Zhang Bin, Jia Ming-Yu, Fan Rui, Tian Jian-Gang, Ge Xue-Jun, Huang Rui-Zhe
Key Laboratory of Shaanxi Province for Craniofacial Precision Medicine Research, Center of Oral Public Health, College of Stomatology, Xi'an Jiaotong University. Xi'an 710004, Shaanxi Province, China. E-mail:
Shanghai Kou Qiang Yi Xue. 2023 Feb;32(1):1-5.
To compare the incidence of dentinal microcracks after root canal preparation by new generation of nickel-titanium instrument WaveOne Gold, Reciproc Blue with previous WaveOne and Reciproc.
Ninety extracted single-rooted mandibular premolars were randomly divided into 6 groups(n=15). The root canals were instrumented by using Hand K files, WaveOne, Reciproc, WaveOne Gold and Reciproc Blue. Fifteen teeth were left unprepared and served as negative controls. The root canals were all prepared to 25#. The roots were then sectioned at 3 mm, 6 mm and 9 mm from the apical orifice using a hard tissue slicer. The slices were observed under stereoscopic microscope at ×25 magnification. SPSS 17.0 software package was used for statistical analysis.
No dentinal microcrack was found in the hand K files group and negative control group. The reciprocating single files WaveOne, WaveOne Gold, Reciproc and Reciproc Blue all produced dentinal microcracks after root canal preparation. The WaveOne generated the most dentinal microcracks than the hand K files(P<0.05), and the microcracks were mainly concentrated in the middle part of the root. The number of dentinal microcracks caused by Reciproc and Reciproc Blue was the same, with no significant difference(P>0.05).
The new generation of reciprocating files of WaveOne Gold and Reciproc Blue may not increase the incidence of dentinal microcracks after root canal preparation.
比较新一代镍钛器械WaveOne Gold、Reciproc Blue与前代WaveOne和Reciproc在根管预备后牙本质微裂纹的发生率。
将90颗拔除的单根下颌前磨牙随机分为6组(n = 15)。使用手用K锉、WaveOne、Reciproc、WaveOne Gold和Reciproc Blue对根管进行预备。15颗牙齿未作预备作为阴性对照。所有根管均预备至25#。然后使用硬组织切片机在距根尖孔3 mm、6 mm和9 mm处对牙根进行切片。切片在体视显微镜下以×25倍放大倍数观察。采用SPSS 17.0软件包进行统计分析。
手用K锉组和阴性对照组未发现牙本质微裂纹。往复式单根锉WaveOne、WaveOne Gold、Reciproc和Reciproc Blue在根管预备后均产生了牙本质微裂纹。WaveOne产生的牙本质微裂纹比手用K锉多(P<0.05),且微裂纹主要集中在牙根中部。Reciproc和Reciproc Blue引起的牙本质微裂纹数量相同,无显著差异(P>0.05)。
新一代往复式锉WaveOne Gold和Reciproc Blue在根管预备后可能不会增加牙本质微裂纹的发生率。