Department of Periodontology and Operative Dentistry, University of Münster, Münster, Germany.
, Münster, Germany.
Odontology. 2020 Apr;108(2):174-179. doi: 10.1007/s10266-019-00450-6. Epub 2019 Aug 24.
The aim was to compare the shaping ability of different rotary nickel-titanium instruments in simulated S-shaped canals. One hundred S-shaped canals in resin blocks were prepared to an apical size 25 using F6 SkyTaper (Komet), Silk Files .04, Silk Files .06, Prototypes .04, and Prototypes .06 (all Mani) (20 canals/group). Material removal was measured at 20 measuring points, beginning 1 mm from the endpoint of preparation. Incidence of canal aberrations, preparation time, and instrument failures were also recorded. Statistical analyses were performed using ANOVA, Student-Newman-Keuls and Chi-square test. Pooled data of all measuring points revealed that canals instrumented with Prototypes .04 were significantly better centered than those prepared with all other instruments, while Prototypes .06 and both Silk Files performed significantly better than F6 SkyTaper (p < 0.05). The preparation time differed significantly between all groups and Prototypes .04 allowed the fastest preparation (p < 0.05). There was no statistically significant association between type of instrument and incidence of aberrations (p > 0.05). The cross-sectional design had a marked impact on the shaping ability of the instruments, and less tapered instruments maintained the original canal curvature better than instruments having greater tapers.
目的是比较不同的镍钛旋转器械在模拟 S 形根管中的成形能力。将 100 个 S 形根管制备到树脂块的根尖尺寸 25,使用 F6 SkyTaper(Komet)、Silk Files.04、Silk Files.06、Prototypes.04 和 Prototypes.06(均为 Mani)(每组 20 个根管)。在距制备终点 1mm 处的 20 个测量点测量材料去除量。还记录了根管偏移的发生率、准备时间和器械折断情况。使用方差分析、Student-Newman-Keuls 和卡方检验进行统计分析。所有测量点的汇总数据显示,与使用所有其他器械制备的根管相比,使用 Prototypes.04 器械制备的根管明显更居中,而 Prototypes.06 和 Silk Files 两者的性能均优于 F6 SkyTaper(p<0.05)。所有组之间的准备时间差异均有统计学意义,Prototypes.04 允许最快的准备(p<0.05)。器械类型与偏差发生率之间无统计学显著关联(p>0.05)。横截面设计对器械的成形能力有显著影响,锥度较小的器械比锥度较大的器械更好地保持原始根管的曲率。