Çitak Mehmet, Özyürek Taha
Department of Endodontics, Faculty of Dentistry, Ordu University, Ordu, Turkey.
Department of Endodontics, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey.
J Dent Res Dent Clin Dent Prospects. 2017 Spring;11(2):90-95. doi: 10.15171/joddd.2017.017. Epub 2017 Jun 21.
The aim of this study was to compare the dentinal defects caused by Reciproc, TF Adaptive and ProTaper Next NiTi rotary file systems during the retreatment procedure. A total of 150 mandibular incisors with straight and single root canals were included in the present study. All the root canals were prepared up to an apical diameter 0.40 mm using stainless steel files. Thirty teeth were randomly stored as the negative control group. A total of 120 specimens were obturated with gutta-percha and AH Plus sealer using vertical compaction technique. Thirty specimens with root canal filling were randomly separated for the only-filled group. Then the teeth were randomly divided into 3 groups; Reciproc, TF Adaptive and ProTaper Next. The retreatment procedure was performed with these NiTi files. Then 150 specimens were cut perpendicular to tooth axis at 3-, 6-, and 9-mm distances from the apex, and examined to determine the presence of any cracks at ×25 under a stereomicroscope. Chi-squared test was used at 5% significance level. All the tested NiTi file systems were found to cause significantly more dentinal defects compared to unprepared and only-filled groups (P<0.05). No statistically significant differences were found between the groups in terms of dentinal defects (P>0.05). No correlation was found between the slice levels and the dentinal defect distribution (P>0.05). Within the limitations of present study, all the tested NiTi file systems were found to cause significantly more dentinal defects compared to unprepared and only-filled groups.
本研究的目的是比较Reciproc、TF Adaptive和ProTaper Next镍钛旋转锉系统在再治疗过程中引起的牙本质缺陷。本研究共纳入150颗下颌切牙,其根管笔直且为单根管。所有根管均使用不锈钢锉预备至根尖直径0.40 mm。随机选取30颗牙齿作为阴性对照组。总共120个标本采用垂直加压技术用牙胶和AH Plus封闭剂进行充填。随机选取30个根管已充填的标本作为仅充填组。然后将牙齿随机分为3组:Reciproc组、TF Adaptive组和ProTaper Next组。使用这些镍钛锉进行再治疗操作。然后将150个标本在距根尖3 mm、6 mm和9 mm处垂直于牙长轴切割,在体视显微镜下以×25的放大倍数检查是否存在任何裂纹。采用卡方检验,显著性水平为5%。结果发现,与未预备组和仅充填组相比,所有测试的镍钛锉系统均导致明显更多的牙本质缺陷(P<0.05)。在牙本质缺陷方面,各组之间未发现统计学上的显著差异(P>0.05)。切片水平与牙本质缺陷分布之间未发现相关性(P>0.05)。在本研究的局限性范围内,与未预备组和仅充填组相比,所有测试的镍钛锉系统均导致明显更多的牙本质缺陷。