Sousa Kássio, Andrade-Junior Carlos Vieira, Silva Juliana Melo da, Duarte Marco Antonio Hungaro, De-Deus Gustavo, Silva Emmanuel João Nogueira Leal da
Private Practice, Jequié, BA, Brazil.
Estácio de Sá University, Rio de Janeiro, RJ, Brazil.
J Appl Oral Sci. 2015 Mar-Apr;23(2):164-8. doi: 10.1590/1678-775720130542.
The search for new instruments to promote an appropriate cervical preparation has led to the development of new rotary instruments such as TripleGates. However, to the best of the authors' knowledge, there is no study evaluating TripleGates effect on the "risk zone" of mandibular molars.
The aim of this study was to evaluate the effects of a crown-down sequence of Gates-Glidden and TripleGates burs on the remaining cervical dentin thickness and the total amount of dentin removed from the root canals during the instrumentation by using cone beam computed tomography. The number of separated instruments was also evaluated.
Mesial roots of 40 mandibular first molars were divided into 2 equal groups: crown-down sequence of Gates-Glidden (#3, #2, #1) and TripleGates burs. Cervical dentin thickness and canal area were measured before and after instrumentation by using cone beam computed tomography and image analysis software. Student's t-test was used to determine significant differences at p < 0.05.
No significant differences (p > 0.05) were observed between the instruments, regarding the root canal area and dentin wall thickness.
Both tested instruments used for cervical preparation were safe to be used in the mesial root canal of mandibular molars.
寻找促进适当宫颈预备的新器械促使了新的旋转器械的发展,如TripleGates。然而,据作者所知,尚无研究评估TripleGates对下颌磨牙“危险区”的影响。
本研究旨在使用锥形束计算机断层扫描评估Gates - Glidden和TripleGates钻针的冠向下顺序预备对根管预备过程中剩余颈段牙本质厚度以及从根管中去除的牙本质总量的影响。同时评估器械分离的数量。
将40颗下颌第一磨牙的近中根分为两组,每组20个:Gates - Glidden钻针(#3、#2、#1)的冠向下顺序预备组和TripleGates钻针预备组。使用锥形束计算机断层扫描和图像分析软件在预备前后测量颈段牙本质厚度和根管面积。采用学生t检验确定p < 0.05时的显著差异。
在根管面积和牙本质壁厚度方面,两种器械之间未观察到显著差异(p > 0.05)。
用于颈段预备的两种受试器械在下颌磨牙近中根管中使用是安全的。