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Zhu Q, Liu C, Bai B, Pei F, Tang Y, Song W, Chen X, Gu Y. Micro-computed tomographic evaluation of the shaping ability of three nickel-titanium rotary systems in the middle mesial canal of mandibular first molars: an ex vivo study based on 3D printed tooth replicas. BMC Oral Health 2024; 24:294. [PMID: 38431556 PMCID: PMC10909274 DOI: 10.1186/s12903-024-04024-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2023] [Accepted: 02/13/2024] [Indexed: 03/05/2024] Open
Abstract
BACKGROUND The preparation of the middle mesial (MM) canal of mandibular molars represents a challenge because it is often curved, narrow, and close to the root concave. The purpose of this study was to evaluate the ex vivo shaping ability of 3 nickel-titanium (NiTi) rotary systems in the MM canal using 3D printed resin tooth replicas. METHODS A permanent mandibular first molar with a MM canal was acquired from a pool of extracted teeth and reproduced by a 3D printer. The resin tooth replicas (n = 18) were equally assigned to 3 groups for the evaluation of the shaping abilities of 3 NiTi rotary systems (OneShape [OS], Twisted Files [TF], and ProTaper Gold [PTG]) according to the manufacturer's recommendations. The tooth replicas were scanned by micro-computed tomography (micro-CT) twice before and after instrumentation of the mesiobuccal (MB), mesiolingual (ML), and MM root canals. After 3D reconstruction, the canal straightening, change of root canal volume and surface area, the mesial and distal canal wall thickness and canal transportation at the levels of 1, 2, and 3 mm below furcation were assessed. One-way variance analysis and Turkey's post hoc test were used for comparisons of the means among different groups, and paired-t test was used to compare the mesial and distal sides of the mesial roots. RESULTS As compared with OS and TF, the use of PTG in preparation of MM canals resulted in significantly more straightening of canal curvature (p < 0.05), greater post-instrumentation canal volume and surface area, and thinner mesial and distal remaining canal wall thickness at 1, 2 and 3 mm below furcation (all p < 0.05). Regarding the root canal transportation in the mesiodistal direction, there was no significant difference among the 3 instruments (all p > 0.05) after the preparation of the MB and ML canals. However, in the MM canal, more pronounced transportation was detected in the PTG group at 2 mm below furcation, and in the TF group at 3 mm below furcation as compared with the other 2 systems (both p < 0.05). CONCLUSIONS 3D printed tooth replicas have the advantages of consistency and can be an ideal model to evaluate the shaping ability of different instruments in the MM canal. OS and TF files performed similarly and both are appropriate for shaping the MM canal, while PTG may cause excessive and uneven resin removal, especially near the furcation, and may lead to root fragility and procedural errors.
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Affiliation(s)
- Qi Zhu
- Department of Dentistry and Central Laboratory, Ninth People's Hospital of Suzhou, Soochow University, Ludang Road 2666#, Wujiang Dist., Suzhou, 215200, China
| | - Chao Liu
- Department of Dentistry and Central Laboratory, Ninth People's Hospital of Suzhou, Soochow University, Ludang Road 2666#, Wujiang Dist., Suzhou, 215200, China
| | - Bingbing Bai
- The Stomatology Hospital Affiliated of Suzhou Vocational Health College, Renmin Road 829#, Gusu Dist, Suzhou, 215002, China
| | - Fan Pei
- Department of Dentistry and Central Laboratory, Ninth People's Hospital of Suzhou, Soochow University, Ludang Road 2666#, Wujiang Dist., Suzhou, 215200, China
| | - Ying Tang
- Department of Pathology, Ninth People's Hospital of Suzhou, Soochow University, Ludang Road 2666#, Wujiang Dist., Suzhou, 215200, China
| | - Weijian Song
- Department of Stomatology, Suzhou Municipal Hospital, Daoqian St. 26#, Gusu Dist, Suzhou, 215002, China
| | - Xiuchun Chen
- Department of Dentistry and Central Laboratory, Ninth People's Hospital of Suzhou, Soochow University, Ludang Road 2666#, Wujiang Dist., Suzhou, 215200, China.
| | - Yongchun Gu
- Department of Dentistry and Central Laboratory, Ninth People's Hospital of Suzhou, Soochow University, Ludang Road 2666#, Wujiang Dist., Suzhou, 215200, China.
