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研究生:楊惠茹
研究生(外文):Hui-Ju Yang
論文名稱:不同根柱空間製備方法對於以Resilon封填根管之微滲漏的影響
論文名稱(外文):Effect of post space preparation on the microleakage of Resilon filled canals
指導教授:李士元李士元引用關係
指導教授(外文):Shyh-Yuan Lee
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:臨床牙醫學研究所
學門:醫藥衛生學門
學類:牙醫學類
論文種類:學術論文
論文出版年:2007
畢業學年度:95
語文別:中文
論文頁數:94
中文關鍵詞:根管封填材料流體微滲漏電化學微滲漏傅立葉轉換遠紅外線吸收光譜
外文關鍵詞:Resilonroot canal filling materialfluid filtration microleakageelectrochemical microleakageFTIR
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本研究的目的在探討使用Resilon作為根管封填材,當採用不同方式製備根柱空間時,對留下根尖封填材料微滲漏的影響;並探討Resilon系統中雙聚合樹脂封填劑之自聚及光聚合能力,及加熱對材料聚合之影響。
選取拔下之人類單根管牙齒共56顆,根管清創,修形,之後依照分組以側向填壓方式作充填。(組一)、馬來膠 / Roth's封填劑:根管封填後馬上以加熱器械製備根柱空間;(組二)、Resilon / RealSeal封填劑:根管封填後七天以加熱方式製備根柱空間;(組三)、Resilon / RealSeal封填劑:根管封填後七天以螺旋機械方式製備根柱空間;(組四)、根管充填後馬上以加熱方式製備根柱空間,配合光穿透根柱照光40秒;(組五)、根管充填後馬上以螺旋機械方式製備根柱空間,配合光穿透根柱內照光40秒。以流體微滲漏模型(組一到組四)及電化學微滲漏模型(組一到組五)檢測微滲漏現象,結果以單因子變異數分析及Tukey組間差異檢定分析(α = 0.05)。
另外選取Resilon封填劑混合,組A塗佈於氟化鈣試片,組B塗佈於溴化鉀試片,依據不同光照時間及有無加熱處理分組如下,(組A1):無光照,靜置0-7天;(組A2):光照1分鐘,靜置0-7天;(組B1):無照光,加熱至200℃後回溫;(組B2):照光1分鐘,加熱至200℃後回溫;(組B3):照光10分鐘,加熱至200℃後回溫。以加熱式傅立葉轉換遠紅外線吸收光譜(FTIR)測量(組A) 在第0、1、2、3、6天的吸收光譜,及(組B)加熱前後的吸收光譜,並計算聚合程度。
結果顯示流體微滲漏測試在各組間並無統計上顯著差異;而電化學微滲漏測試則顯示(組四)有最少微滲漏,與(組二)、(組三)、(組五)具有統計上差異。傅立葉轉換遠紅外線吸收光譜(FTIR)測量結果顯示(組A1)聚合程度由5%逐日增加到10%,(組A2)由7.12%逐日增加到17.35%,(組B1)以加熱前為基準點,加熱後聚合程度為36.8%,(組B2)加熱前5%,加熱後37.9%,(組B3)加熱前4.56%,加熱後41.55%。由以上結果得知加熱效應對於Resilon封填劑聚合程度的影響優於材料之自聚及光聚合效應的影響。
本研究發現Resilon根管充填後立即以加熱方式移除根柱空間方式有最少微滲漏現象,推測可能與Resilon封填劑在充填時,立即加熱製備根柱空間之加熱效應使聚合程度上升有關。建議當以Resilon作為根管封填材,若需製備根柱空間,採用立即加熱法,有較少微滲漏現象。
The aim of the present study was to evaluate the effect of post space preparation on the microleakage of Resilon filled canals and the degree of polymerization of Resilon sealer.
