Park Hyun-Jin, Seo Min-Seock, Moon Young-Mi
Private Practice, Gyeongju, Korea.
Department of Conservative Dentistry, Wonkwang University Daejeon Dental Hospital, Wonkwang University, Daejeon, Korea.
Restor Dent Endod. 2017 Dec 24;43(1):e3. doi: 10.5395/rde.2018.43.e3. eCollection 2018 Feb.
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.
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.
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.
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.
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。
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。
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。
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。