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근관 충전용 MTA의 밀폐 효과와 작업 시간 평가

Evaluation of Sealing Effect and Working Time of Root Canal Filling MTA Materials

  • 김효진 (경북대학교 치의학전문대학원 소아치과학교실) ;
  • 김영진 (경북대학교 치의학전문대학원 소아치과학교실) ;
  • 남순현 (경북대학교 치의학전문대학원 소아치과학교실) ;
  • 권태엽 (경북대학교 치의학전문대학원 소아치과학교실) ;
  • 김현정 (경북대학교 치의학전문대학원 소아치과학교실)
  • Kim, Hyojin (Department of Pediatric Dentistry, School of Dentisry, Kyungpook National University) ;
  • Kim, Youngjin (Department of Pediatric Dentistry, School of Dentisry, Kyungpook National University) ;
  • Nam, Soonhyeun (Department of Pediatric Dentistry, School of Dentisry, Kyungpook National University) ;
  • Kwon, Taeyub (Department of Pediatric Dentistry, School of Dentisry, Kyungpook National University) ;
  • Kim, Hyunjung (Department of Pediatric Dentistry, School of Dentisry, Kyungpook National University)
  • 투고 : 2015.09.02
  • 심사 : 2015.10.29
  • 발행 : 2016.05.31

초록

본 연구의 목적은 근관 충전재로서 MTA(Endoseal, Endoseal MTA)의 밀폐 효과와 효율을 평가하는 것이다. 총 106개의 발거된 단근치가 사용되었으며, 충전된 실러에 따라 AH군(AH-26), PR군(ProRoot MTA), ES군(Endoseal), EM군(Endoseal MTA)으로 나누어졌고, 모든 충전시 소요 시간이 측정되었다. 그 군들은 다시 A 하위군, B 하위군으로 나누어 근관벽과의 밀폐성과 상아세관내 실러의 침투도를 각각 평가하였다. 결과는 근관 충전용 MTA는 AH-26에 비해 근관벽과의 밀폐성과 상아세관 침투도는 떨어졌으며, ProRoot MTA와 비교시 근관벽과의 밀폐성은 차이가 없었지만, 상아세관 침투도는 높았다. 작업 시간은 근관 충전용 MTA가 ProRoot MTA와 AH-26에 비해 짧았다. 결론적으로 근관 충전용 MTA는 레진계 실러보다 근관 밀폐 효과는 떨어지지만 MTA가 필요한 근관 충전시 효과적인 대안이 될 수 있다.

The purpose of this study is to examine the sealing effect and efficiency of root canal filling MTA (Endoseal, Endoseal MTA). A total of 106 extracted single rooted teeth were used and classified with group AH (AH-26), group PR (ProRoot MTA), group ES (Endoseal) and group EM (Endoseal MTA) depending on filled sealers. Time was measured in each group when sealers were filled. The groups were divided into subgroup A and subgroup B. The sealing of root canal walls and penetration of sealer in the dentinal tubule were evaluated, respectively. According to the results, the sealing of root canal walls and dentinal tubule penetration of root canal filling MTA were inferior to AH-26 (p < 0.05). When compared with ProRoot MTA, however, there was no significant difference in sealing of root canal walls (p > 0.05), but dentinal tubule penetration was high (p < 0.05). Working time was shorter in root canal filling MTA than ProRoot MTA and AH-26 (p < 0.05). In conclusion, root canal filling MTA has lower root canal sealing effect than resin-based sealer, however, when in MTA needed root canal filling, it could be an effective alternative.

