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使用Reciproc Blue系统和Pro Taper Gold对弯曲根管进行根管预备:一项显微计算机断层扫描研究。

Root canal shaping of curved canals by Reciproc Blue system and Pro Taper Gold: A micro-computed tomographic study.

作者信息

Silva Rogério-Vieira, Alcalde Murilo-Priori, Horta Martinho-Campolina-Ribeiro, Rodrigues Clarissa-Teles, Silveira Frank-Ferreira, Duarte Marco-Antônio, Nunes Eduardo

机构信息

Department of Dentistry, Pontifical Catholic University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil; b) Northeastern Independent College / FAINOR, Vitória da Conquista, Bahia, Brazil.

Department of Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, SP, Brazil.

出版信息

J Clin Exp Dent. 2021 Feb 1;13(2):e112-e118. doi: 10.4317/jced.57180. eCollection 2021 Feb.

Abstract

BACKGROUND

This study aimed to evaluate the centralization and transportation of ProTaper Gold (PTG) rotary system and Reciproc Blue (RB) reciprocating system in curved canals, by using micro-CT.

MATERIAL AND METHODS

Twenty extracted mandibular molars were previously scanned by using the SkyScan 1174 microtomograph to select the Vertucci IV anatomic type. The specimens were divided into two groups (n=10) according to the mechanized system used to prepare the root canals. The teeth were scanned by micro-CT to calculate the increase volume, percentage of dentin removed, remaining dentin thickness, structure model index (SMI), degree of transportation and centering ability of root canals. The Student's t test was used to evaluate differences between PTG and RB in each measurement evaluated.

RESULTS

No significant differences were found between the groups in the increase of the total root canal and apical volume; percentage of dentin removed after preparation; SMI of the mesiolingual canal; degree of transportation of the canal and centering ability of the cervical and middle thirds (>0.05). There were significant differences in the mesiobuccal canal in SMI and in the centering ability of the apical third (<0.05). Concerning the remaining dentin thickness, there was also no significant diferences between the groups, except for some regions were RB was observed to have a superior cutting capacity (<0.05).

CONCLUSIONS

Both systems were efficient and safe for performing preparation of the moderately curved root canals of mandibular molars. RB instruments produced more circular and better centralized canals in the apical third of the mesiobuccal canal, with superior cutting action when compared with PTG instruments. Nickel-titanium instrument, heat treatment, micro-computed tomography, canal transportation.

摘要

背景

本研究旨在通过显微CT评估ProTaper Gold(PTG)旋转系统和Reciproc Blue(RB)往复系统在弯曲根管中的偏移和输送情况。

材料与方法

预先使用SkyScan 1174微型断层扫描仪对20颗拔除的下颌磨牙进行扫描,以选择Vertucci IV型解剖结构。根据用于根管预备的机械系统将标本分为两组(n = 10)。通过显微CT扫描牙齿,计算根管增加的体积、去除的牙本质百分比、剩余牙本质厚度、结构模型指数(SMI)、根管的输送程度和定心能力。采用学生t检验评估PTG和RB在各项测量中的差异。

结果

两组在根管总体积和根尖体积的增加、预备后去除的牙本质百分比、近中舌根管的SMI、根管的输送程度以及颈部和中部三分之一的定心能力方面均无显著差异(>0.05)。近中颊根管在SMI和根尖三分之一的定心能力方面存在显著差异(<0.05)。关于剩余牙本质厚度,除了观察到RB在某些区域具有更强的切削能力外,两组之间也没有显著差异(<0.05)。

结论

两种系统在下颌磨牙中度弯曲根管的预备中均有效且安全。与PTG器械相比,RB器械在近中颊根管根尖三分之一处产生的根管更呈圆形且定心更好,切削作用更强。镍钛器械、热处理、显微计算机断层扫描、根管输送

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/39d4/7864361/d5877348233d/jced-13-e112-g001.jpg

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