Arslan Hakan, Karataş Ertuğrul, Capar Ismail Davut, Ozsu Damla, Doğanay Ezgi
Department of Endodontics, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.
Department of Endodontics, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.
J Endod. 2014 Oct;40(10):1681-3. doi: 10.1016/j.joen.2014.06.004. Epub 2014 Aug 12.
The aim of the present study was to evaluate crack formation after flaring root canals with Gates Glidden drills and ProTaper Universal (SX; Dentsply Maillefer, Ballaigues, Switzerland), Endoflare (MicroMega, Besançon, France), Revo-S (MicroMega), and HyFlex (Coltene-Whaledent, Allstetten, Switzerland) flaring instruments.
One-hundred eight mandibular molars were selected. Eighteen teeth were left unprepared to serve as negative controls; the experimental groups consisted of the mesiobuccal and mesiolingual root canals of the remaining 90 teeth, which were instrumented with the following coronal flaring instruments: Gates Glidden drills and ProTaper Universal SX, Endoflare, Revo-S SC1, and HyFlex 25.08 instruments. All roots were then sectioned perpendicular to the long axis at 1, 2, 3, 4, 6, and 8 mm from the cementoenamel junction. The sections were inspected under a stereomicroscope, and any crack formations were recorded. The data were analyzed using the chi-square test (P = .05).
The Gates Glidden drills resulted in a higher rate of crack formation than that noted in the control group (P < .05). Flaring of the root canals using the ProTaper Universal, Endoflare, Revo-S, and HyFlex instruments resulted in crack formation similar to that of the control group (P > .05).
The use of the Gates Glidden drills resulted in the formation of the most cracks. However, the results for the ProTaper Universal, Endoflare, Revo-S, and HyFlex flaring instruments were similar to those of the control group in terms of crack formation.
本研究的目的是评估使用盖茨-格利登钻、ProTaper Universal(SX;登士柏美福,瑞士巴拉格)、Endoflare(MicroMega,法国贝桑松)、Revo-S(MicroMega)和HyFlex(科尔特恩-惠尔登特,瑞士阿尔斯泰滕)根管扩孔钻进行根管扩孔后牙本质裂纹的形成情况。
选取108颗下颌磨牙。18颗牙齿未作处理作为阴性对照;实验组由其余90颗牙齿的近中颊根和近中舌根组成,使用以下冠部扩孔钻进行预备:盖茨-格利登钻、ProTaper Universal SX、Endoflare、Revo-S SC1和HyFlex 25.08钻。然后将所有牙根在距牙骨质-釉质界1、2、3、4、6和8mm处垂直于牙根长轴进行切片。在体视显微镜下检查切片,并记录任何裂纹形成情况。使用卡方检验分析数据(P = 0.05)。
盖茨-格利登钻导致裂纹形成率高于对照组(P < 0.05)。使用ProTaper Universal、Endoflare、Revo-S和HyFlex钻进行根管扩孔导致的裂纹形成情况与对照组相似(P > 0.05)。
使用盖茨-格利登钻导致形成的裂纹最多。然而,就裂纹形成而言,ProTaper Universal、Endoflare、Revo-S和HyFlex根管扩孔钻的结果与对照组相似。