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根据使用次数对RaCe和K3根管器械的变形与折断情况

Deformation and fracture of RaCe and K3 endodontic instruments according to the number of uses.

作者信息

Troian C H, Só M V R, Figueiredo J A P, Oliveira E P M

机构信息

Universidade Luterana do Brasil, Canoas, RS, Brazil.

出版信息

Int Endod J. 2006 Aug;39(8):616-25. doi: 10.1111/j.1365-2591.2006.01119.x.

Abstract

AIM

To evaluate, by scanning electron microscopy, the deformation and fracture of NiTi RaCe and K3 size 25, 0.04 taper instruments.

METHODOLOGY

Ten sets of instruments from RaCe and K3 NiTi rotary systems were used to prepare 100 simulated canals in epoxy resin blocks with 20 or 40 degree curvatures beginning 8 or 12 mm from the orifice. Each instrument set was used to prepare five simulated canals using a crowndown technique. The size 25, 0.04 taper instruments were analysed by SEM when new and again after each use. Three observers scored images of the instruments after each use for distortion of the spirals (no distortion, distortion of one spiral or distortion of more than one spiral), wear (no wear, small, moderate or severe wear) and fracture (yes or no). Two-way anova was used to analyse differences between instruments for distortion and wear; Fisher's exact test looked for differences related to fracture of instruments.

RESULTS

No fractures occurred with K3 instruments, whereas six RaCe instruments fractured (P = 0.005). A statistically significant difference occurred between RaCe and K3 instruments in terms of distortion of spirals and surface wear (P < 0.001). Distortion of spirals and wear increased with progressive use of RaCe instruments, whereas K3 instruments remained relatively undamaged after their fifth use. The simulated canals with smaller radii of curvature were positively associated with fracture of RaCe instruments.

CONCLUSIONS

A significant difference was found between RaCe and K3 in terms of deformation and fracture of size 25, 0.04 taper instruments; K3 instruments had more favourable results.

摘要

目的

通过扫描电子显微镜评估镍钛合金RaCe器械和K3规格25、0.04锥度器械的变形和折断情况。

方法

使用来自RaCe和K3镍钛旋转系统的十套器械,在环氧树脂块中制备100个模拟根管,根管曲率为20度或40度,距根尖孔8或12毫米处开始。每组器械采用逐步深入技术制备五条模拟根管。25号、0.04锥度的器械在使用前及每次使用后均通过扫描电子显微镜进行分析。每次使用后,三名观察者对器械图像的螺旋扭曲情况(无扭曲、一个螺旋扭曲或多个螺旋扭曲)、磨损情况(无磨损、轻度、中度或重度磨损)和折断情况(是或否)进行评分。采用双向方差分析来分析器械在扭曲和磨损方面的差异;Fisher精确检验用于寻找与器械折断相关的差异。

结果

K3器械未发生折断,而六根RaCe器械发生折断(P = 0.005)。RaCe和K3器械在螺旋扭曲和表面磨损方面存在统计学显著差异(P < 0.001)。随着RaCe器械的不断使用,螺旋扭曲和磨损增加,而K3器械在第五次使用后仍相对未受损。曲率半径较小的模拟根管与RaCe器械折断呈正相关。

结论

在25号、0.04锥度器械的变形和折断方面,RaCe和K3之间存在显著差异;K3器械的结果更优。

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