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Zogheib C, Roumi R, Baldi A, Palopoli P, Pasqualini D, Berutti E, Alovisi M. The effect of ultrasonic access cavity preparation on dentinal inner walls: a micro-CT study on cadaveric samples. Oral Radiol 2023; 39:639-645. [PMID: 37000330 DOI: 10.1007/s11282-023-00680-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2022] [Accepted: 03/02/2023] [Indexed: 04/01/2023]
Abstract
OBJECTIVE The objective of this study is to evaluate the occurrence of coronal dentinal micro-cracks after access cavity refinement using high-speed burs and ultrasonic tips by means of micro-computed tomography (micro-CT) analysis. METHODS In this study, 18 mandibular cadaveric incisors were divided into two groups according to the protocol of the preparation of the conventional access cavity. The diamond bur 802 # 12 was used until the perforation of the pulp roof. Then, the Endo-Z bur was used for the group #1 and the ultrasonic tip Start-X # 1 for the group #2 to finish and refine the access cavity. The preparation time of each access cavity has been recorded. The teeth underwent a micro-CT scan before and after the preparation of the access cavity. Fisher's exact test, the Chi-square test, the Kolmogorov-Smirnov test, the Mann-Whitney test, and the Student's test were used for statistical evaluation. RESULTS The percentage of teeth with new micro-cracks is not significantly different between the two groups (-p-value < 0.5). The number of newly formed micro-cracks and extension size were not significantly different between the two groups. The direction of extension of the micro- cracks was occluso-apical. The average duration of the access cavity is significantly smaller with the Endo-Z system (-p- value < 0.001). The roughness of walls surfaces has no statistically difference between the two groups. CONCLUSION The use of ultrasound, although slower, is considered safe in the creation of dentinal micro-cracks, in the preparation of the access cavity.
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Affiliation(s)
- C Zogheib
- Department of Endodontics, Saint Joseph University of Beirut, Beirut, Lebanon
| | - R Roumi
- Department of Endodontics, Saint Joseph University of Beirut, Beirut, Lebanon
| | - A Baldi
- Department of Surgical Sciences, Dental School, Endodontics, University of Turin, Turin, Italy
| | | | - D Pasqualini
- Department of Surgical Sciences, Dental School, Endodontics, University of Turin, Turin, Italy
| | - E Berutti
- Department of Surgical Sciences, Dental School, Endodontics, University of Turin, Turin, Italy
| | - M Alovisi
- Department of Surgical Sciences, Dental School, Endodontics, University of Turin, Turin, Italy
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Batra R, Dixit A, Tiwari A, Kumar A, Sinha S, Badnaware S, Singh R. Comparative Evaluation of Dentinal Defects After Root Canal Preparation Using Various Nickel Titanium Files: An In Vitro Study. Cureus 2023; 15:e38829. [PMID: 37303406 PMCID: PMC10252150 DOI: 10.7759/cureus.38829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 05/09/2023] [Indexed: 06/13/2023] Open
Abstract
AIM This study set out to compare the damage done to dentin by three distinct titanium file brands - the Hyflex EDM, the ProTaper Next, and the Waveone Gold Nickel - in order to draw conclusions about which one is the most effective. MATERIALS AND METHODS Forty-first premolars in the mandible with straight canals and single roots were instrumented using Hyflex EDM, Waveone Gold, and Protaper Next. Dentinal flaws after endodontic treatment were studied by sectioning specimens using a hard tissue microtome and analyzing them under a stereomicroscope. RESULTS There was no discernible variation between the groups in the coronal third (p=0.312) or apical third (p=0.076). Hyflex EDM and Protaper Next differed significantly in the middle portion of the tape (p=0.016). The Hyflex EDM sample had the fewest cracks. There was no statistically significant difference between Hyflex EDM and Waveone Gold; however, Hyflex EDM had fewer fractures in the middle third of the sample than Waveone Gold did. CONCLUSION Electric discharge machining (EDM) files made from Hyflex proved to be far superior to their Protaper Next and Waveone Gold counterparts as they induced the fewest cracks in the middle third of the root dentin.
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Affiliation(s)
- Renu Batra
- Department of Conservative Dentistry and Endodontics, K.M. Shah Dental College and Hospital, Sumandeep Vidyapeeth Deemed to be University, Vadodara, IND
| | - Ankita Dixit
- Department of Pedodontics and Preventive Dentistry, Ahmedabad Dental College and Hospital, Ahmedabad, IND
| | - Anushree Tiwari
- Clinical Quality and Value, American Academy of Orthopaedic Surgeons, Rosemont, USA
| | - Amit Kumar
- Department of Dentistry, All India Institute of Medical Sciences, Patna, IND
| | - Shagun Sinha
- Department of Pedodontics and Preventive Dentistry, Institute of Dental Studies and Technologies, Modinagar, IND
| | - Sheetal Badnaware
- Department of Pedodontics and Preventive Dentistry, Faculty of Dental Sciences, Institute of Medical Sciences (IMS), Varanasi, IND
| | - Ramanpal Singh
- Oral Medicine and Radiology, New Horizon Dental College and Research Institute, Chhattisgarh, IND
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Silveira F, Tonelli S, de Toubes K, Brabo Pereira A, de Oliveira Miranda A, Fernandes L, Nunes E. Dentinal microcracks induced by endodontic procedures: A scientometric and bibliometric analysis. J Conserv Dent 2022; 25:78-87. [PMID: 35722065 PMCID: PMC9200181 DOI: 10.4103/jcd.jcd_469_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 12/18/2021] [Accepted: 12/25/2021] [Indexed: 11/29/2022] Open
Abstract
Background: Due to the large number of publications relating the occurrence of dental microcracks to endodontic procedures, this bibliometric study evaluated the scientific pattern and trends in literature and provided an overview of scientific production in this context. Aim: To analyze, quantify, and characterize the scientific production and trends of published articles evaluating dentinal microcracks formation after endodontic treatment procedures between 2010 and 2020 using bibliometric indicators. Materials and Methods: Published articles were found by the search in the Medline (PubMed) and Scopus database using the combination of the following keywords: Dentinal crack OR Dentinal Microcrack OR Crack formation OR Dentin Defect AND Endodontic treatment OR Root canal preparation OR Canal Preparation OR Root canal treatment OR endodontic procedures. The search was also conducted in the Journal of Endodontics and International Endodontic Journal. After inclusion and exclusion criteria application, data from all studies included were collected. Results: Among the 556 results after the search, 45 studies were included and analyzed in this bibliometry. No trend was observed in terms of the increasing number of articles over time. Most of them used an in vitro design, compared the effect of different endodontic techniques/systems for root canal instrumentation on dentinal microcracks formation, and were conducted in Turkey, Brazil, and India. Journal of Endodontics and International Endodontic Journal were the main journals with a higher number of articles published. Interestingly, studies conducted with some funding did not lead to higher citation numbers. Moreover, a relevant proportion of studies did not consider the inclusion of control groups, baseline evaluation, or statistical analysis. Micro-CT was the main technique used to evaluate microcrack presence. Conclusion: Microcrack formation after the use of different endodontic techniques/systems has been constantly evaluated in the literature. There is a pattern of methodologies used, which may explain the concentration of these studies in specific journals and countries.
