Constante Isa Geralda Teixeira, Davidowicz Harry, Barletta Fernando Branco, Moura Abilio Albuquerque Maranhão de
Lutheran University of Brasil, Canoas, Endodontics Department, Paulista University.
Braz Oral Res. 2007 Jan-Mar;21(1):22-8. doi: 10.1590/s1806-83242007000100004.
The aim of this study was to assess the correlation between the degree of angulation and the position of root curvatures and their influence on the comparative results between the performances of the Progressive, Staged and Serial Preparation Techniques. The mesiobucal canals of 70 extracted mandibular molars were filled with a radiological contrast of 100% Barium sulphate and radiographed with a direct digital radiographic system, in an apparatus that guarantees that the samples remain in the same spatial position at all times. The images were then analyzed in the Coreldraw 10 program (MicroSafe, RJ, Brasil) in accordance with two criteria: the methods of Berbert, Nishiyama(1) (1994) and Schneider11 (1971) to determine the position and the angle of the root curvatures, respectively. Initially, the possibility of correlation between these two variables was studied. The teeth were then selected according to angulation (greater than 25 degrees) and position of root curvatures (cervical, median and apical) in order to perform the endodontic techniques. After preparation, the samples were radiographed again and the images were superimposed in order to compare the pre- and post-operative areas. The difference between them showed the percentage of widening for each technique. The results showed that there was no correlation between the angulations and the root curvature positions, and that the different positions did not interfere in the performance of the techniques. The Progressive Preparation technique produced the highest widening values for all the groups, irrespective of the root curvature position.
本研究的目的是评估牙根弯曲度与弯曲位置之间的相关性,以及它们对逐步法、分阶段法和连续法预备技术操作结果比较的影响。70颗拔除的下颌磨牙的近中颊根管内充满100%硫酸钡放射性造影剂,并用直接数字放射成像系统进行放射摄影,该设备可确保样本始终保持在相同的空间位置。然后在Coreldraw 10程序(MicroSafe,里约热内卢,巴西)中根据两个标准对图像进行分析:分别采用Berbert、Nishiyama(1994年)和Schneider(1971年)的方法来确定牙根弯曲的位置和角度。最初,研究了这两个变量之间的相关性。然后根据牙根弯曲角度(大于25度)和弯曲位置(颈部、中部和根尖部)选择牙齿,以便进行牙髓治疗技术操作。预备后,再次对样本进行放射摄影,并将图像叠加,以比较术前和术后区域。两者之间的差异显示了每种技术的扩大百分比。结果表明,弯曲角度与牙根弯曲位置之间没有相关性,不同位置也不影响技术操作。无论牙根弯曲位置如何,逐步预备技术在所有组中产生的扩大值最高。