Schäfer E, Lohmann D
Department of Operative Dentistry, University of Münster, Münster, Germany.
Int Endod J. 2002 Jun;35(6):505-13. doi: 10.1046/j.1365-2591.2002.00513.x.
The purpose of this study was to compare the shaping ability of FlexMaster rotary nickel-titanium instruments with stainless steel hand K-Flexofiles. This part of the two-part report describes the efficiency of these two instruments in simulated curved root canals.
Simulated 28 degree- and 35 degree-curved canals were prepared by the FlexMaster instruments with a rotational speed of 250 rpm using a crown-down preparation technique. and by the K-Flexofiles using a reaming motion (n = 24 canals in each case). All canals were prepared up to size 35. The pre- and post-instrumentation images were recorded and assessment of the canal shape was completed with a computer image analysis program. The material removal was measured at 20 measuring points, beginning 1 mm away from the apex. Incidence of canal aberrations, preparation time,changes of working length and instrument failures were also recorded.
In comparison with stainless steel K-Flexofiles, the rotary FlexMaster instruments achieved bet-ter canal geometry, showed less canal transportation and created fewer canal aberrations in both the canal types. Two FlexMaster instruments were separated, and 15 FlexMaster instruments and 11 K-Flexofiles were permanently deformed during preparation. However, these differences were not significant (P > 0.05). Between both the canal types, FlexMaster was significantly faster (P < 0.001) than K-Flexofiles. Both instruments maintained a good working distance.
FlexMaster instruments prepared curved canals rapidly, and with minimal transportation towards the outer aspect of the curve.
本研究旨在比较FlexMaster旋转镍钛器械与不锈钢手动K-Flex锉的根管预备能力。这份两部分报告的这一部分描述了这两种器械在模拟弯曲根管中的效率。
使用FlexMaster器械以250转/分钟的转速采用冠向下预备技术预备模拟的28度和35度弯曲根管,使用K-Flex锉采用扩锉动作预备(每种情况n = 24个根管)。所有根管均预备至35号。记录器械操作前后的图像,并使用计算机图像分析程序完成根管形态评估。从根尖1毫米处开始,在20个测量点测量材料去除情况。还记录根管偏差的发生率、预备时间、工作长度的变化以及器械折断情况。
与不锈钢K-Flex锉相比,旋转FlexMaster器械在两种根管类型中均获得了更好的根管形态,显示出更少的根管偏移且产生的根管偏差更少。两根FlexMaster器械分离,15根FlexMaster器械和11根K-Flex锉在预备过程中永久变形。然而,这些差异无统计学意义(P > 0.05)。在两种根管类型中,FlexMaster的速度均显著快于K-Flex锉(P < 0.001)。两种器械均保持了良好的工作长度。
FlexMaster器械能快速预备弯曲根管,且向弯曲外侧的偏移最小。