Fifty six extracted human single root teeth were prepared and obturated with gutta-percha/Roth's sealer and Resilon / RealSeal sealer by a lateral compaction technique. The teeth were randomly divided into five groups, including (group 1): preparing post space with heated instruments immediately after GP obturation; (group 2): preparing post space with heated instruments seven days after Resilon obturation; (group 3): preparing post space with Gates- Glidden drill seven days after Resilon obturation; (group 4) preparing post space with heated instruments immediately after Resilon obturation, and receiving light-curing through a light transmitted post; (group 5): preparing post space with Gates- Glidden drill immediately, after Resilon obturation, and receiving light-curing through a light transmitted post. Microleakage was determined by both a fluid filtration method (groups 1 to 4) and an electrochemical method (groups 1 to 5). The results were analyzed with one-way ANOVA and Tukey comparison test (α = 0.05).
To determine the degree of conversion of Resilon sealer, the material was mixed and coated on either a CaF2 disc (group A) or a KBr disc (group B), and subjected to different treatment as follow: (group A1): without light-curing, (group A2): with light-curing 1 min; (group B1): without light-curing but received heat treatment (heated from 30 ℃ to 200 ℃and returned to 30 ℃), (group B2): with light-curing 1 min and received heat treatment, (group B3): with light-curing 10 mins and received heat treatment. The degree of polymerization of group A specimens were evaluated with FTIR method at 0, 1, 2, 3, 6 day, respectively. While the specimens in group B were tested before and after heat treatment.
The results revealed that group 4 showed the least microleakage according to the electrochemical measurements. And the microleakage of groups of 2, 3, and 5 is significantly higher than that of groups 1 and 4. The degree of conversion was raised from 5% to 10% in group A1, and from 7.12% to 17.35% in group A2 after 6 days storage. The heat treatment in group B significantly enhanced degree of conversion of the sealer from baseline to 36.8%, 5% to 37.9%, 4.56% to 41.55% for B1, B2 and B3, respectively. This denoted that heat treatment promoted polymerization of Resilon sealer better than the effect from light-curing and self-curing treatment.
Based on the findings, we concluded that preparing post space with heat instrument immediately after Resilon obturation could achieve better results regarding microleakage. This could be due to the effect of heat treatment in removing Resilon, which increased the degree of polymerization of the Resilon sealer.
目錄
中文摘要 ………………………………………………………………1
英文摘要 ………………………………………………………………3
目錄 ……………………………………………………………………5
圖表目錄 ………………………………………………………………7
一、 緒論……………………………………………………… 10
二、 文獻回顧………………………………………………… 13
(一) 根管封填材理想性質 ……………………………………13
(二) 根管封填材料歷史演進 …………………………………14
(三) Resilon材料基本成分……………………………………17
(四) 臨床操作步驟 ……………………………………………18
(五) Resilon主要性質 ………………………………………20
(六) 以根柱復形之牙根尖材料密封性 ………………………25
(七) 微滲漏模型 ………………………………………………27
(八) 樹脂類根管封填材聚合程度 ……………………………29
三、 研究動機與目的………………………………………… 31
四、 實驗流程
(一) 評估以Resilon封填之根管在根柱空間製備後牙齒微滲漏情形
(1) 材料及方法 ………………………………………………33
(2) 統計分析 ………………………………………………42
(二) 以傅立葉轉換遠紅外線分析儀分析Resilon封填劑之自聚,光聚,及熱聚合能力
(1) 材料及方法……………………………………………… 42
(2) 分析……………………………………………………… 44
五、 實驗結果………………………………………………… 45
六、 討論……………………………………………………… 48
七、 結論……………………………………………………… 57
八、 附圖……………………………………………………… 58
九、 附表 ………………………………………………………79
十、 參考文獻 …………………………………………………87
1.Madison S, Swanson K, Chiles SA. An evaluation of coronal
microleakage in endodontically treated teeth. Part II.
Sealer types. J Endod 1987;13(3):109-12.
2.Swanson K, Madison S. An evaluation of coronal
microleakage in endodontically treated teeth. Part I.
Time periods. J Endod 1987;13(2):56-9.
3.Trope M, Chow E, Nissan R. In vitro endotoxin penetration
of coronally unsealed endodontically treated teeth. Endod
Dent Traumatol 1995;11(2):90-4.
4.Friedman S, Torneck CD, Komorowski R, Ouzounian Z,
Syrtash P, Kaufman A. In vivo model for assessing the
functional efficacy of endodontic filling materials and
techniques. J Endod 1997;23(9):557-61.
