关键词: 根管预备, 根管偏移, 模拟树脂根管, ProTaper锉, 不锈钢K锉

Abstract:

Objective To compare the shaping ability and the influence on apical foramen among hand ProTaper, stainless steel K-files and rotary ProTaper in preparing different curved root canal. Methods Forty simulated resin root canal blocks were randomly divided into four groups and prepared by hand ProTaper, stainless steel K-file and rotary ProTaper, respectively. Of them, 12 blocks in group A, B, C consist of six 20° curved root canals and six 30° curved root canals each group. The curvature of the other 4 blocks in group D was less than 5°. Taking photos of the models to the root canal orthotopically and apical foramen using digital camera before and after instrumentation. Finally, the transportation of root canal and the size of apical foramen were analyzed using special image software Auto-CAD. Results The transportation of center in group B was the highest than that in group A and group C（P<0.05）. In some portions of root canal, the transportation of center in group C was higher than that in group A. The size of the apical foramen in group B was significantly bigger than the other groups and the size of the apical foramen in 30° root canal was significantly bigger than that in 20° root canal after instrumentation（P< 0.05）. There was no significantly different between group A and group C, though the size of apical foramen in group C was bigger than that in group A at the same curvature, and that in 30° root canal was bigger than in 20° root canal（P＞0.05）. Conclusion Both of the two instruments engender root canal transportation, and curvature is the main reason of transportation. Comparing with stainless steel K-files, NiTi files can maintain the shape of the root canal and apical foramen well.

Key words: root canal preparation, the transportation of root canal, simulated resin root canal, ProTaper file, stainless steel K-files