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The Influence of Root Canal Preparation with ProTaper Next, WaveOne Gold, and Twisted Files on Dentine Crack Formation. MACHINES 2021. [DOI: 10.3390/machines9120332] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
(1) Background: Root canal preparation constitutes an important factor for success in endodontics. However, various complications may occur during this stage. The aim of this study was to compare the incidence of cracks within radicular dentin after instrumentation with ProTaper Next (PTN), WaveOne Gold (WOG), and Twisted Files (TF), which utilize different kinematics. (2) Methods: Eighty single-rooted teeth were classified into four groups (n = 20). Three groups were instrumented using PTN (X1, X2), WOG (Primary), and TF (SM1–3). The non-instrumented group constituted the control group. Post-preparation, the roots were sectioned 3, 6, and 9 mm from the apex using a low-speed saw (Southbay Technology Inc., San Clemente, CA, USA). The specimens were viewed through a microscope at x25 magnification (Leica M320, Wetzlar, Germany), and their surface was assessed tactilely to determine the presence of the crack. (3) Results: Partial cracks within radicular dentine were observed in all study groups (PTN: n = 4/20%, WOG: n = 3/15%, TF: n = 4/20%); no cracks were observed in the control group. No significant differences were observed among experimental groups. OR values for the incidence of cracks were: OR = 11.182 for PTN, OR = 8.2 for WOG, and OR = 8.2 for TF. (4) Conclusions: Instrumentation with PTN, WOG, and TF may result in dentinal cracks formation.
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Heberer MT, Roggendorf HC, Faber FJ, Lawrenz NA, Frankenberger R, Roggendorf MJ. Longitudinal craze line propagation in human root dentin after instrumentation with NiTi rotary files of different instrument tapers after long-term chewing simulation. Clin Oral Investig 2021; 26:2671-2679. [PMID: 34787719 PMCID: PMC8898247 DOI: 10.1007/s00784-021-04238-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Accepted: 10/15/2021] [Indexed: 11/26/2022]
Abstract
Objectives The aim of this study was to investigate whether file design and taper significantly influence microcrack initiation during machine preparation. Materials and methods Sixty extracted teeth with straight single canals were selected. The teeth were randomly assigned to four groups based on their root canal anatomy and the corresponding NiTi rotary file system (I, Mtwo; II, ProTaper Universal; III, F6 SkyTaper; control, no preparation and filling). The root canals of the experimental groups were filled using the single-cone technique. The tested teeth were all subjected to a mechanical chewing simulation with flat lead loading over a period of 3 years (corresponding to 150,000 cycles). The teeth were checked for dentinal defects (accumulative crack growth in length) under the digital microscope (Keyence VHX-5000) at time 0 (baseline prior to chewing simulation) and after 3, 6, 12, 24, and 36 months of loading. The cumulative crack increase was statistically analyzed using the Kruskal–Wallis test, Jonckheere–Terpstra test, and the Wilcoxon rank-sum test. The significance was set at p < 0.05. Results In contrast to preparation with greater-tapered instruments, ProTaper Universal (group II) and F6 SkyTaper (group III) instrumentation with the smaller tapered Mtwo files (group I) showed less accumulative propagation of craze lines (p < 0.05) at all time points. Conclusion Instruments with greater taper for root canal instrumentation should be used with care to avoid negative long-term effects in the form of propagation of dentinal defects over time. A positive cutting-edge angle and a smaller taper have a positive effect on a lower craze line development. Clinical relevance Instruments with a positive cutting-edge angle and a smaller taper are beneficial for the long-term preservation of dentinal tooth structure.
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Affiliation(s)
- Marie-Therese Heberer
- Department of Operative Dentistry, Endodontics, and Pediatric Dentistry, Philipps University Marburg and University Hospital Giessen and Marburg, Campus Marburg, Georg-Voigt-Straße 3, 35039, Marburg, Germany.
| | - Hubert C Roggendorf
- Interdisciplinary Department of Oral Surgery an Implantology, University of Cologne, Kerpener Straße 32, 50931, Cologne, Germany
| | - Franz-Josef Faber
- Pre-Clinical Department, University of Cologne, Kerpener Straße 32, 50931, Cologne, Germany
| | - Nicolai-Alexander Lawrenz
- Department of Mathematics and Computer Science, Philipps University of Marburg, Hans-Meerwein-Straße 6, 35043, Marburg, Germany
| | - Roland Frankenberger
- Department of Operative Dentistry, Endodontics, and Pediatric Dentistry, Philipps University Marburg and University Hospital Giessen and Marburg, Campus Marburg, Georg-Voigt-Straße 3, 35039, Marburg, Germany
| | - Matthias J Roggendorf
- Department of Operative Dentistry, Endodontics, and Pediatric Dentistry, Philipps University Marburg and University Hospital Giessen and Marburg, Campus Marburg, Georg-Voigt-Straße 3, 35039, Marburg, Germany
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Devi TP, Kaur A, Priyadarshini S, Deepak BS, Banerjee S, Sanjeeta N. Microscopic Assessment of Dentinal Defects Induced by ProTaper Universal, ProTaper Gold, and Hyflex Electric Discharge Machining Rotary File Systems - An in vitro Study. Contemp Clin Dent 2021; 12:230-234. [PMID: 34759678 PMCID: PMC8525824 DOI: 10.4103/ccd.ccd_631_20] [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: 07/14/2020] [Revised: 07/23/2020] [Accepted: 07/25/2020] [Indexed: 11/24/2022] Open
Abstract
Background: Biomechanical preparation of root canal can damage root dentin leading to the formation of dentinal cracks which can eventually lead to fracture and failure of the treatment. Aim: The aim was to investigate the incidence of dentinal defects in root canals prepared with ProTaper Universal, ProTaper Gold, and Hyflex electric discharge machining (EDM) rotary file systems using handheld USB digital microscope. Materials and Methods: One hundred and fifty extracted mandibular premolar teeth with single canal were randomly divided into five groups (n = 30). Group 1: unprepared (negative control). Group 2: canal preparation done with nickel–titanium hand files (positive control), Group 3: canals prepared with ProTaper Universal rotary system, Group 4: canal preparation done with ProTaper Gold rotary system, and Group 5: canals prepared with Hyflex EDM rotary system. The specimens were sliced at 3 mm, 6 mm, and 9 mm from the apex with a slow-speed saw under water cooling. Digital images of each section were captured at ×40 magnification with the aid of a microscope. Two independent evaluators assessed the images for the presence of dentinal defects. The number of dentinal defects was recorded and Chi-square test was used for statistical analysis (P < 0.05). Results: The number of specimens presenting dentinal defects was as follows: Group 3; ProTaper Universal – 9/30 (30.0%), Group 4; ProTaper Gold – 2/30 (6.7%), and Group 5; Hyflex EDM – 1/30 (3.3%). No defects were detected in the negative and positive control groups (Group 1 and Group 2). Conclusion: ProTaper Universal showed the highest percentage of defects in comparison to ProTaper Gold and Hyflex EDM.
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Affiliation(s)
- Takhellambam Premlata Devi
- Department of Conservative Dentistry and Endodontics, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - Amandeep Kaur
- Department of Conservative Dentistry and Endodontics, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - Shamurailatpam Priyadarshini
- Department of Conservative Dentistry and Endodontics, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - B S Deepak
- Department of Conservative Dentistry and Endodontics, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - Sumita Banerjee
- Department of Oral Pathology and Microbiology, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
| | - Ng Sanjeeta
- Department of Oral Pathology and Microbiology, Dental College, Regional Institute of Medical Sciences, Imphal, Manipur, India
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Pinto JC, Coaguila-Llerena H, Torres FFE, Lucas-Oliveira É, Bonagamba TJ, Guerreiro-Tanomaru JM, Tanomaru-Filho M. Influence of voxel size on dentinal microcrack detection by micro-CT after root canal preparation. Braz Oral Res 2021; 35:e074. [PMID: 34644728 DOI: 10.1590/1807-3107bor-2021.vol35.0074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Accepted: 01/04/2020] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to assess the influence of micro-computed tomography (micro-CT) voxel size on dentinal microcrack detection after root canal preparation using rotary heat-treated nickel-titanium files. Curved mesial root canals (n = 24) of mandibular molars were prepared using ProDesign Logic 30/.05 (PDL) or HyFlex EDM 25/.08 (HEDM). The specimens were scanned by micro-CT at 5 μm voxel size before and after root canal preparation. The percentage of microcracks was evaluated in images at 5, 10 and 20 μm voxel size, by two examiners at two moments. The Kappa and McNemar tests (α = 0.05) were used. The percentage of dentinal microcracks was similar before and after PDL and HEDM preparations, at 10 and 20 μm (p > 0.05). HEDM showed a higher percentage of dentinal microcracks in the middle third at 5 μm after preparation (p < 0.05). The detection of dentinal microcracks before and after instrumentation using PDL was more accurate at 5 μm than at 20 μm, in all thirds (p < 0.05). Within the limitations of this ex vivo study, as expected, the results showed that different resolutions influence the micro-CT analysis of microcracks. The highest accuracy in detecting microcracks was observed for analyses performed at 5 μm voxel size. HyFlex EDM caused even more microcracks to develop in the middle third, detectable only by visualization of images made at 5 μm voxel size.
