Guha Ananya, Pandharikar Richa, Shivangi Shreya, Rao Rahul D, Verma Meenakshi, Jain Ashish K
Department of Conservative Dentistry and Endodontics, Bharati Vidyapeeth Dental College and Hospital, Navi Mumbai, Maharashtra, India.
J Conserv Dent. 2020 Sep-Oct;23(5):468-472. doi: 10.4103/JCD.JCD_428_20. Epub 2021 Feb 10.
Neoendo Flex and Mani Silk are recently launched nickel-titanium (NiTi) rotary files. Dentinal cracks and file separation remain a critical problem in the endodontic domain.
The aim was to evaluate and compare the incidence of dentinal crack formation after root canal preparation with Neoendo flex and Mani silk files.
Thirty-six extracted single-rooted premolars with straight, single root canals were selected for the study. The specimens were randomly assigned to three groups, with 12 samples in each group. The root canal preparation for the three groups was done with hand K-file, Mani Silk, and Neoendo Flex files, respectively, following which the specimens were horizontally sectioned at 3, 6, and 9 mm from the apex. Sectioned samples were viewed under a stereomicroscope to determine the presence or absence of dentinal cracks. The data were analyzed using one-way ANOVA and Chi-square test.
Hand K-files and Mani Silk files produced a lesser number of cracks than Neoendo Flex files; however, the difference was not statistically significant among the three file groups at 3 mm and 6 mm ( > 0.05). A statistically significant difference between the groups was seen at 9 mm, where Mani Silk files produced fewer cracks than K files and Neoendo Flex files ( = 0.007). Overall, Neoendo Flex significantly produced more cracks than Mani Silk and hand K-files ( = 0.0029).
Both hand K files and NiTi rotary instruments may cause dentinal cracks. Neoendo Flex files tend to produce more dentinal cracks than Mani silk and K-file.
Neoendo Flex和Mani Silk是最近推出的镍钛(NiTi)旋转锉。牙本质裂纹和锉分离仍然是牙髓病领域的一个关键问题。
旨在评估和比较使用Neoendo Flex锉和Mani Silk锉进行根管预备后牙本质裂纹形成的发生率。
选择36颗拔除的单根直根管前磨牙进行研究。将标本随机分为三组,每组12个样本。三组分别使用手动K锉、Mani Silk锉和Neoendo Flex锉进行根管预备,然后将标本从根尖处以3、6和9 mm水平切片。在体视显微镜下观察切片样本,以确定是否存在牙本质裂纹。使用单因素方差分析和卡方检验对数据进行分析。
手动K锉和Mani Silk锉产生的裂纹数量比Neoendo Flex锉少;然而,在3 mm和6 mm处,三组锉之间的差异无统计学意义(>0.05)。在9 mm处,各组之间存在统计学显著差异,其中Mani Silk锉产生的裂纹比K锉和Neoendo Flex锉少(=0.007)。总体而言,Neoendo Flex产生的裂纹明显比Mani Silk锉和手动K锉多(=0.0029)。
手动K锉和镍钛旋转器械都可能导致牙本质裂纹。Neoendo Flex锉比Mani Silk锉和K锉更容易产生牙本质裂纹。