2种机用镍钛器械磨牙根管预备效果的临床观察

›› 2018, Vol. 38 ›› Issue (11): 988-991.

2种机用镍钛器械磨牙根管预备效果的临床观察

宋鑫¹,³,蔡琴¹,³,张凤格¹,³,林娟¹,³,吴叶²,王玉凤¹,³,于雷¹,³

1. 南京医科大学附属南京医院（南京市第一医院）
2. 南京市第一医院
3. 南京医科大学附属南京医院（南京市第一医院）

收稿日期:2017-11-16 修回日期:2018-01-15 出版日期:2018-11-28 发布日期:2018-11-30
通讯作者: 蔡琴 E-mail:897006531@qq.com
基金资助:
南京市医学科技发展项目

Clinical effects evaluation of two types of rotary NiTi instruments in molar root canal preparation.

Received:2017-11-16 Revised:2018-01-15 Online:2018-11-28 Published:2018-11-30
Contact: Cai -Qin E-mail:897006531@qq.com

摘要/Abstract

摘要： ［摘要］目的比较2种机用镍钛器械Reciproc和Mtwo用于磨牙根管预备的效果。方法选取因牙髓炎或根尖周炎需治疗的磨牙62例，随机分成R、M两组,其中R组32例，选用Reciproca进行根管预备，M组30例，选用Mtwo进行根管预备，采用热牙胶垂直加压充填技术进行充填。评价器械损耗、预备时间、预备效果。结果 Reciproc无折断，Mtwo折断2支。预备时间：R组(15.45±3.16）min，M组(20.31±2.32) min，差异有统计学意义（P＜0.05)。两组均未发生根管偏移，无根尖阻塞、台阶及侧壁穿孔等并发症。结论两种机用镍钛器械Reciproc和Mtwo用于磨牙根管预备，均能达到良好的效果，但Mtwo时间略长，并且要预防器械折断。

关键词: Reciproc, Mtwo, 镍钛锉, 根管预备

Abstract: Abstract：　Objective　 To compare the effects of molar root canal preparation using two kinds of rotary NiTi instrumrnts. Reciproc and Mtwo instruments. Methods　 A total of 62 patients were enrolled in this study. The patients' molars needed root canal treatment because of pulpitis or periapital periodontitis. And the patients were randomly divided into Group R[Reciproc group(32 cases)]and Group M[ Mtwo group(30 cases)].The above two groups were filled with warm qutta-percha vertical condensation technique. The fractured files and the operating time were recorded. The shaping abilities of two types of NiTi files were analyzed. Results No Reciproc was separated, whereas two pieces of Mtwo were separated. The preparation time of Group R averaged (15.45±3.16) minutes, and Group M averaged (20.31±2.32) minutes, and the difference was statistically significant(P<0.05)．No transportatio，apical blockage,ledge or perforation was found in the two groups. Conclusion Two types of NiTi instruments also show high performance when they are used to molar root canal preparation,but Mtwo instruments need more time and we should pay attention to prevent the fracture of it．

Key words: Reciproc, Mtwo, NiTi file, root canal preparation

中图分类号:

R781.05

宋鑫蔡琴张凤格林娟吴叶王玉凤于雷. 2种机用镍钛器械磨牙根管预备效果的临床观察[J]. , 2018, 38(11): 988-991.

