Navós Beatriz Vilas, Hoppe Carolina Bender, Mestieri Leticia Boldrin, Böttcher Daiana Elizabeth, Só Marcus Vinicius Reis, Grecca Fabiana Soares
Department of Endodontics, School of Dentistry, University of Republic, Montevideo, Uruguay.
Department of Conservative Dentistry, School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil.
J Conserv Dent. 2016 Sep-Oct;19(5):478-81. doi: 10.4103/0972-0707.190008.
One of the goals of endodontic therapy is the shaping and cleaning of the root canal system. In recent years, there has been multiple systems instrumentation, and changes in their dynamics are central to maintain the original shape of the canal after preparation.
The aim of this study was to evaluate centering and transportation in curved root canals after using ProTaper(®) and MTwo(®) in continuous rotation, Reciproc(®) in reciprocating motion, and a step-down manual instrumentation technique.
Mesiobuccal roots of human extracted the first and second maxillary molars were selected and the canals (n = 60) were divided into four groups according to the preparation techniques: PT-ProTaper(®); MT-MTwo(®); RE-Reciproc(®); MI-manual instrumentation.
The final apical diameter was standardized to a size 25. Centering and transportation were evaluated by cone-beam computed tomography and Adobe Photoshop 8.0 software.
The data were statistically analyzed by ANOVA and Tukey post hoc.
Results of transportation showed no statistical differences (P > 0.05) between groups, and significantly, difference (P < 0.05) between ProTaper(®) and Reciproc(®) was found when evaluating centering ability in the apical third.
We concluded that there were no differences in transportation between the evaluated systems for the preparation of curved root canals with an apical instrumentation diameter of #25. For centering ability, in the apical third, ProTaper(®) presented worst behavior when compared to Reciproc(®).
牙髓治疗的目标之一是根管系统的成形和清理。近年来,出现了多种根管预备系统,而其动力学变化对于预备后维持根管的原始形态至关重要。
本研究的目的是评估在连续旋转使用ProTaper(®)和MTwo(®)、往复运动使用Reciproc(®)以及逐步后退手动预备技术后,弯曲根管中的定心和根管偏移情况。
选取人类拔除的上颌第一和第二磨牙的近中颊根,将根管(n = 60)根据预备技术分为四组:PT-ProTaper(®);MT-MTwo(®);RE-Reciproc(®);MI-手动预备。
最终根尖直径标准化为25号。通过锥形束计算机断层扫描和Adobe Photoshop 8.0软件评估定心和根管偏移情况。
数据采用方差分析和Tukey事后检验进行统计学分析。
根管偏移结果显示各组间无统计学差异(P > 0.05),而在评估根尖三分之一处的定心能力时,ProTaper(®)和Reciproc(®)之间存在显著差异(P < 0.05)。
我们得出结论,对于根尖预备直径为#25的弯曲根管预备,所评估的系统在根管偏移方面无差异。在定心能力方面,在根尖三分之一处,与Reciproc(®)相比,ProTaper(®)表现最差。