Influence of instrument taper on the resistance to fracture of endodontically treated roots.

摘要

OBJECTIVE: The aim was to compare the force required to fracture uninstrumented and instrumented canines and to investigate the root-reinforcing capability of AH Plus sealer. STUDY DESIGN: In groups 1-3 (n = 24) canals were instrumented with either GT files, FlexMaster, or stainless steel hand instruments. Twelve teeth from each group were obturated with lateral compaction using gutta-percha and AH Plus. Group 4 (n = 12) acted as uninstrumented controls. The force required to fracture the roots was measured. ANOVA, Scheffe, and t test were used for statistical analysis. RESULTS: The intact roots were significantly stronger than all groups with instrumented and unobturated roots (P < .05). Roots enlarged with GT files were significantly weaker (P < .05) than those instrumented with FlexMaster or hand instruments. Between the obturated and unobturated roots there were no significant differences (P > .05). CONCLUSIONS: The roots were significantly weakened by the preparation with greater taper instruments. An obturation with AH Plus did not increase the fracture resistance.