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使用锥形束计算机断层扫描评估Two-shape和ProTaper Gold锉的根管塑形能力

Shaping Ability of Two-shape and ProTaper Gold Files by using Cone-beam Computed Tomography.

作者信息

Singh Shalini, Gupta Tarun, Pandey Vinisha, Singhania Harshit, Pandey Pooja, Gangavane Shweta

机构信息

Vyas Dental College and Hospital, Jodhpur, Rajasthan, India, Phone: 9501544877, e-mail:

Vyas Dental College and Hospital, Jodhpur, Rajasthan, India.

出版信息

J Contemp Dent Pract. 2019 Mar 1;20(3):330-334.

Abstract

AIM

T-Wire and rotating motion of two-shape (2S), M-wire and rotating motion of ProTaper Gold (PG) are the recent innovations of Nickle Titanium (NiTi) rotary file system by means of thermal treatment. Therefore, a study was planned to assess the shaping ability of 2 Shape and ProTaper Gold using cone beam computed tomography (CBCT) Materials and methods: Thirty freshly extracted mandibular first molars were selected, and Pre-instrumentation CBCT imaging was performed to attain mesial and distal dentin wall measurements followed by chemo-mechanical preparation using the following NiTi files: 2S and ProTaper Gold. Post instrumentation CBCT imaging was performed for evaluation of the volume of removed dentin, apical transportation, and centering ratio. Statistical analysis was confirmed by a suitable analysis test with significance set at 0.05r.

RESULTS

In terms of the total volume of removed dentin, apical transportation, and centering ratio there was a significant difference noted between the tow-shape and ProTaper Gold. 2Shape performed better in all aspects compared to ProTaper Gold.

CONCLUSION

Two-shape (2S) maintained better original canal anatomy and volume of removed dentin was also less during chemo-mechanical preparation when compared to ProTaper Gold.

CLINICAL SIGNIFICANCE

Two-shape (2S) system when used clinically in patients may perform better and produce less canal transportation and canal preparation will be more centered as compared to the ProTaper Gold system.

摘要

目的

T型锉以及双形状(2S)旋转运动锉、M型锉以及ProTaper Gold(PG)旋转运动锉是镍钛(NiTi)旋转锉系统通过热处理实现的最新创新。因此,计划开展一项研究,使用锥形束计算机断层扫描(CBCT)评估2S锉和ProTaper Gold锉的根管预备能力。材料与方法:选取30颗新鲜拔除的下颌第一磨牙,进行根管预备前CBCT成像,以获取近中及远中牙本质壁测量数据,随后使用以下镍钛锉进行化学机械预备:2S锉和ProTaper Gold锉。根管预备后进行CBCT成像,以评估牙本质去除量、根尖偏移及就位率。通过合适的分析检验进行统计分析,显著性设定为0.05。

结果

在牙本质去除总量、根尖偏移及就位率方面,双形状锉和ProTaper Gold锉之间存在显著差异。与ProTaper Gold锉相比,2S锉在各方面表现更佳。

结论

与ProTaper Gold锉相比,双形状(2S)锉在化学机械预备过程中能更好地保持根管原有解剖形态,牙本质去除量也更少。

临床意义

在临床应用中,与ProTaper Gold系统相比,双形状(2S)系统可能表现更佳,产生的根管偏移更少,根管预备更居中。

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