5.Tronstad L, Asbjornsen K, Doving L, Pedersen I, Eriksen
HM. Influence of coronal restorations on the periapical
health of endodontically treated teeth. Endod Dent
Traumatol 2000;16(5):218-21.
6.Shipper G, Trope M. In vitro microbial leakage of
endodontically treated teeth using new and standard
obturation techniques. J Endod 2004;30(3):154-8.
7.Shipper G, Teixeira FB, Arnold RR, Trope M. Periapical
inflammation after coronal microbial inoculation of dog
roots filled with gutta-percha or resilon. J Endod 2005;31
(2):91-6.
8.Heling I, Gorfil C, Slutzky H, Kopolovic K, Zalkind M,
Slutzky-Goldberg I. Endodontic failure caused by
inadequate restorative procedures: review and treatment
recommendations. J Prosthet Dent 2002;87(6):674-8.
9.Alves J, Walton R, Drake D. Coronal leakage: endotoxin
penetration from mixed bacterial communities through
obturated, post-prepared root canals. J Endod 1998;24
(9):587-91.
10.Karapanou V, Vera J, Cabrera P, White RR, Goldman M.
Effect of immediate and delayed post preparation on
apical dye leakage using two different sealers. J Endod
1996;22(11):583-5.
11.Hiltner RS, Kulild JC, Weller RN. Effect of mechanical
versus thermal removal of gutta-percha on the quality of
the apical seal following post space preparation. J Endod
1992;18(9):451-4.
12.Kvist T, Rydin E, Reit C. The relative frequency of
periapical lesions in teeth with root canal-retained
posts. J Endod 1989;15(12):578-80.
13.DeCleen MJ. The relationship between the root canal
filling and post space preparation. Int Endod J 1993;26
(1):53-8.
14.Grossman. Endodontic practice. 1998:242.
15.Siqueira JF, Jr., Rocas IN. Polymerase chain reaction-
based analysis of microorganisms associated with failed
endodontic treatment. Oral Surg Oral Med Oral Pathol
Oral Radiol Endod 2004;97(1):85-94.
16.Walton T. Principle and practice of Endodontics. p. 240-
65.
17.Sjogren U, Hagglund B, Sundqvist G, Wing K. Factors
affecting the long-term results of endodontic treatment.
J Endod 1990;16(10):498-504.
18.Hoskinson SE, Ng YL, Hoskinson AE, Moles DR, Gulabivala
K. A retrospective comparison of outcome of root canal
treatment using two different protocols. Oral Surg Oral
Med Oral Pathol Oral Radiol Endod 2002;93(6):705-15.
19.Lee CQ, Chang Y, Cobb CM, Robinson S, Hellmuth EM.
Dimensional stability of thermosensitive gutta-percha. J
Endod 1997;23(9):579-82.
20.Khayat A, Lee SJ, Torabinejad M. Human saliva
penetration of coronally unsealed obturated root canals.
J Endod 1993;19(9):458-61.
21.Siqueira JF, Jr., Rocas IN, Lopes HP, de Uzeda M.
Coronal leakage of two root canal sealers containing
calcium hydroxide after exposure to human saliva. J
Endod 1999;25(1):14-6.
22.Carratu P, Amato M, Riccitiello F, Rengo S. Evaluation
of leakage of bacteria and endotoxins in teeth treated
endodontically by two different techniques. J Endod
2002;28(4):272-5.
23.Podbielski A, Boeckh C, Haller B. Growth inhibitory
activity of gutta-percha points containing root canal
medications on common endodontic bacterial pathogens as
determined by an optimized quantitative in vitro assay.
J Endod 2000;26(7):398-403.
24.Economides N, Kokorikos I, Kolokouris I, Panagiotis B,
Gogos C. Comparative study of apical sealing ability of
a new resin-based root canal sealer. J Endod 2004;30
(6):403-5.
25.Kardon BP, Kuttler S, Hardigan P, Dorn SO. An in vitro
evaluation of the sealing ability of a new root-canal-
obturation system. J Endod 2003;29(10):658-61.
26.Sevimay S, Kalayci A. Evaluation of apical sealing
ability and adaptation to dentine of two resin-based
sealers. J Oral Rehabil 2005;32(2):105-10.
