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Elzaurdia C, Conde AJ, Pérez Alfayate R, Peña A, Estévez R, Rossi-Fedele G, Loroño G. Assessment of the Shaping Ability of R-Motion 30 .04 and 25 .06 in Mesial Canals of Mandibular Molars Based on Automated Computational Measurement. J Endod 2024:S0099-2399(24)00360-1. [PMID: 38909747 DOI: 10.1016/j.joen.2024.06.009] [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: 01/30/2024] [Revised: 06/12/2024] [Accepted: 06/17/2024] [Indexed: 06/25/2024]
Abstract
INTRODUCTION The aim of this study was to evaluate changes in geometry following root canal preparation using R-Motion instruments with different apical sizes and tapers. METHODS Fifty-four mesial canals of mandibular molars with single curvature of angles ranging between 20° and 30° were stratified into 3 groups according to their internal anatomy (R-Motion 25/.06, 30/.04, Reciproc Blue) (n = 18 per group). Micro-computed tomography was used to standardize the samples before instrumentation and, after instrumentation, to assess canal transportation, changes in canal volume and centering ability. Canals were irrigated with 17% EDTA and sodium hypochlorite, and the final rinse included subsonic agitation of these solutions. Measurements were analyzed automatically using the Dragonfly software (Come, Montreal, Canada) and were confirmed by a technician and an endodontist, based on a previously validated methodology. The results were analyzed using the Kruskal-Wallis's and Mann-Whitney's tests. The level of statistical significance was set at 5%. RESULTS Significant differences were found in the coronal third for canal transportation, with Reciproc Blue R25 having greater values compared with both R-Motion instruments (P < .05) and greater changes in volume when compared with R-Motion 30/.04 (P < .05). CONCLUSIONS R-Motion of apical size and taper 25/.06 and 30/.04 were associated with similar changes in geometry following root canal preparation in curved mesial canals of mandibular molars, whereas Reciproc Blue was associated with greater canal transportation in the coronal root third.
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Affiliation(s)
- Carlos Elzaurdia
- Postgraduate Program in Endodontics, European University of Madrid, Madrid, Spain
| | - Antonio J Conde
- Postgraduate Program in Endodontics, European University of Madrid, Madrid, Spain
| | - Ruth Pérez Alfayate
- Postgraduate Program in Endodontics, European University of Madrid, Madrid, Spain
| | - Alejandro Peña
- Postgraduate Program in Endodontics, European University of Madrid, Madrid, Spain
| | - Roberto Estévez
- Postgraduate Program in Endodontics, European University of Madrid, Madrid, Spain
| | - Giampiero Rossi-Fedele
- Adelaide Dental School, The University of Adelaide, Adelaide, South Australia, Australia.
| | - Gaizka Loroño
- Postgraduate Program in Endodontics, European University of Madrid, Madrid, Spain
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Reis T, Barbosa C, Franco M, Silva R, Alves N, Castelo-Baz P, Martín-Cruces J, Martín-Biedma B. Three-Dimensional Printed Teeth in Endodontics: A New Protocol for Microcomputed Tomography Studies. MATERIALS (BASEL, SWITZERLAND) 2024; 17:1899. [PMID: 38673256 PMCID: PMC11052238 DOI: 10.3390/ma17081899] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2024] [Revised: 04/18/2024] [Accepted: 04/18/2024] [Indexed: 04/28/2024]
Abstract
This study aimed to describe a support material removal protocol (SMRP) from inside the root canals of three-dimensional printed teeth (3DPT) obtained by the microcomputed tomography (microCT) of a natural tooth (NT), evaluate its effectiveness by comparing the 3DPT to NT in terms of internal anatomy and behaviour toward endodontic preparation, and evaluate if 3DPT are adequate to assess the differences between two preparation systems. After the SMRP, twenty 3DPT printed by PolyJet™ were microCT scanned before preparation and thereafter randomly assigned into two groups (n = 10). One group and NT were prepared using ProTaper Gold® (PTG), and the other group with Endogal® (ENDG). MicroCT scans were carried out after preparation, and the volume increase, volume of dentin removed, centroids, transportation, and unprepared areas were compared. For the parameters evaluated, no significant differences were found between the 3DPT and NT before and after preparation (p > 0.05), and no significant differences were found between the 3DPT PTG group and the 3DPT ENDG group (p > 0.05). It can be concluded that the SMRP described is effective in removing the support material SUP706B™. PolyJet™ is adequate for printing 3DPT. Furthermore, 3DPT printed with high-temperature RGD525™ have similar behaviour during endodontic preparation with PTG as the NT, and 3DPT can be used to compare two preparation systems.
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Affiliation(s)
- Tiago Reis
- Endodontics and Restorative Dentistry Unit, School of Medicine and Dentistry, University of Santiago de Compostela, 15701 Santiago de Compostela, Spain;
- Centre for Rapid and Sustainable Product Development (CDRSP), Polytechnic University of Leiria, 2411-901 Leiria, Portugal; (M.F.); (R.S.); (N.A.)
