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Waveone和ProTaper D系统在使用或不使用溶剂去除牙胶方面的有效性。

Efectiveness of the waveone and ProTaper D systems for removing gutta-percha with or without a solvent.

作者信息

Colombo Ana Pm, Fontana Carlos E, Godoy Aline, De Martin Alexandre S, Kato Augusto S, Rocha Daniel Gp, Pelegrine Rina A, Bueno Carlos Es

机构信息

Department of Endodontics, Dental Research Center, São Leopoldo Mandic University, Campinas, SP, Brazil.

出版信息

Acta Odontol Latinoam. 2016 Dec;29(3):262-267.

Abstract

Endodontic retreatment requires complete removal of the filling material and access to the apical foramen. The purpose of this study was to evaluate the effectiveness of the Wave One reciprocating system and compare it to the ProTaper D rotarysystem, with or without the use of a solvent, in removing filling material from root canals. The time required for each filling removal technique employed was also determined and compared. Forty extracted human mandibular premolars with a single, straight, flattened canal were prepared and filled. They were divided into four groups (n = 10): Group 1: ProTaper D Ni Ti rotary instruments; Group 2: ProTaper D Ni Tirotary instruments, with a solvent; Group 3: Wave One primary instrument; and Group 4: Wave One primary instrument, with a solvent. The teeth were then split along their long axis and photographed using an operating microscope with 5Xmagnification. The amount of remaining filling material was assessed with Image Tool software. The results were compared using the Kruskal Wallis test (p <0.05). There was no significant difference between groups regarding the amount of residual filling material (p > 0.05). Operative time was significantly longer in Group 3 than in groups 1, 2 and 4 (p <0.05). The Wave One system and the ProTaper D system were equally effective, with or without a solvent. The time required to remove the filling material from the canals was significantly longer in Group 3 than in the other groups.

摘要

根管再治疗需要完全去除充填材料并打通根尖孔。本研究的目的是评估Wave One往复式系统的有效性,并将其与ProTaper D旋转系统在使用或不使用溶剂的情况下从根管中去除充填材料的效果进行比较。同时还测定并比较了每种充填材料去除技术所需的时间。选取40颗拔除的具有单根、直且扁平根管的人下颌前磨牙进行预备和充填。将它们分为四组(n = 10):第1组:ProTaper D镍钛旋转器械;第2组:ProTaper D镍钛旋转器械,使用溶剂;第3组:Wave One初级器械;第4组:Wave One初级器械,使用溶剂。然后将牙齿沿其长轴劈开,使用5倍放大倍数的手术显微镜进行拍照。使用Image Tool软件评估剩余充填材料的量。使用Kruskal Wallis检验比较结果(p <0.05)。各组之间在剩余充填材料量方面无显著差异(p > 0.05)。第3组的操作时间明显长于第1、2和4组(p <0.05)。无论是否使用溶剂,Wave One系统和ProTaper D系统的效果相同。第3组从根管中去除充填材料所需的时间明显长于其他组。

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