- The Stomatology Hospital Affiliated of Suzhou Vocational Health College, Renmin Road 829#, Gusu Dist, Suzhou, 215002, China.
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Vashisht R, Kumar U, Jhamb S, Singla R. Comparative evaluation of cleaning efficiency of single file NiTi rotary system during root canal treatment procedure - A scanning electron microscope study. J Conserv Dent 2023; 26:316-320. [PMID: 37398853 PMCID: PMC10309122 DOI: 10.4103/jcd.jcd_52_23] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2023] [Revised: 03/05/2023] [Accepted: 03/06/2023] [Indexed: 07/04/2023] Open
Abstract
Background Optimal biomechanical preparation, thorough irrigation, proper disinfection, and finally, well-sealed obturation is a must to attain definitive success in root canal procedure. Proper preparation of the root canal is all the more imperative to establish a hermetic apical seal with adequately placed filling materials. The present study was conducted for comparing the Cleaning Efficiency of F360 system and the WaveOne Gold (WOG) system of rotary NiTi instrumentation for a root canal. Materials and Methods One hundred freshly extracted noncarious mandibular canines were obtained. Access cavity of standard size was made followed by the establishment of working length. Afterward, random division of all the specimens was done into two study groups: group A: the group in which F360 system was used for instrumentation and group B: the group in which the WOG system was used for instrumentation. Irrigations of all the specimens of both the study groups were done followed by root canal shaping by the instrument system of their respective study groups. Scanning electron microscope (SEM) was used for assessment after specimens were cut buccolingually. Debris score and residual smear layer score were used for assessment. Results Among group A specimens, the mean smear layer score at the coronal third, middle third, and apical third was 1.76, 2.39, and 2.65, respectively. Among group B specimens, the mean smear layer score at the coronal third, middle third, and apical third was 1.34, 1.59, and 1.92, respectively. While analyzing statistically, it was seen that the mean smear layer score was significantly higher among specimens of group A in comparison to group B. While analyzing statistically, it was seen that the mean debris score was significantly higher among specimens of group A in comparison to group B. Conclusion The cleaning effectiveness of WOG instruments was significantly enhanced in comparison to F360 equipment.
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Affiliation(s)
- Ruchi Vashisht
- Department of Oral Health Science Centre, Unit of Conservative and Endodontics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Umesh Kumar
- Department of Oral Health Science Centre, Unit of Conservative and Endodontics, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
| | - Swaty Jhamb
- Department of Conservative Dentistry and Endodontics, Dr. Harvansh Singh Judge Institute of Dental Sciences and Hospital, Panjab University, PGIMER, Chandigarh, India
| | - Ruchi Singla
- Department of Conservative Dentistry and Endodontics, Dr. Harvansh Singh Judge Institute of Dental Sciences and Hospital, Panjab University, PGIMER, Chandigarh, India
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Karkehabadi H, Siahvashi Z, Shokri A, Haji Hasani N. Cone-beam computed tomographic analysis of apical transportation and centering ratio of ProTaper and XP-endo Shaper NiTi rotary systems in curved canals: an in vitro study. BMC Oral Health 2021; 21:277. [PMID: 34034735 PMCID: PMC8147396 DOI: 10.1186/s12903-021-01617-w] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Accepted: 05/09/2021] [Indexed: 11/16/2022] Open
Abstract