키워드

참고문헌

  1. Kakehashi S, Stanley HR, Fitzgerald RJ : The effects of surgical exposures of dental pulps in germfree and conventional laboratory rats. Oral Surg Oral Med Oral Pathol, 20:340-349, 1965. https://doi.org/10.1016/0030-4220(65)90166-0
  2. Holland R, Murata SS, DezanJunior E, et al. : Apical seal of root canals with gutta-percha calcium hydroxide. Braz Dent J, 15:26-29, 2004. https://doi.org/10.1590/S0103-64402004000100005
  3. Bowman GA : In history of Dentistry in Missouri. Ovid Bell Press 423,1938.
  4. Bergdahl M, Wennberg A, Spangberg L : Biologic effect of polyisobutylene on bony tissue in guinea pigs, Scand J Dent Res, 82:618-621, 1974.
  5. Feldmann G, Nyborg H : Tissue reactions to root filling materials. II. A comparison of implants of silver and root filling material AH26 in rabbits' jaws. Odontol Revy, 15:33-40, 1964.
  6. Lee SJ, Monsef M, Torabinejad M : Sealing ability of a mineral trioxide aggregate for repair of lateral root perforations. J Endod, 19:541-544, 1993. https://doi.org/10.1016/S0099-2399(06)81282-3
  7. Torabinejad M, Watson TF, Pitt Ford TR : Sealing ability of a mineral trioxide aggregate when used as a root end filling material. J Endod, 19:591-595, 1993. https://doi.org/10.1016/S0099-2399(06)80271-2
  8. Li Z, Cao L, Fan M, Xu Q : Direct Pulp Capping with Calcium Hydroxide or Mineral Trioxide Aggregate: A Meta-analysis. J Endod, 15:381-387, 2015.
  9. Dorileo MC, Pedro FL, Borges AH, et al. : Comparative analysis of physicochemical properties of root perforation sealer materials. Restor Dent Endod, 39:201-209, 2014. https://doi.org/10.5395/rde.2014.39.3.201
  10. Sonmez IS, Oba AA, Sonmez D, Almaz ME : In vitro evaluation of apical microleakage of a new MTAbased sealer. Eur Arch Paediatr Dent, 13:252-5, 2012. https://doi.org/10.1007/BF03262880
  11. Gomes-Filho JE, Moreira JV, Otoboni Filho JA, et al. : Sealability of MTA and calcium hydroxide containing sealers. J Appl Oral Sci, 20:347-351, 2012. https://doi.org/10.1590/S1678-77572012000300009
  12. Vizgirda PJ, Liewehr FR, Buxton TB, et al. : A comparison of laterally condensed gutta-percha, thermoplasticized gutta-percha, and mineral trioxide aggregate as root canal filling materials. J Endod, 30:103-106, 2004.
  13. Park DS, Sohn SJ, Kye SB, et al. : An electrochemical study of the sealing ability of three retrofilling materials. J Kor Acad Cons Dent, 29:365-369, 2004. https://doi.org/10.5395/JKACD.2004.29.4.365
  14. Antonopoulos KG, Attin T, Hellwig E. : Evaluation of the apical seal of root canal fillings with different methods. J Endod, 24:655-658, 1998. https://doi.org/10.1016/S0099-2399(98)80149-0
  15. Hashem AA, Hassanien EE : Proroot MTA, MTA-Angelus and IRM used to repair large furcation perforations: Sealability Study. J Endod, 34:59-61, 2008. https://doi.org/10.1016/j.joen.2007.09.007
  16. Ozcan E, Eldeniz AU, Ari H : Bacterial killing by several root filling materials and methods in an ex vivo infected root canal model. Int Endod J, 44:1102-1109, 2011. https://doi.org/10.1111/j.1365-2591.2011.01928.x
  17. Cergneux M, Ciucchi B, Dietschi JM, Holz J : The influence of the smear layer on the sealing ability of canal obturation. Int Endod J, 20:228-232, 1987. https://doi.org/10.1111/j.1365-2591.1987.tb00619.x
  18. Kokkas AB, Boutsioukis ACh, Vassiliadis LP, Stavrianos CK : The influence of the smear layer on dentinal tubule penetration depth by three different root canal sealers: An in vitro study. J Endod, 30:100-102, 2004. https://doi.org/10.1097/00004770-200402000-00009
