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400017 重庆,重庆医科大学附属口腔医院,口腔疾病与生物医学重庆市重点实验室,重庆市高校市级口腔生物医学工程重点实验室
[ 王青青,E-mail: 316217641@qq.com WANG Qingqing, E-mail: 316217641@qq.com
收稿:2017-12-12,
修回:2018-01-08,
纸质出版:2018-03-30
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李芳菲, 唐宇英, 杨熙, 等. 三种镍钛器械对根尖微渗漏影响的体外研究[J]. 第三军医大学学报, 2018,40(6):519-522.
Fangfei LI, Yuying TANG, Xi YANG, et al. Effects of 3 kinds of nickel titanium instruments on appical microleakage in root canal
李芳菲, 唐宇英, 杨熙, 等. 三种镍钛器械对根尖微渗漏影响的体外研究[J]. 第三军医大学学报, 2018,40(6):519-522. DOI: 10.16016/j.1000-5404.201712107.
Fangfei LI, Yuying TANG, Xi YANG, et al. Effects of 3 kinds of nickel titanium instruments on appical microleakage in root canal
目的
2
探索单支锉系统WaveOne、Reciproc和传统镍钛系统ProTaper对根管根尖微渗漏的影响。
方法
2
分别采用WaveOne、Reciproc和ProTaper预备根管,采用热牙胶连续波技术充填根管。染色,制作透明牙后,显微镜下测量根尖染料渗入深度,记录并统计分析。
结果
2
Reciproc组染料渗入深度为(2.88±0.16)mm,WaveOne组为(2.89±0.22)mm,ProTaper组为(2.92±0.19)mm。3组间两两比较差异无统计学意义(
P
>0.05)。
结论
2
WaveOne组、Reciproc组和ProTaper组均能达到同样的根管封闭效果。从提高操作效率和减少根管偏移的角度,建议使用WaveOne和Reciproc系统;从切削能力更强,能有效避免牙本质碎屑被推出根尖孔的角度,推荐使用Reciproc系统。
Objective
2
To determine the effects of 3 kinds of nickel titanium instruments
WaveOne and Reciproc (both are single-file reciprocating system)
and Pro Taper (traditional nickel titanium system) on apical microleakage of root canal filling materials.
Methods
2
After root canal preparations were made by WaveOne
Reciproc and ProTaper respectively
warm gutta-percha obturation technique was used to fill root canals. All tooth samples were stained and made to transparent teeth
and the depth of dye from apices was measured and recorded under a dental microscopy. The results were recorded and analyzed statistically.
Results
2
The depth of dye from apices was 2.88±0.16 mm in the Reciproc group
2.89±0.22 mm in the Wa
veOne group
and 2.92±0.19 mm in the ProTaper group. There were no significant difference in the depth between any 2 groups (
P
>0.05).
Conclusion
2
All WaveOne
Reciproc and ProTaper systems can achieve similar effect for root canal sealing. But
WaveOne and Reciproc systems are recommended because of their high efficiency and accuracy to reduce root canal migration. Reciproc is superior to the other 2 systems because of its better cutting ability to avoid pushing dentin scraping out of apical foramen.
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FRANCO V, FABIANI C, TASCHIERI S, et al . Investigation on the shaping ability of nickel-titanium files when used with a reciprocating motion[J ] . J Endod, 2011, 37(10): 1398-1401. DOI: 10.1016/j.joen.2011.06.030.
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王青青, 唐宇英.根管预备型号与充填温度对热牙胶充填根尖微渗漏的影响[J].第三军医大学学报, 2015, 37(7): 684-688. DOI: 10.16016/j.1000-5404.201410109.
WANG Q Q, TANG Y Y. Effect of size of preparation and temperature of obturation on apical leakage of root canal in vitro[J]. J Third Mil Med Univ, 2015, 37(7): 684-688. DOI: 10.16016/j.1000-5404.201410109.
GAVINI G, CALDEIRA C L, AKISUE E, et al . Resistance to flexural fatigue of Reciproc R25 files under continuous rotation and reciprocating movement[J ] . J Endod, 2012, 38(5): 684-687. DOI: 10.1016/j.joen.2011.12.033.
KIM H C, KWAK S W, CHEUNG G S, et al . Cyclic fatigue and torsional resistance of two new nickel-titanium instruments used in reciprocation motion: Reciproc versus WaveOne[J ] . J Endod, 2012, 38(4): 541-544. DOI: 10.1 016/j.joen.2011.11.014.
VARELA-PATIÑO P, IBAÑEZ-PáRRAGA A, RIVAS-MUNDIÑA B, et al . Alternating versus continuous rotation: a comparative study of the effect on instrument life[J ] . J Endod, 2010, 36(1): 157-159. DOI: 10.1016/j.joen.2009.09.023.
PAQUÉ F, ZEHNDER M, DE-DEUS G. Microtomography-based comparison of reciprocating single-file F2 ProTaper technique versus rotary full sequence[J]. J Endod, 2011, 37(10): 1394-1397. DOI: 10.1016/j.joen.2011.06.031.
YOU S Y, BAE K S, BAEK S H, et al . Lifespan of one nickel-titanium rotary file with reciprocating motion in curved root canals[J ] . J Endod, 2010, 36(12): 1991-1994. DOI: 10.1016/j.joen.2010.08.040.
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熊梦琳, 徐江, 马琰, 等.镍钛器械在3种不同运动模式下预备根管后根尖孔表面形态变化[J].口腔医学研究, 2017, 33(2): 183-186.DOI: 10.13701/j.cnki.kqyxyj.2017.02.016.
XIONG M L, XU J, MA Y, et al . Morphology changes of apical foramen after root canal preparation with three different types of nickel titanium instruments[J ] . J Oral Sci Res, 2017, 33(2): 183-186. DOI: 10.13701/j.cnki.kqyxyj.2017.02.016.
STAVILECI M, HOXHA V, GÖRDUYSUS Ö, et al . Effects of preparation techniques on root canal shaping assessed by micro-computed tomography[J ] . Med Sci Monit Basic Res, 2013, 19: 163-168.DOI: 10.12659/MSMBR.889350.
WEI Z, CUI Z, YAN P, et al . A comparison of the shaping ability of three nickel-titanium rotary instruments: a micro-computed tomography study via a contrast radiopaque technique in vitro [J ] . BMC Oral Health, 2017, 17: 39. DOI: 10.1186/s12903-016-0326-5..
DIOGUARDI M, TROIANO G, LAINO L, et al . ProTaper and WaveOne systems three-dimensional comparison of device parameters after the shaping technique. A micro-CT study on simulated root canals[J ] . Int J Clin Exp Med, 2015, 8(10): 17830-17834.
VARELA-PATIÑO P, IBAÑEZ-PÁRRAGA A, RIVAS-MUNDIÑ A B, et al . Alternating versus continuous rotation: a comparative study of the effect on instrument life[J ] . J Endod, 2010, 36(1): 157-159. DOI: 10.1016/j.joen.2009.09.023.
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