Background Cleaning and shaping of the root canal system is an important step of endodontic treatment. Canal transportation is a common procedural error in preparation of curved canals. This study aimed to compare the canal transportation and centering ratio of two rotary files in curved canals using cone-beam computed tomography (CBCT). Methods Forty-four extracted human mandibular first molars with mature apices and 10° to 30° apical curvature were selected. The samples were randomly divided into two groups (n = 22) with similar curvature. The canals were prepared with ProTaper and XP-endo Shaper file systems according to the manufacturers’ instructions. The CBCT images were obtained using Cranex 3D CBCT scanner before and after root canal preparation, and canal transportation and centering ratio of the files at 3, 4 and 5 mm levels from the apex were calculated. Data were compared between the two groups using independent t-test at 0.05 level of significance. Results The ProTaper Universal caused greater canal transportation and had lower centering ratio than XP-endo Shaper in both mesiodistal and buccolingual directions at all levels from the apex. The difference between the two groups regarding canal transportation was significant at all levels from the apex in buccolingual direction (P < 0.05) except for 3 mm from the apex (P > 0.05). The difference between the two groups regarding centering ratio was not significant (P > 0.05) in mesiodistal direction at all levels except for 4 mm from the apex (P < 0.05). Conclusion The ProTaper Universal causes greater canal transportation in both buccolingual and mesiodistal directions than XP-endo Shaper.
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Affiliation(s)
- Hamed Karkehabadi
- Department of Endodontics, Dental School, Hamadan University of Medical Sciences, Hamadan, Iran
| | | | - Abbas Shokri
- Dental Implants Research Center, Department of Oral and Maxillofacial Radiology, Dental School, Hamadan University of Medical Sciences, Shahid Fahmideh Blvd, 6516647447, Hamadan, Iran.
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Daou C, El Hachem R, Naaman A, Zogheib C, El Osta N, Khalil I. Effect of 2 Heat-treated Nickel-Titanium Files on Enlargement and Deformation of the Apical Foramen in Curved Canals: A Scanning Electronic Microscopic Study. J Endod 2020; 46:1478-1484. [PMID: 32710894 DOI: 10.1016/j.joen.2020.07.019] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2020] [Revised: 07/03/2020] [Accepted: 07/13/2020] [Indexed: 12/18/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate under scanning electronic microscopy the enlargement and deformation of the apical foramen of curved mesiobuccal roots with both reciprocating and rotary single-file systems made of a newly heat-treated alloy through the use of Reciproc Blue (REC Blue; VDW, Munich, Germany) and XP-endo Shaper (XPS; FKG Dentaire, La Chaux-de-Fonds, Switzerland). METHODS Forty mesiobuccal roots of mandibular and maxillary molars presenting a curvature ranging from 20°-40° were used in this study. The apical foramens were initially scanned with a scanning electronic microscope under 200× magnification. Roots were divided into 2 groups (n = 20): the REC Blue group instrumented with the REC Blue system and the XPS group instrumented with the XPS system. Both groups were instrumented at the foramen. The apical foramens were scanned after root canal preparation. The area, circularity, and ratio of the Feret diameters were calculated from each image. The Kolmogorov-Smirnov, Mann-Whitney, and Wilcoxon tests were used for statistical analysis (P ≤ .05). RESULTS The area of the foramen increased significantly after canal shaping with REC Blue and XPS. The variation of the area was significantly greater with XPS. However, there were no significant differences in circularity and the ratio of the Feret diameters with both instruments. CONCLUSIONS No transportation was found when using REC Blue and XPS. The newly heat-treated nickel-titanium alloy did not promote deformation of the apical foramen in curved canals.
