三种机用镍钛器械预备重度弯曲根管的临床评价2.docVIP

PAGE 12 PAGE 1 三种机用镍钛器械预备重度弯曲根管的临床评价2 贾卫青1，刘继红2，王慧茹1 (030006 山西太原 武警山西总队医院口腔科 ) 摘要： 目的 评价ProTaper, Mtwo, K3三种机用镍钛器械预备重度弯曲根管的临床疗效。 方法 选取患有牙髓炎或根尖周炎的、有重度弯曲根管的磨牙90颗，随机分为三组，分别使用机用镍钛器械ProTaper, Mtwo, K3预备根管，其中Mtwo组采用单一长度技术预备，其余两组采用冠向下法预备，三组均采用侧压充填法充填根管。根据治疗前后的X线片评价根管预备效果，比较根管预备时间，术后疼痛，器械折断数量。使用SPSS13.0软件包进行统计分析，根管弯曲度和操作时间的比较用t检验，根管偏移、器械折断和术后疼痛的发生率用χ2检验。 结果 机用镍钛器械能较好地维持重度弯曲根管的弯曲度和走向，Mtwo组未出现根管偏移，ProTaper和K3组各有1例根管偏移； ProTaper和Mtwo组各有1例发生器械折断；Mtwo组有1例出现术后疼痛；Mtwo的操作时间较ProTaper和K3短。 结论 Mtwo机用镍钛器械预备重度弯曲根管快速有效，能很好地维持根管的弯曲度，但要重视器械折断及术后疼痛的问题。 关键词： 单一长度技术；冠向下法；根管预备；机用镍钛器械 Clinical effect of three kinds of nickel-titanium rotary instrument on preparing severely curved canals Abstract： Objective To evaluate clinical effects of three types of nickel-titanium rotary instruments on preparing severely curved canals. Methods Ninty teeth with curved root canals need to be treated for pulpal or periapical involvement, were randomly divided into three groups, were instrumented by ProTaper, Mtwo and K3. All teeth were obturated by lateral compaction technique. Treatment effect of three groups were evaluated according to pre- and post-operative X-ray films. The time for root canal preparation, complication after root cananl preparation, number of broken instruments were compared. All statistical analysis was performed using SPSS13.0 software package. Data of root canal curvatures and preparation time was compared using t test; the incidence of complications of root canal treatment and postoperative pain was analyzed using Chi-square test. Results The NiTi rotary instruments could keep the curvature and flow of curved canals very well. There was one transportation in ProTaper and K3 group separately. Two rotary instruments fractured in ProTaper and Mtwo group. Postoperative pain seldom occurred in Mtwo group. The operative time was shorter for Mtwo than that of ProTaper and K3. Conclusion With the NiTi rotary instruments Mtwo, curved root canals can be prepared effectively and q