  19. Moradi S, Ghoddusi J, Forghani M : Evaluation of dentinal tubule penetration after the use of dentin bonding agent as a root canal sealer. J Endod, 35:1563-1566, 2009. https://doi.org/10.1016/j.joen.2009.08.001
  20. Ingle JI, Newton CW, West JD, et al. : Obturation of the radicular space. Endodontics 5th edition, p.571, 2002.
  21. Sagsen B, Er O, Kahraman Y, Orucoglu H. : Evaluation of microleakage of roots filled with different techniques with a computerized fluid filtration technique, J Endod, 32:1168-1170, 2006. https://doi.org/10.1016/j.joen.2006.07.016
  22. Asgary S, Eghbal MJ, Parirokh M : Sealing ability of a novel endodontic cement as a root-end filling material. J Biomed Mater Res A, 87:706-709, 2008.
  23. Boussetta F, Bal S, Farge P, et al. : In vitro evaluation of apical microleakage following canal filling with a coated carrier system compared with lateral and thermomechanical Gutta-percha condensation techniques. Int Endod J, 36:367-371, 2003. https://doi.org/10.1046/j.1365-2591.2003.00665.x
  24. Kubo CH, Gomes AP, Mancini MN : In vitro evaluation of apical sealing in root apex treated with demineralization agents and retrofiled with mineral trioxide aggregate through marginal dye leakage. Braz Dent J, 16:187-191, 2005. https://doi.org/10.1590/S0103-64402005000300003
  25. Halkel Y, Wittenmeyer W, Allemann C : A new method for the quantitative analysis of endodontic microleakage. J Endod, 25:172-177, 1999. https://doi.org/10.1016/S0099-2399(99)80136-8
  26. White RR, Goldman M, Lin PS : The influence of the smeared layer upon dentinal tubule penetration by plastic filling materials. J Endod, 10:558-62, 1984. https://doi.org/10.1016/S0099-2399(84)80100-4
  27. Saunders WP, Saunders EM : The effect of smear layer upon the coronal leakage of gutta-percha root fillings and a glass ionomer sealer. Int Endod J, 25:245-259, 1992. https://doi.org/10.1111/j.1365-2591.1992.tb01157.x
  28. Kennedy WA, Walker WA, Gough RW : Smear layer removal effects on apical leakage. J Endod, 12:21-27, 1986. https://doi.org/10.1016/S0099-2399(86)80277-1
  29. Heling I, Chandler NP : The antimicrobial effect within dentinal tubules of four root canal sealers. J Endod, 22:257-259, 1996. https://doi.org/10.1016/S0099-2399(06)80144-5
  30. Vassiliadis LP, Sklavounos SA, Stavrianos CK : Depth of penetration and appearance of grossman sealer in the dentinal tubules: An in vivo study. J Endod, 20:373-376, 1994. https://doi.org/10.1016/S0099-2399(06)80293-1
  31. Calt S, Serper A : Dentinal tubule penetration of root canal sealers after root canal dressing with calcium hydroxide. J Endod, 25:431-433, 1999. https://doi.org/10.1016/S0099-2399(99)80273-8
  32. Kara Tuncer A, Tuncer S : Effect of different final irrigation solutions on dentinal tubule penetration depth and percentage of root canal sealer. J Endod, 38:860-3, 2012. https://doi.org/10.1016/j.joen.2012.03.008
  33. Aktener BO, Cengiz T, Piskin B : The penetration of smear material into dentinal tubules during instrumentation with surface active reagents. J Endod, 15:588-90, 1989. https://doi.org/10.1016/S0099-2399(89)80156-6
  34. Torabinejad M, Rastegar AF, Kettering JD, Pitt Ford TR : Bacterial leakage of mineral trioxide aggregate as a root-end filling material. J Endod, 21:109-12, 1995. https://doi.org/10.1016/S0099-2399(06)80433-4
  35. Hwang JH, Chung J, Kim HC, et al. : Comparison of bacterial leakage resistance of various root canal filling materials and methods: confocal laser-scanning microscope study. Scanning, 37:422-428, 2015. https://doi.org/10.1002/sca.21231