Süt dişi kök kanal tedavisinde Hero 642 protaper Ni-Ti döner sistemler ve K tipi eğenin preparasyon güvenliği ve süresi açısından in-vitro olarak karşılaştırılması

Bu çalışmada iki Ni-Ti döner alet sisteminin ProTaper- Hero 642 K tipi eğe ile preparasyon güvenliği ve süresi bakımından karşılaştırılması amaçlanmıştır gruba ayrıldı. Grup H de kanallar Hero 642 döner alet sistemi ile Grup P de ProTaper döner alet sistemi ile Grup K de ise K tipi eğe ile prepare edildi. Gruplar perforasyon, alet kırığı ve preparasyon süresi bakımından karşılaştırıldı. Veriler değerlendirilirken perforasyon ve alet kırığı için oranlar arası farka ait t-testi, preparasyon süresi için ise Kruskall-Wallis testi kullanıldı. Gruplar arasında, prepare edilen toplam kanal sayısına ve kanal tiplerine MB, ML, DB, DL, M, D, P göre perforasyon ve alet kırığı açısından anlamlı fark bulunmamıştır p>0.05 . Hazırlanan diş sayıları dikkate alındığında ise, Grup P’deki perforasyon oranı Grup H’ ye göre istatistiksel olarak anlamlı bulunmuştur p˂0.05 . Gruplar preparasyon süreleri açısından karşılaştırıldığında en kısa sürenin Grup H için, en uzun sürenin ise Grup K için harcandığı ve gruplar arasındaki farkın istatistiksel olarak anlamlı olduğu tespit edilmiştir p

In-vitro Comparison of Hero 642 Protaper Ni-Ti Rotary Systems and K-Files in Primary Teeth Root Canal Preparation Regarding Preparation Safety and Time

The aim of this study was to compare two NiTi rotary instrument systems ProTaper-Hero 642 with K-files, regarding preparation safety and time. Fifty four 27 maxillary and 27 mandibular primary molars were randomly divided into three groups each having 18 teeth 9 maxillary and 9 mandibular . In Group H the root canals were prepared using Hero 642 system, In Group P the root canals were prepared using ProTaper system and in Group K the root canals were prepared manually with K-files. The groups were compared regarding perforation, file fracture and preparation time. Perforation and instrument fracture were assessed with t-test for two independent proportions, and the Kruskall-Wallis test was used to assess differences in preparation time. There were no statistically significant differences according to perforations and instrument fractures between groups according to total number of prepared canals and canal types MB, ML, DB, DL, M, D, P . The number of perforations in Group P was statistically higher than Group H when the groups were compared according to the total number of teeth p

