Latar Belakang: Preparasi saluran akar dengan instrumen putar NiTi dapat menyebabkan
crack pada dinding saluran akar.
Tujuan: Menganalisa dan membandingkan efek penggunaan instrumen putar NiTi
single-file gerakan resiprokal dan kontinyu terhadap terbentuknya
crack pada dinding saluran akar.
Metode: Tigapuluh dua sampel saluran akar tunggal dipilih secara acak dan dibagi menjadi dua grup (n=16) sesuai dengan instrumen yang digunakan untuk preparasi saluran akar, yaitu instrumen putar NiTi gerakan resiprokal dan gerakan kontinyu. Micro-CT digunakan untuk mengevaluasi
crack sebelum dan setelah preparasi saluran akar. Analisis statistik menggunakan
Continuity correction.
Hasil: Tidak terdapat perbedaan bermakna antara preparasi saluran akar menggunakan instrumen putar NiTi gerakan resiprokal dan gerakan kontinyu (p>0,05).
Crack yang terbentuk ditemukan pada bagian sepertiga apikal saluran akar dengan tipe
incomplete crack.
Simpulan: Preparasi saluran akar menggunakan instrumen putar NiTi
single-file dengan gerakan resiprokal dan kontinyu dapat menyebabkan terbentuknya
crack pada dinding saluran akar.
Background: Root canal preparation with NiTi rotary instrument has the potential to induce cracks in the root canal wall.
Objective: To analyze and compare the effects of single-file NiTi rotary continuous and reciprocating instruments in the propagation of cracks in the root canal wall.
Methods: Thirty two single root canal samples were randomly assigned into two groups (n=16 per group) according to the system used for root canal preparation : reciprocating instruments and rotary continuous instruments. The samples were scanned through high-resolution micro-computed tomographic imaging to evaluate cracks before and after root canal preparation. The comparison between two groups was analysed statistically using Continuity correction.
Results: There was no significant difference in the number of cracks between reciprocating group and rotary continuous group (p> 0.05). Cracks that occured was found in the apical third of the root canal, with incomplete cracks.
Conclusion: Root canal preparation with single-file NiTi rotary continuous and reciprocating instruments can induce dentinal cracks in the root canal wall.