Abstract
The purpose of this study was to investigate the proper consistency of root canal sealer needed in obtaining an efficient canal obturation in injection-thermoplasticized low-temperature ($70^{\circ}C$) gutta-percha method. The sealer was made by incorporating zinc oxide powder into $0.5m{\ell}$ of eugenol and then the $0.5m{\ell}$ of mixture slurry was placed between two flat glass plates. The consistency was determined by measuring the degree of spread of the slurry at loading the 120gm of weight from the top plate. The sealer was prepared according to P/L ratio corresponding to the acquired consistency of 65.45mm, 46.80mm, 28.95mm and 22.60mm. The distal roots were obtained by cutting off from 125 extracted human lower molars and the root canals were prepared by using step-back method. The prepared canals were coated with the sealers on their walls and obturated by using the injection-thermoplasticized low-temperature ($70^{\circ}C$) gutta-percha method. All specimens were immersed in 2% methylene blue dye solution for 48 hours at $37^{\circ}C$. Calipers was used to measured the dye penetration into the root canals from apical constrictions. The results were as follows : The canals obturated without sealer showed significantly more leakage than the canals obturated with sealer. Within the consistency from 65.45mm to 22.60mm, the sealer of 65.45mm appeared significantly better than that of 28.95mm and 22.60mm in the canals obturated by injection-thermoplasticized gutta-percha method, and better than that of 46.80mm without statistical significance.
이 연구의 목적은 연화 gutta-percha 주입 근관충전법에서 효과적인 근관폐쇄를 얻기위해 함께 사용하는 sealer의 척절한 조도률 측정하는데 있다. 실험에 사용된 sealer는 $0.5m{\ell}$의 유지놀에 산화아연 분말을 혼화하여 얻은 $0.5m{\ell}$의 혼합물이 두 유리판 사이에서 120gm의 무게에 의하여 퍼지는 정도로써 측정한 조도에 상응하는 분말액비(比) 대로 산화아연 분말과 유지놀을 혼합하여 조도 65.45mm, 46.80mm, 28.95mm 및 22.60mm의 sealer를 제조하였다. 발거된 125개의 하악 대구치에서 원심근을 절취하여 step-back 방법으로 근관형성, 제조된 sealer를 근관벽에 피복하고 $70^{\circ}C$에서 연화된 gutta-percha를 주입, 근관충전하였다. 실험치근은 2% methylene-blue 색소용액에 침적시켜 $37^{\circ}C$의 항온기에서 48시간 경과시킨후 근단공을 통한 색소침투의 정도를 측정하여 다읍의 결과를 얻었다. 연화 gutta-percha 주입 근관충전법에서 sealer를 사용하지 않은 군이 sealer를 사용한 군보다 색소침투는 더 크게 나타났다(p<0.05). 일정한 조도의 범위 65.45mm~22.60mm에서 조도 65.45mm의 sealer는 조도 28.9mm 및 22.60mm보다 폐쇄효과는 더 높게 나타났고(p<0.05) 조도 46.80mm의 sealer 보다도 더 높게 나타났으나 통계학적 유의성은 없었다.