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Reciproc 蓝在去除根管内充填材料和恢复根尖通畅性方面的有效性。

Effectiveness of Reciproc Blue in removing canal filling material and regaining apical patency.

机构信息

Department of Endodontics, Fluminense Federal University, Niterói, Brazil.

Department of Endodontics, Grande Rio University, Duque de Caxias, Rio de Janeiro, Brazil.

出版信息

Int Endod J. 2019 Feb;52(2):250-257. doi: 10.1111/iej.12991. Epub 2018 Sep 8.

DOI:10.1111/iej.12991
PMID:30091141
Abstract

AIM

To compare the efficiency of M-Wire Reciproc and Reciproc Blue instruments in the removal of root filling material and in their ability to regain apical patency through micro-computed tomographic (micro-CT) analysis.

METHODOLOGY

Ten anatomically matched pairs of teeth, with a single oval-shaped straight canal, were selected and scanned in a micro-CT device. The root canals were prepared with M-Wire Reciproc R25 instruments and filled with gutta-percha and AH Plus sealer. The root canals were then randomly allocated into two groups (n = 10), according to the instrument used: M-Wire Reciproc and Reciproc Blue. The canals were retreated up to instrument sizes 25 and then 40 in both groups. The surface area and volume of residual filling material were assessed using micro-CT imaging after the retreatment procedures. The time required to remove the root fillings was recorded. Data were analysed statistically using t-test with a significance level of 5%.

RESULTS

No significant difference (P > 0.05) was observed between the instruments in terms of the volume of residual root filling material. Apical enlargement from size 25 to 40 significantly improved the removal of filling materials (P < 0.05). It was possible to regain apical patency in all specimens from both M-Wire Reciproc and Reciproc Blue groups. No difference was observed in the time required to perform the retreatment between the instruments.

CONCLUSIONS

Both M-Wire Reciproc and Reciproc Blue instruments were effective in removing filling materials from oval-shaped straight canals. Apical patency was reestablished in all specimens.

摘要

目的

通过微计算机断层扫描(micro-CT)分析比较 M-Wire Reciproc 和 Reciproc Blue 器械在清除根管充填材料方面的效率及其恢复根尖通畅的能力。

方法

选择 10 对具有单一椭圆形直根管的解剖匹配牙齿,并在 micro-CT 设备中进行扫描。使用 M-Wire Reciproc R25 器械预备根管并用牙胶和 AH Plus 密封剂填充。然后根据使用的器械将根管随机分为两组(n=10):M-Wire Reciproc 和 Reciproc Blue。两组均用 25 号和 40 号器械进行再处理。在再处理程序后使用 micro-CT 成像评估残留充填材料的表面积和体积。记录去除根充材料所需的时间。使用 t 检验对数据进行统计学分析,显著性水平为 5%。

结果

两种器械在残留根管充填材料的体积方面无显著差异(P>0.05)。从 25 号到 40 号的根尖扩大显著改善了充填材料的去除效果(P<0.05)。从 M-Wire Reciproc 和 Reciproc Blue 组的所有标本中都可以恢复根尖通畅。两种器械在再处理所需时间方面无差异。

结论

M-Wire Reciproc 和 Reciproc Blue 器械均可有效清除椭圆形直根管中的充填材料。所有标本均恢复根尖通畅。

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