Effect of ProTaper Gold, Self-Adjusting File, and XP-endo Shaper Instruments on Dentinal Microcrack Formation: A Micro-computed Tomographic Study

被引:46
|
作者
Bayram, H. Melike [1 ]
Bayram, Emre [1 ]
Ocak, Mert [2 ]
Uygun, Ahmet Demirhan [3 ]
Celik, Hakan Hamdi [2 ]
机构
[1] Gaziosmanpasa Univ, Fac Dent, Dept Endodont, TR-60200 Tokat, Turkey
[2] Hacettepe Univ, Fac Med, Dept Anat, Ankara, Turkey
[3] Recep Tayyip Erdogan Univ, Fac Dent, Dept Endodont, Rize, Turkey
关键词
Dentinal defects; micro-computed tomographic imaging; microcracks; nickel-titanium file system; root canal preparation; ROOT-CANAL PREPARATIONS; CRACK FORMATION; UNIVERSAL; RECIPROCATION; MOVEMENT; SYSTEMS;
D O I
10.1016/j.joen.2017.02.005
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Introduction: The aim of the present study was to evaluate the frequency of dentinal microcracks observed after root canal preparation with ProTaper Universal (PTU; Dentsply Tulsa Dental Specialties, Tulsa, OK), ProTaper Gold (PTG; Dentsply Tulsa Dental Specialties), Self Adjusting File (SAF; ReDent Nova, Ra'anana, Israel), and XP-endo Shaper (XP; FKG Dentaire, La Chaux-de-Fonds, Switzerland) instruments using micro computed tomographic (CT) analysis. Methods: Forty extracted human mandibular premolars having single-canal and straight root were randomly assigned to 4 experimental groups (n = 10) according to the different nickel titanium systems used for root canal preparation: PTU, PTG, SAF, and XP. In the SAF and XP groups, the canals were first prepared with a K-file until #25 at the working length, and then the SAF or XP files were used. The specimens were scanned using high-resolution micro computed tomographic imaging before and after root canal preparation. Afterward, preoperative and postoperative cross-sectional images of the teeth were screened to identify the presence of dentinal defects. For each group, the number of microcracks was determined as a percentage rate. The McNemar test was used to determine significant differences before and after instrumentation. The level of significance was set at P < .05. Results: The PTU system significantly increased the percentage rate of microcracks compared with preoperative specimens (P < .05). No new dentinal microcracks were observed in the PTG, SAF, or XP groups. Conclusions: Root canal preparations with the PTG, SAF, and XP systems did not induce the formation of new dentinal microcracks on straight root canals of mandibular premolars.
引用
收藏
页码:1166 / 1169
页数:4
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