Restorative Dentistry and Endodontics

  • 제32권1호
  • /
  • Pages.61-68
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  • 2007
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  • 2234-7658(pISSN)
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  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
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방사선 미세컴퓨터단층촬영을 이용한 네 종류 file systems의 중심유지능에 관한 비교

A comparison of canal centering abilities of four root canal instrument systems using X-ray micro-computed tomography

  • 고혜숙 (성균관대학교 의과대학 삼성서울병원 치과보존과) ;
  • 유현미 (성균관대학교 의과대학 삼성서울병원 치과보존과) ;
  • 박동성 (성균관대학교 의과대학 삼성서울병원 치과보존과)
  • Ko, Hye-Suk (Department of Conservative Dentistry, Samsung Medical Center, Sungkyungkwan University School of Medicine) ;
  • You, Heyon-Mee (Department of Conservative Dentistry, Samsung Medical Center, Sungkyungkwan University School of Medicine) ;
  • Park, Dong-Sung (Department of Conservative Dentistry, Samsung Medical Center, Sungkyungkwan University School of Medicine)
  • 발행 : 2007.01.31
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초록

이 연구의 목적은 네 종류 file systems의 중심유지능과 근관성형 전후의 상아질 삭제량을 비교하는 것이다. 10-20도의 만곡을 갖는 발거된 20개의 하악 제1대구치의 근심근관(총 40개의 근관)을 근관성형 전에 X선 미세단층촬영 스캐너를 이용하여 스캔하였다. 제 1군은 근관부를 넓힌 후 stainless steel K-Flexofile을 사용하여 step-back technique으로 근관성형하였고, 나머지 군들은 각 제조사의 추천대로 ProFile system (2군), ProTaper system (3군), K3 system (4군)을 사용하여 crown-down technique으로 근관성형하였다. 모든 근관의 근단부 기구조작은 #25 크기까지 시행하였고 근관성형 후 스캔하였다. 3차원 영상 소프트웨어로 근관성형 전후의 스캔된 이미지들을 재구성하여 근관의 전체적 부피 변화를 측정하였다. 또한, 근단공으로부티 1, 3, 5, 7 mm되는 지점의 근관 횡단면을 비교하여 근관성형 전후의 단면적 변화와 중심변위율을 산출하였다. 그 결과, ProTaper와 K3가 다른 file systems보다 상아질을 더 많이 삭제하는 경향을 보였고 모든 실험군에서 중심 변위율은 근단공으로부터 3 mm 지점에서 가장 낮은 수치를 나타냈으며, 3 mm 지점을 제외하고는 ProTaper가 다른 file systems보다 중심유지능이 떨어지는 결과를 얻을 수 있었다 (P < 0.05).

The purpose of this study was to compare the centering abilities of four root canal instrument systems and the amounts of dentin removed after root canal shaping using them. The mesial canals of twenty extracted mandibular first molars having $10-20^{\circ}$ curvature were scanned using X-ray micro-computed tomography (XMCT)-scanner before root canals were instrumented. They were divided into four groups (n = 10 per group). In Group 1, root canals were instrumented by the step-back technique with stainless steel K-Flexofile after coronal flaring. The remainders were instrumented by the crown-down technique with Profile (Group 2), ProTaper (Group 3) or K3 system (Group 4). All canals were prepared up to size 25 at the end-point of preparation and scanned again. Scanned images were processed to reconstruct three-dimensional images using three-dimensional image software and the changes of total canal volume were measured. Pre-and post-operative cross-sectional images of 1, 3, 5, and 7 mm from the apical foramen were com pared. For each level, centering ratio were calculated using Adobe Photoshop 6.0 and image software program. ProTaper and K3 systems have a tendency to remove more dentin than the other file systems. In all groups, the lowest value of centering ratio at 3 mm level was observed. And except at 3 mm level, ProTaper system made canals less centered than the other systems (p < 0.05).

키워드

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