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[四种镍钛旋转器械在模拟弯曲根管预备中成形能力的评估]

[Evaluation of the shaping ability of four Ni-Ti rotary instruments in the preparation of simulated curved root canals].

作者信息

Duan Yan-yan, Hu Ning, Jiang Zhe, Xiao Xi-mei, Su Qin

机构信息

State Key Laboratory of Oral Diseases, Sichuan University, Chengdu 610041, Sichuan Province, China.

出版信息

Shanghai Kou Qiang Yi Xue. 2012 Jun;21(3):279-82.

Abstract

PURPOSE

To evaluate the effect of four Ni-Ti rotary instruments on the preparation of L-shaped resin root canals.

METHODS

40 L-shaped resin root canals (curvature=38.5°) were divided randomly into four groups: Hero642,Protaper, K3 and Mtwo. Resin root canals were prepared according to the protocols. Preparation time was recorded. Original and postoperative canal images were scanned and superimposed. The preparation effect was evaluated by computer software, such as resin removal amount in inner and outer wall of root canals, change of curvature degree and radius, etc. The data was analyzed with SPSS13.0 software package.

RESULTS

The preparing time of K3 was the longest. Mtwo was the shortest(P<0.05). Resin removal amount showed significant difference among the four instruments in inner root canal wall at BC, O and HO as well as in outer root canal wall at AC, HO and O. Protaper achieved the largest tapered canal,but was the worst for centering ability in the bend. Apical transportation increased near to apical foramen. The four Ni-Ti rotary instruments showed no significant difference regarding safety, undesirable shape, change of root canal's curvature degree and radius except two instrument fracture cases (K3 and Protaper) and two step cases(K3). Postoperative working length tended to be shorter,and root canals were straightened.

CONCLUSIONS

Mtwo prepares simulated resin curved root canals fast. Postoperative root canal's taper by Protaper is significantly larger than Hero642. The 4 Ni-Ti rotary instruments perform good cutting ability and keep root canal's original curvature well.

摘要

目的

评估四种镍钛旋转器械对L形树脂根管预备的效果。

方法

将40个L形树脂根管(弯曲度=38.5°)随机分为四组:Hero642、Protaper、K3和Mtwo。按照操作规范对树脂根管进行预备。记录预备时间。扫描并叠加根管原始图像和术后图像。通过计算机软件评估预备效果,如根管内外壁的树脂去除量、弯曲度和半径的变化等。使用SPSS13.0软件包对数据进行分析。

结果

K3的预备时间最长,Mtwo最短(P<0.05)。在BC、O和HO处的根管内壁以及AC、HO和O处的根管外壁,四种器械的树脂去除量存在显著差异。Protaper获得的根管锥度最大,但在弯曲处的定心能力最差。根尖偏移在根尖孔附近增加。除了两例器械折断情况(K3和Protaper)和两例台阶情况(K3)外,四种镍钛旋转器械在安全性、不良形状、根管弯曲度和半径变化方面无显著差异。术后工作长度趋于缩短,根管变直。

结论

Mtwo能快速预备模拟树脂弯曲根管。Protaper术后根管锥度明显大于Hero642。四种镍钛旋转器械具有良好的切割能力,能较好地保持根管的原始弯曲度。

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