Restorative Dentistry and Endodontics

  • 제29권2호
  • /
  • Pages.147-152
  • /
  • 2004
  • /
  • 2234-7658(pISSN)
  • /
  • 2234-7666(eISSN)
대한치과보존학회 (The Korean Academy of Conservative Dentistry)
권호 표지
DOI QR코드

DOI QR Code

근관의 치경부 조기 확대가 치근단 잔사 정출에 미치는 효과

THE EFFECT OF EARLY CORONAL FLARING ABOUT APICAL EXTRUSION OF DEBRIS

  • 김민경 (조선대학교 치과대학 보존학교실) ;
  • 미정범 (조선대학교 치과대학 보존학교실) ;
  • 황호길 (조선대학교 치과대학 보존학교실)
  • Kim, Min-Kyung (Department of Conservative Dentistry, College of Dentistry, Chosun University) ;
  • Min, Jeong-Beom (Department of Conservative Dentistry, College of Dentistry, Chosun University) ;
  • Hwang, Ho-Keel (Department of Conservative Dentistry, College of Dentistry, Chosun University)
  • 발행 : 2004.03.01
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

The purpose of this study was to investigate the quantity of debris which was extruded apically after canal instrumentation using different types of enlarging instrument in endodontic resin models. Five groups of 9 endodontic resin models were instrumented using each different technique : hand instrumentation without early coronal flaring. hand instrumentation after early coronal flaring. and three nickel-titanium engine-driven instrumentations (Hero 642, Protaper, $K^$). Debris extruded from apical foramen during instrumentation was collected on preweighed CBC bottle, desiccated and weighted using electronic balance. The results were analyzed using Kruskal-wallis test and Mann-Whitney U rank sum test at a significance level of 0.05. The results were as follows: 1. All of instrumentation techniques produced apically extruded debris. 2. Group without early coronal flaring extruded significant more debris than groups with early coronal flaring. 3. There was no significant difference among early coronal flaring groups. The early coronal flaring is very important to reduce the amount of debris extruded apically.

