Saint-Joseph University, IRIT, CNRS UMR 5505, Toulouse, France.
Saint-Joseph University, Campus des Sciences Medicales, Beirut, Lebanon.
Microsc Res Tech. 2021 Apr;84(4):746-752. doi: 10.1002/jemt.23633. Epub 2020 Nov 23.
The aim of this study was to compare shaping abilities of Protaper Gold® (PTG) and 2Shape® (TS) by using a new automatic process and micro-computed tomography (Micro-CT). 32 first mandibular molars with two separate mesial canals were selected. Only mesial roots were prepared with PTG and TS. Pre- and post-operative scans were performed using Micro-CT to provide volumes with a voxel size of 20 μm. Volumes, non-instrumented area, amount of transportation and centering ability in coronal, middle and apical third shaping time and procedural errors were recorded. TS and PTG increased the endodontic volume of 2.98 mm (±1.56) and 3.21 mm (±1.78) respectively with no statistical difference (p = .168) and no procedural errors. No significant difference was found concerning canal transportation among groups but only within the same group PTG (p value < .001) and TS (p value < .001). The mean centering ratio was significantly different only between the section levels for PTG (p value < .001) and TS (p value = .01); it was significantly reduced in the cervical third. The percentage of untouched canal walls ranged between 29.78% (±15.145) and 36.60% (±11.968) respectively for PTG and TS with no statistical difference among groups (p value = .168). TS and PTG with post machining heat treatment were able to produce centered preparations with no significant difference or procedural errors. TS system provided a shorter preparation time than PTG files.
本研究旨在通过使用新的自动处理和微计算机断层扫描(Micro-CT)比较 Protaper Gold®(PTG)和 2Shape®(TS)的成形能力。选择了 32 颗具有两个单独近中根管的下颌第一磨牙。仅用 PTG 和 TS 预备近中根。使用 Micro-CT 进行术前和术后扫描,提供体素大小为 20μm 的体积。记录体积、未器械化区域、运输量和在冠、中、根尖三分之一成形时间的中心能力以及程序错误。TS 和 PTG 分别增加了 2.98mm(±1.56)和 3.21mm(±1.78)的牙髓体积,无统计学差异(p =.168),且无程序错误。各组间根管运输无显著差异,但仅在同一组内 PTG(p 值 < .001)和 TS(p 值 < .001)有显著差异。仅在 PTG(p 值 < .001)和 TS(p 值 =.01)的节段水平上,中心比有显著差异;在颈段明显降低。未触及的根管壁百分比分别为 29.78%(±15.145)和 36.60%(±11.968),PTG 和 TS 之间无统计学差异(p 值 =.168)。PTG 和 TS 具有后加工热处理,能够产生无显著差异或程序错误的中心预备。TS 系统的预备时间比 PTG 锉短。