PubMed · 11367635
The source did not provide an abstract. Follow the original record for more information.
Explore connections, maps & timelines
J Cheng, T Guo. 1997. [Dental titanium casting system].. https://pubmed.ncbi.nlm.nih.gov/11367635/
Cite the original work for its findings. Save a collection to share your selection of sources.
KEEP EXPLORING
AIM: The purpose of this study was to evaluate the influence of rotational speed. torque, and operator experience on the incidence of locking, deformation, and separation of instruments when using a specific Ni-Ti rotary instrumentation technique in extracted human teeth. METHODOLOGY: Greater Taper Ni-Ti rotary instruments (GT) were used in a crown-down technique. In one group (rotational speed evaluation) of canals (n = 300) speeds of 150, 2 50 and 350 r.p.m. (subgroups 1, 2 and 3) were used. Each one of the subgroups included 100 canals. In a second group (evaluation of torque) (n = 300) torque was set at 20, 30 and 55 Ncm (subgroups 4, 5 and 6). In the third group (evaluation of operator proficiency) (n = 300 three operators with varying experience (subgroups 7, 8 and 9) were also compared. Each subgroup included the use of 10 sets of GT rotary instruments and 100 canals of extracted human molars. Each set of instruments was used in up to 10 canals and sterilized before each case. NaOCl 2.5% was used as an irrigant. The number of locked, deformed, and separated instruments was recorded for each group. Statistical analysis was carried out with pairwise comparisons using Fisher's exact tests for each of the failure type. RESULTS: When the influence of rotational speed was evaluated, instrument deformation and separation did not occur in subgroups 1 (150) r.p.m.), 2 (250 r.p.m.), and 3 (350) r.p.m.). Instrument locking occurred in subgroup 3 only. Statistical analysis demonstrated a significant difference between the 150 and 350 r.p.m. groups and between the 250 and 350 r.p.m. groups with respect to instrument locking. In torque evaluation, neither separation, deformation nor locking occurred during the use of the instruments, at 150 r.p.m., and at the different torque values. When the operators were compared, although two instruments were separated in canals prepared by the least experienced operator. Fisher's exact tests did not demonstrate a significant difference between the three subgroups. Instrument locking, deformation, and separation did not occur with the most experienced operator. None of the instruments separated with the trained operator. CONCLUSIONS: Preclinical training in the use of the GT rotary instruments when used with a crown-down technique at 150 r.p.m. was crucial in avoiding instrument separation and reducing the incidence of instrument locking and deformation.
AIM: The purpose of this Study was to compare several parameters of root canal preparation using two different rotary nickel-titanium instruments: ProFile .04 (Dentsply/ Maillefer, Ballaigues, Switzerland) and Lightspeed (Lightspeed Technology Inc., San Antonio, TX, USA). METHODOLOGY: Fifty extracted mandibular molars with root canal curvatures between 20 degrees and 40 degrees were divided into two similar groups having equal mean curvatures. The teeth were then embedded into a muffle system as described by Bramante et al. (1987) and modified by Hülsmann et al. (1999b). All root canals were prepared using ProFile .04 or Lightspeed Ni-Ti instruments to size 45 following the manufacturers' instructions. The Lightspeed system was used in a step-back technique: ProFile .04 instruments were used in a crown-down technique. The following parameters were evaluated: straightening of curved root canals (superimposition of pre- and postoperative radiographs), postoperative root canal diameter (superimposition of pre- and postoperative photographs of root canal cross-sections), safety issues (file fractures. perforations, apical blockages, loss of working length) (protocol), cleaning ability (SEM-evaluation of root canal walls using a five-score system for debris and smear layer), and working time (protocol). Statistical analysis was performed using the Wilcoxon test (P < 0.05) for straightening, and Fisher's exact-test (P < 0.05) for comparison of cross-sections, for comparison of contact between pre- and postoperative diameter, root canal cleanliness and working time. RESULTS: Both Ni-Ti systems maintained curvature well; the mean degree of straightening was less than 1 degrees for both ProFile .04 and for Lightspeed with no statistical significance between the groups. Most procedural incidents occurred with Profile .04 instruments (three fractures), Lightspeed preparation was completed without instrument fractures. Loss of working length, perforations or apical blockage did not occur with either instrument. Following preparation with Profile.04. 64.0% of the root canals had a round, 30.7% an oval, and 5.3% an irregular cross-section, Lightspeed preparation resulted in a round cross-section in 41.3% of cases, an oval shape in 45.3% of cases: 13.3% of cases had an irregular cross-section. No significant differences were found between the two systems. Lightspeed instruments enlarged the root canal more uniformly with no specimen showing 50% or more contact between pre- and postoperative diameter. The difference was statistically significant only for the coronal third of the root canals (P = 0.032). Mean working time was significantly shorter for Profile .04 (105 s) than for Lightspeed (140 s) (P = 0.02). For debris removal Lightspeed achieved the best results (68% scores 1 and 2), followed by Profile .04 (48.4%) with no significant differences between the systems. The results for remaining smear layer were similar: the lowest amount of smear layer on the root canal walls was found after preparation with Lightspeed (30.7% scores 1 and 2). followed by Profile.04 (23.1%). In the coronal third of the root canals Lightspeed performed significantly better than Profile .04 (P = 0.029): in the middle and apical third the differences were not significant. CONCLUSIONS: Both systems under investigation respected original root canal curvature and were safe to use. Both systems can be recommended for clinical use.
Explore the source record for details and available documents.