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Affiliation(s)
- Jáder Camilo Pinto
- Universidade Estadual Paulista - Unesp, School of Dentistry, Department of Restorative Dentistry, Araraquara, SP, Brazil
| | - Hernán Coaguila-Llerena
- Universidade Estadual Paulista - Unesp, School of Dentistry, Department of Restorative Dentistry, Araraquara, SP, Brazil
| | | | - Éverton Lucas-Oliveira
- Universidade de São Paulo - USP, São Carlos Institute of Physics, Department of Physics and Interdisciplinary Science, São Carlos, SP, Brazil
| | - Tito José Bonagamba
- Universidade de São Paulo - USP, São Carlos Institute of Physics, Department of Physics and Interdisciplinary Science, São Carlos, SP, Brazil
| | | | - Mário Tanomaru-Filho
- Universidade Estadual Paulista - Unesp, School of Dentistry, Department of Restorative Dentistry, Araraquara, SP, Brazil
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Zogheib C, Roumi R, Bourbouze G, Naaman A, Khalil I, Plotino G. Effects of ultrasonic refinement on endodontic access cavity walls: A microcomputed tomography analysis. J Conserv Dent 2021; 24:29-35. [PMID: 34475676 PMCID: PMC8378494 DOI: 10.4103/jcd.jcd_599_20] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2020] [Revised: 12/16/2020] [Accepted: 02/09/2021] [Indexed: 11/04/2022] Open
Abstract
Objectives The present study aimed in assessing the coronal defects after access cavity finishing and refinement by micro. Methods Access cavities on thirty molars were prepared using a diamond bur. To finish and refine the access cavity, the Endo-Z was used in group 1 (n=15) and Start X 1 in group 2. Preparation time was recorded. A micro-CT scan was done before and after access preparation. Formation and location of the new defects were registered, the extension of defects calculated and the direction of the extension registered, preparation time and surface roughness determined (P < 0.05). Results Preparation time was significantly higher with ultrasonics (P <0.001). Internal walls showed smoother surfaces for Endo-Z group. Newly counts and extension length of defects weren't significantly different between groups (P > .05). Conclusion Ultrasonic tips induced new cracks. Both instruments caused the extension of cracks. Ultrasonic tips requires more time and results in significantly rougher surfaces.
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Affiliation(s)
- Carla Zogheib
- Department of Endodontics, Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon
| | - Reina Roumi
- Department of Endodontics, Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon
| | | | - Alfred Naaman
- Department of Endodontics, Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon
| | - Issam Khalil
- Department of Endodontics, Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon
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Martins JCLGD, Oliveira BP, Duarte DA, Antonino ACD, Aguiar CM, Câmara AC. Micro-computed tomographic assessment of dentinal microcrack formation in straight and curved root canals in extracted teeth prepared with hand, rotary and reciprocating instruments. Int Endod J 2021; 54:1362-1368. [PMID: 33760261 DOI: 10.1111/iej.13521] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2020] [Revised: 03/18/2021] [Accepted: 03/22/2021] [Indexed: 12/15/2022]
Abstract
AIM To compare microcrack formation in roots of extracted teeth after the shaping of straight and curved root canals with hand, rotary and reciprocating files using micro-computed tomographic (micro-CT) analysis. METHODOLOGY Thirty straight mandibular incisors and 30 severely curved mesial roots of mandibular molars were randomly divided into 6 experimental groups (n = 10) according to the systems used for the root canal preparation and the root canal curvature: ProTaper Universal for Hand Use (Dentsply Sirona, Ballaigues, Switzerland), HyFlex EDM (Coltene-Whaledent, Altstätten, Switzerland) and Reciproc Blue (VDW, Munich, Germany) files used in mandibular incisors (straight canals) and mesial roots of mandibular molars (curved canals). The roots were imaged with micro-CT scanning at an isotropic resolution of 14 μm before and after root canal preparation, and the cross-sectional images generated were assessed to detect microcracks. RESULTS All dentinal defects identified after root canal preparation were already present before instrumentation, and no new microcracks were detected. Dentinal microcracks were present in 19% (ProTaper Universal for Hand Use), 11% (Hyflex EDM) and 23% (Reciproc Blue) of the cross-sections when the instrumentation was performed in mandibular incisors. Instrumentation of mandibular molars revealed microcracks in 15% (ProTaper Universal for Hand Use), 16% (Hyflex EDM) and 17% (Reciproc Blue) of the cross-sections. CONCLUSIONS Preparation of straight and curved root canals with ProTaper Universal for Hand Use, HyFlex EDM and Reciproc Blue systems did not produce microcracks in extracted teeth when evaluated with micro-CT.
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Affiliation(s)
- J C L G D Martins
- Department of Prosthodontics and Oral and Maxillofacial Surgery, Dental School, Recife, PE, Brazil
| | - B P Oliveira
- Department of Prosthodontics and Oral and Maxillofacial Surgery, Dental School, Recife, PE, Brazil
| | - D A Duarte
- Department of Nuclear Energy, Federal University of Pernambuco, Recife, PE, Brazil
| | - A C D Antonino
- Department of Nuclear Energy, Federal University of Pernambuco, Recife, PE, Brazil
| | - C M Aguiar
- Department of Prosthodontics and Oral and Maxillofacial Surgery, Dental School, Recife, PE, Brazil
| | - A C Câmara
- Department of Prosthodontics and Oral and Maxillofacial Surgery, Dental School, Recife, PE, Brazil
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Ribeiro Camargo CH, Bittencourt TS, Hasna AA, Palo RM, Talge Carvalho CA, Valera MC. Cyclic fatigue, torsional failure, and flexural resistance of rotary and reciprocating instruments. J Conserv Dent 2021; 23:364-369. [PMID: 33623237 PMCID: PMC7883783 DOI: 10.4103/jcd.jcd_409_20] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2020] [Revised: 09/09/2020] [Accepted: 10/15/2020] [Indexed: 11/04/2022] Open
Abstract
Aim The aim was to compare cyclic fatigue, torsional failure, and flexural resistance of NiTi endodontic files: Hyflex CM (HYF), Genius files (GEN), WaveOne Gold (WOG), and ProTaper Universal (PTU). Materials and Methods Fifteen files of each brand were used in cyclic fatigue test and other fifteen files for flexural test and torsional failure test. To the cyclic fatigue test, used torque limit and revolutions per minute were set according to the respective manufacturer guidelines. The test was performed under deionized water at 36°C, and all files were tested in a 3 mm radius of curvature with an angle of curvature of 60°, time of the fracture was recorded. Torsional fatigue test was performed in the torsional machine (Instron MT, USA), recording the fractured time and torque data by the machine software. Flexural fatigue test was performed in 60° of curvature. All data were statistically analyzed by one-way analysis of variance, and Tukey test for multiple comparisons. Results Cyclic fatigue (seconds)= HYF: 744.1 ± 231.9/GEN: 477.3 ± 220.5/WO: 278.4 ± 57.0/PTU: 152.4 ± 65.2; torsional failure (N × cm)= HYF: 6.85 ± 1.484/GEN: 6.55 ± 0.828/WOG: 5.73 ± 0.360/PTU: 4.43 ± 0.900; flexural resistance (N × mm)= HYF: 0.33 ± 0.294/GEN: 0.19 ± 0.136/WOG: 0.98 ± 0.216/PTU: 1.85 ± 0.276. Conclusion HYF and GEN showed the best results for cyclic fatigue, torsional failure, and flexural resistance, followed by WOG and PTU.
