和根管侧壁的密合度,缝隙宽度测量法测量充填间隙。  结果 根管荡洗后,根管在不同的湿润度,牙胶尖和根管侧壁之间均有缝隙。缝隙宽度A和B无统计学差异(P>0.05),C、D和E与A、B组比较均有统计学意义(P<0.05)。  结论    荡洗后根管湿度在0.1~5,缝隙较小,密合度较高,根管充填效果最佳。

关键词: 根管湿润性,  密合度,  根管充填,  扫描电镜

Abstract: Objective To compare the effect of different root canal wettability on root canal filling.  Methods A total of 50 intact single-tube teeth were collected. The crown of the tooth was removed at the neck to make the distance between the root tip and the cross section being 10 mm. Root canal was prepared to 30#. After routine irrigation combined with ultrasonic washing, root canal moisture was measured by different root canal drying methods. Root canal moisture meter was used to measure root canal moisture. The measured data were divided into five groups according to measurement data of the moisture meter. A group: completely dry, display data 0;  B group: display data 0.1~5; C group:display data 5.1~10; D group:display data 10.1~15; E group:completely wet, display data>15 (15 was the saturation value of the root canal moisture meter). The root canals were filled by the lateral compression method immediately, and X-ray film found that the root canal filling was perfect. Scanning electron microscopy was used to observe the consistency of gutta percha point and root canal side wall after transverse spiting. The filling clearance was measured by gap width measurement. Results Under different humidity conditions, the gutta-percha tip and the lateral wall of the root canal consistently had gaps. There was no statistical difference in gap width A and B (P>0.05). C, D and E were statistically significant compared with A and B (P<0.05). Conclusions The gap width of 0.1~5 is small, the tightness is high, and the root canal filling effect is the best.

Key words: Root canal wetness,  Tightness,  Root canal filling,  Scanning electron microscope

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