27.Chivian N. Resilon--the missing link in sealing the root
canal. Compend Contin Educ Dent 2004;25(10A):823-4, 26.
28.Shipper G, Orstavik D, Teixeira FB, Trope M. An
evaluation of microbial leakage in roots filled with a
thermoplastic synthetic polymer-based root canal filling
material (Resilon). J Endod 2004;30(5):342-7.
29.Leonard JE, Gutmann JL, Guo IY. Apical and coronal seal
of roots obturated with a dentine bonding agent and
resin. Int Endod J 1996;29(2):76-83.
30.Versiani MA, Carvalho-Junior JR, Padilha MI, Lacey S,
Pascon EA, Sousa-Neto MD. A comparative study of
physicochemical properties of AH Plus and Epiphany root
canal sealants. Int Endod J 2006;39(6):464-71.
31.Gettleman BH, Messer HH, ElDeeb ME. Adhesion of sealer
cements to dentin with and without the smear layer. J
Endod 1991;17(1):15-20.
32.Morris MD, Lee KW, Agee KA, Bouillaguet S, Pashley DH.
Effects of sodium hypochlorite and RC-prep on bond
strengths of resin cement to endodontic surfaces. J
Endod 2001;27(12):753-7.
33.Ozturk B, Ozer F. Effect of NaOCl on bond strengths of
bonding agents to pulp chamber lateral walls. J Endod
2004;30(5):362-5.
34.Shinohara MS, Bedran-de-Castro AK, Amaral CM, Pimenta
LA. The effect of sodium hypochlorite on microleakage of
composite resin restorations using three adhesive
systems. J Adhes Dent 2004;6(2):123-7.
35.Nielsen BA, Beeler WJ, Vy C, Baumgartner JC. Setting
times of Resilon and other sealers in aerobic and
anaerobic environments. J Endod 2006;32(2):130-2.
36.Tay FR, Pashley DH, Yiu CK, Yau JY, Yiu-Fai M, Loushine
RJ, et al. Susceptibility of a Polycaprolactone-Based
Root Canal Filling Material to Degradation. II.
Gravimetric Evaluation of Enzymatic Hydrolysis. J Endod
2005;31(10):737-41.
37.Tay FR, Pashley DH, Williams MC, Raina R, Loushine RJ,
Weller RN, et al. Susceptibility of a polycaprolactone-
based root canal filling material to degradation. I.
Alkaline hydrolysis. J Endod 2005;31(8):593-8.
38.Trope M. Resilon will biodegrade from lipases released
by bacteria or by bacterial or salivary enzymes. J Endod
2006;32(2):85; reply 85-6.
39.Ezzie E, Fleury A, Solomon E, Spears R, He J. Efficacy
of retreatment techniques for a resin-based root canal
obturation material. J Endod 2006;32(4):341-4.
40.de Oliveira DP, Barbizam JV, Trope M, Teixeira FB.
Comparison between gutta-percha and resilon removal
using two different techniques in endodontic
retreatment. J Endod 2006;32(4):362-4.
41.Carvalho-Junior JR, Correr-Sobrinho L, Correr AB,
Sinhoreti MA, Consani S, Sousa-Neto MD. Radiopacity of
root filling materials using digital radiography. Int
Endod J 2007;40(7):514-20.
42.Tanomaru-Filho M, Silveira GF, Tanomaru JM, Bier CA.
Evaluation of the thermoplasticity of different gutta-
percha cones and Resilon. Aust Endod J 2007;33(1):23-6.
43.Alicia Karr N, Baumgartner JC, Marshall JG. A comparison
of gutta-percha and Resilon in the obturation of lateral
grooves and depressions. J Endod 2007;33(6):749-52.
44.Teixeira FB, Teixeira EC, Thompson JY, Trope M. Fracture
resistance of roots endodontically treated with a new
resin filling material. J Am Dent Assoc 2004;135(5):646-
52.
45.Hammad M, Qualtrough A, Silikas N. Effect of new
obturating materials on vertical root fracture
resistance of endodontically treated teeth. J Endod
2007;33(6):732-6.