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Affiliation(s)
| | - Tatiane Sampaio Bittencourt
- Department of Restorative Dentistry, Endodontic Division, Institute of Science and Technology, Sao Paulo State University - UNESP; São José Dos Campos, São Paulo, Brazil
| | - Amjad Abu Hasna
- Department of Restorative Dentistry, Endodontic Division, Institute of Science and Technology, Sao Paulo State University - UNESP; São José Dos Campos, São Paulo, Brazil
| | - Renato Miotto Palo
- Department of Restorative Dentistry, Endodontic Division, Institute of Science and Technology, Sao Paulo State University - UNESP; São José Dos Campos, São Paulo, Brazil
| | - Cláudio Antonio Talge Carvalho
- Department of Restorative Dentistry, Endodontic Division, Institute of Science and Technology, Sao Paulo State University - UNESP; São José Dos Campos, São Paulo, Brazil
| | - Marcia Carneiro Valera
- Department of Restorative Dentistry, Endodontic Division, Institute of Science and Technology, Sao Paulo State University - UNESP; São José Dos Campos, São Paulo, Brazil
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Lin GSS, Ghani NRNA, Noorani TY. The existence of butterfly effect and its impact on the dentinal microhardness and crack formation after root canal instrumentation. Odontology 2021; 109:672-678. [PMID: 33458795 DOI: 10.1007/s10266-021-00589-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/14/2020] [Accepted: 01/05/2021] [Indexed: 10/22/2022]
Abstract
To compare the microhardness and crack formation in root dentine presented with butterfly effect in lower premolars. Sixty mature lower premolars were selected and divided into the control and experimental groups. Teeth in the experimental group were instrumented up to size 30/.04. The roots were cut horizontally into twelve parts of 1-mm-thick cross-section and were numbered accordingly. They were divided into coronal, middle, and apical root sections. Sections were then viewed under a microscope to determine the presence of butterfly effect and subsequently scored. 8 teeth from both control and experimental groups with the highest and lowest score were selected. Crack formation was inspected and classified into four different types of cracks. Microhardness test was performed using a Vickers hardness test. Higher frequency of butterfly effect was found in the apical root section and root dentine with butterfly effect were harder mesiodistally. The middle and apical root sections with butterfly effect were harder than the coronal section. No significant difference of dentine hardness between the control and experimental groups. Cracks only occurred in the experimental group and presented in buccolingual direction with a higher rate of Type 1 and Type 2 cracks. Prevalence of butterfly effect in lower premolars increased from coronal to apical with increased hardness mesiodistally. More buccolingual cracks were found in radicular dentine with butterfly effect and most of them exhibited Type 1 and Type 2 cracks. Roots of lower premolar with butterfly effect may be susceptible to a higher rate of vertical root fracture in buccolingual direction, especially after root canal treatment. Thus, special attention should be given not to overload instruments during root canal preparation.
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Affiliation(s)
- Galvin Sim Siang Lin
- Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, 16150, Kota Bharu, , Kelantan, Malaysia
| | - Nik Rozainah Nik Abdul Ghani
- Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, 16150, Kota Bharu, , Kelantan, Malaysia.
| | - Tahir Yusuf Noorani
- Conservative Dentistry Unit, School of Dental Sciences, Universiti Sains Malaysia, Health Campus, Kubang Kerian, 16150, Kota Bharu, , Kelantan, Malaysia
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Pinto JC, Torres FFE, Santos Junior AO, Tavares KIMC, Guerreiro-Tanomaru JM, Tanomaru-Filho M. Influence of voxel size on micro-CT analysis of debris after root canal preparation. Braz Oral Res 2020; 35:e008. [PMID: 33206781 DOI: 10.1590/1807-3107bor-2021.vol35.0008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Accepted: 08/24/2020] [Indexed: 11/22/2022] Open
Abstract
The aim of this study was to assess the influence of micro-computed tomography (micro-CT) voxel size on the evaluation of debris accumulation after passive ultrasonic irrigation (PUI) in curved root canals prepared with rotary nickel-titanium files. Mesial root canals (n = 24) of mandibular molars with curvature between 25° and 35° were prepared using ProDesign Logic 30/.05 (PDL) or HyFlex EDM 25/.08 (HEDM). PUI was performed after root canal preparation of all root canals. The specimens were scanned using high-resolution (5 μm voxel size) micro-CT imaging before and after experimental procedures. The percentage of debris was analyzed in the middle and apical thirds using images with 5, 10 and 20 μm voxel sizes. Data were compared using unpaired and paired Student's t-test, ANOVA and Tukey's statistical tests (α = 0.05). There were no differences among the debris analyses performed at different voxel sizes (5, 10 and 20 μm) (p > 0.05). The percentage of debris was similar between the root canals prepared by PDL and HEDM before and after PUI (p > 0.05). In both groups, the percentage of debris decreased in the middle third after PUI (p < 0.05). Within the limitations of this ex vivo study, it can be concluded that the voxel sizes evaluated did not have a significant impact on the analysis of accumulated debris. However, the results showed a tendency for detection of more debris in the analysis performed using a lower voxel size. PUI decreased the debris accumulation in the middle third of curved root canals.
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Affiliation(s)
- Jáder Camilo Pinto
- Universidade Estadual Paulista - Unesp, School of Dentistry, Department of Restorative Dentistry, Araraquara, SP, Brazil
| | | | - Airton Oliveira Santos Junior
- Universidade Estadual Paulista - Unesp, School of Dentistry, Department of Restorative Dentistry, Araraquara, SP, Brazil
| | | | | | - Mario Tanomaru-Filho
- Universidade Estadual Paulista - Unesp, School of Dentistry, Department of Restorative Dentistry, Araraquara, SP, Brazil
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Miguéns-Vila R, Martín-Biedma B, De-Deus G, Belladonna FG, Peña-López A, Castelo-Baz P. Micro-computed Tomographic Evaluation of Dentinal Microcracks after Preparation of Curved Root Canals with ProTaper Gold, WaveOne Gold, and ProTaper Next Instruments. J Endod 2020; 47:309-314. [PMID: 33096193 DOI: 10.1016/j.joen.2020.10.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/27/2020] [Revised: 10/08/2020] [Accepted: 10/15/2020] [Indexed: 12/19/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the influence of rotary (ProTaper Next [PTN; Dentsply Maillefer, Ballaigues, Switzerland] and ProTaper Gold [PTG, Dentsply Maillefer]) and reciprocating (WaveOne Gold [WOG, Dentsply Maillefer]) systems in dentinal microcrack generation after the preparation of curved root canals using micro-computed tomographic analysis. METHODS Twenty-four human mandibular molars with curved roots were scanned in a micro-computed tomographic device using an isotropic resolution of 6.78 μm and randomly assigned into 1 of 3 experimental groups (n = 8) according to the root canal instrumentation system used (PTN, PTG, or WOG). Then, the root canals were prepared up to PTN X2, PTG F2, and WOG Primary instruments in the PTN, PTG, and WOG groups, respectively. After canal preparation, each specimen was scanned again. Pre- and postoperative cross-sectional images of the roots (N = 35,304) were analyzed to identify the presence of dentinal microcracks. RESULTS Overall, 26% of the images presented dentinal defects (n = 9188). Dentinal microcracks were observed in 24.6%, 26%, and 27.4% of the postinstrumentation images from the PTN, PTG, and WOG groups, respectively. However, all of these dentinal microcracks were already present in the corresponding preoperative images. No new microcracks were generated after the preparation of curved root canals of mandibular molars using the aforementioned systems. CONCLUSIONS Root canal instrumentation with PTN, PTG, and WOG systems did not induce the formation of new dentinal microcracks.
