Determinação da espessura cemento-dentina remanescente em zona de perigo de molares inferiores após preparo do canal radicular usando novo software de tomografia computadorizada de feixe cônico

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2020-06-29

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Universidade Federal de Goiás

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This study measured the thickness of cementum/dentin in the danger zone of mandibular molars after root canals preparation (RCP) using a novel cone-beam computed tomography (CBCT) software. Material and methods: Eighty-four teeth were distributed into four groups: G1. ProTaper Next; G2. BioRace; G3. Reciproc Blue; G4. WaveOne Gold. CBCT images were acquired before and after RCP. The e-Vol DX® CBCT software was used to measure initial and final remaining cementum-dentin thickness after RCP of the mesial root of mandibular molars at 1 and 3 mm from the furcation. The Kolmogorov Smirnov test, analysis of variance and Student t test were used to statistical analysis. The level of significance was set at 5%. Results: Differences between mean initial and final thicknesses of the mesiobuccal (MB) and mesiolingual (ML) canals were not statistically significant. Lower mean initial thickness at 3 mm (0.900mm ± 0.191) than at 1 mm (1.035mm ± 0.184) indicates that this is the danger zone. Although cementum/dentin is thinner at 3 mm from the furcation (0.715 ± 0.186) after RCP, the greatest amount of dentin removal was found at 1 mm (0.734 ± 0.191). Conclusions: Remaining cementum dentin was thicker than 0.715 mm in root canals prepared using #35 (WaveOne Gold®) and #40 (ProTaper Next®, BioRace® and Reciproc Blue®) instruments, which confirms the safety of canal preparation in the danger zone.

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SOUSA, V. C. Determinação da espessura cemento-dentina remanescente em zona de perigo de molares inferiores após preparo do canal radicular usando novo software de tomografia computadorizada de feixe cônico. 2020. 77 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2020.