모조 레진블락 근관에서 LightSpeed, ProTaper 및 Hybrid technique의 성형 효율 비교
Comparison of shaping ability using LightSpeed, ProTaper and Hybrid technique in simulated root canals
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
The purpose of this study was to compare the shaping abilities of LightSpeed, ProTaper-Universal, and hybrid technique using S-series of ProTaper-Universal and LigthSpeed. The 72 simulated root canals of J-shape were used and classified as flowing 3 groups according to the instrumentation methods; Group P of 24 canal blocks were prepared with ProTaper-Universal, Group L was prepared with LightSpeed, and Group H was prepared with hybrid technique (initial shaping with ProTaper-Universal S1 and S2 and apical shaping with LightSpeed from #25 to #50). A second-year resident of Endodontic department prepared the resin block canals to apical size #50 (F5 in Group P). The time lapses for instrumentation and the reduction of root canal curvature after shaping were measured. The pre- and post-instrumented root canals were scanned and superimposed to evaluate and calculate the increased canal width and apical centering ratio. The results were as followings: Group L and H showed significant less instrumentation time than Group P (p < 0.05). The ProTaper system showed greater reduction of root canal curvature and working length diminishment than other methods (p < 0.05). LightSpeed system showed best canal curvature preserving characteristics. The Group P had greater instrumented widths at all levels examined (p < 0.05). Group L and Group H showed lower centering ratio (ability to preserve the canal center; the lower ratio means the better canal center preservation) than Group P (p < 0.05). Group H had the lowest centering ratio at the 1 mm level.
Abstract
The purpose of this study was to compare the shaping abilities of LightSpeed, ProTaper-Universal, and hybrid technique using S-series of ProTaper-Universal and LigthSpeed. The 72 simulated root canals of J-shape were used and classified as flowing 3 groups according to the instrumentation methods; Group P of 24 canal blocks were prepared with ProTaper-Universal, Group L was prepared with LightSpeed, and Group H was prepared with hybrid technique (initial shaping with ProTaper-Universal S1 and S2 and apical shaping with LightSpeed from #25 to #50). A second-year resident of Endodontic department prepared the resin block canals to apical size #50 (F5 in Group P). The time lapses for instrumentation and the reduction of root canal curvature after shaping were measured. The pre- and post-instrumented root canals were scanned and superimposed to evaluate and calculate the increased canal width and apical centering ratio. The results were as followings: Group L and H showed significant less instrumentation time than Group P (p < 0.05). The ProTaper system showed greater reduction of root canal curvature and working length diminishment than other methods (p < 0.05). LightSpeed system showed best canal curvature preserving characteristics. The Group P had greater instrumented widths at all levels examined (p < 0.05). Group L and Group H showed lower centering ratio (ability to preserve the canal center; the lower ratio means the better canal center preservation) than Group P (p < 0.05). Group H had the lowest centering ratio at the 1 mm level.
참고문헌 (47)
- Ruddle C.J., "Cleaning and shaping root canal systems. in : Pathways of the pulp", pp.231~291 (2002), CV Mosby
- Walia H.M., "An initial investigation of the bending and torsional properties of Nitinol root canal files", J Endod, 14, pp.346~351 (1988)
- Schäfer E., "Comparison of hand stainless steel and nickel titanium rotary instrumentation: a clinical study", J Endod, 30, pp.432~435 (2004)
- Chen J.L., "A comparison of stainless steel hand and rotary nickel-titanium instrumentation using a silicone impression technique", Aust Dent J, 47, pp.12~20 (2002)
- Garip Y., "The use of computed tomography when comparing nickel-titanium and stainless steel files during preparation of simulated curved canals", Int Endod J, 34, pp.452~457 (2001)
- Schäfer E., "Shaping ability of Hero 642 rotary nickeltitanium instruments and stainless steel hand K-Flexofiles in simulated curved root canals", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 92, pp.215~220 (2001)
- West J., "Endodontic Update 2006", J Esthet Restor Dent, 18(5), pp.280~300 (2006)
- Kim H.C., "Comparison of forces generated during root canal shaping and residual stresses of three nickel-titanium rotary files by using a three-dimensional finite-element analysis", J Endod, 34(6), pp.743~747 (2008)
- Ankrum M.T., "K3 Endo, ProTaper, and ProFile systems: breakage and distortion in severely curved root of molars", J Endod, 30(4), pp.234~237 (2004)
- Bergmans L., "Progressive versus constant tapered shaft design using Ni-Ti rotary instruments", Int Endod J, 36(4), pp.288~295 (2003)
- Clauder T., "ProTaper NT system", Dent Clin North Am, 48(1), pp.87~111 (2004)
- Calberson F.L., "Shaping ability of ProTaper Nickel-Titanium files in simulated resin root canals", Int Endod J, 37(9), pp.613~623 (2004)
