Comparative evaluation of efficacy of guided endodontic technique with and without sleeve for access cavity preparation: An In Vitro study

Q1 Medicine

Journal of oral biology and craniofacial research Pub Date : 2024-11-01 DOI:10.1016/j.jobcr.2024.10.013

Varun Prabhuji , S. Archana , A. Srirekha , Veena Pai , C. Champa , Ashwija Shetty

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引用次数: 0

Abstract

Background

Calcific metamorphosis in root canals is common and presents challenges in gaining access. Guided endodontics offers a solution to overcome these difficulties. The PriciGuide® system is a patented guided endodontic technique claiming superior precision compared to sleeve-based guides. This study aims to compare deviation between the PriciGuide® system and the guide with sleeve.

Methods

A patient with calcified canal underwent CBCT scanning to obtain a DICOM file. Using the DICOM file, 3D models were printed. The patient's cast was scanned to obtain an STL file. Using DICOM and STL files, the guide with sleeve was designed using BlueSkyBio software and 3D printed. The PriciGuide® system was obtained from Roots to Cusps® Private Limited. Access opening was performed using conventional method, guide with sleeve and guide without sleeve (PriciGuide® system).

Samples underwent radiograph scans to measure coronal, apical, and angular deviations, as well as procedural time.

Results

One-Way ANOVA and Post Hoc Bonferroni's test revealed that coronal, apical, and angular deviations were lowest in the guide without sleeve group. However, access opening times were similar in both guided technique groups.

Conclusions

The PriciGuide® system offers precise access cavity preparation for calcified canals, showing minimal deviation compared to the sleeve-based guides. It facilitates accurate root canal access regardless of the dentist's experience level. This study utilized 3D-printed teeth that do not fully replicate the complexities of natural teeth, further research is needed to validate the PriciGuide® system's performance on natural teeth and assess deviation using CBCT for a more comprehensive evaluation.

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带套筒和不带套筒引导牙髓治疗技术的疗效比较评估体外研究

背景根管变形是一种常见现象，给进入根管带来了挑战。引导根管治疗为克服这些困难提供了一种解决方案。PriciGuide® 系统是一种获得专利的引导式根管治疗技术，与套筒式引导器相比，它具有更高的精确度。本研究旨在比较 PriciGuide® 系统与套筒式引导器之间的偏差。使用 DICOM 文件打印三维模型。扫描患者的石膏以获得 STL 文件。使用 DICOM 和 STL 文件，使用 BlueSkyBio 软件设计了带套筒的导板，并进行了三维打印。PriciGuide® 系统由 Roots to Cusps® 私人有限公司提供。使用传统方法、带套筒导板和不带套筒导板（PriciGuide® 系统）进行通路打开。样本接受放射线扫描，以测量冠状面、根尖和角度偏差以及手术时间。结果单向方差分析和事后Bonferroni检验显示，不带套筒导板组的冠状面、根尖和角度偏差最小。结论PriciGuide®系统可为钙化根管提供精确的通路洞预备，与套筒导向器相比，偏差最小。无论牙医的经验水平如何，它都能促进根管的精确进入。本研究使用的 3D 打印牙齿并不能完全复制天然牙齿的复杂性，因此需要进一步研究来验证 PriciGuide® 系统在天然牙齿上的性能，并使用 CBCT 评估偏差，以进行更全面的评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of oral biology and craniofacial research Medicine-Otorhinolaryngology

CiteScore

4.90

自引率

0.00%

发文量

133

审稿时长

167 days

期刊介绍： Journal of Oral Biology and Craniofacial Research (JOBCR)is the official journal of the Craniofacial Research Foundation (CRF). The journal aims to provide a common platform for both clinical and translational research and to promote interdisciplinary sciences in craniofacial region. JOBCR publishes content that includes diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the mouth and jaws and face region; diagnosis and medical management of diseases specific to the orofacial tissues and of oral manifestations of systemic diseases; studies on identifying populations at risk of oral disease or in need of specific care, and comparing regional, environmental, social, and access similarities and differences in dental care between populations; diseases of the mouth and related structures like salivary glands, temporomandibular joints, facial muscles and perioral skin; biomedical engineering, tissue engineering and stem cells. The journal publishes reviews, commentaries, peer-reviewed original research articles, short communication, and case reports.