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使用往复运动的两种镍钛旋转根管器械的微计算机断层扫描和扫描电子显微镜比较

Micro-computed tomography and scanning electron microscopy comparisons of two nickel-titanium rotary root canal instruments used with reciprocating motion.

作者信息

Kim Hee-Chul, Hwang You-Jeong, Jung Da-Woon, You Sung-Yeop, Kim Hyeon-Cheol, Lee WooCheol

机构信息

Department of Dentistry, College of Medicine, Korea University, Seoul, Korea.

出版信息

Scanning. 2013 Mar-Apr;35(2):112-8. doi: 10.1002/sca.21039. Epub 2012 Jul 25.

DOI:10.1002/sca.21039
PMID:22833465
Abstract

The single-file root canal instrumentation technique using reciprocating motion has been gaining concern. Therefore, the purpose of this study was to compare the shaping ability of single ProTaper F2 file and WaveOne Primary file when they were used in the curved root canal with reciprocation motion and to investigate the durability of the file after use with a scanning electron microscopy (SEM). Changes in structure model index (SMI), root canal volume, curvature, surface area, and degree of transportation were measured from the cross-sectional images of the prepared canals using the micro-CT system with an isotropic resolution of 16 μm. Results showed that there were no differences in the changes of root canal volume, surface area, and SMI between the two file groups after the preparation (p > 0.05). The ProTaper group showed a curvature straightening value of 25.45 ± 12.51%, while the WaveOne group showed 27.30 ± 10.91%, and there was no statistically significant difference (p > 0.05). The transportation values between the two groups showed no significant differences (p > 0.05). SEM revealed that 60% of ProTaper files showed initiation of microcracks on the surface while those were detected on the only one WaveOne file. The single-file technique using either WaveOne Primary or ProTaper F2 can be safely used under each reciprocating motion without creating an increased apical transportation in curved canals. However, the metallurgic property resists cyclic fatigue was more favorable with WaveOne under the scanning evaluation.

摘要

使用往复运动的单根管器械预备技术已受到关注。因此,本研究的目的是比较单根ProTaper F2锉和WaveOne Primary锉在弯曲根管中采用往复运动时的根管预备能力,并使用扫描电子显微镜(SEM)研究使用后锉的耐久性。使用各向同性分辨率为16μm的微型CT系统,从预备后根管的横截面图像测量结构模型指数(SMI)、根管容积、弯曲度、表面积和偏移程度的变化。结果显示,预备后两组根管容积、表面积和SMI的变化无差异(p>0.05)。ProTaper组的弯曲度矫正值为25.45±12.51%,而WaveOne组为27.30±10.91%,无统计学显著差异(p>0.05)。两组间的偏移值无显著差异(p>0.05)。SEM显示,60%的ProTaper锉表面出现微裂纹起始,而WaveOne锉仅在一根上检测到微裂纹。在弯曲根管中,采用往复运动时,使用WaveOne Primary或ProTaper F2的单根管技术均可安全使用,且不会增加根尖偏移。然而,在扫描评估下,WaveOne在抵抗循环疲劳的冶金性能方面更具优势。

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