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关于椭圆形根管预备和充填的初步观察

A primary observation on the preparation and obturation of oval canals.

作者信息

Wu M K, Wesselink P R

机构信息

Department of Cariology Endodontology Pedodontology, Academic Centre for Dentistry Amsterdam (ACTA), Louwesweg 1, 1066 EA Amsterdam, The Netherlands.

出版信息

Int Endod J. 2001 Mar;34(2):137-41. doi: 10.1046/j.1365-2591.2001.00361.x.

Abstract

AIM

The aim of this study was to observe the existence and assess the quality of obturation of uninstrumented recesses in oval canals.

METHODOLOGY

The balanced force technique was used in two groups of oval canals in human mandibular incisors. The canals in group 1 were enlarged to conventional sizes, whereas canals in group 2 were enlarged more widely. All canals were obturated with cold laterally condensed gutta-percha. Two horizontal sections were cut in the apical portion of each filled root. Images of the cross-sections were scanned and analysed using the KS100 Imaging system.

RESULTS

Uninstrumented recesses appeared in 13 (65%) oval canals. The recesses in five of these 13 canals were obturated without visible voids. The recesses in the other eight canals were either obturated with visible voids or completely unfilled. The percentage of filled area was significantly higher in group 1 than in group 2 (P < 0.05).

CONCLUSIONS

Uninstrumented recesses may be left in many oval canals after preparation using the balanced force technique and these recesses may often not be completely obturated with cold laterally condensed gutta-percha.

摘要

目的

本研究旨在观察椭圆形根管中未预备管腔的存在情况,并评估其充填质量。

方法

在两组人下颌切牙的椭圆形根管中采用平衡力技术。第1组根管扩大至常规尺寸,而第2组根管扩大得更宽。所有根管均采用冷侧向加压牙胶尖充填。在每个充填牙根的根尖部分制作两个水平切片。使用KS100成像系统对切片图像进行扫描和分析。

结果

13个(65%)椭圆形根管中出现了未预备管腔。这13个根管中的5个管腔充填无可见空隙。其他8个根管的管腔要么充填有可见空隙,要么完全未充填。第1组的充填面积百分比显著高于第2组(P < 0.05)。

结论

使用平衡力技术预备后,许多椭圆形根管中可能会留下未预备管腔,并且这些管腔通常不能被冷侧向加压牙胶尖完全充填。

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