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Affiliation(s)
- Ramón Miguéns-Vila
- University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain.
| | | | - Gustavo De-Deus
- Fluminense Federal University, Niterói, Rio de Janeiro, Brazil
| | | | | | - Pablo Castelo-Baz
- University of Santiago de Compostela, Santiago de Compostela, Galicia, Spain
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Fráter M, Jakab A, Braunitzer G, Tóth Z, Nagy K. The potential effect of instrumentation with different nickel titanium rotary systems on dentinal crack formation-An in vitro study. PLoS One 2020; 15:e0238790. [PMID: 32903275 PMCID: PMC7480847 DOI: 10.1371/journal.pone.0238790] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2020] [Accepted: 08/24/2020] [Indexed: 11/17/2022] Open
Abstract
The potential mechanical impact of different rotary systems used for root canal preparation has been a matter of debate for long. The aim of this study was to explore the incidence of dentinal cracks after root canal instrumentation with various rotary systems, in vitro. One hundred and eighty intact lower central incisors were selected and randomly divided into fourteen treatment groups (n = 12/group) and a control group (n = 12). After decoronation, the root canals were instrumented with fourteen different rotary systems (E3, E3 azure, NT2, Hyflex CM, Hyflex EDM, 2Shape, OneCurve, ProTaper Next, ProTaper Gold, WaveOne Gold, Mtwo, Reciproc Blue, TF adaptive, K3XF). All roots were horizontally sectioned at 3, 6, and 9 mm from the apex with a low-speed saw under water-cooling. The slices were then examined under stereomicroscope for dentinal cracks. No cracks were found in the control group. Cracks were found in all treatment groups, predominantly in the 3 mm slices. There was no statistically significant difference in the number of cracks when comparing the different systems to each other at any section level. At 3 mm, however, five of the studied systems, namely K3XF (p = 0.004), Protaper Next (p = 0.001), Reciproc Blue (p<0.001), TF adaptive (p = 0.050), and 2Shape (p = 0.009) presented a significantly higher number of cracks than the control group. Within the limitations of this study, instrumented canals presented dentinal cracks, while uninstrumented ones presented no cracks after sectioning. There seems to be no significant difference among the tested systems regarding crack formation in the instrumented root canal wall. Crack formation occurred irrespective of the motion of the rotary system (rotational or reciprocation). Further studies are needed to clarify the factors that contribute to crack formation in the case of each individual rotary system.
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Affiliation(s)
- Márk Fráter
- Department of Operative and Esthetic Dentistry, Faculty of Dentistry, University of Szeged, Szeged, Hungary
| | - András Jakab
- Department of Operative and Esthetic Dentistry, Faculty of Dentistry, University of Szeged, Szeged, Hungary
| | | | - Zsolt Tóth
- Department of Oral Biology and Experimental Dental Research, Faculty of Dentistry, University of Szeged, Szeged, Hungary
| | - Katalin Nagy
- Department of Oral Surgery, Faculty of Dentistry, University of Szeged, Szeged, Hungary
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Pivoto-João MMB, Tanomaru-Filho M, Pinto JC, Espir CG, Guerreiro-Tanomaru JM. Root Canal Preparation and Enlargement Using Thermally Treated Nickel-Titanium Rotary Systems in Curved Canals. J Endod 2020; 46:1758-1765. [PMID: 32818566 DOI: 10.1016/j.joen.2020.08.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2019] [Revised: 07/26/2020] [Accepted: 08/10/2020] [Indexed: 12/15/2022]
Abstract
INTRODUCTION The purpose of this study was to evaluate root canal preparation and apical enlargement of curved canals using rotary heat-treated and heat/surface-treated systems by micro-computed tomographic imaging. METHODS Curved mesial root canals (n = 48) of mandibular molars (20°-40°) were prepared using ProDesign Logic (PDL; Easy Equipamentos Odontológicos, Belo Horizonte, MG, Brazil) 25/.01 and 25/.06 or HyFlex EDM (HFEDM) 10/.05, HyFlex CM 20/.04, and HFEDM 25/.08. Apical enlargement was performed using PDL 40/.05 or HFEDM 40/.04. Scanning (9 μm) was performed before and after preparation and after apical enlargement using micro-computed tomographic imaging. Volume, percentage of volume increase, debris, untouched root canal surface, and centering ability were analyzed. Statistical analysis was performed using Mann-Whitney, Wilcoxon, and unpaired t tests (α = .05). RESULTS HFEDM promoted a higher volume increase of the root canals than PDL after preparation and after apical enlargement (P < .05). The apical enlargement promoted a significant decrease in debris and untouched surface in both groups (P < .05). The percentage of debris and untouched surface were similar between HFEDM and PDL after preparation and after apical enlargement (P > .05). Both systems promoted centered canals (P > .05). CONCLUSIONS HFEDM instruments promoted greater volume of the root canal than PDL. However, the cleaning ability of the instruments was similar. The apical increase up to size 40 with both instruments provided less debris and untouched surfaces and allowed centralization of the curved root canals.
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Affiliation(s)
| | - Mario Tanomaru-Filho
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University, Araraquara, São Paulo, Brazil.
| | - Jader Camilo Pinto
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University, Araraquara, São Paulo, Brazil
| | - Camila Galletti Espir
- Department of Restorative Dentistry, School of Dentistry, São Paulo State University, Araraquara, São Paulo, Brazil
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Valle AD, Dotto L, Morgental RD, Pereira-Cenci T, Pereira GKDR, Sarkis-Onofre R. Influence of Root Canal Preparation on Formation of Dentinal Microcracks: A Systematic Review. Braz Dent J 2020; 31:201-220. [PMID: 32667513 DOI: 10.1590/0103-6440202002652] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/29/2019] [Accepted: 11/05/2019] [Indexed: 02/07/2023] Open
Abstract
The effect of root canal preparation technique on microcrack initiation is a controversial issue. This systematic review aimed to assess the role of root canal preparation techniques with different kinematics (manual, rotary, reciprocating, adaptive, self-adjusting file) on microcrack initiation. In vitro and in situ studies comparing the influence of at least two different root canal preparation techniques on the initiation of dentin microcracks were searched in PubMed/MEDLINE and SCOPUS up to June 5, 2018 without language and period restriction. Two authors independently reviewed all identified titles and abstracts for eligibility. Tables were generated to summarize the included studies, and the included studies were assessed for bias. Fifty-four (n=54) articles met the eligibility criteria. The results were classified according to the method used for microcrack evaluation, and most studies that used micro-computed tomography showed no formation of new cracks after root canal preparation. In general, the instrumentation techniques induced microcrack formation when the methods were destructive, irrespective of kinematics. In relation to the apex region, when the preparation working length was set as the root canal length subtracted of 1 mm, the risk of microcrack initiation reduces. The majority of the included studies had low risk of bias for all assessed domains. Our results seem to indicate that the various root canal preparation techniques considered in this study will not cause damage to the dental structure when adequately employed and the proper methodology is applied.