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Affiliation(s)
- Carla Daou
- Department of Endodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Roula El Hachem
- Department of Endodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon.
| | - Alfred Naaman
- Department of Endodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Carla Zogheib
- Department of Endodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Nada El Osta
- Department of Prosthodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon; Centre de Recherche en Odontologie Clinique, Université Clermont Auvergne, Clermont-Ferrand, France; Laboratoire de Recherche Crâniofaciale, Unité de Santé Orale, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
| | - Issam Khalil
- Department of Endodontics, Faculty of Dental Medicine, Saint Joseph University of Beirut, Beirut, Lebanon
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Delgoshayi N, Abbasi M, Bakhtiar H, Sakhdari S, Ghannad S, Ellini MR. Canal Transportation and Centering Ability of ProTaper and SafeSider in Preparation of Curved Root Canals: A CBCT Evaluation. IRANIAN ENDODONTIC JOURNAL 2018; 13:240-245. [PMID: 29707022 PMCID: PMC5911301 DOI: 10.22037/iej.v13i2.19200] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/19/2017] [Revised: 03/24/2018] [Accepted: 04/04/2018] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Maintaining the original central canal path is an important parameter in efficient root canal preparation. Instruments causing minimal changes in original canal path are preferred for this purpose. This study sought to compare canal transportation and centering ability of ProTaper and SafeSider instruments in curved mesiobuccal root canals of mandibular first molars using cone beam computed tomography (CBCT). METHODS AND MATERIALS In this experimental study, 30 mesiobuccal root canals of extracted human mandibular first molars with 20° to 40° curvature were randomly divided into two groups (n=15). After mounting in putty, preoperative CBCT scans were obtained of teeth. Root canals in group A were shaped using S1, S2, F1 and F2 of ProTaper system. Root canals in group B were instrumented to size 25 using SafeSider system according to the manufacturers' instructions. Postoperative CBCT scans were then obtained. The distance between the external root surface and internal canal wall was measured at the mesial and distal at 1, 3 and 7 mm from the apex. The values measured on primary and secondary CBCT scans were compared to assess possible changes in original central canal path and canal transportation. Data were compared using the t-test and repeated measure ANOVA. RESULTS ProTaper and SafeSider were significantly different in terms of canal transportation and centering ability, and ProTaper was significantly superior to SafeSider in this respect (P<0.001). CONCLUSION ProTaper (in contrast to SafeSider) is well capable of maintaining the original central canal path with the least amount of transportation.
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Affiliation(s)
- Negar Delgoshayi
- Dental Material Research Center, Department of Endodontics, Tehran Dental Branch, Islamic Azad University, Tehran, Iran
| | - Mansoure Abbasi
- Department of Endodontics, Tehran Dental Branch, Islamic Azad University, Tehran, Iran
| | - Hengameh Bakhtiar
- Dental Material Research Center, Department of Endodontics, Tehran Dental Branch, Islamic Azad University, Tehran, Iran
| | - Shirin Sakhdari
- Department of Radiology, Tehran Dental Branch, Islamic Azad University, Tehran, Iran
| | - Setareh Ghannad
- Dental Material Research Center, Department of Endodontics, Tehran Dental Branch, Islamic Azad University, Tehran, Iran
| | - Mohammad Reza Ellini
- Dental Material Research Center, Department of Endodontics, Tehran Dental Branch, Islamic Azad University, Tehran, Iran
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Burkhardt L, Weidmann F, Rüttermann S, Gerhardt-Szep S. Comparison of the shaping ability of RaCe, FlexMaster, and ProFile nickel-titanium instruments in severely curved root canals. J Clin Exp Dent 2016; 8:e523-e528. [PMID: 27957264 PMCID: PMC5149085 DOI: 10.4317/jced.52838] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2015] [Accepted: 05/26/2016] [Indexed: 11/10/2022] Open
Abstract
Background This in vitro study compared the shaping ability of RaCe, FlexMaster, and ProFile rotary nickel-titanium instruments in severely curved root canals of extracted teeth. Material and Methods Sixty maxillary molars with curvatures ranging from 25° to 65° were embedded in a muffle system and portioned into five horizontal sections (thickness 1.2 mm), starting from the apex. Canals were divided into three groups (n = 20, each) and were prepared with RaCe, FlexMaster, or ProFile rotary nickel-titanium instruments and the TriAuto ZX handpiece using a crown-down preparation technique. We evaluated the difference between pre- and postoperative root canal cross-sections, loss of working length, instrument failure, and preparation time. The root canal area before and after the intervention was determined using an area-measuring software. The data were analyzed statistically using a one-way ANOVA followed by a Kruskal-Wallis multiple-comparison Z-value test. Results Specimens treated with FlexMaster showed the greatest change from preoperative cross-sections, followed by RaCe and ProFile. The cross-sectional changes induced by RaCe and FlexMaster preparation differed significantly from those produced by ProFile. Loss of working length, instrument failure, and preparation time did not differ significantly between the groups. Conclusions Root canal preparation with the three instruments did not lead to any significant alteration of the original root anatomy or working length. Thus, we conclude that RaCe, FlexMaster, and ProFile instruments are of comparable efficiency and usefulness in the preparation of severely curved root canals. Key words:Endodontics, root canal preparation, rotary, extracted teeth, nickel-titanium.
