Bacterial reduction with nickel-titanium rotary instrumentation.

Abstract:

:The purpose of this study was to compare intracanal bacterial reduction on teeth instrumented with 0.04 tapered nickel-titanium (NiTi) rotary instrumentation to bacterial reduction when using a stainless-steel K-file step-back technique using sterile saline irrigation. Forty-eight patients with apical periodontitis were randomly assigned treatment type. The canals were sampled before, during, and after instrumentation. The samples were incubated anaerobically for 7 days at 37 degrees C, colony-forming unit numbers calculated, and a log transformation performed to normalize the counts. Teeth exhibiting apical periodontitis were uniformly infected, whereas vital control teeth were not. A similar and uniform reduction occurred with progressive filing, regardless of technique (p < 0.0001). There was no detectable difference in colony-forming unit count after NiTi rotary or stainless-steel hand instrumentation (p = 0.42). Neither technique could predictably render canals free of bacteria. The results of this study indicate NiTi rotary and stainless-steel hand K-file step-back instrumentation techniques were not significantly different in their ability to reduce intracanal bacteria.

journal_name

J Endod

journal_title

Journal of endodontics

authors

Dalton BC,Orstavik D,Phillips C,Pettiette M,Trope M

doi

10.1016/S0099-2399(98)80170-2

subject

Has Abstract

pub_date

1998-11-01 00:00:00

pages

763-7

issue

11

eissn

0099-2399

issn

1878-3554

pii

S0099-2399(98)80170-2

journal_volume

24

pub_type

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