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往复式单根管器械与传统旋转器械系统的清洁效果

Cleaning Effectiveness of a Reciprocating Single-file and a Conventional Rotary Instrumentation System.

作者信息

de Carvalho Fredson Marcio Acris, Gonçalves Leonardo Cantanhede de Oliveira, Marques André Augusto Franco, Alves Vanessa, Bueno Carlos Eduardo da Silveira, De Martin Alexandre Sigrist

机构信息

Department of Endodontics, Centre for Dental Research São Leopoldo Mandic, Campinas, Brazil.

Department of Endodontics, University of Amazonas State, Manaus, Brazil.

出版信息

Open Dent J. 2016 Dec 26;10:704-713. doi: 10.2174/1874210601610010704. eCollection 2016.

Abstract

OBJECTIVE

To compare cleaning effectiveness by histological analysis of a reciprocating single-file system with ProTaper rotary instruments during the preparation of curved root canals in extracted teeth.

METHODS

A total of 40 root canals with curvatures ranging between 20 - 40 degrees were divided into two groups of 20 canals. Canals were prepared to the following apical sizes: Reciproc size 25 (n=20); ProTaper: F2 (n=20). The normal distribution of data was tested by the Kolmogorov-Smirnov test and the values obtained for the test (Mann-Whitney U test, < .05) were statistically analyzed using the GraphPad InStat for the Mac OS software (GraphPad Software, La Jolla, CA, USA).

RESULTS

There were no significant differences in remaining debris (P > .05) between the two groups.

CONCLUSION

The application of reciprocating motion during instrumentation did not result in increased debris when compared with continuous rotation motion, even in the apical part of curved canals. Both instruments resulted in debris in the canal lumen, irrespective of the movement kinematics applied.

摘要

目的

通过组织学分析比较往复式单根管器械与ProTaper旋转器械在离体牙弯曲根管预备过程中的清洁效果。

方法

将40个弯曲度在20 - 40度之间的根管分为两组,每组20个根管。根管预备至以下根尖尺寸:Reciproc 25号(n = 20);ProTaper:F2号(n = 20)。数据的正态分布通过Kolmogorov-Smirnov检验进行测试,使用适用于Mac OS的GraphPad InStat软件(GraphPad软件公司,美国加利福尼亚州拉霍亚)对测试所得值(Mann-Whitney U检验,P <.05)进行统计分析。

结果

两组之间的残留碎屑无显著差异(P >.05)。

结论

与连续旋转运动相比,即使在弯曲根管的根尖部分,器械操作过程中应用往复运动也不会导致碎屑增加。无论应用何种运动方式,两种器械都会在根管管腔内产生碎屑。

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