Purpose: To investigate the periapical tissue response after root end filling with intermediate restorative material (IRM) and filling of the root-end resection bone defects with autogenous bone or a bone graft substi...Purpose: To investigate the periapical tissue response after root end filling with intermediate restorative material (IRM) and filling of the root-end resection bone defects with autogenous bone or a bone graft substitute in comparison to empty controls. Materials and Methods: Vital roots of the second, third and fourth mandibular premolars in six healthy mongrel dogs were apectomized. The root canals were prepared and sealed with IRM following a standardized surgical procedure. The resection bone defects were either filled with autogenous bone (PB) or one of the bone graft substitutes;CERAMENTTM|BONE VOID FILLER, ChronOS?, TigranTM PTG, Easygraft? CLASSIC or left empty. After 120 days the animals were sacrificed and the specimens were analyzed radiologically and histologically. Kruskal-Wallis and Mann-Whitney tests were performed for statistical evaluation. Results: 34 sections were analyzed histologically. The evaluation revealed a variation in the outcome amongst the tested options, regarding reestablishment of the periapical bone healing and inflammatory infiltration in the sections. According to the tested variables, there was no statistical significant difference between the materials when comparing all groups as a whole. When comparing individual materials to each other there was statistical differences among some of the tested materials. Conclusion: The healing outcome after periapical surgery of a five-wall resection defect could not be increased by infill with autogenous bone or bone graft substitutes. The most important factor for the healing outcome in periapical surgery is the quality of the root-end sealing. The healing outcome after some of the tested bone substitutes, might be improved by longer healing time.展开更多
Background: To date there is not a material considered ideal for the lased dentin. Objective: To compare the bond strength to human lased dentin of self-etch and etch-and-rinse adhesive systems, a self-adhesive resin ...Background: To date there is not a material considered ideal for the lased dentin. Objective: To compare the bond strength to human lased dentin of self-etch and etch-and-rinse adhesive systems, a self-adhesive resin composite and a glass-ionomer cement. Methods: Forty human molars were sectioned to obtain a 2 mm-thick slab of mid-coronal dentin. The occlusal surface of each slab was polished by SiC paper (P600) for 10 s. Then an half part of dentin slabs was randomly selected for receiving treatment with 2.94 μm Er:YAG laser (DEKA, Smart 2940D Plus) with 10 Hz at 100 mJ, pulse duration of 230 μs with contact tip. Dentin slabs were randomly divided into four groups (n = 10). Six conical frustum-shaped build-ups were constructed on the occlusal surface of each dentin slab using bonding agents (OptiBond Solo Plus Group 1;OptiBond All-in-one Group 2) combined with a resin composite (Premise Flow), self-adhesive resin composites (Vertise Flow Group 3) and a glass-ionomer cement (Ketac-Fil Group 4). Specimens were subjected to μSBS test. Data were analyzed by a mixed model and Tukey’s test. Results: Measured bond strengths were (mean ± standard deviation): 20.8 ± 5.5 MPa (laser treatment) and 15.6 ± 4.5 MPa (SiC paper) for Group 1, 18.9 ± 5.3 MPa (laser treatment) and 14.0 ± 4.3 MPa (SiC paper) for Group 2, 7.9 ± 2.8 MPa (laser treatment) and 4.3 ± 2.2 MPa (SiC paper) for Group 3, 4.7 ± 1.9 MPa (laser treatment) and 2.6 ± 1.2 MPa (SiC paper) for Group 4. The inferential analysis showed that the dentin laser treatment significantly affected the bond strength within each individual group. On dentin treated with laser the bond strengths recorded for build-ups constructed with etch and rinse and self-etch adhesive systems were significantly higher than those recorded for build-ups constructed with self-adhesive resin composite and glass-ionomer cement (p < 0.0001). Similarly, on dentin treated with SiC paper the bond strengths recorded for build-ups constructed with etch and rinse and self-etch adhesive systems were significantly higher than those recorded for build-ups constructed with self-adhesive resin composite and glass-ionomer cement (p < 0.0001). Conclusion: Er:YAG laser treatment has increased the shear bond strength of all the adhesive materials used.展开更多
