The purpose of this study was to evaluate the root canal preparation by a) ultrasonic energized filing (Miyahara's method 1.2.3) and b) conventional hand filing (following the standard method with K type hand file, up-down method).
Extracted and kept in 10% formalin solution, human incisal teeth with (71) were prepared in five different ways ; replica was taken with silicone rubber impression material and then observed under a scanning electron microscope.
The results were as follows.
1. With the root canal preparation technique using an ultrasonic device (Miyahara's method 1, 2, 3), the best results were obtained when, in a first step, the ideal pre-curve and working length could be evaluated and when, in a 2nd step, ultrasonic vibrations were applied the first 30~60 seconds.
2. This ultrasonic filing should be done as smoothly as possible.
3. With Miyahara's method 2, the files left more marks on the walls of the apex than with methods 1 and 3.
4. The horizontal view of the hand filed canal wall shows that it is round. However, when prepared with an ultrasonic device, it appears angular or even square.
5. We found when ultrasonically irrigating a hand filed canal with a smooth broach (square) that the horizontal view had become clearly square.
6. It appears important to reshape the surface of the canal wall and the apical seat with a hand instrument when filling the root canals, or else to develop a different filling technique.
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