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立陶宛考纳斯医科大学牙医学本科生进行的根管充填质量

Quality of root canal filling performed by undergraduate students of odontology at Kaunas University of Medicine in Lithuania.

作者信息

Kelbauskas Eduardas, Andriukaitiene Laura, Nedzelskiene Irena

机构信息

Clinic of Dental and Oral Pathology, Kaunas University of Medicine, Eiveniu str. 2, Kaunas, Lithuania.

出版信息

Stomatologija. 2009;11(3):92-6.

Abstract

INRODUCTION

High-quality filling of root canals is one of indicators of successful endodontic treatment. However, poor-quality of the filling is still a common phenomenon in the work of general practitioners. Better training of dental students of modern odontology is possible solution of the problem. The aim of this study was to evaluate the quality of root canal filling performed by undergraduate students in single-rooted and multi-rooted teeth shaped by hand stainless-steel or rotary ProTaper instruments.

MATERIALS AND METHODS

We analyzed 258 post-operative radiographs under illumination and x7 magnification. 120 (46.5%) root canal were prepared using hand stainless-steel K-files, 138 (53.5%) using ProTaper rotary instruments. The filling was evaluated as adequate when it was located at 0-2 mm below the radiographic apex, under-filled>2 mm below the radiographic apex, over-filled, protruded through the radiographic apex. The filling homogeneity and condensation were also evaluated.

RESULTS

The filling height and position in relationship to the radiographic apex showed 84.1% were filled adequately, 10.5%--under-filled, 5.42%--over-filled. Homogeneity and density in 79.5% was good, in 20.5%--poor.

CONCLUSIONS

The quality of root canal filling was acceptable, because 84.1% cases were filled adequately. The density and homogeneity were statistically reliably better in the canals prepared using ProTaper System.

摘要

引言

高质量的根管充填是牙髓病治疗成功的指标之一。然而,充填质量不佳在全科医生的工作中仍是常见现象。对牙科专业学生进行更好的现代牙科学培训可能是解决该问题的办法。本研究的目的是评估本科学生使用手工不锈钢器械或旋转ProTaper器械预备单根牙和多根牙根管后的充填质量。

材料与方法

我们在光照和7倍放大条件下分析了258张术后X光片。120个(46.5%)根管使用手工不锈钢K锉进行预备,138个(53.5%)使用ProTaper旋转器械。当充填物位于X光根尖下方0 - 2毫米时评估为充填合适,充填不足为位于X光根尖下方超过2毫米,充填过度为超出X光根尖。还评估了充填的均匀性和致密性。

结果

充填高度及相对于X光根尖的位置显示,84.1%充填合适,10.5%充填不足,5.42%充填过度。79.5%的均匀性和致密性良好,20.5%较差。

结论

根管充填质量可以接受,因为84.1%的病例充填合适。使用ProTaper系统预备的根管,其密度和均匀性在统计学上显著更好。

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