手用Protaper镍钛根管锉在根管治疗中的应用研究.pdfVIP

旦壁匡堂 至簋! 鲞簋 翅 Be~ing Journal of Stomatology February 2008．V0L 16．N0．1 手用Protaper 镍钛根管锉在根管治疗中 的应用研究 肖丹 贺周 【摘要】 目的 了解手用镍钛根管器械ProTaper在根管治疗中的效果。方法 采用随机对照的方法比较手 用ProTaper与传统不锈钢根管器械在根管预备时间、根充时间、根管充填的效果以及术后疼痛方面的差异。结果 根管预备时间分别为手用ProTaper组4．58±0．41(min)、不锈钢器械组6．66±0．43(min)，根管充填恰填率为手用 ProTaper组80．96％、不锈钢器械组62．64％，术后疼痛的发生率手用ProTaper组3．66％、不锈钢器械组10．26％。 结论 手用ProTaper能够保持根管初形、省时省力、术后反应少、安全，值得推广。 【关键词】 手用ProTaper；镍钛根管锉； 根管治疗 【中图号】 R781．05 【文献标识码】 A 【文章编号】 1006．-673X(2008)01-0037-03 A climeal study of the hand ProTaper nickel-titanium files in root canal treatment XIA0 Dan．HE Zhou． s0n Dental Clinic．Bering l0o022．China 【Abstract】 Objective To evaluate the clinical effect of ProTaper(a nickel-titanium instrument system)in the root canal treatmenL Methods A total of 546 patients who needed root canal treatment were selected and divided into 2 groups．Tlle root canals were prepared’vitll hand ProTaper(PT group)and stainless steel files(SS group)respectively，and root canal obturation was carried out at tl1e$ame visiL The preparing time and tlle obturating time were recorded．and tlle outcome of the root canal obturation was evaluated based on post—operative radiograghs．Patients were viewed 3 days later． the incidence and degree of post-operative pain were recorded．Results The preparing time Was 4．58±0．41(min)in PT group and 6．56±0．43(min)in SS group，the obturating time Was 3．61±0．40(min)in PT group and 4．94±0．43(min) in SS group．80．96％ of canals were obturated rightly in PT group as compared’vi山 62．64％ in SS group． incidence of post-operative pain Was 3．66％ in PT group and 10．26％ in SS group．Condusion Tlle hand ProTaper technique showed less time，better shaping ability and improved predictability in root canal obturation than stainless steel files，and it also c