Kajiwara S, Uchikawa N, Kamibayashi T, Miki A, Asahara S, Muneyuki H, Inoue H
First Department of Conservative Dentistry, Fukuoka Dental College.
Fukuoka Shika Daigaku Gakkai Zasshi. 1990;17(1):59-64.
It is difficult for us to enlarge a root canal by using hand-instruments in a molar tooth, so we experimented by using mechanical equipment. We examined the human extracted premolar which we had preserved in physiological saline solution by using a speculative root canal enlarging machine. Then we observed the time and condition of enlarging root canal by X-ray. After slicing off, we examined with our eyes and with an electronic microscope. Afterward, we compared hand-instruments with the enlarging machine. As the results of this experiment; 1. Time by hand filing instruments took three or four times to make a root canal enlargement by a speculative enlarging machine. 2. After enlarging a root canal, we made a root canal filling. Observing them by X-ray and ground specimen, we recognized a good result in the root canal enlargement and in the condition of the root canal filling. 3. Observing the figure by electronic microscope, in the case of using a speculative machine, we found that the slicing aspects of dentin which had been enlarged by root canal were thoroughly smoothed in the center part of the root canal, but it was not smoothed in the root apex region. 4. It had a tendency to remain part of the cutting dentin near the apical area both by using hand cutting instruments and by using a speculative machine.
我们很难用手动器械扩大磨牙的根管,因此我们使用机械设备进行了实验。我们用一台推测性根管扩大机检查了保存在生理盐溶液中的人拔除的前磨牙。然后我们通过X射线观察扩大根管的时间和情况。切片后,我们用肉眼和电子显微镜进行检查。之后,我们将手动器械与扩大机进行了比较。作为本次实验的结果:1. 用手动锉刀器械扩大根管的时间是推测性扩大机的三到四倍。2. 扩大根管后,我们进行了根管充填。通过X射线和磨片标本观察,我们在根管扩大和根管充填情况方面都得到了良好的结果。3. 通过电子显微镜观察图像,在使用推测性机器的情况下,我们发现根管扩大后的牙本质切片在根管中心部分完全光滑,但在根尖区域没有光滑。4. 使用手动切割器械和推测性机器在根尖区域附近都有残留部分切割牙本质的倾向。