Shenoi Pratima Ramakrishna, Luniya Disha Anand, Badole Gautam Pyarelal, Makade Chetana Sachin, Kubde Rajesh, Khode Rajiv Tarachand
Department of Conservative Dentistry and Endodontics, VSPM's Dental College and Research Centre, Nagpur, Maharashtra, India.
Indian J Dent Res. 2017 Mar-Apr;28(2):181-186. doi: 10.4103/ijdr.IJDR_34_16.
The aim of this study was to compare the canal transportation and canal centering ability in the preparation of curved root canals after instrumentation with V-Taper 2H, ProTaper Next (PN), and Hyflex CM files using cone-beam computed tomography (CBCT).
Thirty mesiobuccal canals of mandibular molars with an angle of curvature ranging from 20 to 40 were divided according to the instrument used in canal preparation into three groups of ten samples each: V-Taper 2H (Group 1), PN (Group 2), and Hyflex CM (Group 3). The teeth were instrumented according to manufacturer's guidelines up to 30 no. apical preparation. Canals were scanned using a CBCT scanner before and after preparation to evaluate the transportation and centering ratio at 3 mm, 6 mm, and 9 mm from the apex. The amount of transportation and centering ability was assessed. The three groups were statistically compared with analysis of variance and post hoc Tukey test.
All instruments maintained the original canal curvature with significant differences between the different files. Data suggested that V-Taper 2H files presented the best outcomes for both the variables evaluated. V-Taper 2H files caused lesser transportation and remained better centered in the canal than PN and Hyflex CM files. However, it was seen that PN caused less transportation in apical level than Hyflex CM.
The canal preparation with V-Taper 2H showed lesser transportation and better centering ability than PN and Hyflex CM.
本研究旨在使用锥形束计算机断层扫描(CBCT)比较在弯曲根管预备中使用V-Taper 2H、ProTaper Next(PN)和Hyflex CM锉进行根管预备后的根管偏移和根管居中能力。
选取30颗下颌磨牙近中颊根,弯曲角度在20°至40°之间,根据根管预备中使用的器械分为三组,每组10个样本:V-Taper 2H组(第1组)、PN组(第2组)和Hyflex CM组(第3组)。按照制造商的指导方针对牙齿进行预备,直至根尖预备到30号锉。在预备前后使用CBCT扫描仪对根管进行扫描,以评估距根尖3mm、6mm和9mm处的根管偏移和居中率。评估根管偏移量和居中能力。使用方差分析和事后Tukey检验对三组进行统计学比较。
所有器械均保持了原始根管弯曲度,不同锉之间存在显著差异。数据表明,V-Taper 2H锉在评估的两个变量上均呈现出最佳结果。与PN和Hyflex CM锉相比,V-Taper 2H锉导致的根管偏移更小,在根管中保持更好的居中状态。然而,可以看出,PN在根尖水平导致的根管偏移比Hyflex CM少。
与PN和Hyflex CM相比,使用V-Taper 2H进行根管预备显示出更小的根管偏移和更好的居中能力。