文摘Purpose: To investigate the periapical tissue response after root end filling with intermediate restorative material (IRM) and filling of the root-end resection bone defects with autogenous bone or a bone graft substitute in comparison to empty controls. Materials and Methods: Vital roots of the second, third and fourth mandibular premolars in six healthy mongrel dogs were apectomized. The root canals were prepared and sealed with IRM following a standardized surgical procedure. The resection bone defects were either filled with autogenous bone (PB) or one of the bone graft substitutes;CERAMENTTM|BONE VOID FILLER, ChronOS?, TigranTM PTG, Easygraft? CLASSIC or left empty. After 120 days the animals were sacrificed and the specimens were analyzed radiologically and histologically. Kruskal-Wallis and Mann-Whitney tests were performed for statistical evaluation. Results: 34 sections were analyzed histologically. The evaluation revealed a variation in the outcome amongst the tested options, regarding reestablishment of the periapical bone healing and inflammatory infiltration in the sections. According to the tested variables, there was no statistical significant difference between the materials when comparing all groups as a whole. When comparing individual materials to each other there was statistical differences among some of the tested materials. Conclusion: The healing outcome after periapical surgery of a five-wall resection defect could not be increased by infill with autogenous bone or bone graft substitutes. The most important factor for the healing outcome in periapical surgery is the quality of the root-end sealing. The healing outcome after some of the tested bone substitutes, might be improved by longer healing time.
文摘Background: To date there is not a material considered ideal for the lased dentin. Objective: To compare the bond strength to human lased dentin of self-etch and etch-and-rinse adhesive systems, a self-adhesive resin composite and a glass-ionomer cement. Methods: Forty human molars were sectioned to obtain a 2 mm-thick slab of mid-coronal dentin. The occlusal surface of each slab was polished by SiC paper (P600) for 10 s. Then an half part of dentin slabs was randomly selected for receiving treatment with 2.94 μm Er:YAG laser (DEKA, Smart 2940D Plus) with 10 Hz at 100 mJ, pulse duration of 230 μs with contact tip. Dentin slabs were randomly divided into four groups (n = 10). Six conical frustum-shaped build-ups were constructed on the occlusal surface of each dentin slab using bonding agents (OptiBond Solo Plus Group 1;OptiBond All-in-one Group 2) combined with a resin composite (Premise Flow), self-adhesive resin composites (Vertise Flow Group 3) and a glass-ionomer cement (Ketac-Fil Group 4). Specimens were subjected to μSBS test. Data were analyzed by a mixed model and Tukey’s test. Results: Measured bond strengths were (mean ± standard deviation): 20.8 ± 5.5 MPa (laser treatment) and 15.6 ± 4.5 MPa (SiC paper) for Group 1, 18.9 ± 5.3 MPa (laser treatment) and 14.0 ± 4.3 MPa (SiC paper) for Group 2, 7.9 ± 2.8 MPa (laser treatment) and 4.3 ± 2.2 MPa (SiC paper) for Group 3, 4.7 ± 1.9 MPa (laser treatment) and 2.6 ± 1.2 MPa (SiC paper) for Group 4. The inferential analysis showed that the dentin laser treatment significantly affected the bond strength within each individual group. On dentin treated with laser the bond strengths recorded for build-ups constructed with etch and rinse and self-etch adhesive systems were significantly higher than those recorded for build-ups constructed with self-adhesive resin composite and glass-ionomer cement (p < 0.0001). Similarly, on dentin treated with SiC paper the bond strengths recorded for build-ups constructed with etch and rinse and self-etch adhesive systems were significantly higher than those recorded for build-ups constructed with self-adhesive resin composite and glass-ionomer cement (p < 0.0001). Conclusion: Er:YAG laser treatment has increased the shear bond strength of all the adhesive materials used.
