• JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
  • JoomlaWorks Simple Image Rotator
 
  Bookmark and Share
 
 
Master's Dissertation
DOI
https://doi.org/10.11606/D.23.2015.tde-17062015-124846
Document
Author
Full name
Márcia Virginia Morante Porto Pires
E-mail
Institute/School/College
Knowledge Area
Date of Defense
Published
São Paulo, 2015
Supervisor
Committee
Machado, Manoel Eduardo de Lima (President)
Gavini, Giulio
Souza, Arlindo di Spagna
Title in Portuguese
Avaliação do desempenho e alteração de superfície das limas Wave One e One Shape no decorrer do número de usos
Keywords in Portuguese
Instrumento endodôntico
Microscopia eletrônica de varredura
Movimento reciprocante
Abstract in Portuguese
Os sistemas de lima única constituem a mais recente tecnologia no que se refere ao preparo dos canais radiculares, e vem sendo objeto de estudo sob diversos aspectos. Uma das preocupações referentes aos sistemas automatizados é a manutenção da qualidade e segurança nos preparos quando da reutilização do instrumento. Este estudo teve como objetivo avaliar as alterações de superfície de dois sistemas de lima única - Wave One e One Shape - e seu desempenho através do tempo de preparo no decorrer dos usos. Duzentos condutos de molares inferiores humanos extraídos foram instrumentados com 10 limas Wave One e 10 limas One Shape, acompanhados de irrigação com 10 ml de Hipoclorito de Sódio 2.5%. Cada instrumento foi utilizado por 10 vezes. Os tempos para o preparo completo do canal foram registrados por um cronômetro digital e anotados em tabelas. Para avaliação em microscopia eletrônica de varredura as limas novas foram observadas assim que removidas da embalagem. Após as utilizações, os instrumentos foram limpos, esterilizados em autoclave e observados após 2, 6, 8 e 10 usos. Três avaliadores calibrados observaram as fotomicrografias e registraram de acordo com os scores propostos a presença ou ausência de alterações superficiais. O teste Kappa de concordância entre os avaliadores apresentou maioria de resultados ótimo a moderado (?=5%). Os dados referentes à avaliação das imagens foram submetidos ao teste Wilcoxon-Mann-Whitney com nível de significância de 5% (?=5%). As alterações mais observadas foram aplainamento e microcavidade. O crack foi observado nos dois instrumentos sendo significante a partir do sexto uso para Wave One e do décimo para One Shape. Os dados relativos aos tempos de preparo foram submetidos à análise estatística pelos testes Wilcoxon-Mann-Whitney, ANOVA e Mc-Nemar com nível de significância de 5% (?=5%). Os tempos de preparo registrados para One Shape foram inferiores aos tempos para Wave One. O uso influenciou os tempos de preparo sendo observado um aumento significativo para os dois instrumentos. Um instrumento One Shape fraturou mas a ocorrência não foi estatisticamente significante.
Title in English
Performance and change surface of files Wave One and One Shape during the number of uses
Keywords in English
Endodontic instrument
Reciprocating motion
Scanning electron microscopy
Abstract in English
Single-file systems are the most recent technology in regard to the preparation of root canals and have been studied in several ways. One of the concerns related to automated systems is maintaining quality and safety in preparation when the instrument is reused. This study's aim was to evaluate the changes on the surface of two single-file systems - Wave One and One Shape - and their performance through preparation time over the uses. Two hundred root canals of extracted human molars were instrumented with 10 Wave One files and 10 One Shape files, followed by irrigation with 10 ml of sodium hypochlorite 2.5%. Each instrument was used 10 times. The time required to complete each root canal was measured by a digital stopwatch and recorded in tables. New unused files were analysed using a scanning electron microscope. After used, the instruments were cleaned and sterilized, then observed after 2, 6, 8 and 10 uses. Three calibrated evaluators observed these SEM images and listed according to the suggested scores the presence or absence of changes on the surface. The Kappa test showed mostly results from moderate to great (? = 5%). The data relating to evaluation of images was submitted to the Wilcoxon-Mann-Whitney test with a significance level of 5% (? = 5%). The most frequent changes were blunt edges and microcavities. Cracking was observed in both instruments being significant in Wave One after the sixth use and in One Shape after the tenth use. Data on preparation times were statistically analysed by the Wilcoxon-Mann-Whitney, ANOVA and Mc-Nemar tests with a significance level of 5% (? = 5%). Regarding the working time taken to shape the canals, One Shape was significantly faster than Wave One. The preparation time was affected by the number of file use increasing significantly on both instruments. A One Shape instrument fractured but the finding was not statistically significant.
 
WARNING - Viewing this document is conditioned on your acceptance of the following terms of use:
This document is only for private use for research and teaching activities. Reproduction for commercial use is forbidden. This rights cover the whole data about this document as well as its contents. Any uses or copies of this document in whole or in part must include the author's name.
Publishing Date
2015-06-25
 
WARNING: Learn what derived works are clicking here.
All rights of the thesis/dissertation are from the authors
CeTI-SC/STI
Digital Library of Theses and Dissertations of USP. Copyright © 2001-2024. All rights reserved.