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“根管预备后牙本质微裂纹”:手动、旋转和往复式器械的比较评估

"Dentinal microcracks after root canal preparation" a comparative evaluation with hand, rotary and reciprocating instrumentation.

作者信息

Priya N Tulasi, Chandrasekhar Veeramachaneni, Anita S, Tummala Muralidhar, Raj T B Phanindhar, Badami Vijetha, Kumar Pradeep, Soujanya E

机构信息

Post Graduate Student, Department of Conservative Dentistry and Endodontics, Mamata Dental College , Khammam, Telangana, India .

Professor & HOD, Department of Conservative Dentistry and Endodontics, Mamata Dental College , Khammam, Telangana, India .

出版信息

J Clin Diagn Res. 2014 Dec;8(12):ZC70-2. doi: 10.7860/JCDR/2014/11437.5349. Epub 2014 Dec 5.

Abstract

INTRODUCTION

The purpose of this study was to compare the incidence of dentinal micro cracks after instrumentation with various types of NiTi files in rotary and reciprocating motion.

MATERIALS AND METHODS

One hundred human extracted mandibular central incisors were taken and divided into 10 groups (n=10 teeth per group). Group 1- No preparation, Group 2 - Hand instrumentation, Groups 3,4 - ProTaper files in rotary and reciprocating motion, Groups 5,6 - ProTaper Next files in rotary and reciprocating motion, Groups 7,8 - Oneshape files in rotary and reciprocating motion, Groups 9,10 - Reciproc files in rotary and reciprocating motion. Specimens were sectioned horizontally at 3,6 and 9 mm from the apex and dentinal micro cracks were observed under a stereomicroscope.

RESULTS

There was a statistically significant difference between the groups (p<0.05). There were no significant differences in crack formation between the groups (Protaper Next - Rot, Protaper Next - Rec, Reciproc - Rec); (ProTaper - Rot, ProTaper - Rec, Oneshape - Rot), (Oneshape - Rot, Reciproc - Rot), (One shape Reciproc, Reciproc - Rec); (p >.05).

CONCLUSION

Least cracks were seen in canals instrumented with Pro Taper Next files both in rotary and reciprocating motion. Full sequence rotary systems showed less cracks than single file systems and full sequence rotary systems showed less cracks in reciprocating motion than in rotary motion.

摘要

引言

本研究的目的是比较使用各种类型的镍钛锉进行旋转和往复运动预备后牙本质微裂纹的发生率。

材料与方法

选取100颗拔除的人下颌中切牙,分为10组(每组n = 10颗牙)。第1组 - 未预备,第2组 - 手动预备,第3、4组 - 使用ProTaper锉进行旋转和往复运动预备,第5、6组 - 使用ProTaper Next锉进行旋转和往复运动预备,第7、8组 - 使用OneShape锉进行旋转和往复运动预备,第9、10组 - 使用Reciproc锉进行旋转和往复运动预备。将标本从根尖水平切成3mm、6mm和9mm厚的切片,并在体视显微镜下观察牙本质微裂纹。

结果

各组之间存在统计学显著差异(p < 0.05)。在裂纹形成方面,(ProTaper Next - 旋转,ProTaper Next - 往复,Reciproc - 往复);(ProTaper - 旋转,ProTaper - 往复,OneShape - 旋转);(OneShape - 旋转,Reciproc - 旋转);(One shape - 往复,Reciproc - 往复)各组之间无显著差异(p > 0.05)。

结论

无论是旋转还是往复运动,使用Pro Taper Next锉预备的根管中可见的裂纹最少。全序列旋转系统显示的裂纹比单锉系统少,并且全序列旋转系统在往复运动中显示的裂纹比旋转运动中少。

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