机用ProTaper预备磨牙弯曲根管临床评价.docVIP

机用ProTaper预备磨牙弯曲根管临床评价[摘要]目的:观察机用ProTaper预备磨牙弯曲根管的临床效果。方法:将134例患者分为机用ProTaper预备磨牙弯曲根管和传统K锉预备磨牙弯曲根管两组,观察比较两组的根管形态预备及断针情况、根充效果、术后1周根尖反应情况、根管预备时间。结果:机用ProTaper预备磨牙弯曲根管各方面均优于传统K锉方法。结论:ProTaper机用镍钛器械用于弯曲根管预备时不易发生断针,根管形态可达到连续的锥度,根充效果好,充填后疼痛发生率低,节约时间提高工作效率。 [关键词]机用ProTaper;磨牙弯曲根管;治疗 [中图分类号]R783 [文献标识码]A [文章编号]1008-6455(2010)05-0737-02 The clinical evaluation of rotary ProTaper preparing for the curved root of molar ZHU Shan (Department of Stomatology,General Hospital of Pingdingshan Coal Group,Pingdingshan 467000,Henan,China) Abstract:ObjectiveTo bserve the clinical effect of rotary Protaper preparing for the curved root of molar.MethodsDivide 134 patient into two groups :Rotary ProTaper preparing for the curved root of molar and traditional K-Flexofile preparing for the curved root of molar.Then observe the root canal morphology preparation and broken needle condition, the root filling effect,the reaction condition of the root tip 7days after the operation,the time of the root canal preparation of thesetwo groups.ResultsThe rotary ProTaper preparing for the curved root of molar is better in every aspect than the traditional K-Flexofile.ConclusionThere is almost no broken needle of the rotary ProTaper when used in preparing for the curved root.Root canal morphology can be continuously taper.The filled effect is very good.The pain occurrence rate is low after the filling.And it can save time and promote work efficiency. Key words:rotary ProTaper;curved root of molar;therapy 根管预备的目的是彻底清除根管内的感染源,并为根管充填创造良好的形状。磨牙由于其解剖学特征,根管数多,根管狭窄弯曲、变异,且位置靠后,操作视野窄,故磨牙根管治疗术无论是根管预备还是根管充填,采用传统治疗比较费时费力。自从机用镍钛旋转器械开始应用于临床,随着根管预备技术的提高和不断完善,根管治疗器械的不断创新,根管治疗技术得到迅速的发展,应用机用镍钛器械的冠根向预备十分盛行[1]。与传统器械比,其工作效率高,柔韧性和抗扭断性明显提高,其最突出特点是具有多种锥度变化的刃部设计的器械。我科自2005年应用此器械在根管预备中取得了较好的效果,现报道如下。 1资料和方法 1.1一般资料:收集2005～2009年在本院口腔科就诊的134例患者(男72例,女62例),每例患者仅有1颗牙需要行根管治疗。纳入标准:各型牙髓炎及慢性根尖周炎但无疼痛等自觉症状,根管有弯曲的恒磨牙,无牙髓治疗史,根尖已完全形成,根管无钙化,无急性根尖周炎。 1.2材料器械:ProTaper机用镍钛器械一套,由6支组成,包括3支成形锉SX、S1、S2和3支完成锉F1、F2、F3、长