- Schäfer E., "Comparative investigation of two rotary nickel-titanium instruments: ProTaper versus RaCe. Part 1. Shaping ability in simulated curved canals", Int Endod J, 37(4), pp.229~238 (2004)
- Peters O.A., "ProTaper rotary root canal preparation: effects of canal anatomy on final shape analysed by micro CT", Int Endod J, 36(1), pp.86~92 (2003)
- 이철환, "수종의 엔진구동형 Nickel-Titanium file을 이용한근관형성 방법이 근관만곡도 유지능력에 미치는 영향", Restorative Dentistry and Endodontics, 28(1), pp.41~49 (2003), 대한치과보존학회
- "Lightspeed recommended technique guide" (1994), Lightspeed Technology
- Thompson S.A., "Dummer PH. Shaping ability of Lightspeed rotary nickel-titanium instruments in simulated root canals. Part 1", J Endod, 23, pp.698~702 (1997)
- Knowles K.I., "Incidence of instrument separation using LightSpeed rotary instruments", J Endod, 32, pp.14~16 (2006)
- Walsch H., "The hybrid concept of nickel-titanium rotary instrumentation", Dent Clin North Am, 48(1), pp.183~202 (2004)
- 박세희, "만곡모형근관에서 초심자가 근관형성시 Ni-Ti 전동파일의 효용성", Restorative Dentistry and Endodontics, 28(2), pp.146~155 (2003), 대한치과보존학회
- 홍은숙, "ProTaper를 사용한 다양한 hybrid instrumentation methods의 근관성형 효율 비교", Restorative Dentistry and Endodontics, 31(1), pp.11~19 (2006), 대한치과보존학회
- Berutti E., "Comparative analysis of torsional and bending stresses in two mathematical models of nickel-titanium rotary instruments: ProTaper versus ProFile", J Endod, 29(1), pp.15~19 (2003)
- Barbakow F., "The LightSpeed System", Dent Clin North Am, 48(1), pp.113~135 (2004)
- Schneider S.W., "A comparison of canal preparations in straight and curved root canals", Oral Surg, 32, pp.271~275 (1971)
- Schäfer E., "Roentgenographic investigation of frequency and degree of canal curvatures in human permanent teeth", J Endod, 28(3), pp.211~216 (2002)
- Gunday M., "A comparative study of three different root canal curvature measurement techniques and measuring the canal access angle in curved canals", J Endod, 31, pp.796~798 (2005)
- Calhoun G., "The effects of four instrumentation techniques on root canal shape", J Endod, 14(6), pp.273~277 (1988)
- Kosa D.A., "An analysis of canal centering using mechanical instrumentation techniques", J Endod, 25(6), pp.441~445 (1999)
- Schilder H., "Cleaning and shaping the root canal", Dent Clin North Am, 18(2), pp.269~296 (1974)
- Young GR, "The principles of techniques for cleaning root canals", Aust Dent J, 52(1), pp.S52~63 (2007)
- Peters O.A., "Current challenges and concepts in the preparation of root canal systems: a review", J Endod, 30(8), pp.559~567 (2004)
- Versümer J., "A comparative study of root canal preparation using Profile .04 and Lightspeed rotary Ni-Ti instruments", Int Endod J, 35(1), pp.37~46 (2002)
- 김정원, "다양한 전동 니켈 티타늄 파일과 혼합사용법에 의한 근관 성형 효육 비교", 대한치과보존학회지, 32(6), pp.530~541 (2007), 대한치과보존학회
- Hülsmann M., "A comparative study of root canal preparation using FlexMaster and HERO 642 rotary Ni-Ti instruments", Int Endod J, 36(5), pp.358~366 (2003)
- Yun H.H., "A comparison of the shaping abilities of 4 nickel-titanium rotary instruments in simulated root canals", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 95(2), pp.228~233 (2003)
- Paqué F., "Comparison of root canal preparation using RaCe and ProTaper rotary Ni-Ti instruments", Int Endod J, 38(1), pp.8~16 (2005)
- Hata G., "A comparison of shaping ability using ProFile, GT file, and Flex-R endodontic instruments in simulated canals", J Endod, 28(4), pp.316~321 (2002)
- Kum K.Y., "Shaping ability of three ProFile rotary instrumentation techniques in simulated resin root canals", J Endod, 26, pp.719~723 (2000)
- Thompson S.A., "Shaping ability of Lightspeed rotary nickel-titanium instruments in simulated root canals. Part 2", J Endod, 23, pp.742~747 (1997)
- Portenier I.F., "Preparation of the apical part of the root canal by the Lightspeed and step-back techniques", Int Endod J, 31, pp.103~111 (1998)
- Turpin Y.L., "Impact of torsional and bending inertia on root canal instruments", J Endod, 27(5), pp.333~336 (2001)
- Rollison S., "Efficacy of bacterial removal from instrumented root canals in vitro related to instrumentation technique and size", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 94(3), pp.366~371 (2002)
- Glossen C.R., "A comparison of root canal preparations using Ni-Ti hand, Ni-Ti engine-driven, and K-Flex endodontic instruments", J Endod, 21, pp.146~151 (1995)
- Schäfer E., "Efficiency of rotary nickel-titanium FlexMaster instruments compared with stainless steel hand K Flexofile-Part 2. Cleaning effectiveness and instrumentation results in severely curved root canals of extracted teeth", Int Endod J, 35, pp.514~521 (2002)
- Schäfer E., "Efficiency of rotary nickeltitanium K3 instruments compared with stainless steel hand K-Flexofile. Part 2. Cleaning effectiveness and shaping ability in severely curved root canals of extracted teeth", Int Endod J, 36, pp.208~217 (2003)
- Griffiths I.T., "Canal shapes produced sequentially during instrumentation with Quantec LX rotary nickel-titanium instruments: a study in simulated canals", Int Endod J, 33, pp.346~354 (2000)
- Schäfer E., "Comparative study on the shaping ability and cleaning efficiency of rotary Mtwo instruments. Part 1. Shaping ability in simulated curved canals", Int Endod J, 39, pp.196~202 (2006)
