两种镍钛机动器械预备根管的效果分析

目的　评价使用两种镍钛机动器械预备磨牙根管的临床疗效。方法　选取需行根管治疗的 10 0颗患有牙髓炎及根尖周炎的磨牙 ,分别使用机用镍钛器械Protaper、Hero6 4 2冠向下预备根管 ,两组均使用侧压充填法充填根管。记录根管预备时间及器械折断数量。根据治疗前、中、后的X线片计算弯曲根管的弯曲度变化 ,评价根管预备和充填的效果。结果　Protaper和Hero6 4 2预备根管时间短 ,根管锥度、流畅度好 ,术后疼痛发生少且程度轻。Protaper预备后根管弯曲度平均减小 4 0 2°,Hero6 4 2平均减小 1 72°,二者差异有统计学意义 (P <0 0 0 1)。Protaper器械折断 5支、Hero6 4 2未发生器械折断 (P <0 0 5 )。结论　镍钛机动器械Protaper、Hero6 4 2预备磨牙根管成形、根充效果好。Protaper减小根管弯曲度较Hero6 4 2明显 ,但易折断。Hero6 4 2操作简单 ,不易折断目的　评价使用两种镍钛机动器械预备磨牙根管的临床疗效。方法　选取需行根管治疗的 10 0颗患有牙髓炎及根尖周炎的磨牙 ,分别使用机用镍钛器械Protaper、Hero6 4 2冠向下预备根管 ,两组均使用侧压充填法充填根管。记录根管预备时间及器械折断数量。根据治疗前、中、后的X线片计算弯曲根管的弯曲度变化 ,评价根管预备和充填的效果。结果　Protaper和He

Clinical evaluation of two types of NiTi rotary instruments in preparation of root canals

OBJECTIVE: To evaluate clinical effects of two types of nickel-titanium rotary instruments in preparation of molars' root canals. METHODS: 100 molars with pupal and perioapical involvement were instrumented by Protaper and Hero642 files with crown-down technique. All teeth were obturated with lateral condensation method. Straightening of canal curvature was determined. The efficiency of preparation and obturation was analyzed with radiograph before, during and after operation. RESULTS: The operating time of each NiTi group was short. The two NiTi rotary instruments could achieve continuously tapered root canal shape. The curvature of the canal reduced by -4.02 degrees +/- 2.80 degrees with Protaper and 1.72 degrees with Hero642 (P < 0.001). Five pieces of Protaper with broken, whereas no Hero642 was broken (P < 0.05). CONCLUSIONS: Protaper, Hero642 files showed good shaping ability and improved predictability in root canal obturation. Protaper can lessen canal curvature more significantly. Hero642 files are easy to operate and not easy to separate.