Department of Conservative Dentistry and Endodontics, Thai Moogambigai Dental College and Hospital, Dr M.G.R. Educational and Research Institute, Chennai, Tamil Nadu, India.
Indian J Dent Res. 2021 Oct-Dec;32(4):489-494. doi: 10.4103/ijdr.ijdr_403_21.
Retrieval of separated instrument from a root canal may lead to increased dentin loss and prolonged treatment time.
The aim of this study was to evaluate the retrieval time and increase in root canal volume after instrument retrieval with two retrieval techniques under dental operating microscope.
Forty extracted human mandibular molars with 30°-40° mesiobuccal root canal curvature were selected based on cone-beam computed tomography (CBCT) and divided into two groups (n = 20 each). Group 1: Terauchi group (Terauchi ultrasonic tips) and Group 2: Satelec group (Satelec ET25 ultrasonic tip) based on the retrieval technique. Groups 1 and 2 were further divided into two subgroups (n = 10 each) based on the size of the separated instrument; Groups 1a and 2a with ProTaper Gold (PTG) F1 and Groups 1b and 2b with PTG F2. The time taken for retrieval was calculated and increase in root canal volume was evaluated using CBCT. Results were statistically analysed with paired t-test and post hoc analysis by Tukey's HSD test.
All separated instruments were successfully retrieved. The mean time for instrument retrieval was lower in Terauchi group than in the Satelec group (P > 0.05) but not significantly. The mean increase in total root canal volume post-retrieval as well as the mean volume corresponding to the coronal part of the separated instrument was significantly lower in Terauchi group than in Satelec group (P < 0.05).
Terauchi ultrasonic instruments resulted in reduced instrument retrieval time with lower loss of root dentin.
从根管中取出分离的器械可能会导致牙本质损失增加和治疗时间延长。
本研究旨在评估在牙科手术显微镜下使用两种取出技术从根管中取出器械后的取出时间和根管体积增加。
根据锥形束 CT(CBCT)选择 40 颗具有 30°-40°近中颊根管弯曲度的下颌磨牙,并将其分为两组(每组 20 颗)。根据取出技术,第 1 组为 Terauchi 组(Terauchi 超声尖端),第 2 组为 Satelec 组(Satelec ET25 超声尖端)。第 1 组和第 2 组根据分离器械的大小进一步分为两组(每组 10 颗):第 1a 组和第 2a 组为 ProTaper Gold(PTG)F1,第 1b 组和第 2b 组为 PTG F2。计算取出时间,并用 CBCT 评估根管体积增加。采用配对 t 检验和 Tukey HSD 检验进行统计学分析。
所有分离器械均成功取出。Terauchi 组的器械取出时间平均低于 Satelec 组(P > 0.05),但差异无统计学意义。Terauchi 组的总根管体积增加平均值以及与分离器械冠部相对应的体积平均值均明显低于 Satelec 组(P < 0.05)。
Terauchi 超声器械可缩短器械取出时间,减少牙本质损失。