Plotino Gianluca, Grande Nicola M, Mazza Ciro, Petrovic Renata, Testarelli Luca, Gambarini Gianluca
Department of Endodontics, University La Sapienza, Rome, Italy.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Jan;109(1):e60-6. doi: 10.1016/j.tripleo.2009.08.009. Epub 2009 Nov 17.
The aim of this study was to investigate the influence of the shape of 3 different artificial canals on the trajectory followed by different nickel-titanium rotary instruments.
Ten ProFile and Mtwo instruments, tip sizes 20 and 25, taper .06, were tested in 3 simulated root canals with an angle of curvature of 60 degrees and radius of curvature of 5 mm but with different shapes. Geometric analysis of the trajectory that each instrument followed inside the 3 different artificial canals was performed on digital images, determining 3 parameters: angle and radius of the curvature and the position of the center of the curvature. Mean values were then calculated for each instrument size in all of the artificial canals. Data were analysed using 1-way analysis of variance, Holm t test, and Student t test to determine any statistical difference (P < .05).
In all instrument sizes, a statistically significant difference was noted among the artificial canals for the radius and angle of curvature. No statistically significant difference was noted between instruments of the same size for the radius and angle of curvature and the position of the center of the curve when measured in the canal constructed on the dimension of the instruments.
Different instruments follow different trajectories in artificial canals constructed with the same parameters of curvature but different shapes, depending on their different bending properties. All of the instruments respected the established parameters of curvature only when the artificial canal is designed on the dimension of the instruments.
本研究旨在调查3种不同形状的人工根管对不同镍钛旋转器械运动轨迹的影响。
选用10支ProFile和Mtwo器械,尖端尺寸为20和25,锥度为0.06,在3个模拟根管中进行测试,根管弯曲角度为60度,弯曲半径为5mm,但形状不同。对数字图像上每种器械在3种不同人工根管内的运动轨迹进行几何分析,确定3个参数:弯曲角度、弯曲半径和弯曲中心位置。然后计算所有人工根管中每种器械尺寸的平均值。使用单向方差分析、霍尔姆t检验和学生t检验对数据进行分析,以确定是否存在统计学差异(P < 0.05)。
在所有器械尺寸中,人工根管之间在弯曲半径和弯曲角度上存在统计学显著差异。在按器械尺寸构建的根管中测量时,相同尺寸的器械在弯曲半径、弯曲角度和弯曲中心位置上没有统计学显著差异。
不同器械在具有相同弯曲参数但形状不同的人工根管中遵循不同的轨迹,这取决于它们不同的弯曲特性。只有当人工根管按器械尺寸设计时,所有器械才符合既定的弯曲参数。