大锥度牙胶尖与两种镍钛机动根管预备锉的匹配性研究  

Study of fitting of greater taper gutta percha cones in root canals prepared with two kinds of nickel-titanium rotary instruments

作　　者：曾志平[1] 韦曦[2] 黄湘雅[2] 俞刚[1] 范丽芸 胡慧珍[1] 

机构地区：[1]浙江省玉环县人民医院口腔科,玉环317600 [2]中山大学光华口腔医学院牙体牙髓科,广州510060

出　　处：《口腔医学》2005年第6期339-340,共2页Stomatology

摘　　要：目的评价大锥度牙胶尖与两种机动镍钛根管预备锉的匹配性。方法选择40只离体后牙根管,根据初尖锉的号码和近远中向根管弯曲度分为2组,分别以ProTaper和ProFile两种机动镍钛根管锉完成根管预备,插入大锥度牙胶尖进行试尖,比较两者的匹配性。结果ProTaper F1、F2、F3与0.06锥度/20、253、0号牙胶尖的匹配率分别为80%、88%、92%,均较同锥度大1号的牙胶尖匹配率高,差异有显著性(P<0.01)。ProFile 0.06锥度/30号和40号与0.04锥度同号牙胶尖的匹配率最高,分别为83%和96%,其次是0.06锥度小1号牙胶尖,而与0.06锥度同号牙胶尖匹配率最低,分别为35%和25%,3者间差异有显著性(P<0.01)。结论大锥度镍钛机动器械预备的根管,与主尖锉同号而锥度减小或锥度相同且小1号的大锥度牙胶尖有良好的匹配性。Objective To evaluate the fitting of greater taper gutta pereha （GP） cones in root canals prepared with two kinds of nickel-titanium （niti） rotary instruments. Methods 40 canals of extracted posterior teeth were divided into two groups according to the size of initial apical file and the canal curvature in mesio-distal direction. The two groups were prepared with either ProTaper or ProFile niti rotary instruments, after which cone-fitting was cawied out by inserting the greater taper GP cones of different sizes/tapers into the prepared canal. Results In canals prepared to ProTaper F1, F2 and F3, the fitting rates of size 20, 25 and 30/0.06 taper GP cones were 80%, 88% and 92%, respectively, which were higher than those of GP cones with one size larger than the Protaper finishing files but of the same taper. The differences were statistically significant （ P 〈 0.01 ）. In canals prepared to 0.06 taper ProFile size 30 and 40, the highest fitting rates were achieved with the same size/0.04 taper GP cones, which were 83% and 96%, respectively. The fitting rates with GP cones of one size smaller/0.06 taper ranked secondly, the lowest fitting rates came to the GP cones of the same size and same taper, which were 35% and 25%, respectively. The differences were statistically significant （ P 〈 0.01 ）. Conclusion In canals prepared with greater taper niti rotary instruments, greater taper GP cones with same size/smaller taper or same taper/smaller size as compared with the master apical files fitted well as master GP cones.

关 键 词：根管治疗 试尖 牙胶 镍钛机动根管预备锉 匹配性 

分 类 号：R781.05[医药卫生—口腔医学]