WaveOneGold和ProTaperNext在预备C形根管成形能力和清理能力中的应用效果比较  

Comparison of the Application Effects of WaveOneGold and ProTaperNext in Preparing C-shaped Root Canals in Terms of Shaping Ability and Cleaning Ability

作　　者：邱延菊 万哲 杜军 郑伟娟 QIU Yanju;WAN Zhe;DU Jun;ZHENG Weijuan(Department of Stomatology,Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine,Urumqi 830000,Xinjiang,China)

机构地区：[1]新疆维吾尔自治区中医医院口腔科,新疆乌鲁木齐830000

出　　处：《中国美容医学》2024年第10期167-170,共4页Chinese Journal of Aesthetic Medicine

基　　金：新疆医科大学附属中医医院院级课题(编号:ZYY202119)。

摘　　要：目的:比较WaveOneGold和ProTaperNext在预备弯曲根管成形能力和清理能力中的应用效果。方法:选取2022年1月-2022年6月新疆维吾尔自治区中医医院收治的接受根管治疗术的180例下颌第二磨牙C形根管患者为研究对象,采用随机数字表法将患者分为WG组(90例,接受WaveOneGold根管预备)与PN组(90例,接受ProTaperNext根管预备);比较两组根管预备时间、成形能力、疼痛情况、清理能力以及根管充填质量。结果:PN组预备时间显著大于WG组(P<0.05);PN组患者根尖部以及根管中部未预备面积明显小于WG组(P<0.05);PN组在距根尖1.5 mm、5.5 mm处根管偏移值明显小于WG组(P<0.05);PN组在距根尖1.5 mm、4.5 mm处中心定位力优于WG组(P<0.05);两组患者术后7 d内约诊间疼痛发生情况、预备后根管壁碎屑评分、根管壁玷污层评分比较差异无统计学意义(P>0.05);根管充填1年后,两组根管填充情况比较差异无统计学意义(P>0.05)。结论:ProTaperNext在预备弯曲根管时相较于WaveOneGold在疼痛情况、清理能力以及充填质量方面无明显差异,WaveOneGold预备时间更短,但ProTaperNext预备具有更好的成形能力。Objective To compare the application effects of WaveOneGold and ProTaperNext in preparing C-shaped root canals in terms of shaping ability and cleaning ability.Methods A total of 180 patients with C-shaped root canals in mandibular second molars who underwent root canal therapy in the Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine from January 2022 to June 2022 were selected as the study subjects.The subjects were divided into a WaveOneGold group(90 patients receiving WaveOneGold root canal preparation)and a ProTaperNext group(90 patients receiving ProTaperNext root canal preparation)by random number table method.The root canal preparation time,shaping ability,pain,cleaning ability,and root canal filling quality were compared between the two groups.Results The preparation time of the PN group was significantly longer than that of the WG group(P<0.05).The unprepared area of root tip and central root canal in the PN group was significantly smaller than that in the WG group(P<0.05).The root canal deviation values at 1.5 mm and 5.5 mm from the root tip in the PN group were significantly lower than those in the WG group(P<0.05).The central positioning at 1.5 mm and 4.5 mm from the root tip was better in the PN group than the WG group(P<0.05).There was no statistically significant difference between the two groups in terms of pain during appointment within 7 d after operation,root canal wall debris score after preparation,and root canal wall smear layer score(P>0.05).A year later,root canal filling in the two groups was similar(P>0.05).Conclusion ProTaperNext is equivalent to WaveOneGold when preparing C-shaped root canals in terms of pain,cleaning ability,and filling quality.WaveOneGold has shorter preparation time,but ProTaperNext can achieve better shaping ability.

关 键 词：下颌第二磨牙C形根管 新型机用镍钛器械 预备弯曲根管 成形能力 疼痛 清理能力 

分 类 号：R783[医药卫生—口腔医学]