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Affiliation(s)
- Alânia Dalla Valle
- Graduate Program in Dentistry, Faculdade Meridional, Passo Fundo, RS, Brazil
| | - Lara Dotto
- Graduate Program in Dentistry, Faculdade Meridional, Passo Fundo, RS, Brazil
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Sousa-Neto MD, Crozeta BM, Lopes FC, Mazzi-Chaves JF, Pereira RD, Silva-Sousa AC, Amaral MCDA, Steier L, Jacobs R, Silva-Sousa YTC. A micro-CT evaluation of the performance of rotary and reciprocating single-file systems in shaping ability of curved root canals. Braz Oral Res 2020; 34:e039. [PMID: 32374813 DOI: 10.1590/1807-3107bor-2020.vol34.0039] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2019] [Accepted: 03/23/2020] [Indexed: 11/22/2022] Open
Abstract
To compare the shaping ability of different single-file systems in the preparation of mesial curved canals of mandibular molars using micro-CT technology. Fifteen mesial roots of mandibular molars with two independent and curved canals (n = 30) were selected, scanned at a resolution of 26.7 μm anatomically matched, and distributed into three groups (n = 10), according to the preparation system: WaveOne 25.08, Reciproc 25.08, and OneShape 25.06. A final micro-CT scanning was performed, data sets were registered with their respective counterparts, and compared regarding the three-dimensional (volume, surface area, and structure model index - SMI) and two-dimensional (perimeter, area, roundness, major and minor diameters) parameters, as well as, canal transportation, using ANOVA and post hoc Tukey tests (α = 5%). Overall, no difference was observed between groups regarding area, perimeter, volume, surface area, and canal transportation (p > 0.05). Within group, no canal transportation was significantly higherobserved in the apical third (0.10 ± 0.05 mm) compared to coronal (0.08±0.040 mm) and middle (0.07 ± 0.03 mm) thirds (p < 0.05). Structure model index (SMI) was statistically higher after preparation with OneShape instrument (0.36 ± 0.26) compared to other systems (p < 0.05). Within the parameters of this study, similar shaping ability was observed in the preparation of mesial curved root canals of mandibular molars with Reciproc, OneShape and WaveOne systems.
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Affiliation(s)
- Manoel Damião Sousa-Neto
- Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto , Department of Restorative Dentistry , Ribeirão Preto , SP , Brazil
| | - Bruno Monguilhott Crozeta
- Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto , Department of Restorative Dentistry , Ribeirão Preto , SP , Brazil
| | - Fabiane Carneiro Lopes
- Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto , Department of Restorative Dentistry , Ribeirão Preto , SP , Brazil
| | - Jardel Francisco Mazzi-Chaves
- Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto , Department of Restorative Dentistry , Ribeirão Preto , SP , Brazil
| | - Rodrigo Dantas Pereira
- Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto , Department of Restorative Dentistry , Ribeirão Preto , SP , Brazil
| | - Alice Corrêa Silva-Sousa
- Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto , Department of Restorative Dentistry , Ribeirão Preto , SP , Brazil
| | | | - Liviu Steier
- University of Pennsylvania - UPenn, School of Dental Medicine , Philadelphia , PA , USA
| | - Reinhilde Jacobs
- Katholieke Universiteit Leuven - KU Leuven, Faculty of Medicine , Department of Imaging and Pathology , Leuven , Belgium
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18
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Zuli TAB, Guedes OA, Gonçalves GFZA, da Silva Júnior AR, Borges ÁH, Aranha AMF. Effect of post space preparation drills on the incidence of root dentin defects. Restor Dent Endod 2020; 45:e53. [PMID: 33294418 PMCID: PMC7691261 DOI: 10.5395/rde.2020.45.e53] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2020] [Revised: 05/03/2020] [Accepted: 06/02/2020] [Indexed: 11/17/2022] Open
Abstract
Objectives This study investigated the incidence of root dentin defects after the use of different post space preparation (PSP) drills. Materials and Methods Seventy-two bovine incisors were selected and obtained 14-mm-long root sections. Twelve roots served as controls with no intervention (G1). The 60 root canals remaining were instrumented using the crown-down technique with the ProTaper Next system and obturated using the lateral condensation technique. Specimens were randomly distributed into 5 groups (n = 12) according to the operative steps performed: G2, root canal instrumentation and filling (I+F); G3, I+F and PSP with Gates-Glidden drills; G4, I+F and PSP with Largo-Peeso reamers; G5, I+F and PSP with Exacto drill; and G6, I+F and PSP with WhitePost drill. Roots were sectioned at 3, 6, 9, and 12 mm from the apex, and digital images were captured. The presence of root dentin defects was recorded. Data were analyzed by the χ2 test, with p < 0.05 considered to indicate statistical significance. Results Root dentin defects were observed in 39.6% of the root sections. No defects were observed in G1. G5 had significantly more cracks and craze lines than G1, G2, and G3 (p < 0.05), and more fractures than G1, G2, G3, and G4 (p < 0.05). When all root sections were analyzed together, significantly more defects were observed at the 12-mm level than at the 3-mm level (p < 0.05). Conclusions PSP drills caused defects in the root dentin. Gates-Glidden drills caused fewer root defects than Largo-Peeso reamers and Exacto drills.
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Affiliation(s)
| | - Orlando Aguirre Guedes
- Department of Endodontics, School of Dentistry, Centro Universitário de Anápolis - UniEvangélica, Anápolis, GO, Brazil
| | | | | | - Álvaro Henrique Borges
- Department of Oral Sciences, School of Dentistry, University of Cuiabá - UNIC, Cuiabá, MT, Brazil
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Anous W, Al-Ashry S, Ali M, Kataia M. Effect of different kinematic cutting motion in multiple versus single-file concept on dentinal crack formation: An in vitro study. J Int Oral Health 2020. [DOI: 10.4103/jioh.jioh_141_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
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20
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Arashiro FN, De‐Deus G, Belladonna FG, Cavalcante DM, Coelho MS, Silva EJNL, Pereira KFS, Silva PG, Lopes RT, Souza EM. Dentinal microcracks on freshly extracted teeth: the impact of the extraction technique. Int Endod J 2019; 53:440-446. [DOI: 10.1111/iej.13239] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2019] [Accepted: 10/15/2019] [Indexed: 11/30/2022]
Affiliation(s)
- F. N. Arashiro
- Department of Endodontics Federal University of Mato Grosso do Sul Campo Grande Brazil
| | - G. De‐Deus
- Department of Endodontics Fluminense Federal University Niterói Brazil
| | - F. G. Belladonna
- Department of Endodontics Fluminense Federal University Niterói Brazil
| | - D. M. Cavalcante
- Department of Endodontics Fluminense Federal University Niterói Brazil
| | - M. S. Coelho
- Faculty of Dentistry São Leopoldo Mandic Campinas Brazil
| | - E. J. N. L. Silva
- Department of Endodontics Grande Rio University Duque de Caxias Brazil
| | - K. F. S. Pereira
- Department of Endodontics Federal University of Mato Grosso do Sul Campo Grande Brazil
| | - P. G. Silva
- Department of Endodontics Federal University of Mato Grosso do Sul Campo Grande Brazil
| | - R. T. Lopes
- Nuclear Engineering Program Federal University of Rio de Janeiro Rio de Janeiro Brazil
| | - E. M. Souza
- Department of Dentistry II Federal University of Maranhão São Luís Brazil
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21
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Effect of Leptin on Odontoblastic Differentiation and Angiogenesis: An In Vivo Study. J Endod 2019; 45:1332-1341. [DOI: 10.1016/j.joen.2019.08.003] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2019] [Revised: 07/04/2019] [Accepted: 08/06/2019] [Indexed: 11/22/2022]
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Rödig T, Krämer J, Müller C, Wiegand A, Haupt F, Rizk M. Incidence of microcracks after preparation of straight and curved root canals with three different NiTi instrumentation techniques assessed by micro-CT. AUST ENDOD J 2019; 45:394-399. [PMID: 30907062 DOI: 10.1111/aej.12339] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/02/2019] [Indexed: 01/31/2023]
Abstract
This study evaluated the effect of three different NiTi instrumentation techniques on the incidence of microcracks after the preparation of straight and curved root canals using micro-CT. Roots from mandibular premolars and maxillary molars (n = 66) with the same mean canal curvatures were assigned to three groups of straight and three groups of curved roots (n = 11). After preoperative micro-CT scans, root canals were prepared with Reciproc, OneShape and ProTaper Next to size 25. Specimens were scanned again, and pre- and post-operative cross-sectional images (n = 75 263) were screened to identify the presence of dentinal microcracks. Overall, microcracks were detected in 2.97% (n = 2236) of the cross-sectional images. No new dentinal microcracks were observed after root canal instrumentation of straight and curved canals with the tested NiTi systems. Instrumentation with Reciproc, OneShape and ProTaper Next did not induce the formation of dentinal microcracks irrespective of canal curvature.
