Solomonov Michael, De-Deus Gustavo, Frota Rebecca R G, Silva Emmanuel J N L, Belladonna Felipe G, Ben-Itzhak Joe, Versiani Marco A
Department of Endodontics, Israel Defense Forces Medical Corps, Tel Hashomer, Israel; "Bina" Program, Faculty of Dental Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Department of Endodontics, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil.
J Endod. 2025 Sep;51(9):1258-1264. doi: 10.1016/j.joen.2025.05.027. Epub 2025 Jun 6.
This study aimed to evaluate the impact of reduced irrigation and preparation time on the shaping efficiency of the new Self-Adjusting File (SAF) Infinitum system in long oval root canals.
Thirty-six extracted mandibular canines with long oval canals were anatomically matched using micro-computed tomography analysis and assigned to three experimental groups (n = 12) according to the irrigation protocol: (1) 2.5% NaOCl (4 minutes at 4 mL/min); (2) 2.5% NaOCl + etidronate (4 minutes at 2 mL/min); and (3) 2.5% NaOCl + etidronate (2 minutes at 2 mL/min). Root canals were prepared using a 2.0-mm SAF Infinitum instrument under continuous irrigation. Pre- and postoperative micro-computed tomography scans were used to assess canal volume (mm), surface area (mm), and the percentage of unprepared canal walls. Data were analyzed using 1-way ANOVA (α = 5%).
All preparation protocols increased canal volume (26.4%-32.4%) and surface area (5.3%-8.9%), with no significant differences among groups (P > .05). The extent of unprepared canal walls remained comparable across groups, with mean values ranging from 8.7%-14.7% (P > .05). No significant shaping errors were observed, and no instrument fracture occurred during the preparation procedures. Superimposed color-coded surface models confirmed uniform dentin removal around the canal perimeter.
All tested protocols yielded comparable shaping performance. Reducing SAF preparation from 4 minutes-2 minutes using NaOCl or etidronate mixture did not compromise the preparation of long oval canals, achieving comparable increases in volume and surface area while preserving a similar extent of unprepared canal walls.
本研究旨在评估减少冲洗和预备时间对新型自调式锉(SAF)Infinium系统在长椭圆形根管中塑形效率的影响。
采用微型计算机断层扫描分析,对36颗具有长椭圆形根管的离体下颌犬牙进行解剖学匹配,并根据冲洗方案将其分为三个实验组(n = 12):(1)2.5%次氯酸钠(4分钟,4 mL/分钟);(2)2.5%次氯酸钠+依替膦酸盐(4分钟,2 mL/分钟);(3)2.5%次氯酸钠+依替膦酸盐(2分钟,2 mL/分钟)。使用2.0毫米的SAF Infinium器械在持续冲洗下预备根管。术前和术后的微型计算机断层扫描用于评估根管容积(mm)、表面积(mm)和未预备根管壁的百分比。数据采用单因素方差分析(α = 5%)进行分析。
所有预备方案均增加了根管容积(26.4%-32.4%)和表面积(5.3%-8.9%),组间差异无统计学意义(P >.05)。各组未预备根管壁的范围保持相当,平均值为8.7%-14.7%(P >.05)。在预备过程中未观察到明显的塑形误差,也未发生器械折断。叠加的彩色编码表面模型证实根管周围牙本质的去除均匀。
所有测试方案均产生了相当的塑形效果。使用次氯酸钠或依替膦酸盐混合物将SAF预备时间从4分钟减少至2分钟,并不影响长椭圆形根管的预备,在增加容积和表面积方面取得了相当的效果,同时保留了相似的未预备根管壁范围。