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新型热处理镍钛系统在人工弯曲根管中连续旋转或往复运动时的成形能力。

Shaping ability of a new heat-treated NiTi system in continuous rotation or reciprocation in artificial curved canals.

机构信息

Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon.

Department of Pediatric and Community Dentistry, Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon.

出版信息

Odontology. 2021 Oct;109(4):792-801. doi: 10.1007/s10266-021-00600-9. Epub 2021 Mar 22.

Abstract

The purpose is to evaluate canal transportation of a new heat-treated NiTi system, the Endostar E3 Azure operated in continuous rotation or reciprocation. 40 resin blocks were divided into two groups. The first was shaped in continuous rotation while the second in reciprocation. A preoperative and two postoperative images were taken, one after the use of the 20/06 and one after the 25/06. The images were superimposed to determine canal transportation. Time required for canal shaping was recorded. One-sample and student t tests, repeated-measure analyses of variance, univariate analyses and Bonferroni multiple comparisons tests were used for statistical analysis. The significance level was set at p < 0.05. There was no significant difference between continuous and reciprocating motion with the 20/06 and 25/06, respectively, at 1 mm (p = 0.761, p = 0.559), 2 mm (p = 0.584, p = 0.810) and 3 mm (p = 0.651, p = 0.070). The reciprocating motion showed significantly less canal transportation at 5 mm (p = 0.049, p < 0.001) and 7 mm (p < 0.001, p < 0.001) for the 20/06 and 25/0.6. Continuous rotation was more time-consuming than reciprocation (p < 0.001). The Endostar E3 Azure in reciprocation respected the original canal curvature better than in continuous rotation at all levels, and required less time to prepare artificial curved canals. Endodontists should know the shaping abilities of novel heat-treated NiTi files, regarding canal transportation and its relation with the instruments' motion and apical diameter enlargement.

摘要

目的是评估一种新型热处理镍钛系统 Endostar E3 Azure 在连续旋转或往复运动中的根管输送情况。将 40 个树脂块分为两组。第一组采用连续旋转方式成型,第二组采用往复运动方式成型。在使用 20/06 锉和 25/06 锉之前、之后各拍摄了一张术前和两张术后的图像。将这些图像叠加以确定根管输送情况。记录根管成形所需的时间。采用单样本和学生 t 检验、重复测量方差分析、单变量分析和 Bonferroni 多重比较检验进行统计学分析。显著性水平设为 p<0.05。使用 20/06 锉和 25/06 锉时,在 1mm(p=0.761,p=0.559)、2mm(p=0.584,p=0.810)和 3mm(p=0.651,p=0.070)处,连续旋转和往复运动之间分别没有显著差异。在 5mm(p=0.049,p<0.001)和 7mm(p<0.001,p<0.001)处,往复运动显示出显著较少的根管输送。对于 20/06 和 25/06 锉,连续旋转比往复运动需要更多的时间(p<0.001)。在所有水平上,Endostar E3 Azure 在往复运动中比在连续旋转中更好地保持了原始根管的曲率,并且需要更少的时间来预备人工弯曲根管。牙髓病医生应该了解新型热处理镍钛锉的成形能力,包括根管输送及其与器械运动和根尖直径扩大的关系。

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