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Eur J Oral Sci ; 126(6): 518-525, 2018 12.
Artigo em Inglês | MEDLINE | ID: mdl-30252188

RESUMO

The circumferential strains created in the radicular dentin by nickel-titanium (NiTi) and stainless steel (SS) finger spreaders (FSs) during a simulated clinical procedure of lateral compaction were compared after minimal (size 50) and extensive (size 100) canal preparations. Nineteen maxillary central incisors underwent minimal preparation, while 10 underwent an extra phase of extensive preparation. Four miniature strain gauges were bonded circumferentially in the apical third of the root (buccal, lingual, mesial, and distal). Lateral compaction was performed using either NiTi-FSs or SS-FSs. Force and strains were continuously recorded. The maximal strains (with and without normalization according to force) were recorded. The SS-FSs generated higher maximal strains normalized according to force compared with the NiTi-FSs. The maximal normalized strains were higher by 37%-43% for the mesial and distal aspects and by 6%-14% for the buccal and lingual aspects after the minimal preparation and by 24%-28% for the mesial and distal aspects and by 19%-20% for the buccal and lingual aspects after extensive preparation. The maximal normalized strains increased by 30%-70% from minimal to extensive preparations, with two teeth exhibiting vertical root fracture while compaction with SS-FS. The NiTi-FSs induce less strain in root dentin than the SS-FSs and thus may contribute less to the risk of vertical root fracture.


Assuntos
Ligas Dentárias/química , Incisivo/química , Níquel/química , Obturação do Canal Radicular/métodos , Preparo de Canal Radicular/métodos , Aço Inoxidável/química , Estresse Mecânico , Titânio/química , Raiz Dentária/química , Adulto , Cavidade Pulpar , Análise do Estresse Dentário , Desenho de Equipamento , Humanos , Teste de Materiais , Pessoa de Meia-Idade , Materiais Restauradores do Canal Radicular/química , Obturação do Canal Radicular/instrumentação , Propriedades de Superfície , Fraturas dos Dentes
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