Department of Pedodontics, Faculty of Dentistry, Ankara University, Ankara, Turkey.
Department of Endodontics, Faculty of Dentistry, Ankara University, Ankara, Turkey.
Int J Paediatr Dent. 2022 Jan;32(1):109-115. doi: 10.1111/ipd.12800. Epub 2021 May 22.
Although single-file rotary systems are accepted in the field of paediatric dentistry in terms of providing time advantage, research works continue due to the variable anatomical structure of the root canal.
This study aimed to evaluate rotary systems in different kinematics in terms of microcracks and the shaping of the danger zone in primary molars by micro-CT.
The mesial canals of primary molars (n = 30) were used. Root canals in each group (n = 10) were prepared with single-file rotary systems (One Shape®, OS; XP-endo® Shaper, XP-ES; WaveOne Gold, WOG). The images were evaluated for dentin thickness in the danger zone and microcrack formation.
WOG caused the highest dentin reduction in the danger zone area. OS led to significantly less dentin reduction than XP-ES and WOG (P < .05). The XP-ES showed the highest number of microcracks (P < .05). No statistically significant difference was found between WOG and OS (P > .05). In all systems, more microcracks were observed in the middle third than coronal and apical.
Within the limitations of this study, the rotary systems were superior to reciprocating in terms of shaping ability in the danger zone. It is thought that further studies with different systems should be designed considering the anatomical variations and chemical composition of primary teeth.
尽管单文件旋转系统在提供时间优势方面在儿科牙科领域得到认可,但由于根管的解剖结构不同,研究工作仍在继续。
本研究旨在通过 micro-CT 评估不同运动学的旋转系统在乳牙中微裂纹和危险区成形方面的效果。
使用乳牙的近中根管(n=30)。每组(n=10)的根管均使用单文件旋转系统(One Shape®,OS;XP-endo® Shaper,XP-ES;WaveOne Gold,WOG)进行预备。对危险区的牙本质厚度和微裂纹形成进行图像评估。
WOG 在危险区区域导致最高的牙本质减少。OS 导致的牙本质减少量明显少于 XP-ES 和 WOG(P<.05)。XP-ES 显示出最高数量的微裂纹(P<.05)。WOG 和 OS 之间没有统计学上的显著差异(P>.05)。在所有系统中,与冠部和根尖相比,中部的微裂纹更多。
在本研究的限制范围内,旋转系统在危险区的成形能力方面优于往复运动系统。考虑到乳牙的解剖变异和化学成分,应设计不同系统的进一步研究。