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儿科旋转文件和牙裂形成在初级牙:一个系统的审查

Syed Sulaiman¹, Victor Samuel A¹, Kavitha Ramar²

¹Pediatric Dentistry, Sri Ramaswamy Memorial (SRM) Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chennai, IND.

|February 7, 2025

概括

- (NiTi) 旋转文件可以导致母牙的牙裂. 像Kedo-S这样的保守或儿科专用文件比ProTaper这样的激进系统更安全,减少了裂风险.

科学领域:

牙周内科医院牙周内科医院牙周内科医院
儿科牙科儿科牙科
牙科材料科学牙科材料科学

背景情况:

- (NiTi) 旋转文件在根运河塑造方面具有优势,但对牙裂纹形成提出了担忧.
原始牙具有独特的结构脆弱性,可能会增加对阳性损伤的敏感性.

研究的目的:

系统地审查由NiTi旋转文件在母牙中使用造成的牙裂的流行,特征和影响.
为了比较不同NiTi文件系统在儿科内牙科中诱导裂纹的潜力.

主要方法:

在多个数据库中进行了全面的文献搜索.
选择了五项符合预先定义的纳入标准的研究进行定性综合.
分析了各种NiTi文件系统 (ProTaper,WaveOne Gold,Reciproc,Kedo-S) 及其与裂形成的关联.

主要成果:

对于具有较大的收缩和攻击性切割设计 (例如,ProTaper) 的NiTi系统,观察到牙裂的发生率更高.
儿科专用或更保守的文件设计 (例如,Kedo-S) 表明牙裂的患病率较低.
研究方法的变化限制了某些文件系统之间的直接比较.

结论:

仪器仪表的选择对于在内牙治疗期间最大限度地减少母牙的结构损伤至关重要.
需要使用标准化方法进行进一步的研究,以最终比较NiTi文件系统.
建议开发创新的儿科专用旋转档案,以提高治疗安全性和治疗结果.

关键词:

牙上的微裂.在牙周内科的微型CT.没有文件,也没有文件.儿科的旋转文件小牙的根管是主要的牙.

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