Uzun Ozgur, Topuz Ozgur, Yalpi Fatma, Unsal Feyza, Aydin Cumhur, Bodrumlu Emre
Department of Endodontics, Faculty of Dentistry, Gazi University, Ankara, Turkiye.
Department of Endodontics, Center for Dental Sciences, Gulhane Military Medical Academy, Ankara, Turkiye.
Eur J Dent. 2013 Oct;7(4):395-398. doi: 10.4103/1305-7456.120641.
We aimed here to evaluate the enlargement characteristics of two nickel-titanium rotary instrument systems that use two different preparation techniques, in simulated root canals under "operator-related variables" standardized conditions.
A total of 40 simulated canals in resin blocks were divided into two groups as the Mtwo group for use with a single-length technique and the ProTaper instrument system group for use with crown down technique. To standardize the operator-related variables, all preparations were carried out with a computer controlled device that was developed and used previously as described in a published study. The pre- and post-operative digital images of the canals were superimposed and measured at 11 levels from the apical tip. The distances between the pre- and post-operative outer lines of the root canals were measured at both the inner and outer sides of the curve. The amount of removed material and the symmetry of the preparations were evaluated. Statistical analyses were performed with Mann-Whitney test.
Significantly more material was removed by Mtwo at 9 levels and by ProTaper at 2 levels (P < 0.05) while no significant difference was determined at 11 levels. The preparations made with ProTaper were more symmetrical at 4 levels while no significant difference was determined at 7 levels.
Mtwo removed significantly more material than ProTaper at different levels of the curved root canals. Mtwo and ProTaper made symmetrical preparations and maintained the original shape of the root canal at different levels under controlled operator-related variables.
我们旨在评估在“与操作者相关的变量”标准化条件下,两种采用不同预备技术的镍钛旋转器械系统在模拟根管中的扩大特征。
树脂块中的40个模拟根管被分为两组,一组为采用单一长度技术的Mtwo组,另一组为采用冠向下技术的ProTaper器械系统组。为了标准化与操作者相关的变量,所有预备操作均使用先前开发并在一项已发表研究中描述的计算机控制装置进行。术前和术后的根管数字图像进行叠加,并从根尖开始在11个水平进行测量。在曲线的内侧和外侧测量根管术前和术后外线之间的距离。评估去除材料的量和预备的对称性。采用曼-惠特尼检验进行统计分析。
Mtwo在9个水平去除的材料明显更多,ProTaper在2个水平去除的材料明显更多(P < 0.05),而在11个水平未发现显著差异。ProTaper在4个水平的预备更对称,在7个水平未发现显著差异。
在弯曲根管的不同水平,Mtwo去除的材料比ProTaper明显更多。在与操作者相关的变量得到控制的情况下,Mtwo和ProTaper进行了对称的预备,并在不同水平保持了根管的原始形状。