46.Gesi A, Raffaelli O, Goracci C, Pashley DH, Tay FR,
Ferrari M. Interfacial strength of Resilon and gutta-
percha to intraradicular dentin. J Endod 2005;31(11):809-
13.
47.Hiraishi N, Papacchini F, Loushine RJ, Weller RN,
Ferrari M, Pashley DH, et al. Shear bond strength of
Resilon to a methacrylate-based root canal sealer. Int
Endod J 2005;38(10):753-63.
48.Tay FR, Hiraishi N, Pashley DH, Loushine RJ, Weller RN,
Gillespie WT, et al. Bondability of Resilon to a
methacrylate-based root canal sealer. J Endod 2006;32
(2):133-7.
49.Torabinejad M, Ung B, Kettering JD. In vitro bacterial
penetration of coronally unsealed endodontically treated
teeth. J Endod 1990;16(12):566-9.
50.Biggs SG, Knowles KI, Ibarrola JL, Pashley DH. An in
vitro assessment of the sealing ability of resilon/
epiphany using fluid filtration. J Endod 2006;32(8):759-
61.
51.Tay FR, Loushine RJ, Weller RN, Kimbrough WF, Pashley
DH, Mak YF, et al. Ultrastructural Evaluation of the
Apical Seal in Roots Filled with a Polycaprolactone-
Based Root Canal Filling Material. J Endod 2005;31
(7):514-19.
52.Pasqualini D, Scotti N, Mollo L, Berutti E, Angelini E,
Migliaretti G, et al. Microbial Leakage of Gutta-percha
and ResilonTM Root Canal Filling Material: A Comparative
Study Using a new Homogeneous Assay for Sequence
Detection. J Biomater Appl 2007.
53.Mjor IA, Smith MR, Ferrari M, Mannocci F. The structure
of dentine in the apical region of human teeth. Int
Endod J 2001;34(5):346-53.
54.Mattison GD, Delivanis PD, Thacker RW, Jr., Hassell KJ.
Effect of post preparation on the apical seal. J
Prosthet Dent 1984;51(6):785-9.
55.Kwan EH, Harrington GW. The effect of immediate post
preparation on apical seal. J Endod 1981;7(7):325-9.
56.Madison S, Zakariasen KL. Linear and volumetric analysis
of apical leakage in teeth prepared for posts. J Endod
1984;10(9):422-7.
57.Suchina JA, Ludington JR, Jr. Dowel space preparation
and the apical seal. J Endod 1985;11(1):11-7.
58.Schnell FJ. Effect of immediate dowel space preparation
on the apical seal of endodontically filled teeth. Oral
Surg Oral Med Oral Pathol 1978;45(3):470-4.
59.Zmener O. Effect of dowel preparation on the apical seal
of endodontically treated teeth. J Endod 1980;6(8):687-
90.
60.Bourgeois RS, Lemon RR. Dowel space preparation and
apical leakage. J Endod 1981;7(2):66-9.
61.Portell FR, Bernier WE, Lorton L, Peters DD. The effect
of immediate versus delayed dowel space preparation on
the integrity of the apical seal. J Endod 1982;8(4):154-
60.
62.Dickey DJ, Harris GZ, Lemon RR, Luebke RG. Effect of
post space preparation on apical seal using solvent
techniques and Peeso reamers. J Endod 1982;8(8):351-4.
63.De Nys M, Martens L, De Coster W, Thys M. Evaluation of
dowel space preparation on the apical seal using an
image processing system. Int Endod J 1989;22(5):240-7.
64.Bodrumlu E, Tunga U, Alacam T. Influence of immediate
and delayed post space preparation on sealing ability of
resilon. Oral Surg Oral Med Oral Pathol Oral Radiol
Endod 2007;103(6):e61-4.
65.Michailesco PM, Valcarcel J, Grieve AR, Levallois B,
Lerner D. Bacterial leakage in endodontics: an improved
method for quantification. J Endod 1996;22(10):535-9.
66.Derkson GD, Pashley DH, Derkson ME. Microleakage
measurement of selected restorative materials: a new in
vitro method. J Prosthet Dent 1986;56(4):435-40.
