Zhuang Zui-xin, Ren Fei, He Zhen-feng
Department for VIP, Guangdong Provincial Stomatological Hospital, Guangzhou 510280 China.
Nan Fang Yi Ke Da Xue Xue Bao. 2007 Dec;27(12):1875-7.
To evaluate the clinical effects of fine root canal preparation with rotary ProTaper.
Ninety-two teeth among 92 patients were treated with root canal therapy which root canals prepared by rotary ProTaper with Glyde gel (contains EDTA) and lateral condensation, including 66 teeth that 141 root canals were fine,17 teeth being root canal therapy and one or more than root canal were omitted,6 maxillary first molar containing second mesiobuccal canal(MB2), 3 maxillary second molar MB2.
One hundred and thirty five in 141 fine root canals among 66 teeth were successfully prepared by rotary ProTaper, the prepared successful ratio was 95.74%,X-ray showed that obturator had smooth taper. Two palatal root canals of maxillary first molar were underfilling, 4 root canals appeared ledge at apical one third. Seventeen omitted root canals were successfully prepared and obturated. Five in 9 MB2 were successfully prepared and obturated to root-apex, four in 9 were not to end. No instrument separated in all patients.
The preparation of fine root canals with rotary ProTaper and EDTA is an effective and safe and limited. Nevertheless, the preventive importance of ledge and perforation should be emphasized.
评价使用旋转ProTaper进行精细根管预备的临床效果。
92例患者的92颗牙齿采用根管治疗,根管预备使用含Glyde凝胶(含乙二胺四乙酸)的旋转ProTaper并结合侧向加压充填法,其中66颗牙齿共141个根管为精细根管,17颗牙齿为根管治疗时遗漏一个或多个根管,6颗上颌第一磨牙含第二近中颊根根管(MB2),3颗上颌第二磨牙含MB2。
66颗牙齿的141个精细根管中,135个成功采用旋转ProTaper预备,预备成功率为95.74%,X线显示充填物锥度良好。上颌第一磨牙的2个腭根根管欠填,4个根管在根尖三分之一处出现台阶。17个遗漏根管成功预备并充填。9个MB2中5个成功预备并充填至根尖,9个中有4个未充填至根尖。所有患者均未出现器械分离情况。
使用旋转ProTaper和乙二胺四乙酸进行精细根管预备是有效、安全且有限的。然而,应强调预防台阶和穿孔的重要性。