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Affiliation(s)
- Tina Rödig
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - Juliane Krämer
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - Christine Müller
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - Annette Wiegand
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - Franziska Haupt
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
| | - Marta Rizk
- Department for Preventive Dentistry, Periodontology and Cariology, University Medical Center Göttingen, Göttingen, Germany
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Shantiaee Y, Dianat O, Mosayebi G, Namdari M, Tordik P. Effect of Root Canal Preparation Techniques on Crack Formation in Root Dentin. J Endod 2019; 45:447-452. [PMID: 30827767 DOI: 10.1016/j.joen.2018.12.018] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 12/15/2018] [Accepted: 12/26/2018] [Indexed: 11/26/2022]
Abstract
INTRODUCTION The aim of this study was to assess the frequency of root crack formation caused by the use of manual instrumentation, 2 rotary systems, and 1 reciprocating system using light-emitting diode transillumination. METHODS One hundred fifty mandibular premolars were randomly divided into 5 groups (n = 30): control 1, no intervention; control 2, instrumented with hand files; group 3, instrumented with ProTaper Universal rotary files (Dentsply Maillefer, Ballaigues, Switzerland); group 4, instrumented with OneShape rotary files (Micro-Mega, Besancon, France); and group 5: instrumented with the WaveOne reciprocal system (Dentsply Maillefer, Ballaigues, Switzerland). After root canal preparations, the roots were sectioned at 3, 6, and 9 mm from the apex with water irrigation. The slices were inspected under a stereomicroscope with light-emitting diode transillumination from the buccal, lingual, mesial, and distal directions at ×40 magnification to determine the presence/absence of cracks (dentinal defects). The chi-square test was used to analyze the data. RESULTS There was a significant difference among the groups in crack frequency (P < .05). The 2 single systems had significantly higher cracks than the other 3 groups. At 3 mm from the apex, there were significantly more cracks in groups 4 and 5 than in groups 1, 2, and 3 (P < .05). At 6 mm from the apex, no significant difference was noted (P > .05). At 9 mm from the apex, the frequency of cracks in group 3 was significantly higher (P < .05). CONCLUSIONS According to the results, using rotary instrumentation can result in some dentinal defects, and single-file systems, regardless of motion type, can cause significantly higher crack formation in the apical third of root canals.
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Affiliation(s)
- Yazdan Shantiaee
- Endodontic Department, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Iranian Center For Endodontic Research, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Omid Dianat
- Iranian Center For Endodontic Research, Research Institute of Dental Sciences, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Endodontic Division, School of Dentistry, University of Maryland, Baltimore, Maryland.
| | | | - Mahshid Namdari
- Department of Community Oral Health, School of Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Patricia Tordik
- Endodontic Division, School of Dentistry, University of Maryland, Baltimore, Maryland
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Influence of Different Angles of File Access on Cyclic Fatigue Resistance of Reciproc and Reciproc Blue Instruments. J Endod 2018; 44:1849-1855. [DOI: 10.1016/j.joen.2018.08.012] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2018] [Revised: 08/12/2018] [Accepted: 08/24/2018] [Indexed: 11/23/2022]
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25
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Aboud LRDL, Santos BCD, Lopes RT, Viana LAC, Scelza MFZ. Effect of Aging on Dentinal Crack Formation after Treatment and Retreatment Procedures: a Micro-CT Study. Braz Dent J 2018; 29:530-535. [DOI: 10.1590/0103-6440201802134] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2017] [Accepted: 07/30/2018] [Indexed: 11/22/2022] Open
Abstract
Abstract In order to evaluate the volume of dentinal cracks taking into account the age of the dentin and the type of file system used for endodontic procedures, forty freshly extracted single-rooted lower incisive teeth presenting similar root volume, were divided into two groups according to the age of the patient: Group Young (18 - 30 years old) and Group Old (60 years old or more). Each specimen was scanned by microcomputed tomography (micro-CT) in three stages: (i) before any treatment, (ii) after endodontic treatment with Reciproc files (REC), and (iii) after subsequent endodontic retreatment. Each group was subdivided into two subgroups, according to the retreatment technique used: retreatment with REC or with ProTaper Universal Retreatment (PUR) files. For each subgroup, the images were analyzed for differences in the volume of dentinal cracks in the middle and apical thirds of the teeth , according to the dentin age. In both stages (before and after instrumentation), the micro-CT images of the old root dentin presented with higher volume of cracks than those of the young root dentin, statistical significance notwithstanding (p>0.01). The use of REC files appeared to have no statistically significant differences in the generation of cracks in any type of root dentin when compared with PUR files (p>0.01). When retreated with PUR, the old root dentin presented with a significantly higher volume of cracks (p<0.01) when compared with the old root dentin initially.
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Mandava J, Yelisela RK, Arikatla SK, Ravi RC. Micro-computed tomographic evaluation of dentinal defects after root canal preparation with hyflex edm and vortex blue rotary systems. J Clin Exp Dent 2018; 10:e844-e851. [PMID: 30386515 PMCID: PMC6203928 DOI: 10.4317/jced.54853] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2018] [Accepted: 07/18/2018] [Indexed: 12/17/2022] Open
Abstract
Background To evaluate the incidence of dentinal microcracks formation after root canal shaping procedures with HyFlex EDM and Vortex Blue rotary systems comparing with that of hand instrumentation using micro-computed tomography. Material and Methods Mandibular first molar teeth (n=60) having 50 to 200mesial root curvature were scanned using high resolution micro-CT imaging before root canal preparation to identify the presence of dentinal defects. Post-instrumentation cross-sectional images were taken and increased number and type of root defects were assessed and recorded. The data was statistically analysed by using chi-square test and McNemar's test at a significance level of 5%. Results HyFlex EDM has shown greater increase in post instrumentation dentinal defects. Both rotary systems exhibited increased dentinal defects formation at coronal, middle regions which is statistically significant (P=0.042) when compared to apical region. Conclusions HyFlex EDM has shown greater increase in post instrumentation dentinal defects followed by Vortex Blue rotary system and hand instrumentation resulted minimal defects. Key words:Craze lines, dentinal microcracks, micro-computed tomography, nickel-titanium files, root canal preparation.
