Restorative Dentistry and Endodontics

The Korean Academy of Conservative Dentistry (대한치과보존학회)
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Effect of two different calcium hydroxide paste removal techniques on apical leakage: an electrochemical study

수산화칼슘 제제의 제거 방법이 치근단 누출에 미치는 영향에 대한 전기화학적 연구

  • Park, Chan-Je (Department of Conservative Dentistry, Samsung Medical Center, Sungkyunkwan University School of Medicine) ;
  • Jeon, Kyung-A (Department of Conservative Dentistry, College of Dentistry, Seoul National University) ;
  • Kwon, Ho-Beom (Department of Prosthodontics, Samsung Medical Center, Sungkyunkwan University School of Medicine)
  • 박찬제 (성균관대학교 의과대학 삼성서울병원 치과보존과) ;
  • 전경아 (서울대학교 치과대학 치과보존학교실) ;
  • 권호범 (성균관대학교 의과대학 삼성서울병원 보철과)
  • Published : 2006.05.01
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Abstract

This study evaluated the effect of two different calcium hydroxide ($Ca(OH)_2$) paste removal techniques on the apical leakage of canals obturated with gutta percha cones and sealer after removing a $Ca(OH)_2$ dressing using an electrochemical method. Seventy extracted single-rooted teeth were instrumented on with Profile rotary files under NaOCl irrigation. Fifty-eight canals were filled with calcium hydroxide paste, which was then removed using one of the following two techniques. In group A, calcium hydroxide was removed using only NaOCl irrigation, and in group B, the canals were re-prepared with a Profile rotary files-one size larger than the previous instrument and were irrigated with NaOCl. In both groups, the root surfaces were coated twice with nail varnish from CEJ to an area 4 mm away from the apex after canal obturation. Apical leakage was measured using an electrochemical method for 24 days. All the specimens showed leakage that increased markedly in the first three days. There was no significant difference between the two groups (p>0.05). The effect of two calcium hydroxide paste removal techniques on the apical leakage was not different during a short period.

본 연구의 목적은 근관내 약제로 사용되는 수산화칼슘의 제거방법이 근관충전 후 치근단 미세누출에 미치는 영향을 알아보기 위함이다. 70개의 발거된 단근치를 엔진구동형 ProFile로 근관형성한 후 수용성 수산화칼슘 제제를 1주일간 적용하고 두 군으로 나누어 각기 다른 방법으로 제거하였다. A군은 NaOCl로 근관세정만을 시행하였으며, B군은 근관형성 시 사용된 file보다 한 단계 큰 크기의 ProFile을사용하여 근관을 재형성한 후 NaOCl로 세척하였다. 근관충전 후 전기화학적 방법으로 24일 동안 치근단 누출을 측정, 비교하였다. 본 연구의 결과 수산화 칼슘 제거를 위한 두가지 방법은 근관충전후 치근단 미세누출에 있어서 차이가 없음을 알 수 있었다.

Keywords

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