بررسی میزان حفظ انحنای کانال در دندانهای آماده شده در دانشکده دندانپزشکی دانشگاه علوم پزشکی تهران (مطالعه پنج ساله)
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Abstract:
Background and Aim: Preserving canal curvature during different phases of canal preparation is an important point. In Endodontic therapy all efforts are made to prepare canal in a way that final canal follows the primary canal curvature. The purpose of this study was to evaluate the efficacy of root canal preparation performed by students at Endodontic Department of Dental School, Tehran University of Medical Sciences. Materials and Methods: In this retrospective study, classic method of step- back technique was investigated for preserving canal curvature in mesial roots of first mandibular molars and mesiobuccal roots of first maxillary molars between years 2000 and 2004. A randomly selected sample of 400 dental patient records was investigated by 4 observers (Endodontic department professors), searching for procedural errors. A clear explanation sheet of curvature preservation and procedural errors such as ledge formation, apical foramen transportation, zipping and stripping and a questionnaire were prepared for observers. The observers went through reliability test and kappa value for agreement between every two observers. The results were above 0.8. Data were analyzed by EPI6 statistical computer program, using Chi-Square and Fisher exact test with P<0.05 as the limit of significance. Results: This study consisted of 152 first maxillary molars and 248 first mandibular molars. The prevalence of curvature preservation in mesial root of first mandibular molars and mesiobuccal root of first maxillary molars were 38.5% and 47.6% respectively. Procedural errors detected consisted of 33% ledge formation, 26.1% apical foramen transportation, 1.8% zipping and 4.1% stripping for mesial root of the first mandibular molars. The results for the first maxillary molars were 27%, 19%, 3.2% and 3.2% respectively. Conclusion: The study results revealed the efficacy of endodontic education and the proficiency of junior and senior students in preparing curved posterior root canals. The results obtained in this retrospective study are comparable to prospective studies.
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بررسی میزان حفظ انحنای کانال در دندانهای آماده شده در دانشکده دندانپزشکی دانشگاه علوم پزشکی تهران (مطالعه پنج ساله)
زمینه و هدف: حفظ انحنای کانال ضمن آماده نمودن آن از اهمیت ویژه ای برخوردار است. در درمانهای اندودنتیک همیشه تلاش می شود که شکل نهایی کانال تغییر نکند و کاملاً دربرگیرنده شکل اولیه آن باشد. مطالعه حاضر با هدف تعیین میزان حفظ انحنای کانال در ریشه های داندنهای مولراول بالا و پایین، در موارد درمان ریشه شده و ارزیابی روش step- back به عنوان روش کلاسیک در آماده سازی این دندانها انجام شد.روش بررسی: طی ...
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volume 18 issue None
pages 31- 37
publication date 2005-05
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