Comparação de duas modalidades de apicectomia seguidas de retropreparo no selamento marginal de retrobturações
Comparison of two modalities of apicoectomy followed by root-end cavity preparation on marginal sealing of retrofillings
Viapiana, Raqueli; Carlini Júnior, Bruno; Barbizam, João Vicente Baroni
Rev. odontol. UNESP, vol.38, n5, p.301-306, 2009
Resumo
Este estudo avaliou in vitro a infiltração apical após apicectomia e retrobturação, variando o ângulo de corte radicular e a técnica de preparo da cavidade retrógrada. Vinte e quatro dentes humanos unirradiculares foram tratados endodonticamente e obturados pela técnica de condensação lateral da guta-percha com cimento Endo-Fill, sendo distribuídos em dois grupos experimentais (n = 10): GI - apicectomia perpendicular ao longo eixo radicular, seguida do preparo das cavidades retrógradas com ponta ultrassônica lisa 12/90; GII - apicectomia com corte inclinado em 45° para vestibular e preparo retrógrado com broca esférica carbide em baixa rotação. Todas as retrocavidades foram seladas com cimento à base de óxido de zinco e eugenol (IRM). Os grupos experimentais foram imersos por 48 horas em solução de Rodamina B a 0,2% tamponada em ambiente com vácuo. A seguir, as raízes foram seccionadas longitudinalmente e a infiltração de corante analisada em microscópio de mensuração. O teste de U de Mann-Whitney evidenciou diferença significante em nível de 1% entre os grupos, com menores níveis de infiltração no grupo em que as cavidades retrógradas foram realizadas com ponta ultrassônica lisa 12/90. Pode-se concluir que a apicectomia perpendicular ao longo eixo do dente, seguida de retrocavidade confeccionada com ponta ultrassônica lisa, reduziu a infiltração apical após retrobturação com cimento a base de óxido de zinco e eugenol.
Palavras-chave
Endodontia, apicectomia, ultrassom
Abstract
This in vitro study has evaluated the apical leakage after apicoectomy and root-end filling varying the bevel cut and the root-end cavity preparation technique. Twenty four single root human teeth were submitted to endodontic treatment and obtured by lateral condensation techique with gutta-percha points and Endo Fill cement. The teeth were distributed into two experimental groups (n=10): Group I - perpendicular apicoectomy to root axis followed by root-end preparation performed with 12/90 smooth ultra-sonic tip. Group II - 45° buccal side inclined apicoectomy and root-end preparation performed with spherical carbide burn in low speed. All root-end cavities were sealed with zinc oxide-eugenol based cement (IRM). The experimental groups were immersed in rhodamine B dye for 48 hours and stored in vacuum environment. After that, the roots were separated longitudinally and the dye infiltration was analyzed under optical microscope. Mann-Whitney test showed significant difference between the groups (P<0.01) with lowest levels of leakage in the group I. It was concluded that the perpendicular apicoectomy followed by retrograde cavity preparation with ultra-sonic smooth tips decreases the marginal leakage in root-end cavities sealed with zinc oxide-eugenol cement.
Keywords
Endodontics, apicoectomy, ultrasound
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