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Affiliation(s)
- Lea Burkhardt
- Dr. med. dent, Master of Science Endodontics (M.Sc.), Department of Operative Dentistry, Center for Dentistry and Oral Medicine, Medical Faculty, Goethe University, Frankfurt am Main, Germany
| | | | - Stefan Rüttermann
- Full Professor in Dentistry, Head of Department of Operative Dentistry, Center for Dentistry and Oral Medicine, Medical Faculty, Goethe University, Frankfurt am Main, Germany
| | - Susanne Gerhardt-Szep
- PD Dr. med. dent and Master of Medical Education (MME), Department of Operative Dentistry, Center for Dentistry and Oral Medicine, Medical Faculty, Goethe University, Frankfurt am Main, Germany
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Rubio J, Zarzosa JI, Pallarés A. A Comparative Study of Shaping Ability of four Rotary Systems. Acta Stomatol Croat 2016; 49:285-93. [PMID: 27688412 DOI: 10.15644/asc49/4/3] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/31/2022] Open
Abstract
PURPOSE This study compared the cutting area, instrumentation time, root canal anatomy preservation and non-instrumented areas obtained by F360(®), Mtwo(®), RaCe(®) and Hyflex(®) files with ISO size 35. MATERIAL AND METHODS 120 teeth with a single straight root and root canal were divided into 4 groups. Working length was calculated by using X-rays. The teeth were sectioned with a handpiece and a diamond disc, and the sections were observed with Nikon SMZ-2T stereoscopic microscope and an Intralux 4000-1 light source. The groups were adjusted with a preoperative analysis with AutoCAD. The teeth were reconstructed by a #10 K-File and epoxy glue. Each group was instrumented with one of the four file systems. The instrumentation time was calculated with a 1/100 second chronometer. The area of the thirds and root canal anatomy preservation were analyzed with AutoCAD 2013 and the non-instrumented areas with AutoCAD 2013 and SMZ-2T stereoscopic microscope. The statistical analysis was made with Levene's Test, ANOVA, Bonferroni Test and Pearson´s Chi-square. RESULTS Equal variances were shown by Levene's Test (P > 0.05). ANOVA (P > 0.05) showed the absence of significant differences. There were significant differences in the instrumentation time (P < 0.05). For root canal anatomy preservation and non-instrumented areas, there were no significant differences between all systems (P > 0.05). CONCLUSIONS The 4 different rotary systems produced similar cutting area, root canal anatomy preservation and non-instrumented areas. Regarding instrumentation time, F360(®) was the fastest system statistically.
