여러 근관치료용 무선 핸드피스의 진동양상 비교
Comparison vibration characteristics of several wireless endodontic handpieces
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목적: 여러 근관치료용 무선 핸드피스에서 발생되는 진동의 크기와 양상을 비교해 보고자 한다. 연구 재료 및 방법: 클램프로 고정시킨 5개의 근관치료용 무선 핸드피스(X Smart IQ, E Connect S, Endo A Class, ENDOIT, TRAUS ENDO)의 헤드부분에 가속도계를 이용하여 회전운동과 왕복운동방식으로 동작할 때 핸드피스 자체에서 발생하는 진동가속도를 측정하였다. 결과: 모든 근관치료용 무선 핸드피스에서 회전운동보다 왕복운동에서의 평균진동가속도가 유의하게 높게 나타났다(P < 0.001). 회전운동에서는 급격한 진동의 크기 변화 없이 일정한 진폭의 반복적인 진동그래프가 얻어졌으며, 평균진동 가속도 값은 X Smart IQ, Endo A Class, ENDOIT, E Connect S, TRAUS ENDO 순이었고(P < 0.001), X Smart IQ와 Endo A Class 사이에는 통계적으로 유의한 차이가 없었다. 왕복운동에서는 한 주기 안에 특정 지점에서 큰 진폭의 피크가 나타나는 양상의 진동그래프가 얻어졌으며, 평균진동가속도 값은 X Smart IQ, E Connect S, Endo A class, ENDOIT, TRAUS ENDO 순이었다(P < 0.001). 결론: 무선 근관치료용 핸드피스 종류에 관계없이 회전운동보다 왕복운동에서 더 큰 진동이 발생하였다. 왕복운동에서는 모든 핸드피스에서 진동의 차이가 있었다(P < 0.001).
Abstract
Purpose: Wireless endodontic handpieces (WEH) are widely used in dental clinics due to their convenience and portability. This study aimed to compare the vibration magnitudes and patterns generated by five WEH. Materials and Methods: Vibration acceleration of five WEH (X-Smart IQ, E connect S, Endo A Class, ENDOIT, and TRAUS ENDO) in the rotary and reciprocating motion was measured with accelerometer The average vibration acceleration was analyzed using the t-test, Welch’s ANOVA test, and Dunnett T3 test at P < 0.05. Results: In all WEH, the average vibration acceleration in reciprocating motion was significantly higher than that in rotary motion (P < 0.001). In rotary motion, repeated vibration graphs of constant amplitude were obtained without sudden changes in the magnitude of vibration, and the average vibration acceleration value was high in the order of X Smart IQ, Endo A Class, ENDOIT, E Connect S, and TRAUS ENDO (P < 0.001), there was no statistically significant difference between X Smart IQ and Endo A Class. In reciprocating motion, a vibration graph was obtained in which large amplitude peaks appear at specific points within one cycle are repeated. The average vibration acceleration value was highest in the order of X Smart IQ, E Connect S, Endo A class, ENDOIT, and TRAUS ENDO (P < 0.001). Conclusion: Regardless of the type of WEH, greater vibration occurred in the reciprocating motion than in the rotary motion (P < 0.001). In the reciprocating motion, there was a difference in vibration for all handpieces (P < 0.001).
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