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重庆医科大学附属口腔医院修复科
纸质出版日期:2011,
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[1]胡娜,徐凌,王璐.不同牙体预备时机对纤维桩粘结强度的影响[J].重庆医科大学学报,2011,36(12):1481-1484.
HU Na, XU Ling, WANG Lu. Effect of different timing of coronal preparation on bond strength of fiber post[J]. Journal of Chongqing Medical University, 2011,36(12):1481-1484.
目的:研究不同牙体预备时机对纤维桩粘结强度的影响
为临床纤维桩粘结后何时进行牙体预备提供理论依据。方法:收集新鲜下颌单根前磨牙35颗
截冠
完善根管治疗并进行桩道预备
使用ParaPostRParaCoreTM双固化桩核-复合树脂水门汀粘结玻璃纤维桩(Tenax fiber white)并形成桩核。将形成桩核后的35颗下颌单根前磨牙随机分为5组
其中4组在粘结结束后分别即刻、15、30 min、24 h时间点进行牙体预备
余下1组为空白组
不进行牙体预备。室温下贮存24 h后
将所有5组下颌单根前磨牙的牙根部切割为1 mm厚的试件
按照根管的深度分为上部、中部和下部
测试纤维桩推出强度。最后在光学显微镜下观察每组试件纤维桩的断裂方式。结果:纤维桩粘结后不同时机进行牙体预备
其粘结强度差异有统计学意义。粘结后即刻、15、30 min组与空白组比较差异有统计学意义(P<0.05)
随牙体预备时机延后
牙体预备对纤维桩的粘结强度影响逐渐减小
24 h组与空白组比较差异无统计学意义(P>0.05)。同一组内不同粘结部位进行比较
显示根管冠1/3部的粘结强度显著高于根尖1/3(P<0.05)。结论:为了获得最大的粘结强度
应尽量在纤维桩粘结结束后24 h后进行牙体预备
尤其要注意根冠1/3处的粘结质量。
Objective:To evaluate the effect of different timing of coronal preparation on the bond strength of fiber post after cementation and provide theoretical basis for clinical practice.Methods: A total of thirty-five freshly extracted mandibular premolars with single-root canal were collected
sectioned and endodontically treated.Following post space preparation
high-strength glass fiber posts(tenax fiber white)were luted by dual-curing core and resin cement(ParaPostR ParaCoreTM) and the cores were formed.Then the roots were divided into five groups randomly(n=7) and the tooth preparation was performed immediately
and at the 15th min
30th min and 24th hours after splicing in four groups respectively.The other group without tooth preparation served as control.Twenty-four hours later
the roots with cemented posts were sectioned into slices with 1mm thickness and the slices were classified as coronal
middle and apical section.The push-out strength was tested and the fiber post fracture modes were observed under an optical microscope.Results: The push-out strength of fiber posts significantly increased as the time to prepare increased.The push-out strength in the 24th h group was significantly higher than in the other three prepared groups(P<0.05)
and not significantly higher than in the control group(P>0.05).In the same tooth
the push-out strength at crown 1/3 was significantly higher than that of the apical 1/3(P<0.05).Conclusion:In order to obtain better retention
it is suggested to perform tooth preparation 24 hours after cementation
and pay more attention to crown 1/3.
纤维桩预备时机粘结强度
fiber posttiming of preparationbond strength
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