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使用LightSpeed和Endowave旋转系统制备的根管表面的扫描电子显微镜评估

Scanning Electron Microscopic Evaluation of Root Canal Surfaces Prepared with LightSpeed & Endowave Rotary System.

作者信息

B S Hema, Chandu G S, Shiraguppi Vijayakumar L

机构信息

Reader, Department of Conservative Dentistry & Endodontics, Rishiraj College of Dental Sciences & Research Centre , Bhopa, Madhya Pradesh, India .

Professor, Department of Prosthodontics, Rishiraj College of Dental Sciences & Research Centre , Bhopal, Madhya Pradesh, India .

出版信息

J Clin Diagn Res. 2014 Dec;8(12):ZC35-8. doi: 10.7860/JCDR/2014/10034.5279. Epub 2014 Dec 5.

Abstract

BACKGROUND AND OBJECTIVES

The purpose of this in vitro study was to evaluate and compare the cleaning efficiency on root canal surfaces prepared with LightSpeed and Endowave rotary instruments.

MATERIALS AND METHODS

A total of 30 freshly extracted human mandibular premolars were subjected for the study. They were divided into two groups, each group consisting of 15 teeth. Group 1: The canals were prepared with LightSpeed system. Group 2: Endowave rotary system. All the groups were prepared according to manufacturer's recommendation, using 5.25% sodium hypochlorite and 17% EDTA (dent wash, prime dent) alternately as an irrigants. Crowns of each tooth were removed with diamond disks at the level of cement enamel junction. Canal length was determined by placing a size 10 K-file. The working length was 0.5 mm short of canal length. Two longitudinal grooves were prepared on the lingual and buccal surfaces of each root to facilitate vertical splitting with a chisel after canal instrumentation. The sections were then observed under SEM for presence or absence of debris and smear layer and the photographs were taken at coronal, middle and apical 1/3 with a magnification of 200 X and 1000X respectively. The scores recorded were statistically analysed using one-way-ANOVA and Mann- Whitney test.

RESULTS

There was statistically significant difference between two groups. All groups resulted in significantly more debris and smear layer in the apical 1/3 of the canal, compared to coronal and middle 1/3 (p, <0.01).

INTERPRETATION AND CONCLUSION

The study demonstrated that, LightSpeed instrumentation removed debris and smear layer more effectively on root canal surface than compared to Endowave instrument.

摘要

背景与目的

本体外研究的目的是评估和比较使用LightSpeed和Endowave旋转器械预备根管表面的清洁效率。

材料与方法

共选取30颗新鲜拔除的人下颌前磨牙用于本研究。将它们分为两组,每组15颗牙。第1组:使用LightSpeed系统预备根管。第2组:使用Endowave旋转系统。所有组均按照制造商的建议进行预备,交替使用5.25%次氯酸钠和17%乙二胺四乙酸(牙冲洗液、优典牙本质处理剂)作为冲洗剂。用金刚石圆盘在每颗牙齿的牙骨质釉质界水平去除牙冠。通过放置一根10号K锉确定根管长度。工作长度比根管长度短0.5 mm。在每颗牙根的舌面和颊面制备两条纵向凹槽,以便在根管预备后用凿子垂直劈开。然后在扫描电子显微镜下观察切片上有无碎屑和玷污层,并分别在冠方、中部和根尖1/3处拍摄放大倍数为200倍和1000倍的照片。使用单因素方差分析和曼-惠特尼检验对记录的分数进行统计学分析。

结果

两组之间存在统计学显著差异。与冠方和中部1/3相比,所有组在根管根尖1/3处均产生了明显更多的碎屑和玷污层(p<0.01)。

解读与结论

该研究表明,与Endowave器械相比,LightSpeed器械在根管表面去除碎屑和玷污层更有效。

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