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蓝色热疗处理对再治疗过程中根管器械和根尖碎屑挤出的影响。

The effect of blue thermal treatment on endodontic instruments and apical debris extrusion during retreatment procedures.

机构信息

Department of Endodontics, Faculty of Dentistry, Kırıkkale University, Kırıkkale, Turkey.

Department of Endodontics, Faculty of Dentistry, Health Sciences University, İstanbul, Turkey.

出版信息

Int Endod J. 2019 Nov;52(11):1629-1634. doi: 10.1111/iej.13161. Epub 2019 Jun 24.

Abstract

AIM

To determine the effect of blue thermal treatment on Reciproc (VDW, Munich, Germany) endodontic instruments and the amount of apically extruded debris during retreatment procedures.

METHODOLOGY

Thirty extracted mandibular molar teeth having mesial roots with a degree of curvature less than 20° and having an initial apical size equivalent to a size 10 K-file were selected. The mesial roots of the teeth were removed from the cementoenamel junction to obtain a 15-mm root length. The mesiobuccal canals were prepared to size F2 using the ProTaper Universal system (Dentsply Sirona, Ballaigues, Switzerland), filled with gutta-percha and 2Seal (VDW) using the lateral compaction technique and then randomly divided into two groups (n = 15). The root fillings were removed with one of the following instruments using a crown-down preparation technique: M-Wire Reciproc or Reciproc Blue (both VDW). Apically extruded debris was collected in pre-weighed Eppendorf tubes. The Eppendorf tubes were then stored in an incubator at 70 °C for five days to evaporate the distilled water. The data were analysed using the Mann-Whitney U test (P = 0.05).

RESULTS

Reciproc Blue (1.42 ± 0.4491 mg) extruded significantly less debris apically than M-Wire Reciproc (2.56 ± 1.0232 mg) (P < 0.05).

CONCLUSIONS

Blue thermal treatment of Reciproc instruments was associated with less debris extrusion during retreatment procedures.

摘要

目的

确定蓝色热疗对 Reciproc(VDW,慕尼黑,德国)根管器械的影响以及在再治疗过程中根尖挤出物的量。

方法

选择 30 颗具有小于 20°弯曲度的近中根的下颌磨牙,其根尖初始尺寸相当于 10 K 锉。从牙釉质牙骨质交界处取出牙齿的近中根,获得 15mm 的根长。使用 ProTaper 通用系统(Dentsply Sirona,Ballaigues,瑞士)预备近中颊根管至 F2 尺寸,使用侧向压实技术用牙胶和 2Seal(VDW)填充,并随机分为两组(n=15)。使用以下器械之一使用冠向下预备技术去除根充物:M-Wire Reciproc 或 Reciproc Blue(均为 VDW)。将根尖挤出物收集在预先称重的 Eppendorf 管中。然后将 Eppendorf 管储存在 70°C 的孵育箱中五天,以蒸发蒸馏水。使用 Mann-Whitney U 检验(P=0.05)对数据进行分析。

结果

Reciproc Blue(1.42±0.4491mg)根尖挤出的碎屑明显少于 M-Wire Reciproc(2.56±1.0232mg)(P<0.05)。

结论

Reciproc 器械的蓝色热疗与再治疗过程中较少的碎屑挤出有关。

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