ABSTRACT
Com a evolução técnico-científica ocorrida na Endodontia, torna-se difícil selecionar qual instrumento rotatório é mais eficiente na remoção do material obturador para o retratamento endodôntico. A redução do tempo de trabalho é um fator importante na escolha dos instrumentos endodônticos. Sendo assim, procura-se uma técnica de desobturação rápida e eficiente, visando facilitar a remoção da guta percha dos canais radiculares, com benefícios tanto ao profissional quanto ao paciente. O propósito deste estudo foi avaliar o tempo para se conseguir obter o comprimento de trabalho (CT) dos canais radiculares, utilizando dois diferentes instrumentos pela técnica mecanizada. Para isso, 40 pré-molares inferiores extraídos foram aleatoriamente divididos em dois grupos (n=20), previamente obturados, armazenados e então desobturados. No Grupo 1 foram utilizados os instrumentos ProTaper® Universal D e no Grupo 2 os instrumentos Mtwo.R®. O tempo para obtenção do CT em dentes já tratados endodonticamente foi obtido através de um cronômetro. Os dados foram registrados em tabelas para serem analisados e posteriormente avaliados pelo teste t de Student. Os resultados mostraram que não houve diferença estatística entre os tempos dos dois grupos (p=0,69), porém os instrumentos ProTaper® Universal D foram mais velozes na remoção da guta percha quando foram utilizados os três instrumentos para chegar ao CT (p=0,02)...
Endodontics has advanced on science and techniques, due to this fact itÆs hard to select which is the most efficient rotary instrument to remove filling material when it comes to endodontic retreatment. Reduced working time is an important criteria on the choice of the instrument to be used. Thus, an efficient and fast un-filling technique is required to facilitate the removal of gutta percha from the root canals and assure benefits to both practitioner and patient. This study aimed to assess the time spent to get the root canalsÆ working length (WL) by using two different rotary instruments. Forty extracted mandible premolars were randomly divided into two groups (n=20). The teeth had been previously filled in with filling material then stored and finally they had been unfilled. In Group 1, the unfilling was performed wth ProTaper® Universal D, while for Group 2 the Mtwo.R® was used. A timer was used to determine the necessary time to get the WT on retreated teeth. Data had been recorded in a chart to following analyses by StudentÆs T Test. Results showed no statistical difference between times for both groups (p=0.69), although the ProTaper® Universal D instruments were faster on removing the gutta percha when three instruments were used to reach the WL (p=0.02)...
Subject(s)
Humans , Dental Instruments , Endodontics/methods , Retreatment , Data Interpretation, StatisticalABSTRACT
Introduction: Endodontic obturation consists of root canal filling by antiseptic or inert materials that promote a three-dimensional sealing and stimulate the repair process without interfering with it. Different obturation techniques and materials have been proposed to meet this requirement. Objective: To compare the root canal filling promoted by lateral condensation technique, Tagger's hybrid technique and McSpadden technique by assessing the filling quality through digital radiograph. Material and methods: A total of 45 extracted single-rooted human teeth were used and randomly divided into three experimental groups. After instrumentation, the teeth were filled by lateral condensation (n=15), Hybrid Tagger (n=15), and McSpadden techniques (n=15). Then, digital radiographs were taken with projected increased 10 times, at mesial-distal and buccolingual directions. Results: Visually, few empty spaces were detected at the three root thirds of teeth filled by different techniques. However, statistical analysis (Kruskal-Wallis) found no differences among the different groups, neither among the different thirds nor between both incidences evaluated. Conclusion: It was concluded that the three obturation techniques exhibited similar behavior in relation to the sealing of the root canal through digital radiograph.
ABSTRACT
Introduction: The success of endodontic treatment is directly related to the morphology domain and endodontic infection control. Some factors such as procedural errors (instrumentation, obturation apical deviations and perforations) can cause postoperative pain. Objective: This study aimed to evaluate postoperative pain in endodontically treated teeth at Dentistry Post-graduation Clinic of Meridional School (IMED/CEOM), Passo Fundo/Brazil from January 2010 to June 2013. Material and methods: The study was approved by the Institutional Review Board. After collection, data were analyzed regarding the occurrence of postoperative pain. This research is a quantitative cross-sectional study, whose sample comprised 302 medical records of patients undergoing endodontic treatment from a non-probability sampling. The review of follow-up appointment charts was carried out by the researcher. Results: During the research period and analysis of 302 medical records, 30.80% showed postoperative pain. However, 69.20 % did not feel any pain. Conclusion: It can be concluded that the pain was more frequent when associated with vital pulp, and these data are relevant to the dental clinic.