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比较 Protaper Universal、Protaper Next 和 Protaper Gold 机用镍钛锉预备后的牙齿抗折能力。

Comparison of the fracture resistance of the teeth prepared with ProTaper Universal, ProTaper Next, and ProTaper Gold rotary files.

机构信息

Endodontic Department, Faculty of Dentistry, Tabriz University of Medical Sciences, Tabriz, Iran.

Private Practice, Tabriz, Iran.

出版信息

Clin Exp Dent Res. 2022 Dec;8(6):1421-1425. doi: 10.1002/cre2.660. Epub 2022 Sep 2.

DOI:10.1002/cre2.660
PMID:36053566
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9760132/
Abstract

OBJECTIVES

Root canal preparation can lead to cracks on the roots by creating stresses on the root canal walls, which decreases the fracture resistance of the tooth. The present study compared the fracture resistance of the teeth prepared by the ProTaper Universal (PTU), ProTaper Next (PTN), and ProTaper Gold (PTG) rotary file systems.

MATERIALS AND METHODS

Fifty-six single-canal premolar teeth were sectioned 14 mm from the root apex. The roots were standardized based on the buccolingual and mesiodistal diameter and randomly assigned to three experimental (n = 14) and one control group (n = 14). The teeth in three experimental groups were instrumented with PTU, PTN, and PTG rotary files. The roots in the control group were not instrumented. A vertical force was applied to each root in a universal testing machine until the root fractured. The data were statistically analyzed by one-way analysis of variance.

RESULTS

There was no significant difference in the fracture resistance of the teeth between the control, PTU, PTN, and PTG groups (p = .115).

CONCLUSIONS

Root canal preparation with ProTaper files manufactured with conventional NiTi (PTU) and heat-treated alloys (PTN and PTG) did not affect the fracture resistance of teeth.

摘要

目的

通过在根管壁上产生应力来制备根管会导致根裂,从而降低牙齿的抗折能力。本研究比较了 ProTaper Universal(PTU)、ProTaper Next(PTN)和 ProTaper Gold(PTG)旋转锉系统预备后的牙齿的抗折能力。

材料与方法

将 56 颗单根管前磨牙从根尖 14mm 处截断。根据颊舌径和近远中径对牙根进行标准化,并将其随机分为三组实验组(n=14)和一组对照组(n=14)。三组实验组的牙齿分别用 PTU、PTN 和 PTG 旋转锉进行根管预备。对照组的牙齿不进行根管预备。在万能试验机上对每个牙根施加垂直力,直到牙根折断。采用单因素方差分析对数据进行统计学分析。

结果

对照组、PTU 组、PTN 组和 PTG 组牙齿的抗折力无显著性差异(p=0.115)。

结论

用传统镍钛(PTU)和热处理合金(PTN 和 PTG)制造的 ProTaper 锉预备根管不会影响牙齿的抗折能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f46/9760132/24d1827f0522/CRE2-8-1421-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f46/9760132/24d1827f0522/CRE2-8-1421-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9f46/9760132/24d1827f0522/CRE2-8-1421-g001.jpg

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本文引用的文献

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Mechanical Properties of a Novel Nickel-titanium Root Canal Instrument: Stationary and Dynamic Tests.新型镍钛根管器械的力学性能:静态和动态测试。
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Shaping properties and outcomes of nickel-titanium rotary and reciprocation systems using micro-computed tomography: a systematic review.
使用微型计算机断层扫描技术塑造镍钛旋转和往复系统的性能及结果:一项系统评价
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Vertical Root Fracture initiation in curved roots after root canal preparation: A dentinal micro-crack analysis with LED transillumination.根管预备后弯曲牙根垂直根折的起始:基于LED透照法的牙本质微裂纹分析
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The effects of autoclave sterilization on the cyclic fatigue resistance of ProTaper Universal, ProTaper Next, and ProTaper Gold nickel-titanium instruments.高压蒸汽灭菌对ProTaper Universal、ProTaper Next和ProTaper Gold镍钛器械循环疲劳抗力的影响。
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