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Microscopic Evaluation of Dentinal Defects after Root Canal Preparation with Different Hand and Nickel-Titanium Files; An In Vitro Study.
Karia, Hiral Milap; Vaghela, Ishita; Dhanesha, Archan; Solanki, Pranav; Rathwa, Rangesing.
Afiliación
  • Karia HM; Department of Conservative and Endodontics, R.R. Dental College, Udaipur, Rajasthan, India.
  • Vaghela I; Department of Prosthodontics and Crown and Bridge, GDCH, Jamnagar, Gujarat, India.
  • Dhanesha A; Department of Conservative and Endodontics, AIIMS, Rajkot, Gujarat, India.
  • Mrugnayani; Department of Prosthodontics and Crown and Bridge, K.M. Shah Dental College and Hospital, Vadodara, Gujarat, India.
  • Solanki P; Department of Prosthodontics and Crown and Bridge, Goenka Research Institute of Dental Science, Piplaj, Gujarat, India.
  • Rathwa R; Department of Prosthodontics and Crown and Bridge, GDCH, Jamnagar, Gujarat, India.
J Pharm Bioallied Sci ; 16(Suppl 1): S711-S713, 2024 Feb.
Article en En | MEDLINE | ID: mdl-38595627
ABSTRACT

Background:

Effective endodontic instrumentation aims to remove microorganisms, debris, and tissue from the root canal while maintaining dentinal integrity. This study compares dentinal defect incidence following canal preparation with different hand files, nickel-titanium rotary files, and reciprocating files. Materials and

Methods:

Eighty single-rooted mandibular premolars with mature apices were collected. Four groups (n = 20) were established based on canal patency establishment, canal preparation technique, irrigation solution, and final irrigation. After root sectioning at 3 mm, 6 mm, and 9 mm from the apex, slices were examined under a stereomicroscope, and dentinal defects were recorded. A second examiner reviewed the images.

Results:

The results showed significant difference of P = 0.031 among Hand files vs. Rotary ProTaper files In Hand files vs. Reciprocating WaveOne files significant difference was P = 0.048, and for rotary ProTaper files vs. Reciprocating WaveOne files No significant difference (P = 0.643). Dentinal defect counts were similar at 3 mm, 6 mm, and 9 mm. Statistically significant variation was observed between hand files and rotary files, as well as hand files and reciprocating files.

Conclusion:

Both rotary and reciprocating files showed a statistically significant increase in dentinal defect incidence compared to hand files. However, clinical implications should be considered cautiously. Instrumentation technique selection should be based on clinical context, operator experience, and patient factors. Further clinical studies are needed for validation.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pharm Bioallied Sci Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Pharm Bioallied Sci Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India