Literature DB >> 25383346

Cutting efficiency of apical preparation using ultrasonic tips with microprojections: confocal laser scanning microscopy study.

Sang-Won Kwak1, Young-Mi Moon2, Yeon-Jee Yoo3, Seung-Ho Baek3, WooCheol Lee3, Hyeon-Cheol Kim1.   

Abstract

OBJECTIVES: The purpose of this study was to compare the cutting efficiency of a newly developed microprojection tip and a diamond-coated tip under two different engine powers.
MATERIALS AND METHODS: The apical 3-mm of each root was resected, and root-end preparation was performed with upward and downward pressure using one of the ultrasonic tips, KIS-1D (Obtura Spartan) or JT-5B (B&L Biotech Ltd.). The ultrasonic engine was set to power-1 or -4. Forty teeth were randomly divided into four groups: K1 (KIS-1D / Power-1), J1 (JT-5B / Power-1), K4 (KIS-1D / Power-4), and J4 (JT-5B / Power-4). The total time required for root-end preparation was recorded. All teeth were resected and the apical parts were evaluated for the number and length of cracks using a confocal scanning micrscope. The size of the root-end cavity and the width of the remaining dentin were recorded. The data were statistically analyzed using two-way analysis of variance and a Mann-Whitney test.
RESULTS: There was no significant difference in the time required between the instrument groups, but the power-4 groups showed reduced preparation time for both instrument groups (p < 0.05). The K4 and J4 groups with a power-4 showed a significantly higher crack formation and a longer crack irrespective of the instruments. There was no significant difference in the remaining dentin thickness or any of the parameters after preparation.
CONCLUSIONS: Ultrasonic tips with microprojections would be an option to substitute for the conventional ultrasonic tips with a diamond coating with the same clinical efficiency.

Entities:  

Keywords:  Apical preparation; Apical surgery; Cutting efficiency; Microprojection; Root crack; Ultrasonic tip

Year:  2014        PMID: 25383346      PMCID: PMC4223097          DOI: 10.5395/rde.2014.39.4.276

Source DB:  PubMed          Journal:  Restor Dent Endod        ISSN: 2234-7658


  21 in total

1.  Effect of sonic and ultrasonic retrograde cavity preparation on the integrity of root apices of freshly extracted human teeth: scanning electron microscopy analysis.

Authors:  Eudes Gondim; Brenda Paula Figueiredo Almeida de Gomes; Caio Cesar Randi Ferraz; Fabricio Batista Teixeira; Francisco José de Souza-Filho
Journal:  J Endod       Date:  2002-09       Impact factor: 4.171

2.  Factors affecting the long-term results of endodontic treatment.

Authors:  U Sjogren; B Hagglund; G Sundqvist; K Wing
Journal:  J Endod       Date:  1990-10       Impact factor: 4.171

3.  Dentinal tubules at the root ends of apicected teeth: a scanning electron microscopic study.

Authors:  B G Tidmarsh; M G Arrowsmith
Journal:  Int Endod J       Date:  1989-07       Impact factor: 5.264

Review 4.  Ultrasonics in endodontics: a review of the literature.

Authors:  Gianluca Plotino; Cornelis H Pameijer; Nicola Maria Grande; Francesco Somma
Journal:  J Endod       Date:  2007-02       Impact factor: 4.171

5.  Ultrasonic root end cavity preparation assessed by an in situ impression technique.

Authors:  K J Calzonetti; T Iwanowski; R Komorowski; S Friedman
Journal:  Oral Surg Oral Med Oral Pathol Oral Radiol Endod       Date:  1998-02

6.  Evaluation for cracks associated with ultrasonic root-end preparation of gutta-percha filled canals.

Authors:  K L Beling; J G Marshall; L A Morgan; J C Baumgartner
Journal:  J Endod       Date:  1997-05       Impact factor: 4.171

7.  Evaluation of cracks associated with ultrasonic root-end preparation.

Authors:  C A Layton; J G Marshall; L A Morgan; J C Baumgartner
Journal:  J Endod       Date:  1996-04       Impact factor: 4.171

8.  Effect of retrograde cavity preparations on root apexes.

Authors:  R J Frank; D D Antrim; L K Bakland
Journal:  Endod Dent Traumatol       Date:  1996-04

9.  Posterior endodontic surgery: anatomical considerations and clinical techniques.

Authors:  J L Gutmann; J W Harrison
Journal:  Int Endod J       Date:  1985-01       Impact factor: 5.264

10.  Ultrasonic root-end preparation. Part 1. SEM analysis.

Authors:  J L Gutmann; W P Saunders; L Nguyen; I Y Guo; E M Saunders
Journal:  Int Endod J       Date:  1994-11       Impact factor: 5.264

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  1 in total

1.  Questioning the spot light on Hi-tech endodontics.

Authors:  Jojo Kottoor; Denzil Albuquerque
Journal:  Restor Dent Endod       Date:  2015-12-23
  1 in total

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