使用循环技术成功检索仪器的槽深度的定量分析:一个横截面in vivo研究
Vivek Devidas Mahale1, Tanushree Saxena1, Sonali Sharma1
1Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India.
Journal of conservative dentistry and endodontics
|April 30, 2025
概括
使用循环技术检索破碎的内牙仪器,对于旋转仪器而言,需要比手工仪器更深的牙槽. 这项研究提供了基于证据的指导,用于成功检索破碎的仪器,优化结果并最大限度地降低风险.
科学领域:
- 牙周内科医院 牙周内科医院 牙周内科医院
- 牙科材料科学 牙科材料科学
- 最少侵入性牙科是最少侵入性的牙科.
背景情况:
- 断裂的内牙仪器在根管治疗中构成重大挑战,复杂化了清洁和塑造程序.
- 循环技术是一种常见的检索方法,但成功的最佳牙槽深度尚未确定.
- 不充分或过度的槽可以导致程序并发症,包括未能提取,增加治疗时间和阳性损伤.
研究的目的:
- 用循环技术确定牙最优的深度,以成功检索破碎的内牙仪器.
- 分析不同的仪器类型的检索时间和成功率等二次结果.
- 为优化破碎仪器检索程序提供基于证据的建议.
主要方法:
- 一个横截面的体内研究,涉及60颗牙与破碎的内牙仪器 (39旋转,21手).
- 丹丁槽使用修改后的盖茨Glidden钻机和ISO 25声波扩散器在高放大下创建.
- 循环技术,使用27尺注射器和0.02毫米不钢丝,用于检索. 挖掘深度和提取时间被仔细记录和分析.
主要成果:
- 与手持仪器 (0.28 mm ± 0.18 mm) 相比,旋转仪器 (0.42 mm ± 0.25 mm) 的平均挖掘深度显著更大.
- 破碎仪器检索的整体成功率高达98.3%,旋转仪器 (97.4%) 和手持仪器 (100%) 之间没有显著差异.
- 旋转仪器的检索时间 (46.2 ± 3.2 分钟) 比手持仪器 (32.4 ± 2.4 分钟) 长得多.
结论:
- 使用循环技术时,旋转仪器需要更深的牙槽和较长的取回时间,而不是手持仪器.
- 这些发现为完善循环技术提供了关键证据,平衡了有效的检索与牙结构的保存.
- 这项研究有助于最大限度地降低手术风险,并改善内牙科再治疗的临床结果.
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