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Vortex Blue、ProTaper Next和ProTaper Universal在弯曲根管中的根管容积变化及根管偏移情况

Root canal volume change and transportation by Vortex Blue, ProTaper Next, and ProTaper Universal in curved root canals.

作者信息

Park Hyun-Jin, Seo Min-Seock, Moon Young-Mi

机构信息

Private Practice, Gyeongju, Korea.

Department of Conservative Dentistry, Wonkwang University Daejeon Dental Hospital, Wonkwang University, Daejeon, Korea.

出版信息

Restor Dent Endod. 2017 Dec 24;43(1):e3. doi: 10.5395/rde.2018.43.e3. eCollection 2018 Feb.

Abstract

OBJECTIVES

The aim of this study was to compare root canal volume change and canal transportation by Vortex Blue (VB; Dentsply Tulsa Dental Specialties), ProTaper Next (PTN; Dentsply Maillefer), and ProTaper Universal (PTU; Dentsply Maillefer) nickel-titanium rotary files in curved root canals.

MATERIALS AND METHODS

Thirty canals with 20°-45° of curvature from extracted human molars were used. Root canal instrumentation was performed with VB, PTN, and PTU files up to #30.06, X3, and F3, respectively. Changes in root canal volume before and after the instrumentation, and the amount and direction of canal transportation at 1, 3, and 5 mm from the root apex were measured by using micro-computed tomography. Data of canal volume change were statistically analyzed using one-way analysis of variance and Tukey test, while data of amount and direction of transportation were analyzed using Kruskal-Wallis and Mann-Whitney test.

RESULTS

There were no significant differences among 3 groups in terms of canal volume change ( > 0.05). For the amount of transportation, PTN showed significantly less transportation than PTU at 3 mm level ( = 0.005). VB files showed no significant difference in canal transportation at all 3 levels with either PTN or PTU files. Also, VB files showed unique inward transportation tendency in the apical area.

CONCLUSIONS

Other than PTN produced less amount of transportation than PTU at 3 mm level, all 3 file systems showed similar level of canal volume change and transportation, and VB file system could prepare the curved canals without significant shaping errors.

摘要

目的

本研究旨在比较Vortex Blue(VB;登士柏 Tulsa 牙科专业产品公司)、ProTaper Next(PTN;登士柏 Maillefer)和ProTaper Universal(PTU;登士柏 Maillefer)镍钛旋转锉在弯曲根管中的根管容积变化和根管偏移情况。

材料与方法

使用从拔除的人类磨牙中获取的30条弯曲度为20°-45°的根管。分别使用VB、PTN和PTU锉进行根管预备,预备至#30.06、X3和F3。通过微计算机断层扫描测量根管预备前后的根管容积变化,以及根尖1、3和5 mm处的根管偏移量和偏移方向。根管容积变化数据采用单因素方差分析和Tukey检验进行统计学分析,而偏移量和偏移方向数据采用Kruskal-Wallis和Mann-Whitney检验进行分析。

结果

三组之间在根管容积变化方面无显著差异(P>0.05)。在偏移量方面,PTN在3 mm水平处的偏移量显著小于PTU(P=0.005)。VB锉与PTN或PTU锉在所有三个水平上的根管偏移均无显著差异。此外,VB锉在根尖区域显示出独特的向内偏移趋势。

结论

除了PTN在3 mm水平处的偏移量小于PTU外,所有三种锉系统在根管容积变化和偏移方面表现出相似水平,并且VB锉系统能够在不产生明显预备误差的情况下预备弯曲根管。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fdd/5816992/7d390d9fbe9b/rde-43-e3-g001.jpg

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