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Affiliation(s)
- Jyothi Mandava
- Professor & Head of the department, MDS in Conservative Dentistry and Endodontics). Gitam Dental College and Hospital; Visakapatnam
| | - Rajiv-Kumar Yelisela
- Senior lecturer, MDS in Conservative Dentistry and Endodontics). Gitam Dental College and Hospital; Visakapatnam
| | - Sampath-Kumar Arikatla
- Senior lecturer, MDS in Conservative Dentistry and Endodontics). Gitam Dental College and Hospital; Visakapatnam
| | - Ravi-Chandra Ravi
- Associate Professor, MDS in Conservative Dentistry and Endodontics). Gitam Dental College and Hospital; Visakapatnam
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Üreyen Kaya B, Erik CE, Sesli Çetin E, Köle M, Maden M. Mechanical reduction in intracanalEnterococcus faecaliswhen using three different single-file systems: anex vivocomparative study. Int Endod J 2018; 52:77-85. [DOI: 10.1111/iej.12984] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2018] [Accepted: 07/06/2018] [Indexed: 12/25/2022]
Affiliation(s)
- B. Üreyen Kaya
- Department of Endodontics; Faculty of Dentistry; Suleyman Demirel University; Isparta Turkey
| | - C. E. Erik
- Department of Endodontics; Faculty of Dentistry; Suleyman Demirel University; Isparta Turkey
| | - E. Sesli Çetin
- Department of Microbiology; Faculty of Medicine; Suleyman Demirel University; Isparta Turkey
| | - M. Köle
- Department of Microbiology; Faculty of Medicine; Suleyman Demirel University; Isparta Turkey
| | - M. Maden
- Department of Endodontics; Faculty of Dentistry; Suleyman Demirel University; Isparta Turkey
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Pedullà E, Lo Savio F, La Rosa GRM, Miccoli G, Bruno E, Rapisarda S, Chang SW, Rapisarda E, La Rosa G, Gambarini G, Testarelli L. Cyclic fatigue resistance, torsional resistance, and metallurgical characteristics of M3 Rotary and M3 Pro Gold NiTi files. Restor Dent Endod 2018; 43:e25. [PMID: 29765904 PMCID: PMC5952062 DOI: 10.5395/rde.2018.43.e25] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2017] [Accepted: 02/25/2018] [Indexed: 11/28/2022] Open
Abstract
Objectives To evaluate the mechanical properties and metallurgical characteristics of the M3 Rotary and M3 Pro Gold files (United Dental). Materials and Methods One hundred and sixty new M3 Rotary and M3 Pro Gold files (sizes 20/0.04 and 25/0.04) were used. Torque and angle of rotation at failure (n = 20) were measured according to ISO 3630-1. Cyclic fatigue resistance was tested by measuring the number of cycles to failure in an artificial stainless steel canal (60° angle of curvature and a 5-mm radius). The metallurgical characteristics were investigated by differential scanning calorimetry. Data were analyzed using analysis of variance and the Student-Newman-Keuls test. Results Comparing the same size of the 2 different instruments, cyclic fatigue resistance was significantly higher in the M3 Pro Gold files than in the M3 Rotary files (p < 0.001). No significant difference was observed between the files in the maximum torque load, while a significantly higher angular rotation to fracture was observed for M3 Pro Gold (p < 0.05). In the DSC analysis, the M3 Pro Gold files showed one prominent peak on the heating curve and 2 prominent peaks on the cooling curve. In contrast, the M3 Rotary files showed 1 small peak on the heating curve and 1 small peak on the cooling curve. Conclusions The M3 Pro Gold files showed greater flexibility and angular rotation than the M3 Rotary files, without decrement of their torque resistance. The superior flexibility of M3 Pro Gold files can be attributed to their martensite phase.
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Affiliation(s)
- Eugenio Pedullà
- Department of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy
| | - Fabio Lo Savio
- Industrial Engineering, University of Catania, Catania, Italy
| | - Giusy Rita Maria La Rosa
- Department of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy
| | | | - Elena Bruno
- MATIS IMM-CNR and Department of Physics, University of Catania, Catania, Italy
| | - Silvia Rapisarda
- Department of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy
| | - Seok Woo Chang
- Department of Conservative Dentistry, School of Dentistry, Kyung Hee University, Seoul, Korea
| | - Ernesto Rapisarda
- Department of General Surgery and Surgical-Medical Specialties, University of Catania, Catania, Italy
| | - Guido La Rosa
- Industrial Engineering, University of Catania, Catania, Italy
| | | | - Luca Testarelli
- Department of Endodontics, La Sapienza University, Rome, Italy
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Tawil PZ, Arnarsdottir EK, Coelho MS. Root-originating dentinal defects: methodological aspects and clinical relevance. ACTA ACUST UNITED AC 2017. [DOI: 10.1186/s41121-017-0014-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Abstract
It was in the 1980s when the association between root-filling procedures and dentinal microcracks was made. Nowadays, root-originating microcracks, also known as dentinal defects, are recognized as a possible precursor that is part of the longitudinal process of root-originating fractures. The presence of dentinal defects has been shown to significantly decrease the outcome through a periapical microsurgery model. Several in vitro articles have been published in the past years in regards to dentinal defects, but most of them have serious methodology concerns that will be discussed in this review.
A total grasp of the development and the role dentinal defects play in endodontics is crucial to the specialty. This review aims to discuss dentinal defects and their causative factors and the research models that have been used and their clinical significance. Through a comprehensive critical review of the literature, this article will express the need for further in vivo clinical research and better ex vivo methods that can replicate the clinical setting to answer several remaining questions about the development of and the role dentinal defects play in endodontics.
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Detecting Dentinal Microcracks Using Different Preparation Techniques: An In Situ Study with Cadaver Mandibles. J Endod 2017; 43:2070-2073. [DOI: 10.1016/j.joen.2017.07.008] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2017] [Revised: 07/06/2017] [Accepted: 07/09/2017] [Indexed: 12/13/2022]
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Rödig T, Müller C, Hoch M, Haupt F, Schulz X, Wiegand A, Rizk M. Moisture content of root canal dentine affects detection of microcracks using micro-computed tomography. Int Endod J 2017; 51:357-363. [DOI: 10.1111/iej.12850] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2017] [Accepted: 08/24/2017] [Indexed: 01/02/2023]
Affiliation(s)
- T. Rödig
- Department of Preventive Dentistry; Periodontology and Cariology; University Medical Center Göttingen; Göttingen Germany
| | - C. Müller
- Department of Preventive Dentistry; Periodontology and Cariology; University Medical Center Göttingen; Göttingen Germany
| | - M. Hoch
- Department of Preventive Dentistry; Periodontology and Cariology; University Medical Center Göttingen; Göttingen Germany
| | - F. Haupt
- Department of Preventive Dentistry; Periodontology and Cariology; University Medical Center Göttingen; Göttingen Germany
| | - X. Schulz
- Department of Medical Statistics; University Medical Center Göttingen; Göttingen Germany
| | - A. Wiegand
- Department of Preventive Dentistry; Periodontology and Cariology; University Medical Center Göttingen; Göttingen Germany
| | - M. Rizk
- Department of Preventive Dentistry; Periodontology and Cariology; University Medical Center Göttingen; Göttingen Germany
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Coelho MS, Card SJ, Tawil PZ. Light-emitting diode assessment of dentinal defects: the role of presumed extraction forces. Restor Dent Endod 2017; 42:232-239. [PMID: 28808640 PMCID: PMC5553023 DOI: 10.5395/rde.2017.42.3.232] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2017] [Accepted: 07/09/2017] [Indexed: 11/11/2022] Open
Abstract
Objectives The evaluation of iatrogenic dentinal defects in extracted teeth may be influenced by extraction forces and prolonged dry times. The purpose of this study was to compare the presence of dentinal defects in freshly extracted, periodontally compromised teeth with those in a group of teeth with uncontrolled extraction forces and storage time. Materials and Methods The experimental group consisted of eighteen roots obtained from teeth extracted due to periodontal reasons with class II or III mobility. They were kept in saline and sectioned within 1 hour following extraction. The control group consisted of matched root types obtained from an anonymous tooth collection, consistent with previous dentinal defect studies. The slices were obtained at 3, 6, and 9 mm from the apex. The imaging process exposed all specimens to no more than 60 seconds of dry time. The × 12.8 magnification was used for the 9 mm slices and × 19.2 magnification for the 3 mm and 6 mm slices under light-emitting diode (LED) transillumination. The root canal spaces and periodontal tissues were masked to minimize extraneous factors that might influence the evaluators. Chi-square test was used for statistical analysis. Results Dentinal defects were detected in 17% of the experimental group teeth, compared to 61% of control teeth (p = 0.015). Conclusions LED transillumination assessment of freshly extracted roots with class II or III mobility showed smaller number of dentinal defects than roots with uncontrolled storage time and extraction forces. The use of freshly extracted roots with mobility should be considered for future dental defect assessment studies.
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Affiliation(s)
- Marcelo Santos Coelho
- Department of Endodontics, Universidade Paulista School of Dentistry, Sorocaba, SP, Brazil
| | - Steven J Card
- Department of Endodontics, University of North Carolina School of Dentistry, Chapel Hill, NC, USA
| | - Peter Z Tawil
- Department of Endodontics, University of North Carolina School of Dentistry, Chapel Hill, NC, USA
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