Comparison of working length control consistency between hand K-files and Mtwo NiTi rotary system
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Krajczár, Károly; Varga, Enikő; Marada, Gyula; Jeges, Sára; Tóth, Vilmos
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Aquest document és un/a article, creat/da en: 2016
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Background: The purpose of this study was to investigate the consistency of working length control between hand
instrumentation in comparison to engine driven Mtwo nickel-titanium rotary files.
Material and Methods: Forty extracted maxillary molars were selected and divided onto two parallel groups. The
working lengths of the mesiobuccal root canals were estimated. The teeth were fixed in a phantom head. The root
canal preparation was carried out group 1 (n=20) with hand K-files, (VDW, Munich, Germany) and group 2 (n=20)
with Mtwo instruments (VDW, Munich, Germany). Vestibulo-oral and mesio-distal directional x-ray images were
taken before the preparation with #10 K-file, inserted into the mesiobuccal root canal to the working length, and
after preparation with #25, #30 and #40 files. Working lenght changes were detected with measurements between
the radiological apex and the instrument tips.
Results: In the Mtwo group a difference in the working competency (
p
<0.05) could be noticed only in the vestibulo-
oral direction from #10 to #40 file. The hand instrument group showed a significant difference in working length
competency for each larger file size (
p
<0.05) (ANOVA). Regression analysis in the hand instrumentation group
indicated a working length decrease with a mean of 0,2 mm after each consecutive file size (
p
<0.01).
Conclusions: The outcome of our trial indicated a high consistency in working length control for root canal preparation under simulated clinical condition using Mtwo rotary files. Mtwo NiTi rotary file did therefore proved to be
more accurate in comparison to the conventional hand instrumentation.
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