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三种单文件系统在预备工作下对牙本质碎屑挤出的影响。

Effect of glide path preparation on the apical debris extrusion for three single-file systems.

机构信息

Department of Endodontics, Faculty of Dentistry, Eskişehir Osmangazi University, Eskişehir, Turkey.

出版信息

Dent Med Probl. 2024 Jul-Aug;61(4):599-604. doi: 10.17219/dmp/136464.

Abstract

BACKGROUND

The dentinal debris produced during root canal preparation can be extruded through the apical foramen, which may cause undesired consequences, such as the postoperative inflammation of periapical tissues.

OBJECTIVES

The aim of the present in vitro study was to evaluate the effect of glide path preparation on apical debris extrusion for the Reciproc®, WaveOne Gold® and One Curve file systems.

MATERIAL AND METHODS

A total of 72 mandibular incisors were divided into 6 groups according to the nickel-titanium (NiTi) system used and glide path preparation: group Rp - Reciproc; group Rp-O - Reciproc after glide path preparation; group WG - WaveOne Gold; group WG-O - WaveOne Gold after glide path preparation; group OC - One Curve; and group OC-O - One Curve after glide path preparation. The preand post-instrumentation weight of Eppendorf tubes was measured. The pre-weight was subtracted from the post-weight to calculate the amount of apically extruded debris. The data was analyzed using the one-way analysis of variance (ANOVA) with the statistical program PASW Statistics for Windows, v.18.0.

RESULTS

No statistically significant differences were found between the single-NiTi file systems with different kinematics in terms of apical debris extrusion, with or without glide path preparation (p > 0.05).

CONCLUSIONS

The amount of apically extruded debris was not affected by the kinematics of different single-NiTi file systems. Moreover, creating a glide path had no effect on the apically extruded debris in straight root canals.

摘要

背景

根管预备过程中产生的牙本质碎屑可通过根尖孔挤出,这可能导致根尖周组织的术后炎症等不良后果。

目的

本体外研究旨在评估 Reciproc®、WaveOne Gold®和 One Curve 锉系统在预备根管通路时对根尖碎屑挤出的影响。

材料和方法

将 72 颗下颌切牙按镍钛(NiTi)系统和预备根管通路分为 6 组:Rp 组 - Reciproc;Rp-O 组 - Reciproc 预备根管通路后;WG 组 - WaveOne Gold;WG-O 组 - WaveOne Gold 预备根管通路后;OC 组 - One Curve;OC-O 组 - One Curve 预备根管通路后。测量 Eppendorf 管的预和后仪器重量。从后重量中减去预重量,以计算根尖挤出的碎屑量。使用统计程序 PASW Statistics for Windows,v.18.0 进行单向方差分析(ANOVA)对数据进行分析。

结果

在有无预备根管通路的情况下,具有不同运动学的单一 NiTi 锉系统之间在根尖碎屑挤出方面没有统计学上的显著差异(p>0.05)。

结论

不同单一 NiTi 锉系统的运动学不会影响根尖挤出的碎屑量。此外,在直根管中预备根管通路对根尖挤出的碎屑没有影响。

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