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احتمالية حدوث العيوب في عاج الجذر نتيجة لاستخدام انظمة مختلفة من مبارد النيكل تيتانيوم == The Incidence of dentinal root defects caused by different Nickel Titanium instruments
Author name:
نور الدين علي سعيد
Supervisor name:
ايمان محمد الزقة
General topic:
Dentistry
Specific topic:
Dental Treatment
Degree:
Master
University:
Mustansiriyah University
Language:
English
University location:
Baghdad
First pages:
20T403 - p.pdf
Abstract:
يعد الاعداد الميكانيكي الاحيائي لقنوات الجذر احد الخطوات الرئيسية لتحقيق حشوة جذر ناجحة بسبب امكانية ازالة الاجسام البكتيرية والحطام المتراكم وتسهيل وضع حشوة الجذر داخل القنوات. الغرض من هذه الدراسة هو لملاحظة ومقارنة احتمالية حدوث العيوب في عاج الجذر نتي | Vertical root fracture and crack formation can be seen in root dentin during and after endodontic procedures. Vertical root fracture is one of the most frustrating complications of root canal treatment, which often results in tooth extraction. The aim of this in vitro study was to compare the effect of different Nickel Titanium instruments (ProTaper Universal, EndoSequence, ProTaper Next and RECIPROC) on the dentinal wall in term of dentinal defects.Seventy - five straight palatal roots of freshly extracted human maxillary first molars teeth were used in this study, the palatal roots were sectioned at 11 mm from the apex and wrapped with two layers of aluminum foil, then placed in the center of elastic silicon mold. Fifteen roots were left unprepared to serve as a negative control group, the remaining 60 roots were divided into 4 groups, each group contained 15 roots : • Group I was prepared by rotary ProTaper Universal system.• Group II was prepared by rotary EndoSequence system.• Group III was prepared by rotary ProTaper Next system.• Group IV was prepared by reciprocating RECIPROC system.All canals were prepared to MAF # 40. After each file size of the (rotary files) or after three pecking motion of the (reciprocating files), the file was removed from the canal and the canal was irrigated with 1 ml of 2% of sodium hypochlorite. All files were cleaned periodically to prevent clogging of flutes during instrumentation. The canal remained patent by insertion size 15 K - file.When the instrumentation was completed, the roots were then embedded in a clear acrylic resin blocks and each root was sectioned into three levels : apical, middle and coronal. All samples were examined from coronal direction under Stereomicroscope. The number and the type of dentinal defects were recorded and classified. The collected data was tabulated and subjected to statistical analysis using chi - square test.The EndoSequence group showed the lowest number of dentinal defects followed by ProTaper Next group and then ProTaper Universal group. The highest number of dentinal defects were observed in RECIPROC group. Chi - square test showed that there were highly significant differences among groups (P < 0.01). The results showed a non - significant difference between EndoSequence and Protaper Next group (p > 0.05), and a significant difference with ProTaper Universal group (P < 0.05) and a highly significant difference with RECIPROC group (P < 0.01). The ProTaper Next group showed a significant difference with ProTaper Universal group and a highly significant difference with RECIPROC groups. There was no significant difference between RECIPROC and ProTaper Universal groups.
