세 가지 역충전재의 근단부 폐쇄 효과에 관한 전기화학적 연구

본 연구의 목적은 Super-EBA, MTA, Dyract-flow를 근관 역충전재로 사용하였을 때의 근단부 폐쇄 능력을 전기화학적 방법을 통해 알아보고자 하는 것이다. 48개의 단근치를 Profile을 사용하여 근관형성한 후, Gutter-percha cone으로 수직가압 충전을 시행하였다. 근단부에서 3mm 되는 부위를 bur로 절단한 후, ultrasonic device로 3mm 깊이의 역충전 와동을 형성하였다. 각 실험군은 Super-EBA, MTA, 혹은 Dyract-flow로 역충전하고 4주에 걸쳐 전기화학적인 방법으로 치근단 누출의 변화를 측정한 후, Repeated measures of ANOVA로 통계분석하였다. 그 결과 모든 시편에서 시간에 따른 치근단 누출의 증가가 관찰되었으나, 각 실험군 간에 누출의 차이는 나타나지 않았다. 이러한 결과는 Dyract-flow의 치근단 역충전재로써의 사용 가능성을 시사한다. The purpose of this study was to evaluate the apical sealing ability of Super-EBA, MTA and Dyract-flow as retrofilling materials. Forty-eight extracted human teeth with straight and single root canal were used in this study. The root canals were prepared to a #40 apical canal size and obturated with gutter-percha. Apicoectomies were performed and root end cavities were prepared to a depth of 3mm using an ultrasonic device. The root end cavities were filled with Super-EBA, MTA or Dyract-flow. Leakage was measured using an electrochemical technique for 4 weeks. According to this study, the results were as follows. 1. Increasing leakage with time was observed in all groups. 2. No significant difference was noted among the 3 groups with time (p = 0.216). 3. No significant difference was noted among the 3 groups when measured within the same time interval (p = 0.814). The results of this study suggest that the sealing ability of Dyract-flow is equal to that of Super-EBA and MTA, and Dyract-flow may be an alternative to other materials for root-end filling. . KCI Citation Count: 2