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Affiliation(s)
- Jorge Rubio
- Department of Endodontics Catholic University of Valencia, Spain
| | | | - Antonio Pallarés
- Department of Endodontics Catholic University of Valencia, Spain
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Barbieri N, Leonardi DP, Baechtold MS, Correr GM, Gabardo MCL, Zielak JC, Baratto-Filho F. Influence of cervical preflaring on apical transportation in curved root canals instrumented by reciprocating file systems. BMC Oral Health 2015; 15:149. [PMID: 26593244 PMCID: PMC4656179 DOI: 10.1186/s12903-015-0137-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2015] [Accepted: 11/17/2015] [Indexed: 11/21/2022] Open
Abstract
Background The aim of this study was to evaluate the influence of cervical preflaring on apical transportation in curved root canals prepared using the Reciproc and WaveOne reciprocating file systems. Methods Sixty curved canals were instrumented using Reciproc R25 and WaveOne Primary files, with and without preflaring (n = 15). A double-digital technique was used to digitally superimpose the file before instrumentation (#15 K-file) on the final apical reciprocating file (#25/08). The angle between the tip of the initial and final file was measured and recorded. Groups were compared using the Kruskal–Wallis test, and significance was set at p < 0.05. Results The mean and standard deviation for apical transportation was 0.93 ± 2.48 for the Reciproc Group, 0.84 ± 1.94 for the Preflaring + Reciproc Group, 0.40 ± 1.14 for the WaveOne Group, and 0.83 ± 2.20 for the Preflaring + WaveOne Group. No statistically significant differences were found among the groups (p = 0.9509). Conclusions Under the conditions of this study, cervical preflaring did not influence apical transportation in curved root canals instrumented using Reciproc R25 and the WaveOne Primary files. Based on the in vitro measurements of apical transportation, the reciprocating files may be used without preflaring in curved root canals.
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Affiliation(s)
- Neisiana Barbieri
- Department of Dentistry, Positivo University, Curitiba, Rua Professor Pedro Viriato Parigot de Souza, 5300 Campo Comprido, 81280-330, Curitiba, PR, Brazil
| | - Denise Piotto Leonardi
- Department of Dentistry, Positivo University, Curitiba, Rua Professor Pedro Viriato Parigot de Souza, 5300 Campo Comprido, 81280-330, Curitiba, PR, Brazil.
| | - Marina Samara Baechtold
- Department of Dentistry, Positivo University, Curitiba, Rua Professor Pedro Viriato Parigot de Souza, 5300 Campo Comprido, 81280-330, Curitiba, PR, Brazil
| | - Gisele Maria Correr
- Department of Dentistry, Positivo University, Curitiba, Rua Professor Pedro Viriato Parigot de Souza, 5300 Campo Comprido, 81280-330, Curitiba, PR, Brazil
| | - Marilisa Carneiro Leão Gabardo
- Department of Dentistry, Positivo University, Curitiba, Rua Professor Pedro Viriato Parigot de Souza, 5300 Campo Comprido, 81280-330, Curitiba, PR, Brazil
| | - João César Zielak
- Department of Dentistry, Positivo University, Curitiba, Rua Professor Pedro Viriato Parigot de Souza, 5300 Campo Comprido, 81280-330, Curitiba, PR, Brazil
| | - Flares Baratto-Filho
- Department of Dentistry, Positivo University, Curitiba, Rua Professor Pedro Viriato Parigot de Souza, 5300 Campo Comprido, 81280-330, Curitiba, PR, Brazil
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Kirchhoff AL, Chu R, Mello I, Garzon ADP, dos Santos M, Cunha RS. Glide Path Management with Single- and Multiple-instrument Rotary Systems in Curved Canals: A Micro–Computed Tomographic Study. J Endod 2015; 41:1880-3. [DOI: 10.1016/j.joen.2015.07.014] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2015] [Revised: 07/13/2015] [Accepted: 07/26/2015] [Indexed: 10/23/2022]
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Türker SA, Uzunoğlu E. Apical root canal transportation of different pathfinding systems and their effects on shaping ability of ProTaper Next. J Clin Exp Dent 2015; 7:e392-5. [PMID: 26330936 PMCID: PMC4554239 DOI: 10.4317/jced.52309] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2015] [Accepted: 04/16/2015] [Indexed: 11/16/2022] Open