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  • Joseph T, Varma B, Mungara J, Zoremchhingi. A study of root canal morphology of human primary molars using computerised tomography: An in vitro study. J Indian Soc Pedod Prev Dent 2005;23:7-12.
  • Kummer TR, Calvo MC, Cordeiro MM, de Sousa Vieira R, de Carvalho Rocha MJ. Ex vivo study of manual and rotary instrumentation techniques in human primary teeth. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2008;105:e84-92.
  • Nagaratna PJ., Shashikiran ND, Subbareddy W. In vitro comparison of NiTi rotary instruments and stainless steel hand instruments in root canal preparations of primary and permanent molar. J Indian Soc Pedod Prev Dent 2006;24:186-91.
  • Canoglu H, Tekcicek MU, Cehreli ZC. Comparison of conventional, rotary, and ultrasonic preparation, different final irrigation regimens, and 2 sealers in primary molar root canal therapy. Pediatr Dent. 2006;28:518-23.
  • Sarı Ş, Aras Ş. Süt molar dişlerde kök kanal morfolojisi. AÜ Diş.Hek.Fak. Derg.. 2004;31:157-67.
  • O'riordan MW, Coll J. Pulpectomy procedure for deciduous teeth with severe pulpal necrosis. J Am Dent Assoc 1979; 99:480-2.
  • Gould JM. Root canal therapy for infected primary molar teeth-preliminary report. ASDC J Dent Child 1972;39:269-73.
  • Rifkin A. A simple, effective, safe technique for the root canal treatment of abscessed primary teeth. ASDC J Dent Child 1980; 47:435-41.
  • Coll JA, Josell S, Casper JS. Evaluation of a one-appointment formocresol pulpectomy technique for primary molars. Pe- diatr Dent 1985;7:123-9.
  • Reyes AD, Reina ES. Root canal treatment in necrotic primary molars. J Pedod 1989; 14:36-9.
  • Barr ES, Flatız CM, Hicks MJ. A retrospective radiographic evaluation of primary molar pulpectomies. Pediatr Dent 1991;13:4-9.
  • Chen JL, Messer HH. A comparison of stainless steel hand and rotary nickel-titanium instrumentation using a silicone impression technique. Aust Dent J 2002; 47:12-20.
  • Crespo S, Cortes O, Garcia C, Perez L. Comparison between rotary and manual instrumentation in primary teeth. J Clin Pediatr Dent 2008;32:295-8.
  • Guelzow A, Stamm O, Martus P, Kielbassa AM. Comparative study of six rotary nickel-titanium systems and hand instrumentation for root canal preparation. Int Endod J 2005;38:743-52.
  • Silva LA, Leonardo MR, Nelson-Filho P, Tanomaru JM. Comparison of rotary and manual instrumentation techniques on cleaning capacity and instrumentation time in deciduous molars. J Dent Child (Chic) 2004;71:45-7.
  • Çalışkan K. Kök kanal aletleri ve ka- nal genişletme yöntemleri. Bölüm 10 In:Endodontide Tanı ve Tedaviler, Nobel Tıp Kitabevi, 2006; p:304.
  • Young GR, Parashos P, Messer HH. The principles of techniques for cleaning root canals. Aust Dent J 2007; 52:52-63.
  • Pettiette MT, Delano EO, Trope M. Evaluation of success rate of endodontic treatment performed by students with stainless- steel K-files and nickel-titanium hand files. J Endod 2001;27:124-7.
  • Paqué F, Musch U, Hülsmann M. Comparison of root canal preparation using RaCe and ProTaper rotary Ni-Ti instruments. Int Endod J 2005;38:8-16.
  • Cheung GS, Liu CS. A retrospective study of endodontic treatment outcome between nickel-titanium rotary and stainless steel hand filing techniques. J Endod 2009; 35:938-43.
  • Reddy S, Ramakrishna Y. Evaluation of antimicrobial efficacy of various root canal filling materials used in primary teeth: a microbiological study. J Clin Pediatr Dent 2007;31:193-8.
  • Fuks AB, Eidelman E, Pauker N. Root fillings with Endoflas in primary teeth: a re- trospective study. Journal of Clinical Pediatric Dentistry 2002;27:41-6.
  • Camp JH. Pulp therapy for primary and young permanent teeth. Dent Clin North Am 1984;28:651-68.
  • Ruddle CJ. The ProTaper endodontic system: geometries, features, and guidelines for use. Dent Today 2001(a);20:60-7.
  • Ruddle CJ. The ProTaper technique: endodontics made easier. Dent Today 2001(b); 20:58-64.
  • Ruddle C. Cleaning and shaping the root canal system. In: Cohen S, Burns R, eds. Pathways of the Pulp, 8th ed. St Louis, MO: Mosby, 2002; p:231.
  • Bergmans L, Van Cleynenbreugel J, Wevers M, Lambrechts P. Mechanical root canal preparation with NiTi rotary instruments: rationale, performance and safety. Status report for the American Journal of Dentistry. Am J Dent 2001;14:324-33.
  • Taşdemir T, Aydemir H, Inan U, Unal O. Canal preparation with Hero 642 rotary Ni- Ti instruments compared with stainless steel hand K-file assessed using computed tomography. Int Endod J 2005 Jun;38:402-8.
  • Guelzow A, Stamm O, Martus P, Kielbassa AM. Comparative study of six rotary nickel-titanium systems and hand instrumentation for root canal preparation. Int Endod J 2005 Oct;38:743-52.