Chinese Journal of Tissue Engineering Research ›› 2017, Vol. 21 ›› Issue (6): 893-898.doi: 10.3969/j.issn.2095-4344.2017.06.013

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Clinical evaluation of nickel-titanium mechanical instruments in three different movement patterns combined with warm vertical compaction in the single-visit endodontic treatment

Wan Na, Wang Xin-ying, Qi Lu, Yan Lei, Ma Jun-yue, Yin Yan-jiao, Gao Wen-hui, Wu Pei-ling
  

  1. Department of Stomatology, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China
  • Received:2017-01-11 Online:2017-02-28 Published:2017-03-16
  • Contact: Wu Pei-ling, Master, Chief physician, Professor, Doctoral supervisor, Department of Stomatology, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China
  • About author:Wan Na, Studying for master’s degree, Physician, Department of Stomatology, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830063, Xinjiang Uygur Autonomous Region, China
  • Supported by:

    the Natural Science Foundation of Xinjiang Uygur Autonomous Region, No. 2015211C111

Abstract:

BACKGROUND: One-visit root treatment has been widely acknowledged by clinicians. The novel nickel-titanium instruments can improve the work efficiency, treatment efficacy and comfort, which not only meet the patients’ psychological requirements, but also alleviate the doctors’ workload.
OBJECTIVE: To evaluate the clinical evaluation of the nickel-titanium mechanical instruments in three different movement patterns combined with warm vertical compaction in the single-visit endodontic treatment.
METHODS: 375 affected teeth from 375 patients with pulp necrosis and periapical periodontitis were randomly allotted to three groups: WaveOne reciprocating, ProTaper rotary and Twisted File Adaptive groups. All the canals of teeth were instrumented with a crown-down technique combined with ultrasonic irrigation, and then subjected to the root canal filling using warm vertical compaction.
RESULTS AND CONCLUSION: The root canal preparation time differed significantly among groups (P < 0.001), which was the shortest in the WaveOne group, and longest in the ProTaper group. There was no significant difference in the canal obturation among groups (P > 0.05). The postoperative pain showed significant difference among groups at 24 and 72 hours (P < 0.05). At 7 days postoperatively, there was no significant difference in pain among groups (P > 0.05). These results indicate that the WaveOne can significantly improve the canal preparation and shows good molding effect; while the Twisted File Adaptive significantly reduces postoperative pain. 

Key words: Root Canal Therapy, Biocompatible Materials, Tissue Engineering

CLC Number: