Mtwo镍钛器械在钙化阻塞根管治疗中的应用

上海口腔医学 ›› 2016, Vol. 25 ›› Issue (2): 204-207.

Mtwo镍钛器械在钙化阻塞根管治疗中的应用

赵隽隽，周卓君，韩俊力，朱亚琴

上海交通大学医学院附属第九人民医院?口腔医学院口腔综合科,上海市口腔医学重点实验室,上海 200011

收稿日期:2015-01-12 修回日期:2015-01-12 出版日期:2016-03-25 发布日期:2016-05-06
作者简介:赵隽隽(1976-),女,博士研究生,主治医师,E-mail:zhaojunjun@msn.com 朱亚琴,Tel:021-23271699-5202,E-mail:zyq1590@163.com
基金资助:
上海市卫计委科研课题(201440532)

Clinical management of calcified root canal with Mtwo NiTi files

ZHAO Jun-jun, ZHOU Zhuo-jun, HAN Jun-li, ZHU Ya-qin

Department of General Dentistry,Shanghai Ninth People's Hospital, College of Stomatology, Shanghai Jiao Tong University School of Medicine; Shanghai Key Laboratory of Stomatology. Shanghai 200011, China

Received:2015-01-12 Revised:2015-01-12 Online:2016-03-25 Published:2016-05-06

摘要/Abstract

摘要： 目的:对Mtwo镍钛器械处理钙化阻塞根管的疗效进行评价。方法:选取21例35个用C 型先锋锉结合EDTA 凝胶疏通治疗失败的钙化阻塞根管,应用10#Mtwo镍钛器械结合EDTA凝胶进行钙化疏通处理,观察根管疏通成功率和根管内并发症发生率。采用SAS 9.4软件包对数据进行统计学分析。结果:成功疏通23个钙化阻塞根管,成功率为65.71%。4个根管(11.43％)发生器械分离,3 个根管(8.57%)形成根管台阶。按不同钙化部位分为3组,成功率无显著差异(P>0.05)。结论:Mtwo镍钛器械可提高钙化阻塞根管的治疗成功率。

关键词: 钙化根管, Mtwo镍钛器械, 根管治疗

Abstract: PURPOSE: To evaluate the effect of Mtwo NiTi files in the management of calcified root canals. METHODS: Thirty-five calcified root canals from 21 cases unsuccessfully prepared with C-Pilot files and EDTA were treated with Mtwo NiTi files and EDTA. The data was analyzed with SAS 9.4 software package. RESULTS: Twenty-three calcified root canals were successfully prepared. The success rate was 65.71%. Instrument separation occurred in 4 root canals, and ledge occurred in 3 root canals. Categorized by calcified position, the success rate of three groups had no significant differences (P>0.05). CONCLUSION: Mtwo NiTi files can effectively process calcified root canals.

Key words: Calcified root canal, Mtwo NiTi file, Root canal therapy

中图分类号:

R781.05

赵隽隽，周卓君，韩俊力，朱亚琴. Mtwo镍钛器械在钙化阻塞根管治疗中的应用[J]. 上海口腔医学, 2016, 25(2): 204-207.

ZHAO Jun-jun, ZHOU Zhuo-jun, HAN Jun-li, ZHU Ya-qin. Clinical management of calcified root canal with Mtwo NiTi files[J]. Shanghai Journal of Stomatology, 2016, 25(2): 204-207.

参考文献

游瑞昌,张婷婷,苏勤. 钙化根管的临床治疗研究 .国际口腔医学杂志, 2008, 35(Suppl): 152-154.
张健, 葛久禹, 孙卫斌. Mtwo 镍钛器械的研究进展 . 国际口腔医学杂志, 2009, 36(5): 607-609.
段艳艳, 胡宁, 江喆, 等. 4 种机用镍钛器械预备模拟弯曲根管的效果评价. 上海口腔医学, 2012, 21(3): 279-282.
McCabe PS, Dummer PM. Pulp canal obliteration: an endodontic diagnosis and treatment challenge . Int Endod J, 2012, 45(2): 177-197.
Schafer KG. Treatment of calcified root canals . Ont Dent, 1996,73(10): 21-23.
黄轶锋, 朱亚琴. 钙化根管治疗的研究进展 .上海口腔医学, 2004, 13(2): 141-143.
Burke FM, Samarawickrama DY. Progressive changes in the pulpo-dentinal complex and their clinical consequences . Gerodontology, 1995, 12(12): 57-66.
Khabbaz MG, Serefoglou MH.The application of the buccal object rule for the determination of calcified root canals . Int Endod J, 1996, 29(4): 284-287.
樊明文. 牙体牙髓病学. 第2 版. 北京: 人民卫生出版社, 2004: 230-234.
张蕾, 吴佩玲.根管钙化治疗的研究进展 . 牙体牙髓牙周病学杂志, 2008, 18(1): 53-55.
Plotino G, Pameijer CH, Grande NM, et al. Ultrasonics in endodontics: a review of the literature . J Endod, 2007, 33(2): 81-95.
Eldeniz AU, Erdemir A, Belli S. Effect of EDTA and citric acid solutions on the microhardness and the roughness of human root canal dentin . J Endod, 2005, 31(2): 107-110.
付小红, 周杰, 荣刚. EDTA 凝胶在钙化根管预备中的应用 . 临床口腔医学杂志, 2013, 29(3): 159-160. Lopes HP, Elias CN, Siqueira JF Jr, et al. Mechanical behavior of pathfinding endodontic instruments . J Endod, 2012, 38(10): 1417-1421.
Lopes HP, Elias CN, Amaral G, et al. Torsional properties of pathfinding instruments . Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2011, 112(5): 667-670.
赵云, 綦成. 应用C 型先锋锉结合超声器械及根管显微镜处理钙化阻塞根管81 例疗效观察 . 齐鲁护理杂志, 2012, 18(35): 30-31.
王芬. 镍钛器械研究进展 .中国实用口腔科杂志, 2011, 4(6): 377-382.
Bürklein S, Hiller C, Huda M, et al. Shaping ability and cleaning effectiveness of Mtwo versus coated and uncoated EasyShape instruments in severely curved root canals of extracted teeth . Int Endod J, 2011, 44(5): 447-457.
Kuzekanani M, Walsh LJ, Yousefi MA. Cleaning and shaping curved root canals:Mtwo(R) vs ProTaper(R)instruments, a lab comparison . Indian J Dent Res, 2009, 20(3): 268-270. Sch fer E, Erler M, Dammaschke T. Comparative study on the shaping ability and cleaning efficiency of rotary Mtwo instruments. Part 2. Cleaning effectiveness and shaping ability in severely curved root canals of extracted teeth. Int Endod J, 2006, 39(3): 203-212.
Whitworth JM著, 吕红兵,闫福华译. 实用根管治疗学 . 北京:人民军医出版社, 2006: 74-85.
Tan BT, Messer HH. The quality of apical canal p reparation using hand and rotary instruments with specific criteria for enlargement based on initial apical file size . J Endod,2002,28(9): 658-664.

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