Singbal Kiran, Jain Disha, Raja Kranthi, Hoe Tan Ming
Department of Conservative Dentistry, Mahsa University, Selangor, Malaysia.
Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College, Sumandeep Vidyapeeth, Vadodara, Gujarat, India.
J Conserv Dent. 2017 Mar-Apr;20(2):64-67. doi: 10.4103/0972-0707.212236.
Apical extrusion of debris during instrumentation is detrimental to the patient.
The aim of this study was to evaluate the apical extrusion of debris during root canal instrumentation using two single file rotary Ni-Ti systems.
Thirty freshly extracted mandibular premolars with straight roots were sterilized and divided into two groups instrumented using: One Shape rotary Ni-Ti system with Endoflare orifice shaper (Group 1) and Neo-Niti rotary Ni-Ti system with C1 orifice shaper (Group 2). Preweighed Eppendorf tubes fitted for each tooth before instrumentation. During instrumentation, 1 mL of distilled water with a 30-gauge needle was used to irrigate after every instrument. Tips of the tooth were irrigated with 2 ml distilled water after removal from Eppendorf tubes. The total volume of irrigant in each group was the same 8 ml. All tubes were incubated at 68°C for 15 days and subsequently weighed. The difference between pre- and post-debris weights was calculated, and statistical analysis was performed using independent -test and level of significance was set at 0.05.
The difference between pre- and post-weights was significantly greater for the One Shape system.
The Neolix Niti single file was associated with less extrusion compared to One Shape single file system.
根管预备过程中碎屑的根尖挤出对患者有害。
本研究的目的是评估使用两种单根旋转镍钛系统进行根管预备时碎屑的根尖挤出情况。
选取30颗新鲜拔除的直根下颌前磨牙,进行消毒后分为两组,分别使用:带有Endoflare开口成形器的One Shape旋转镍钛系统(第1组)和带有C1开口成形器的Neo-Niti旋转镍钛系统(第2组)进行预备。在预备前为每颗牙齿配备预先称重的微量离心管。预备过程中,每使用一根器械后,用1毫升带有30号针头的蒸馏水进行冲洗。从微量离心管中取出牙齿后,用2毫升蒸馏水冲洗牙根尖端。每组冲洗液的总体积均为8毫升。所有试管在68°C下孵育15天,随后称重。计算碎屑重量前后的差值,并使用独立样本t检验进行统计分析,显著性水平设定为0.05。
One Shape系统的重量前后差值显著更大。
与One Shape单根系统相比,Neolix Niti单根系统的碎屑挤出较少。