Baabdullah Fahad H, Elsherief Samia M, Hawsawi Rayan A, Redwan Hetaf S
Basic and Clinical Oral Sciences, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, SAU.
Restorative Dentistry, Faculty of Dental Medicine, Umm Al-Qura University, Makkah, SAU.
Cureus. 2024 Aug 25;16(8):e67705. doi: 10.7759/cureus.67705. eCollection 2024 Aug.
Aim Minimally invasive dentistry has been facilitated by advances in instruments and restorative materials. This study aims to compare the change in the shaping ability of the RECIPROC blue rotary system in both traditional and conservative access cavities, using cone beam computed tomography (CBCT). Material and methods Sixty root canals of 20 artificial maxillary molars were assigned into two groups (n=30 root canals) according to the access cavity design used: Group I: traditional access cavity (TAC) and Group II: conservative access cavity (CAC). CBCT scans of samples were made before and after root canal preparation using the RECIPROC blue rotary system. The shaping parameters are evaluated in root canal transportation and the centering ability. Three CBCT sections per tooth were analyzed at 3, 6, and 9 mm from the apex to assess the canal transportation and centering ability at three levels, apical, middle, and coronal thirds. Data were analyzed using the GraphPad Prism (GraphPad Software, San Diego, CA). Results The results of this study showed a significant difference in transportation within the coronal and middle thirds. However, in apical thirds, there were no significant differences. Both groups observed a significant difference in the centering ability in the coronal third. Conclusion Within the limitations of this study, CAC can be recommended with caution as an alternative access to TAC.
目的 器械和修复材料的进步推动了微创牙科的发展。本研究旨在使用锥形束计算机断层扫描(CBCT)比较RECIPROC蓝色旋转系统在传统和保守开髓洞形中的根管预备成形能力的变化。材料与方法 根据开髓洞形设计,将20颗人工上颌磨牙的60个根管分为两组(每组30个根管):第一组:传统开髓洞形(TAC);第二组:保守开髓洞形(CAC)。使用RECIPROC蓝色旋转系统进行根管预备前后对样本进行CBCT扫描。在根管偏移和就位能力方面评估成形参数。从根尖开始在3、6和9 mm处对每颗牙齿的三个CBCT层面进行分析,以评估根尖、中部和冠部三分之一处三个水平的根管偏移和就位能力。使用GraphPad Prism(GraphPad软件,加利福尼亚州圣地亚哥)对数据进行分析。结果 本研究结果显示,在冠部和中部三分之一处的根管偏移存在显著差异。然而,在根尖三分之一处,没有显著差异。两组在冠部三分之一处的就位能力均存在显著差异。结论 在本研究的局限性范围内,可谨慎推荐将CAC作为TAC的替代开髓方式。