De-Deus Gustavo, Brandão Maria Claudia, Barino Bianca, Di Giorgi Karina, Fidel Rivail Antonio Sergio, Luna Aderval Severino
Department of Endodontics, Veiga de Almeida University, Rio de Janeiro, Brazil.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2010 Sep;110(3):390-4. doi: 10.1016/j.tripleo.2010.04.020.
This study was designed to quantitatively evaluate the amount of dentin debris extruded from the apical foramen by comparing the conventional sequence of the ProTaper Universal nickel-titanium (NiTi) files with the single-file ProTaper F2 technique.
Thirty mesial roots of lower molars were selected, and the use of different instrumentation techniques resulted in 3 groups (n=10 each). In G1, a crown-down hand-file technique was used, and in G2 conventional ProTaper Universal technique was used. In G3, ProTaper F2 file was used in a reciprocating motion. The apical finish preparation was equivalent to ISO size 25. An apparatus was used to evaluate the apically extruded debris. Statistical analysis was performed using 1-way analysis of variance and Tukey multiple comparisons.
No significant difference was found in the amount of the debris extruded between the conventional sequence of the ProTaper Universal NiTi files and the single-file ProTaper F2 technique (P>.05). In contrast, the hand instrumentation group extruded significantly more debris than both NiTi groups (P<.05).
The present results yielded favorable input for the F2 single-file technique in terms of apically extruded debris, inasmuch as it is the most simple and cost-effective instrumentation approach.
本研究旨在通过比较传统顺序的ProTaper Universal镍钛(NiTi)锉与单支锉ProTaper F2技术,定量评估从根尖孔挤出的牙本质碎屑量。
选择30颗下颌磨牙的近中根,采用不同的预备技术分为3组(每组n = 10)。G1组采用冠向下手动锉技术,G2组采用传统的ProTaper Universal技术,G3组采用ProTaper F2锉往复运动技术。根尖最终预备相当于ISO 25号。使用一种装置评估根尖挤出的碎屑。采用单因素方差分析和Tukey多重比较进行统计分析。
ProTaper Universal NiTi锉的传统顺序与单支锉ProTaper F2技术之间挤出的碎屑量无显著差异(P>0.05)。相比之下,手动预备组挤出的碎屑明显多于两个NiTi组(P<0.05)。
就根尖挤出的碎屑而言,本研究结果为F2单支锉技术提供了有利的参考,因为它是最简单且最具成本效益的预备方法。