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两种旋转镍钛器械与 H 锉去除根管内牙胶的效果比较。

The efficacy of two rotary NiTi instruments and H-files to remove gutta-percha from root canals.

机构信息

Department of Endodontics, Faculty of Dentistry, Cumhuriyet University, Sivas, Turkey.

出版信息

Med Oral Patol Oral Cir Bucal. 2012 May 1;17(3):e506-11. doi: 10.4317/medoral.17582.

Abstract

OBJECTIVE

The aim of this study was to evaluate the efficacy of R-Endo® and K3® rotary nickel-titanium instruments compared with manual instrumentation with H-files, with use of a solvent, for removal of gutta-percha during retreatment.

STUDY DESIGN

Forty five freshly extracted human single-rooted teeth, each with one root canal, were instrumented with K-files and filled using cold lateral compaction of gutta-percha and AH 26® sealer. The teeth were randomly divided into three groups of 15 specimens each. Removal of gutta-percha was performed with the following devices and techniques: Group 1 (H-files), Group 2 (R-Endo®), and Group 3 (K3®). The specimens were rendered transparent for the evaluation of the area of remaining gutta-percha/sealer in buccolingual and mesiodistal directions. Statistical analysis as performed by using one-way ANOVA and Kruskal-Wallis tests (p=0.05).

RESULTS

All retreatment techniques used in this study left some filling material inside the root canal. Images in buccolingual and mesiodistal directions showed no significant differences between the groups (p>0.05).

CONCLUSIONS

Under the experimental conditions, the remaining filling material after retreatment was similar for each group.

摘要

目的

本研究旨在评估 R-Endo® 和 K3® 机用镍钛器械与手动 H 锉联用、配合溶剂在根管再治疗中去除牙胶的效果。

研究设计

45 颗新鲜拔出的人单根恒牙,每颗牙有 1 个根管,使用 K 锉进行根管预备并用冷侧方加压法将牙胶和 AH 26® 根管封闭剂填充至根管内。这些牙齿被随机分为 3 组,每组 15 个样本。使用以下器械和技术去除牙胶:第 1 组(H 锉)、第 2 组(R-Endo®)和第 3 组(K3®)。为了评估颊舌向和近远中向剩余牙胶/封闭剂的面积,对样本进行了透明化处理。采用单因素方差分析和 Kruskal-Wallis 检验进行统计学分析(p=0.05)。

结果

本研究中使用的所有再治疗技术都在根管内留下了一些填充材料。颊舌向和近远中向的图像显示各组之间无显著差异(p>0.05)。

结论

在实验条件下,每组再治疗后的剩余填充物相似。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbac/3476094/f148b1522e6e/medoral-17-e506-g001.jpg

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