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一种根管弯曲度成形能力的旋转和往复式单丝系统的微 CT 评估。

A micro-CT evaluation of the performance of rotary and reciprocating single-file systems in shaping ability of curved root canals.

机构信息

Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto , Department of Restorative Dentistry , Ribeirão Preto , SP , Brazil .

Universidade de Ribeirão Preto - UNAERP, Faculty of Dentistry , Ribeirão Preto , SP , Brazil .

出版信息

Braz Oral Res. 2020 Apr 30;34:e039. doi: 10.1590/1807-3107bor-2020.vol34.0039. eCollection 2020.

Abstract

To compare the shaping ability of different single-file systems in the preparation of mesial curved canals of mandibular molars using micro-CT technology. Fifteen mesial roots of mandibular molars with two independent and curved canals (n = 30) were selected, scanned at a resolution of 26.7 μm anatomically matched, and distributed into three groups (n = 10), according to the preparation system: WaveOne 25.08, Reciproc 25.08, and OneShape 25.06. A final micro-CT scanning was performed, data sets were registered with their respective counterparts, and compared regarding the three-dimensional (volume, surface area, and structure model index - SMI) and two-dimensional (perimeter, area, roundness, major and minor diameters) parameters, as well as, canal transportation, using ANOVA and post hoc Tukey tests (α = 5%). Overall, no difference was observed between groups regarding area, perimeter, volume, surface area, and canal transportation (p > 0.05). Within group, no canal transportation was significantly higherobserved in the apical third (0.10 ± 0.05 mm) compared to coronal (0.08±0.040 mm) and middle (0.07 ± 0.03 mm) thirds (p < 0.05). Structure model index (SMI) was statistically higher after preparation with OneShape instrument (0.36 ± 0.26) compared to other systems (p < 0.05). Within the parameters of this study, similar shaping ability was observed in the preparation of mesial curved root canals of mandibular molars with Reciproc, OneShape and WaveOne systems.

摘要

采用 micro-CT 技术比较不同单锉系统在制备下颌磨牙近中颊向弯曲根管中的成形能力。选择具有两个独立弯曲根管的 15 颗下颌磨牙近中根(n=30),以 26.7μm 的解剖分辨率扫描,然后根据预备系统分为三组(n=10):WaveOne 25.08、Reciproc 25.08 和 OneShape 25.06。进行最终的 micro-CT 扫描,将数据集与其各自的标本进行配准,并比较三维(体积、表面积和结构模型指数-SMI)和二维(周长、面积、圆度、最大和最小直径)参数以及根管偏移,采用 ANOVA 和事后 Tukey 检验(α=5%)。总体而言,各组间的面积、周长、体积、表面积和根管偏移无差异(p>0.05)。组内,根尖三分之一(0.10±0.05mm)与冠三分之一(0.08±0.04mm)和中三分之一(0.07±0.03mm)相比,根管偏移明显更高(p<0.05)。与其他系统相比,OneShape 器械预备后的结构模型指数(SMI)(0.36±0.26)统计学上更高(p<0.05)。在本研究的参数范围内,Reciproc、OneShape 和 WaveOne 系统在制备下颌磨牙近中颊向弯曲根管时具有相似的成形能力。

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