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J Endod ; 39(8): 1060-6, 2013 Aug.
Artículo en Inglés | MEDLINE | ID: mdl-23880278

RESUMEN

INTRODUCTION: The newly developed single-file systems claimed to be able to prepare the root canal space with only 1 instrument. The present study was designed to test the null hypothesis that there is no significant difference in the preparation of oval-shaped root canals using single- or multiple-file systems. METHODS: Seventy-two single-rooted mandibular canines were matched based on similar morphologic dimensions of the root canal achieved in a micro-computed tomographic evaluation and assigned to 1 of 4 experimental groups (n = 18) according to the preparation technique (ie, Self-Adjusting File [ReDent-Nova, Ra'anana, Israel], WaveOne [Dentsply Maillefer, Ballaigues, Switzerland], Reciproc [VDW, Munich, Germany], and ProTaper Universal [Dentsply Maillefer] systems). Changes in the 2- and 3-dimensional geometric parameters were compared with preoperative values using analysis of variance and the post hoc Tukey test between groups and the paired sample t test within groups (α = 0.05). RESULTS: Preparation significantly increased the analyzed parameters; the outline of the canals was larger and showed a smooth taper in all groups. Untouched areas occurred mainly on the lingual side of the middle third of the canal. Overall, a comparison between groups revealed that SAF presented the lowest, whereas WaveOne and ProTaper Universal showed the highest mean increase in most of the analyzed parameters (P < .05). CONCLUSIONS: All systems performed similarly in terms of the amount of touched dentin walls. Neither technique was capable of completely preparing the oval-shaped root canals.


Asunto(s)
Cavidad Pulpar/diagnóstico por imagen , Preparación del Conducto Radicular/instrumentación , Microtomografía por Rayos X/métodos , Anatomía Transversal , Diente Canino/diagnóstico por imagen , Cavidad Pulpar/anatomía & histología , Diseño de Equipo , Humanos , Procesamiento de Imagen Asistido por Computador/métodos , Imagenología Tridimensional/métodos , Odontometría/métodos , Irrigantes del Conducto Radicular/uso terapéutico , Preparación del Conducto Radicular/métodos , Hipoclorito de Sodio/uso terapéutico , Ápice del Diente/diagnóstico por imagen
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