Año de publicación: 2013
Tesis y disertaciones en Español presentadas a la Universidad Nacional de Asunción. Facultad de Odontología para obtener el título de Doctor. Líder: Carlos G. Adorno
The success of endodontic therapy depends on cleaning and shaping the root canal
system.
There are two approaches to the root canal system debridement:
Start at the
apex and progressively enlarge the apical portion and then work coronally with
increasingly larger instruments, or start with cervical flaring of the root canal and then
progress apically using smaller instruments. The instrumentation is always associated to
an irrigant solution, which is why the procedure is called chemo-mechanical
preparation. The aim of this study was to compare and evaluate two manual
instrumentation techniques (step-back and Crown-down) using different size irrigation
needles (27G y 30G) and how this influences in the irrigant behavior. The study design
was experimental with a nonprobabilistic convenientce sampling, with a 48 sample
simulated in standardized transparent acrylic blocks of resin which were instrumented
with the different techniques already mentioned and irrigated with different needle
calibers after being divided in four groups. The data was obtained through a
photographic record of each stage, they were also saved in a file and electronic forms to
be analyzed later. The results obtained show that the lime more frequently allows that
the irrigant occupies all the length of the conduct. Lime number 30 is used when
implementing the telescopic technique; this is in the fifth stage of the process. However,
the lime number 55 is used when implementing the Coronal-apical technique; this
corresponds to the first stage. What is remarkable when implementing the Telescopic
and Coronal-apical manual techniques of instrumentation associated to the conventional
irrigation using 27G or 30G caliber irrigation needles is that it does not produce an
appropriate irrigant liquid in the entire apical third.