Karataş Ertuğrul, Kol Elif, Bayrakdar İbrahim Şevki, Arslan Hakan
Department of Endodontics, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.
Department of Oral Diagnosis and Radiology, Faculty of Dentistry, Ataturk University, Erzurum, Turkey.
Aust Endod J. 2016 Apr;42(1):37-40. doi: 10.1111/aej.12126. Epub 2015 Sep 29.
The purpose of the present study was to assess the effect of solvents on root canal transportation in endodontic retreatment. Sixty extracted human permanent mandibular first molars with curved root canals were selected. All of the root canals were prepared using Twisted File Adaptive instruments (SybronEndo, Orange, CA, USA) and filled with gutta-percha and AH Plus sealer (Dentsply DeTrey, Konstanz, Germany) using the cold lateral compaction technique. The teeth were assigned to four retreatment groups as follows (n = 15): eucalyptol, chloroform, orange oil and control. The canals were scanned using cone-beam computed tomography scanning before and after instrumentation. The chloroform group showed a significantly higher mean transportation value than the orange oil and control groups at the 3 and 5 mm levels (P = 0.011 and P = 0.003, respectively). There was no significant difference among the orange oil, eucalyptol and control groups in terms of canal transportation (P > 0.61). The chloroform led to more canal transportation than the eucalyptol and orange oil during endodontic retreatment.
本研究的目的是评估溶剂对根管再治疗中根管偏移的影响。选取了60颗拔除的具有弯曲根管的人下颌第一恒磨牙。所有根管均使用Twisted File Adaptive器械(美国加利福尼亚州奥兰治市SybronEndo公司)进行预备,并采用冷侧方加压技术用牙胶尖和AH Plus封闭剂(德国康斯坦茨市登士柏德瑞公司)进行充填。将牙齿分为以下四个再治疗组(每组n = 15):桉叶油组、氯仿组、橙油组和对照组。在器械操作前后使用锥形束计算机断层扫描进行根管扫描。氯仿组在3 mm和5 mm水平处的平均偏移值显著高于橙油组和对照组(分别为P = 0.011和P = 0.003)。橙油组、桉叶油组和对照组在根管偏移方面无显著差异(P > 0.61)。在根管再治疗过程中,氯仿导致的根管偏移比桉叶油和橙油更多。