키워드

참고문헌

  1. Becker GL, Cohen S, Borer R, Calif SF. The sequelae of accidentally injecting sodium hypochlite beyond the root apex. J Endod 38:633 638, 1974
  2. Brown DC, Keith Moore B, Brown CE, Newton CW, An in vitro study of apical extrusion of sodium hypochlo rite during endodontic canal preparation. J Endod 21:587 591, 1995 https://doi.org/10.1016/S0099-2399(06)81108-8
  3. Gatot A, Arbelle J, Leiberman A, Yanai Inbar I. Effects of sodium hypochlorite on soft tissues after its inadvertent injection beyond the root apex. J Endod 17:573 574, 1991 https://doi.org/10.1016/S0099-2399(06)81725-5
  4. Marshall JG, Liesinger AW, Factors associated with endodontic posttreatment pain. J Endod 19: 573 575, 1993 https://doi.org/10.1016/S0099-2399(06)81290-2
  5. Naidorf IJ, Endodontic flare ups, Bacteriological and immunological mechanisms. J Endod 11:462 464, 1985 https://doi.org/10.1016/S0099-2399(85)80218-1
  6. Seltzer S, Naidorf IJ, Flare ups in Endodontics. 1. etiological factors. J Endod 11:472 478, 1985 https://doi.org/10.1016/S0099-2399(85)80220-X
  7. Vande Visse JE , Brilliant JD. Effect of irrigation on the production of extruded material at the root apex during instrumentation . J Endod 1:243246, 1975 https://doi.org/10.1016/S0099-2399(75)80227-5
  8. Fukushima H, Yamamoto K, Hirohata K, Sagawa H Leung K P, Walker CB. Localization and identification of root canal bacteria in clinically asymptmatic peri apical pathosis. J Endod 16:534 538, 1990 https://doi.org/10.1016/S0099-2399(07)80216-0
  9. Abou Rass M, Jastrab RJ, The use of rotary instruments as auxiliary aids to root canal preparation of molars. J Endod 8:78 82, 1982 https://doi.org/10.1016/S0099-2399(82)80262-8
  10. Chapman CE, Collee JG, Beagrie GS. A preliminary report on the correlation between apical infection and instrumentatiin in endodontics. J Br Endo Soc 2:7 11, 1968 https://doi.org/10.1111/j.1365-2591.1968.tb01184.x
  11. Chapman CE. The correlation between apical infection and instrumentation in endodontics. J Br Endo Soc 5:76 80,1971 https://doi.org/10.1111/j.1365-2591.1971.tb00055.x
  12. Martin H, Cunningham WT. The effect of endosonic and hand manipulation on the amount of root canal material extruded. Oral Surg 53 : 611 613, 1982 https://doi.org/10.1016/0030-4220(82)90350-4
  13. Seltzer S, Soltanoff W, Sina I, Goldenberg A, Bender IB. Biologic aspects of endodontics, Part Ⅲ, periapical tissue reactions to root canal instrumentation. Oral Surg 26:534 546, 26:694 705, 1968 https://doi.org/10.1016/0030-4220(68)90334-4
  14. Fairbourn DR, McWalter GM, Montgomery S. The effect of four preparation techniques on the amount of apically extruded debris. J Eηdod 13: 102 108, 1987 https://doi.org/10.1016/S0099-2399(87)80174-7
  15. Ruiz Hubard EE, Gutmann JL , Wagner MJ. A quantitative asessment of canal debris forced periapically during root canal instrumentation using two different techniques. J Endod 13:554 558, 1987 https://doi.org/10.1016/S0099-2399(87)80004-3
  16. Ferraz CCR, Gomes NV, Gomes BPFA, Zaia AA, Teixeira FB, Souza Filho FJ. Apical extrusion of debris and irrigants using two hand and three engine driven instrumentation techniques. Int Endod J 34:3 54 358, 2001 https://doi.org/10.1046/j.1365-2591.2001.00394.x
  17. Coffae KP, Brilliant JD. The effect of serial preparation versus nonserial preparation on tissue removal in the root canals of extracted mandibular human molars. J Endod 1:211 214, 1975 https://doi.org/10.1016/S0099-2399(75)80199-3
  18. Goerig LAC, Michelich RJ, Schultz CHH. lnst rumentation of root canals in molar using the step down technique. J Endod 8:550 554, 1982 https://doi.org/10.1016/S0099-2399(82)80015-0
  19. Leeb J, Canal orifice enlargement as related to biome chanical preparation. J Endod 9:463 471, 1983 https://doi.org/10.1016/S0099-2399(83)80160-5
  20. Morgan LF, Montgomery S, An evaluation of the crown down pressureless technique. J Endod 10:491 498, 1984 https://doi.org/10.1016/S0099-2399(84)80207-1
  21. Swindle RB, Neaverth EJ, Pantera EA, Ringle RD. Effect of coronal radicular flaring on apical transportation. J Endod 17:147 150, 1991 https://doi.org/10.1016/S0099-2399(06)82006-6
  22. Cohen S, Burns RC, Pathways of the Pulp. 8th ed 246 247
  23. Gambarini G, Shaping, cleaning the root canal system. scanning electron microscopic evaluation of a new instrumentation and irrigation technique J Endod 25:800 803, 1999 https://doi.org/10.1016/S0099-2399(99)80300-8
  24. Myers GL, Mongomery S. A comparison of weights of debris extruded apically by conventional filling and canal master techniques. J Endod 17:275 279, 1991 https://doi.org/10.1016/S0099-2399(06)81866-2
  25. Hinrichs RE, Walker III WA, Schindler WG. A Comparison of amounts of apically extruded debris using handpiece driven nickel titanium instrument systems. J Endod 24:102 106, 1998 https://doi.org/10.1016/S0099-2399(98)80086-1
  26. Lim KC, Webber J. The validity of simulated root canals for the investigation of the prepared root canal shape. Int Endod J 18:240 246, 1985 https://doi.org/10.1111/j.1365-2591.1985.tb00450.x
  27. Gerstein H. Techniques in clinical endodontics Philadelphia: WB Saunders 324 331, 1983
  28. Montgomery S. Root canal wall thickness of mandibular molars after biomechanical preparation. J Endod 11:257 263, 1985 https://doi.org/10.1016/S0099-2399(85)80181-3
  29. Reddy SA, Hicks ML. Apical extrusion of debris using two hand two rotary instrumentation techniques. J Endod 24:180 183, 1998 https://doi.org/10.1016/S0099-2399(98)80179-9
  30. Beeson TJ , Hartwell GR, Thornton JD, Gunsolley JC. Comparison of debris extruded apically in straight canals: conventional filing versus profile .04 taper series 29. J Endod 24:18 22, 1998 https://doi.org/10.1016/S0099-2399(98)80206-9
  31. Al Omari MAO, Dummer PMH. Canal blockage and debris extrusion with eight preparation techniques. J Endod 21:154 158, 1995 https://doi.org/10.1016/S0099-2399(06)80443-7
  32. Mckendry DJ. Comparison of balanced forces, endosonic, and step back filing instrumentation technique Quantification of extruded apical debris. J Endod 16:24 27, 1990 https://doi.org/10.1016/S0099-2399(07)80026-4