SLOW DOWN EFFECT OF DEBRIS EXTRUSION ON SINGLE-ROOTED TEETH

Carlos Alberto Luna Lara, Octavio Rangel Cobos, Saraí Telléz González, Jose Macario Hernández Izaguirre, Ives Alberto Turrubiartes Balderas, Oscar Miguel Hernandez Morato
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Abstract

Introduction During the instrumentation phase, despite having a strict control of the working length, one of the main problems that can arise is the extrusion of residues and intracanal irrigants towards the periradicular tissues. Objective The aim of this study is to compare the amount of extruded dentin debris during instrumentation using a new endodontic motor in two different functions. Methods 24 extracted premolars were divided into two groups. The cameral access was performed using a # 4 carbide ball bur, all samples were decoronated to standardize the working length at 17 mm. The samples were instrumented with .06 taper Nickel-Titanium Vortex Blue rotary files (Dentsply Maillefer, Ballaigues, Switzerland) with an E-Connect S. endodontic motor in two of its functions: Slow down and rotary. For the collection of extruded debris, Eppendorf tubes were used, which were weighed individually. After instrumentation, the samples were stored in an incubator at 70 ° C for 5 days to evaporate the distilled water, product of the irrigation, and later the tubes were weighed again by the same scale to obtain the final weight of the tubes with the extruded debris. Results When comparing the weight in grams of the amount of debris extruded during instrumentation with two different functions of the E connect S endodontic motor, using Ni Ti rotary files, Vortex Blue, it was observed that the slow down function produces a lower amount of debris, however there were no statistically significant differences between both groups. Conclusion Both functions of the E connect S endodontic motor produce dentin debris, however, it was observed that in the slow down function, the amount of apical debris extrusion is slightly lower.
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碎屑挤压对单根牙的减缓作用
在仪器阶段,尽管对工作长度有严格的控制,但可能出现的主要问题之一是残留物和管内冲洗物向根周组织挤压。目的比较一种新型牙髓马达在两种不同功能下使用时牙本质碎片的挤出量。方法24颗拔除的前磨牙分为两组。使用4号硬质合金球钎进行摄像访问,所有样品都进行了装饰,以标准化工作长度为17 mm。使用0.06锥度镍钛涡旋蓝旋转锉(Dentsply Maillefer, Ballaigues, Switzerland)对样品进行检测,并使用具有两种功能的E-Connect s型牙髓电机:减速和旋转。对于挤压碎片的收集,使用了埃彭多夫管,并分别称重。仪器测量完成后,将样品在70℃的培养箱中保存5天,蒸发蒸馏水,即灌溉的产物,然后再用同样的秤称管,得到挤压后的碎片管的最终重量。结果比较两种不同功能的E connect S根管电机在使用Ni Ti旋转锉、Vortex Blue时,在仪器过程中挤出的碎屑量的重量(克数),可以看出减速功能产生的碎屑量更少,但两组间差异无统计学意义。结论E - connect - S型牙髓马达在两种功能下均产生牙本质碎片,但观察到在慢速功能下牙本质碎片挤压量略低。
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