首页|四种镍钛单支锉预备弯曲根管的成形效果比较

四种镍钛单支锉预备弯曲根管的成形效果比较

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目的:比较4 种镍钛单支锉预备弯曲根管的成形效果.方法:选择64 颗离体上颌第一磨牙的近中颊根管,根据弯曲度分为中度弯曲组、重度弯曲组,每组再随机分成 4 个亚组(n =8),分别用 4 种镍钛单支锉WaveOne Gold、Reciproc Blue、M3-L以及锋度V Blue预备根管,记为WG组、RB组、M3 组和VB组.记录各组根管预备时间.采用锥形束CT测算根管偏移量、轴中心率及弯曲度变化.结果:预备过程中均未发生器械变形或折断.同一弯曲程度下各亚组根管预备时间差异无统计学意义(P>0.05).重度弯曲根管中,M3 组弯曲度变化值最小.4 种单支锉产生的根管偏移量均<0.30 mm;距根尖3mm处,WG组根管偏移量最大;距根尖5mm处,WG组根管偏移量较小,轴中心率最接近1.结论:虽然4 种镍钛单支锉均能较好地维持弯曲根管原有的解剖形态,但WaveOne Gold在根管中段具有更好的中心定位能力,M3-L在维持根管弯曲角度上更具优势.
Comparison of shaping efficacy of 4 nickel-titanium single-file instru-ments in preparation of curved root canals
Aim:To compare the shaping efficacy of preparing curved root canals by 4 nickel-titanium single-file in-struments.Methods:The mesiobuccal canals of 64 extracted maxillary first molars were allocated into moderate bending group and severe bending group according to their curvature.Each group was randomly divided into 4 subgroups(n =8),the root canals were prepared with 4 nickel-titanium single-file instruments,WaveOne Gold,Reciproc Blue,M3-L and Fengdu V Blue,and named as WG group,RB group,M3 group,and VB group.The operation time was recorded,respectively.The off-set,the axial center rate and changes of bending angle were measured by cone-beam CT.Results:No instruments were de-formed or broken during the preparation process.There was no significant difference in preparation time among subgroups with the same degree of curvature(P>0.05).Among the severely curved root canals,the change of bending angle in M3 group was the smallest.The root canal offset of the 4 single-file instruments was less than 0.30 mm.At 3 mm from the api-cal,the root canal offset in the WG group was the largest,and at 5 mm from the apical,the root canal offset in the WG group was small and the axial center ratio was closest to 1.Conclusion:Although 4 nickel-titanium single-file instruments could maintain the original anatomical shape of the curved root canals well,WaveOne Gold has better center positioning ability,and M3-L is more advantageous in maintaining the curvature angle of the root canals.

nickel-titanium single-file instrumentcurved root canalroot canal preparationcone-beam CTshaping efficacy

张筱娅、林华洁、孟伟涛、王静

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郑州大学第一附属医院口腔科 郑州 450052

镍钛单支锉 弯曲根管 根管预备 锥形束CT 成形效果

2024

郑州大学学报(医学版)
郑州大学

郑州大学学报(医学版)

CSTPCD北大核心
影响因子:1.246
ISSN:1671-6825
年,卷(期):2024.59(1)
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