Hand file and manual rotary file behavior in curved canals: an ex vivo micro-CT study

手锉和手动旋转锉在弯曲根管中的行为:一项离体微型CT研究

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Abstract

Several instrumentations systems are available in the market and it is necessary to assess their behavior in curved root canals. AIM: To analyze the ability of two manual instrumentation techniques to center mesial root canals of mandibular molars, studied by computed microtomography (micro-CT). MATERIALS AND METHOD: Twenty mesial root canals of mandibular molars were matched based on similar morphological dimensions using micro-CT evaluation and divided in 2 groups (n=10): (1) Crown-down technique with Gates-Glidden drills and K-Flexofiles and (2) M manual NiTi rotary system. Changes in volume, surface area and canal transportation were compared using an unpaired t-test with a 5% significance level. RESULTS: No significant differences were observed between groups regarding volume surface area after root canal preparation (p>0.05). Variation in the centroid differed between groups in the total canal length, and in the cervical and middle thirds, with better centralization for the M files (p<0.05). CONCLUSIONS: Both manual instrumentation techniques had similar volume and surface area variation. Both techniques left unprepared canal areas with similar values. M manual NiTi files caused minor canal transportation.

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