Evaluation of apical preparations performed with ultrasonic diamond and stainless steel tips at different intensities using a scanning electron microscope in endodontic surgery
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Rodríguez Martos, Ramón; Torres Lagares, Daniel; Castellanos Cosano, Lizett; Serrera Figallo, María Angeles; Segura-Egea, Juan J.; Gutiérrez Pérez, José Luis
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Aquest document és un/a article, creat/da en: 2012
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Objective: The objective of our study is to analyse (with the help of scanning electron microscopes) the quality of
the dental root surface and the appearance of dental cracks after performing apical preparations using two diffe-
rent types of ultrasonic tips.
Study design: We used 32 single-rooted teeth that underwent a root canal and apical resection. Afterwards, the
teeth were divided into 4 groups of 8 teeth each, with preparations of the apical cavities in the following manner:
Group 1: stainless steel ultrasonic tip at 33KHz. Group 2: stainless steel ultrasonic tip at 30KHz. Group 3: diamond ultrasonic tip at 30KHz. Group 4: diamond ultrasonic tip at 33 KHz. The quality of the root surface and the
presence of cracks were evaluated by one single observer using a scanning electron microscope.
Results: All of the teeth in our study had cracks after the apical preparations. The mean number of cracks per
tooth ranged between 6.1±1.9 (group 1) and 3.5±2.4 (group 4), with a significantly higher number found in the
groups that used stainless steel tips (P=.03). The types of cracks produced involved: 8 complete cracks (4.5%), 167
incomplete cracks (94.4%), and 2 intradentinal cracks (1.1%), with no significant differences observed between the
different frequencies used for each group.
Conclusions: Stainless steel ultrasonic tips provoked a larger number of cracks than diamond tips. The frequency
of vibration used did not have any effect on the number of cracks found.
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