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自调式锉（SAF）系统：基于证据的更新

The self-adjusting file (SAF) system: An evidence-based update.

作者信息

Metzger Zvi

机构信息

Department of Endodontology, School of Dental Medicine, Tel Aviv University, Tel Aviv, Israel.

出版信息

J Conserv Dent. 2014 Sep;17(5):401-19. doi: 10.4103/0972-0707.139820.

DOI:10.4103/0972-0707.139820
PMID:25298639
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4174698/
Abstract

Current rotary file systems are effective tools. Nevertheless, they have two main shortcomings: They are unable to effectively clean and shape oval canals and depend too much on the irrigant to do the cleaning, which is an unrealistic illusionThey may jeopardize the long-term survival of the tooth via unnecessary, excessive removal of sound dentin and creation of micro-cracks in the remaining root dentin. The new Self-adjusting File (SAF) technology uses a hollow, compressible NiTi file, with no central metal core, through which a continuous flow of irrigant is provided throughout the procedure. The SAF technology allows for effective cleaning of all root canals including oval canals, thus allowing for the effective disinfection and obturation of all canal morphologies. This technology uses a new concept of cleaning and shaping in which a uniform layer of dentin is removed from around the entire perimeter of the root canal, thus avoiding unnecessary excessive removal of sound dentin. Furthermore, the mode of action used by this file system does not apply the machining of all root canals to a circular bore, as do all other rotary file systems, and does not cause micro-cracks in the remaining root dentin. The new SAF technology allows for a new concept in cleaning and shaping root canals: Minimally Invasive 3D Endodontics.

摘要

当前的旋转锉系统是有效的工具。然而，它们有两个主要缺点：它们无法有效清洁和塑形椭圆形根管，并且过度依赖冲洗液进行清洁，这是一种不切实际的幻想。它们可能通过不必要地过度去除健康牙本质并在剩余的牙根牙本质中产生微裂纹，从而危及牙齿的长期存活。新型自调式锉（SAF）技术使用一种空心、可压缩的镍钛锉，没有中心金属芯，在整个操作过程中通过它提供连续的冲洗液流。SAF技术能够有效清洁包括椭圆形根管在内的所有根管，从而实现对所有根管形态的有效消毒和充填。该技术采用了一种新的清洁和塑形概念，即从根管的整个周边去除均匀的一层牙本质，从而避免不必要地过度去除健康牙本质。此外，该锉系统的作用方式不像所有其他旋转锉系统那样将所有根管加工成圆形孔，并且不会在剩余的牙根牙本质中产生微裂纹。新型SAF技术为根管的清洁和塑形带来了一个新概念：微创三维牙髓病学。

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J Endod. 2014 Mar;40(3):451-4. doi: 10.1016/j.joen.2013.10.019. Epub 2013 Nov 9.
3
Stress generation during self-adjusting file movement: minimally invasive instrumentation.
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Restor Dent Endod. 2023 Oct 23;48(4):e36. doi: 10.5395/rde.2023.48.e36. eCollection 2023 Nov.
4
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