2种镍钛器械对根管充填物清除效率比较

doi:10.19439/j.sjos.2017.03.007

上海口腔医学 ›› 2017, Vol. 26 ›› Issue (3): 268-271.doi: 10.19439/j.sjos.2017.03.007

2种镍钛器械对根管充填物清除效率比较

李金恒, 伍甜甜, 何宏^*, 韩俊力^*

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:2016-11-22 修回日期:2017-01-04 出版日期:2017-06-25 发布日期:2017-07-05
通讯作者: 韩俊力,E-mail：hanjunli@sina.com;何宏,E-mail:doctorfoxhe@gmail.com。^*共同通信作者
作者简介:李金恒（1987-）,男,硕士研究生,住院医师,E-mail:lijinhengcn@163.com

Evaluation of the efficacy of two kinds of NiTi retreatment instruments for removing filling material during root canal retreatment

LI Jin-heng, WU Tian-tian, HE hong, HAN Jun-li

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:2016-11-22 Revised:2017-01-04 Online:2017-06-25 Published:2017-07-05

摘要/Abstract

摘要： 目的比较Mtwo R 再治疗锉、Reciproc锉与手动器械在根管再治疗过程中对根管内充填物的清除效率。方法取45颗离体下前牙,清理根管后,预备至40^#。牙胶尖和AH Plus糊剂以冷侧压法充填根管。随机分为3组,分别用手用器械、Mtwo R和Reciproc去除根管内充填材料,收集推出根尖孔的碎屑,称重,记录所用时间。样本沿长轴颊舌向劈开,显微镜下进行观察、评分。采用SPSS13.0软件包对数据进行统计学分析。结果3种方法碎屑推出量和管壁清洁度无显著差异（P>0.05）,Mtwo R组和Reciproc组用时更少（P<0.05）。结论镍钛器械并不能完全清除根管充填物,但可以提高效率。

关键词: Mtwo R, Reciproc, 镍钛, 根管再治疗

Abstract: PURPOSE: To compare the efficacy of Mtwo R and Reciproc with that of hand files in removing filling material during root canal retreatment. METHODS: The root canals of forty-five human extracted mandibular central incisors were cleaned and shaped to a size 40 and filled with gutta-percha and sealer using a lateral compaction technique. The teeth were divided into 3 groups. The filling material was removed with hand files, Mtwo R and Reciproc, respectively. The debris extruded out of the apical foramen was collected and weighted. The working time was recorded. Then the teeth were split longitudinally, observed under microscope, and evaluated. The data were statistically analyzed with SPSS 13.0 software package. RESULTS: There was no significant difference among 3 groups for debris extrusion (P>0.05). Removal of filling material with Mtwo R and Reciproc consumed less time (P<0.05). CONCLUTIONS: NiTi retreatment instruments can not remove all filling material during root canal retreatment, but can reduce working time.

Key words: Mtwo R, Reciproc, NiTi, Root canal retreatment

中图分类号:

R781.05

李金恒, 伍甜甜, 何宏, 韩俊力. 2种镍钛器械对根管充填物清除效率比较[J]. 上海口腔医学, 2017, 26(3): 268-271.

LI Jin-heng, WU Tian-tian, HE hong, HAN Jun-li. Evaluation of the efficacy of two kinds of NiTi retreatment instruments for removing filling material during root canal retreatment[J]. Shanghai Journal of Stomatology, 2017, 26(3): 268-271.

参考文献

[1] Shirrmeister JF, Wrbas KT, Schneider FH, et al. Effectiveness of a hand file and three nickel-titanium rotary instruments for removing gutta-percha in curved root canals during retreatment [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2006, 101(5): 542-547.
[2] Schneider SW. A comparison of canal preparations in straight and curved root canals[J]. Oral Surg Oral Med Oral Pathol, 1971, 32(2): 271-275.
[3] 谭青松, 陶小玲, 彭彬. 镍钛再治疗器械去根管充填材料后的器械损伤评价[J]. 牙体牙髓牙周病学杂志, 2014, 24(6): 346-349.
[4] Silva EJ, Sá L, Belladonna FG, et al. Reciprocating versus rotary systems for root filling removal: assessment of the apically extruded material [J]. J Endod, 2014, 40(12): 2077-2080.
[5] Betti LV, Bramante CM. Quantec SC rotary instruments versus hand files for gutta-percha removal in root canal retreatment [J]. Int Endod J, 2001, 34(7): 514-519.
[6] Nicopoulou-Karayianni K, Brägger U, Bürgin W, et al. Diagnosis of alveolar bone changes with digital subtraction images and conventional radiographs. An in vitro study [J]. Oral Surg Oral Med Oral Pathol, 1991, 72(2): 251-256.
[7] Rahnama M. Bone mineral content of the mandible and spine in ovariectomized rats with estrogen deficiency [J]. Ann Univ Mariae Curie Sklodowska Med, 2004, 59(2): 543-546.
[8] Sae-Lim V, Rajamanickam I, Lim BK, et al. Effectiveness of ProFile.04 taper rotary instruments in endodontic retreatment [J]. Endod J, 2000, 26(2): 100-104.
[9] Roggendorf MJ, Legner M, Ebert J, et al. Micro-CT evaluation of residual material in canals filled with Activ GP or GuttaFlow following removal with NiTi instruments [J]. Int Endod J, 2010, 43(3): 200-209.
[10] Marques da Silva B, Baratto-Filho F, Leonardi DP, et al. Effectiveness of ProTaper, D-RaCe, and Mtwo retreatment files with and without supplementary instruments in the removal of root canal filling material [J]. Int Endod J, 2012, 45(10): 927-932.
[11] de Carvalho Maciel AC, Zaccaro Scelza MF. Efficacy of automated versus hand instrumentation during root canal retreatment: an ex vivo study [J]. Int Endod J, 2006, 39(10): 779-784.
[12] Somma F, Cammarota G, Plofino G, et al. The effectiveness of manual and mechanical instrumentation for the retreatment of three different root canal filling materials[J]. J Endod, 2008, 34(4): 469-499.
[13] Schirrmeister JF, Strohl C, Altenburger MJ, et al. Shaping ability and safety of five different rotary nickel-titanium instruments compared with stainless steel hand instrumentation in simulated curved root canals [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2006, 101(6): 807-813.
[14] Kfir A, Tsesis I, Yakirevich E, et al. The efficacy of five techniques for removing root filling material: microscopic versus radiographic evaluation [J]. Inter Endod J, 2012, 45(1): 35-41.
[15] de Mello junior JE, Cunha RS, Bueno CE, et al. Retreatment efficacy of gutta-percha removal using a clinical microscope and ultrasonic instruments: part I-an ex vivo study [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2009, 108(1): e59-62.
[16] Kosti E, Lambrianidis T, Economides N, et al. Ex vivo study of the efficacy of H-files and rotary Ni-Ti instruments to remove gutta-percha and four types of sealer[J] . Int Endod J, 2006, 39(1): 48-54.
[17] Tasdemir T, Er k, Yildirim T, et al. Efficacy of three rotary NiTi instruments in removing gutta-percha from root canals [J]. Int Endod J, 2008, 41(3):191-196.

2种镍钛器械对根管充填物清除效率比较

Evaluation of the efficacy of two kinds of NiTi retreatment instruments for removing filling material during root canal retreatment

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