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上颌磨牙近中颊根第二根管内三种根管润滑剂的根管预备、定心能力及输送:CBCT评估

Negotiation, Centering Ability and Transportation of Three Glide Path Files in Second Mesiobuccal Canals of Maxillary Molars: A CBCT Assessment.

作者信息

Nazari Moghadam Kiumars, Farajian Zadeh Naficeh, Labbaf Hossein, Kavosi Ali, Farajian Zadeh Hamideh

机构信息

Department of Endodontics, , School of Dentistry, Shahed University, Tehran, Iran.

Department of Endodontics, School of Dentistry, Semnan university ,Semnan, Iran.

出版信息

Iran Endod J. 2019 Winter;14(1):47-51. doi: 10.22037/iej.v14i1.21611.

Abstract

INTRODUCTION

The aim of this study was to compare negotiation, centering ability and transportation of three path finder rotary instruments (ProGlider, ScoutRace and M3 Pro-Gold Path File) to create glide path in second mesiobuccal (MB2) canals of maxillary molars with cone-beam computed tomography (CBCT).

METHODS AND MATERIALS

In this study, 66 maxillary molars with separate second MB2 canals were selected with the following criteria: having 18-21 mm root length, without any resorption or calcification in radiography, without previous treatment and 20-40 curve according to Schneider's method. Then MB2 canals were randomly divided into three groups (=22). CBCT scan before and after root canal negotiation was taken. A #10 K-file for determination of working length was inserted into all canals. In group1; ProGlider file, group2; ScoutRace file and in group 3; M3 Pro-Gold Path file was implemented. The calculated data from CBCT based on reaching full working length (RFWL) or not (NRFWL) were analyzed using the Pearson -square test. Centering ability was calculated by Fisher's exact test and amount of transportation was determined with the Pearson -square test in SPSS software.

RESULTS

ProGlider file had the least RFWL and ScoutRace was the best, but the results were not statistically significant (>0.05). Regarding the centering ability and transportation, all 3 groups showed no significant differences (>0.05), except at level of 2 mm from the apex in buccopalatal direction for ProGlider and ScoutRace files (<0.05).

CONCLUSION

In spite of insignificantly different results, ScoutRace file was better than other groups in negotiating and centering ability in mesiodistal direction of the MB2 canal in maxillary molars. Also, ProGlider file was significantly better than ScoutRace regarding transportation at level of 2 mm from apex in buccopalatal direction.

摘要

引言

本研究旨在使用锥形束计算机断层扫描(CBCT)比较三种引导钻(ProGlider、ScoutRace和M3 Pro-Gold Path锉)在上颌磨牙近中颊根第二根管(MB2)中建立滑行通道时的操作便利性、定心能力和根管偏移情况。

方法与材料

本研究选取了66颗具有独立MB2根管的上颌磨牙,入选标准如下:根长18 - 21毫米,X线片显示无牙根吸收或钙化,未经先前治疗,根据施奈德方法根管弯曲度为20 - 40度。然后将MB2根管随机分为三组(每组 = 22)。在根管预备前后进行CBCT扫描。将一根#10 K锉插入所有根管以确定工作长度。第一组使用ProGlider锉,第二组使用ScoutRace锉,第三组使用M3 Pro-Gold Path锉。基于达到全长工作长度(RFWL)或未达到(NRFWL)的CBCT计算数据,采用Pearson卡方检验进行分析。定心能力通过Fisher精确检验计算,根管偏移量在SPSS软件中采用Pearson卡方检验确定。

结果

ProGlider锉达到全长工作长度的比例最低,ScoutRace锉最佳,但结果无统计学意义(>0.05)。关于定心能力和根管偏移,所有三组均无显著差异(>0.05),但在距根尖2毫米处的颊腭向,ProGlider锉和ScoutRace锉有显著差异(<0.05)。

结论

尽管结果差异不显著,但在MB2根管近远中向的预备和定心能力方面,ScoutRace锉优于其他组。此外,在距根尖2毫米处的颊腭向,ProGlider锉的根管偏移显著优于ScoutRace锉。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3545/9984813/3cdbcfb083d3/IEJ-14-47-g001.jpg

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