67.Haikel Y, Wittenmeyer W, Bateman G, Bentaleb A, Allemann
C. A new method for the quantitative analysis of
endodontic microleakage. J Endod 1999;25(3):172-7.
68.Jacobson SM, von Fraunhofer JA. The investigation of
microleakage in root canal therapy. An electrochemical
technique. Oral Surg Oral Med Oral Pathol 1976;42(6):817-
23.
69.Lui JL. Depth of composite polymerization within
simulated root canals using light-transmitting posts.
Oper Dent 1994;19(5):165-8.
70.Johnston WM, Leung RL, Fan PL. A mathematical model for
post-irradiation hardening of photoactivated composite
resins. Dent Mater 1985;1(5):191-4.
71.Ruyter IE, Oysaed H. Conversion in different depths of
ultraviolet and visible light activated composite
materials. Acta Odontol Scand 1982;40(3):179-92.
72.Newman SM, Murray GA, Yates JL. Visible lights and
visible light-activated composite resins. J Prosthet
Dent 1983;50(1):31-5.
73.Chung K, Greener EH. Degree of conversion of seven
visible light-cured posterior composites. J Oral Rehabil
1988;15(6):555-60.
74.Rueggeberg FA, Hashinger DT, Fairhurst CW. Calibration
of FTIR conversion analysis of contemporary dental resin
composites. Dent Mater 1990;6(4):241-9.
75.Pianelli C, Devaux J, Bebelman S, Leloup G. The micro-
Raman spectroscopy, a useful tool to determine the
degree of conversion of light-activated composite
resins. J Biomed Mater Res 1999;48(5):675-81.
76.Lin SY, Cheng WT, Wang SL. Thermodynamic and kinetic
characterization of polymorphic transformation of
famotidine during grinding. Int J Pharm 2006;318(1-2):86-
91.
77.Wu MK, Wesselink PR. Endodontic leakage studies
reconsidered. Part I. Methodology, application and
relevance. Int Endod J 1993;26(1):37-43.
78.Barthel CR, Moshonov J, Shuping G, Orstavik D. Bacterial
leakage versus dye leakage in obturated root canals. Int
Endod J 1999;32(5):370-5.
79.Pommel L, Jacquot B, Camps J. Lack of correlation among
three methods for evaluation of apical leakage. J Endod
2001;27(5):347-50.
80.Karagenc B, Gencoglu N, Ersoy M, Cansever G, Kulekci G.
A comparison of four different microleakage tests for
assessment of leakage of root canal fillings. Oral Surg
Oral Med Oral Pathol Oral Radiol Endod 2006;102(1):110-3.
81.DeWald JP, Ferracane JL. A comparison of four modes of
evaluating depth of cure of light-activated composites.
J Dent Res 1987;66(3):727-30.
82.Rueggeberg FA, Craig RG. Correlation of parameters used
to estimate monomer conversion in a light-cured
composite. J Dent Res 1988;67(6):932-7.
83.Ferracane JL, Greener EH. Fourier transform infrared
analysis of degree of polymerization in unfilled resins-
methods comparison. J Dent Res 1984;63(8):1093-5.
84.Asmussen E. Restorative resins: hardness and strength
vs. quantity of remaining double bonds. Scand J Dent Res
1982;90(6):484-9.
85.Nomoto R. Effect of light wavelength on polymerization
of light-cured resins. Dent Mater J 1997;16(1):60-73.
86.Nomoto R, Hirasawa T. Residual monomer and pendant
methacryloyl group in light-cured composite resins. Dent
Mater J 1992;11(2):177-88.
87.WU W. Degree of cure and wear resistance of dental
composite. IADR progr. and abst. 1983;62:192.
88.Franco EB, Lopes LG, D'Alpino P H, Pereira JC, Mondelli
RF, Navarro MF. Evaluation of compatibility between
different types of adhesives and dual-cured resin
cement. J Adhes Dent 2002;4(4):271-5.
89.Rueggeberg FA, Margeson DH. The effect of oxygen
inhibition on an unfilled/filled composite system. J
Dent Res 1990;69(10):1652-8.
90.Finger WJ, Lee KS, Podszun W. Monomers with low oxygen
inhibition as enamel/dentin adhesives. Dent Mater 1996;12
(4):256-61.
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