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论文摘要

三种器械预备磨牙弯曲根管成形能力的比较

Comparison on the Shaping Ability of Three Different Instruments in Preparing Curved Molar Canals

作者:朱亚琴,顾迎新,杜嵘

Author:ZHUYa-qin,GU Ying-xin,DURong

收稿日期:2005-10-25          年卷(期)页码:2005,23(05):393-

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:弯曲根管,根管预备,改良逐步后退法,冠根向深入法,根尖偏移,

Key words:curved root canal,root canal preparation,modified step-back technique,crown-down technique,apical,

基金项目:上海市科委青年启明星计划资助项目(01QB14025);上海 市卫生局医苑新星计划资助项目(2000年)

中文摘要

目的 研究手用ProTaper与不锈钢K锉、镍钛合金K锉预备磨牙弯曲根管对根管弯曲度和根尖偏移的影 响。方法 45个弯曲度为20°~40°的磨牙根管,按弯曲度大小排序后分成15个区组,每区组3个根管,再随机分配 至3个不同处理组,每组15个根管。A组采用手用ProTaper系统行冠根向深入法根管预备;B、C组分别采用不锈钢 K锉和镍钛合金K锉行改良逐步后退法预备根管。记录3组根管预备前后根管影像及器械尖端所在位置,测量并 比较3组间根管弯曲度的变化、根尖偏移指数(ATI)和操作时间。结果 A组的根管弯曲度在根管预备前后仅改变 0·28°,明显低于B、C组,ATI亦小于B、C组(P

英文摘要

Objective To study the changes of root canal curvatures and apical transportation index when the curved root ca- nals were prepared by hand-use ProTaper, stainless steel K-files or nickel-titanium K-files.Methods Forty-five extracted mo- lars, with the degree of root canal curvature from twenty to forty, were divided into fifteen sections in curvature sequence. After that, three canals of each section were randomly distributed to three different instrumentation groups. One group of themwas pre- pared by hand-use ProTaperwith crown-down technique. The othertwo groupswere instrumented by stainless steel or nickel titani- um K-files with modified step-back technique to working length. The standard digital radiographs were taken to record the profiles of root canals and the positions of the tips of the instruments. The change of curvature degree between pre- and post-instrumenta- tion and the apical transportation indexes (ATI) among three groups were analyzed respectively using SAS statistical software.Re- sults The change of curvature degree between pre- and post-instrumentation for stainless steel K-files groupwas largest, and the ATI of stainless steel K-files group was significantly greater than that for nickel titanium K-files group (P

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