参考文献

[1]刘叶飞，刘斌.种新式机用镍钛锉的研究进展[J].口腔材料器械杂志, 2017, 26(1):44-48
[2]Gavini G, Calderira CL, Akisue E, et all.Ressistance to flexural fatigue of Reciproc R25 Files under continuous rotation and reciprocat in gmovement[J].J Endod, 2012, 38(5):684-687
[3]李姮, 朱顶贵, 俞少玲.机用镍钛器械用于乳磨牙根管治疗临床效果评价[J].中国实用口腔科杂志, 2014, 11(4):686-687
[4]Abou-Rass M, Jastrab RJ.The use of rotary instruments as auxiliary aids to root canal preparation of molars[J].J Endod, 1982, 8(2):78-82
[5]张凤格, 林娟, 薛昌敖, 罗宁, 杭正贤, 芮娜.两种镍钛根管预备系统在下颌第一磨牙一次法根管治疗术中应用效果对比研究[J].中国实用口腔科杂志, 2016, 9(9):545-547
[6]Short JA，Morgan LA，Baumgartner JC.A comparison of canal centering ability of four instrumentation techniques[J].J Endod, 1997, 23(8):507-507
[7]Bürklein S，Hinschitza K，Dammaschke T，et al.Shaping ability and cleaning effectiveness of two single-file systems in severely curved root canals of extracted teeth: Recipro and WaveOne versus Mtwo and Protaper[J].Int Endod J, 2012, 45(5):449-461
[8]Schafer E, Erler M, Dammashke T.Comparative study on the shaping ability and cleaning efficiency of rotary Mtwo instruments:Part 1.Shaping ability in simulated curved canals.Int Endod J, 2006, 39:196-202.
[9]郅洁云，王芳.单支锉预备磨牙弯曲根管疗效观察[J].口腔医学, 2016, 36(7):621-623
[10]Pereira ES, Peixoto IF, Viana AG，et all.Physical and mechanical properities of a rotaryendodontic instruments[J].Int Endod J, 2012, 45(5):469-474
[11]Bürklein S, Benten S, Schafer E.Quantitative evaluation of apically extruded debris with differenr single-file systems:Reciproc,F360 and OneShape versus Mtwo[J].International endodontic Journal, 2014, 47(5):405-409
[12]Arora A; Taneja S; Kumar M; Comparative evaluation of shaping ability of different rotary NiTi instruments in curved canals using CBCT.J Conserv Dent, 2014, 17(1): 35-39.
[13]Junaid A.Influence of single-file endodontics on apical transpotation in curved root canals: an ex vivo micro-computed tomographic study[J].J Endod, 2014, 40(5):717-720
[14]邵彤菲，侯晓梅，侯本祥.往复运动镍钛锉预备型树脂根管成形能力的体外研究[J].中华口腔医学杂志, 2014, 49(5):279-283
[15]郭庆.两种镍钛预备系统在磨牙根管治疗中的临床应用[J].中外医学研究, 2016, 14(4):39-40
[16]刘叶飞，刘斌.种新式机用镍钛锉的研究进展[J].口腔材料器械杂志, 2017, 26(1):44-48
[17]Gavini G，Calderira CL，Akisue E，et all.Ressistance to flexural fatigue of Reciproc R25 Files under continuous rotation and reciprocating in movement[J].J Endod, 2012, 38(5):684-687
[18]郭田，郭嘉，史婷等.机用和对弯曲根管成形能力对比研究[J].牙体牙髓牙周病学杂志, 2016, 26(7):431-434
[19]李姮，朱顶贵，俞少玲.机用镍钛器械用于乳磨牙根管治疗临床效果评价[J].中国实用口腔科杂志, 2014, 11(4):686-687
[20]郭惠杰，高承志.新型旋转镍钛器械在老年人根管治疗中的应用[J].实用口腔医学杂志, 2010, 26(2):255-256
[21]Abou-Rass M，Jastrab RJ.The use of rotary instrum-ents as auxiliary aids to root canal preparation of molars.[J].J Endod，1982, 8(2):78-82.
[22]Short JA，Morgan LA，Baumgartner JC.A comparison of canal Centering
[23]ability of four instrumentation techniques.[J].J Endod，1997，23(8): 507 -507.
[24]Bürklein S，Hinschitza K，Dammaschke T，et al.Shaping ability and cleaning effectiveness of two single-file systems in severely curved root canals of extracted teeth: Reciproc and WaveOne versus Mtwo and Protaper[J].Int Endod J, 2012, 45(5):449-461
[25]张凤格，林娟，薛昌敖等.两种镍钛根管预备系统在下颌第一磨牙一次法根管治疗术中应用效果对比研究[J].中国实用口腔科杂志, 2016, 9(9):545-547
[26]Schafer E，Erler M，Dammashke T.Comparative study on the shaping ability and cleaning efficiency of rotary Mtwo instruments:Part 1.Shaping ability in simulated curved canals.Int Endod J，2006，39:196-202.
[27]郅洁云，王芳.单支锉预备磨牙弯曲根管疗效观察[J].口腔医学, 2016, 36(7):621-623
[28]Pereira ES，Peixoto IF, Viana AG，et all.Physical and mechanical properities of a rotaryendodontic instruments[J].Int Endod J, 2012, 45(5):469-474
[29]Zelada G，Varela P，Martin B.The effect of rotational speed and the curvature of root cancals on the breakage of endodontic instruments[J].J endod, 2002, 8.(7):540-542
[30]Chelryl J.Effect of cyclic fatigue on static fracture loads in protaper nickeltitanium rotary instruments[J].J Endod, 2005, 31(3):183-186
[31]Yared GM，Bou Dagher FE，Machtou P.Failure of profile instruments used with high and low torque motors[J].Int Endod J，2001，34，471-475.
[32]Bürklein S，Benten S，Schafer E.Quantitative evaluation of apically
[33]extruded debris with differenr single-file systems:Reciproc，F360 and OneShape versus Mtwo[J].International endodontic Journal，2014，47(5): 405-409.
[34]Arora A，Taneja S，Kumar M.Comparative evaluation of shaping
[35]ability of different rotary NiTi instruments in curved canals using CBCT.J Conserv Dent，2014，17(1): 35-39.
[36]Junaid A.Influence of single-file endodontics on apical transpotation in curved root canals: an ex vivo micro-computed tomographic study[J].J Endod, 2014, 40(5):717-720
[37]邵彤菲，侯晓梅，侯本祥.往复运动镍钛锉预备型树脂根管成形能力的体外研究[J].中华口腔医学杂志, 2014, 49(5):279-283
[38]郭庆.两种镍钛预备系统在磨牙根管治疗中的临床应用[J].中外医学研究, 2016, 14(4):39-40