Abstract
Background This study aimed to compare glide path preparation of different pathfinding systems and their effects on the apical transportation of ProTaper Next (Dentsply Maillefer, Ballaigues, Switzerland) in mesial root canals of extracted human mandibular molars, using digital subtraction radiography. Material and Methods The mesial canals of 40 mandibular first molars (with curvature angles between 25° and 35°) were selected for this study. The specimens were divided randomly into 4 groups with 10 canals each. Glide paths were created in group 1 with #10, #15 and #20 K-type (Dentsply Maillefer, Ballaigues, Switzerland) stainless steel manual files; in group 2 with Path-File (Dentsply Maillefer) #1, #2, and #3 and in group 3 with #16 ProGlider (Dentsply Maillefer) rotary instruments; in group 4 no glide paths were created. All canals were instrumented up to ProTaper Next X2 to the working length. A double digital radiograph technique was used, pre and post-instrumentation, to assess whether apical transportation and/or aberration in root canal morphology occurred. Instrument failures were also recorded. The data were analyzed statistically using ANOVA and Tukey tests (p<0.05). Results No significant differences were found among groups regarding apical transportation (p>0.05). Two ProTaper Next instruments failed in-group 4. Conclusions Within the parameters of this study, there was no difference between the performance of path-finding files and ProTaper Next system maintained root canal curvature well and was safe to use either with path-finding files or alone. Key words:Glide path, PathFile, ProGlider, ProTaper Next, transportation.
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Affiliation(s)
- Sevinç-Aktemur Türker
- DDS, PhD, Department of Endodontics, Faculty of Dentistry, Bülent Ecevit University, Zonguldak, Turkey
| | - Emel Uzunoğlu
- DDS, PhD, Department of Endodontics, Faculty of Dentistry, Hacettepe University, Ankara, Turkey
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Junaid A, Freire LG, da Silveira Bueno CE, Mello I, Cunha RS. Influence of Single-file Endodontics on Apical Transportation in Curved Root Canals: An Ex Vivo Micro–Computed Tomographic Study. J Endod 2014; 40:717-20. [DOI: 10.1016/j.joen.2013.09.021] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2013] [Revised: 08/29/2013] [Accepted: 09/14/2013] [Indexed: 10/26/2022]
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In vitro comparison in a manikin model: increasing apical enlargement with K3 and K3XF rotary instruments. J Endod 2014; 40:1463-7. [PMID: 25146034 DOI: 10.1016/j.joen.2014.02.023] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2014] [Revised: 02/27/2014] [Accepted: 02/28/2014] [Indexed: 11/22/2022]
Abstract
INTRODUCTION The aim of the study was to compare the K3 and K3XF systems (SybronEndo, Glendora, CA) after 1 and 2 uses by evaluating apical transportation, working length loss, and working time in a manikin model. METHODS Mesial canals of 40 extracted first mandibular molars were instrumented. Radiographs taken after instrumentation with #25, #30, #35, and #40 files were superimposed on the preoperative image in both mesiodistal and buccolingual angulations. AutoCAD (Autodesk Inc, San Rafael, CA) was used to measure working length loss and apical transportation at 0, 0.5, and 1 mm from the working length (WL). The working time was measured. Group comparison was analyzed using post hoc Tukey honestly significant difference tests (P < .05). RESULTS No significant differences were found in apical transportation, working length loss between K3 and K3XF systems, or between the number of uses. Significant differences were found when canal enlargement was performed to a #35-40 (P < .05). K3 instrumentation performed significantly faster (29.6 ± 15.4) than with the K3XF system (40.2 ± 17.7) (P < .05). No differences were observed in working time when comparing the number of uses. CONCLUSIONS K3 and R-phase K3XF rotary systems shaped curved root canals safely with minimal apical transportation, even up to a 40/04 file.
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