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使用两种旋转系统和手动锉进行牙髓摘除术时根尖部挤出碎屑的研究。

Investigating Apically Extruded Debris During Pulpectomy with Two Rotary Systems and Hand Files.

作者信息

Bai Jk Sonia, Dhull Kanika Singh, Maiti Niladri, Devraj Indira M, Bohidar Subhajit, Sharma Suman

机构信息

Department of Dental Surgery, SV Medical College, Tirupati, Andhra Pradesh, India.

Department of Pedodontics and Preventive Dentistry, Kalinga Institute of Dental Sciences, KIIT Deemed to be University, Bhubaneswar, Odisha, India.

出版信息

J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2085-S2087. doi: 10.4103/jpbs.jpbs_54_24. Epub 2024 May 1.

Abstract

AIM

The current research set out to examine and contrast the amounts of apically extruded debris produced by two distinct rotary files and hand files used in pulpectomy procedures.

MATERIALS AND METHODS

Forty-five extracted primary mandibular molars were randomly divided into three groups for instrumentation. Prime Pedo™ files are in Group 1, DXL-Pro Pedo files are in Group 2, and H and K files are in Group 3. Debris that had been apically extruded and collected in preweighed Eppendorf tubes was incubated for five days at 70°C. The weight of the Eppendorf tubes before and after instrumentation was subtracted to get the weight of the debris that was gathered.

RESULTS

It was noted that all three groups had significantly different amounts of material ejected from the tip. The groups with the lightest amounts of extruded debris were 1, 2, and 3, in that order. The most debris was extruded from the apex in Group 3.

CONCLUSION

This suggests that rotary files are preferable to hand files because they reduce debris extrusion, which in turn reduces postoperative events following pulpectomy procedures.

摘要

目的

当前研究旨在检查和对比在牙髓摘除术过程中使用的两种不同旋转锉和手用锉所产生的根尖部挤出碎屑的量。

材料与方法

45颗拔除的下颌第一乳磨牙随机分为三组进行器械预备。第1组使用Prime Pedo™锉,第2组使用DXL-Pro Pedo锉,第3组使用H锉和K锉。将在预先称重的艾本德管中收集的根尖部挤出的碎屑在70°C下孵育5天。用器械预备前后艾本德管的重量相减,得出收集到的碎屑的重量。

结果

注意到所有三组从根尖挤出的物质的量有显著差异。挤出碎屑量最少的组依次为第1组、第2组和第3组。第3组从根尖挤出的碎屑最多。

结论

这表明旋转锉比手用锉更可取,因为它们减少了碎屑挤出,进而减少了牙髓摘除术后的并发症。

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