- FP-I3ID, FP-BHS, Health Sciences Faculty, University Fernando Pessoa, 4249-004 Porto, Portugal;
| | - Cláudia Barbosa
- FP-I3ID, FP-BHS, Health Sciences Faculty, University Fernando Pessoa, 4249-004 Porto, Portugal;
- RISE-Health, University Fernando Pessoa, 4249-004 Porto, Portugal
| | - Margarida Franco
- Centre for Rapid and Sustainable Product Development (CDRSP), Polytechnic University of Leiria, 2411-901 Leiria, Portugal; (M.F.); (R.S.); (N.A.)
| | - Ruben Silva
- Centre for Rapid and Sustainable Product Development (CDRSP), Polytechnic University of Leiria, 2411-901 Leiria, Portugal; (M.F.); (R.S.); (N.A.)
| | - Nuno Alves
- Centre for Rapid and Sustainable Product Development (CDRSP), Polytechnic University of Leiria, 2411-901 Leiria, Portugal; (M.F.); (R.S.); (N.A.)
| | - Pablo Castelo-Baz
- Oral Sciences Research Group, Endodontics and Restorative Dentistry Unit, School of Medicine and Dentistry, University of Santiago de Compostela, Health Research Institute of Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain; (P.C.-B.); (B.M.-B.)
| | - Jose Martín-Cruces
- Endodontics and Restorative Dentistry Unit, School of Medicine and Dentistry, University of Santiago de Compostela, 15701 Santiago de Compostela, Spain;
| | - Benjamín Martín-Biedma
- Oral Sciences Research Group, Endodontics and Restorative Dentistry Unit, School of Medicine and Dentistry, University of Santiago de Compostela, Health Research Institute of Santiago de Compostela (IDIS), 15706 Santiago de Compostela, Spain; (P.C.-B.); (B.M.-B.)
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Baruwa AO, Chasqueira F, Arantes-Oliveira S, Caramês J, Marques D, Portugal J, Martins JNR. Comparative Analysis of Endodontic ISO Size 06, 08, and 10 Stainless Steel K-Files Used for Glide Path Procedures. Dent J (Basel) 2024; 12:98. [PMID: 38668010 PMCID: PMC11048936 DOI: 10.3390/dj12040098] [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: 02/23/2024] [Revised: 03/21/2024] [Accepted: 03/26/2024] [Indexed: 04/28/2024] Open
Abstract
Small-sized stainless steel hand files are conventionally employed in root canal treatment procedures for canal scouting and for glide path establishment, owing to their superior flexibility and proficiency in navigating confined spaces. Given the diversity of brands available in the market, there exists potential variability in their physical characteristics, thereby influencing clinical performance. Consequently, this study aims to conduct a comparative analysis of the design, metallurgy, and mechanical characteristics among seven stainless steel hand file brands across ISO sizes 06, 08, and 10. A total of 315 new 25 mm length stainless steel hand files with apical sizes of 0.06, 0.08, and 0.10 from seven distinct brands were included in the study. A meticulous inspection of all instruments was undertaken to identify any structural deformations that might render them ineligible for the study. The design inspection involved the random selection of instruments from each group, which were examined under various microscopes, including a dental operating microscope, optical microscope, and scanning electron microscope. Furthermore, two instruments from each group underwent energy-dispersive X-ray spectroscopy analysis for elemental composition documentation. Mechanical tests were conducted to evaluate the instruments' resistance to lateral deformation (buckling) and their microhardness. Statistical analysis was executed using the nonparametric Mood's median test, with a predetermined significance level of 0.05. Regarding the instruments design, all files exhibited an active blade length ranging from 16 to 17 mm. However, variations were observed in the number of spirals, tip designs, and sizes, with the API K-File notably larger in sizes 0.06 and 0.08 compared to the other instruments. Despite uniform elements composition, differences in geometric features and mechanical properties were evident. Concerning buckling strength, the API K-File demonstrated superior performance across all tested sizes, while the Dentsply ReadySteel, SybronEndo, and Mani K-Files exhibited lower results (p < 0.05). In microhardness assessments, both the API and Oro K-Files displayed the lowest outcomes, with medians of 531 HVN and 532 HVN, respectively, whereas the SybronEndo K-File exhibited the highest microhardness (657 HVN). Despite similar metallurgical composition, the observed distinctions in geometric features and mechanical properties underscore the impact of the manufacturing process on the characteristics of glide path stainless steel endodontic files. These disparities may ultimately influence their clinical performance.
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Affiliation(s)
- Abayomi Omokeji Baruwa
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal; (A.O.B.); (S.A.-O.); (J.C.); (D.M.); (J.P.)
| | - Filipa Chasqueira
- Instituto Universitário Egas Moniz, 2829-511 Monte da Caparica, Portugal;
| | - Sofia Arantes-Oliveira
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal; (A.O.B.); (S.A.-O.); (J.C.); (D.M.); (J.P.)
- Grupo de Investigação em Materiais Dentários (BIOMAT), Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), 1600-277 Lisboa, Portugal
- LIBPhys-FCT UID/FIS/04559/2013 (https://doi.org/10.54499/UIDB/04559/2020), 1600-277 Lisboa, Portugal
| | - João Caramês
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal; (A.O.B.); (S.A.-O.); (J.C.); (D.M.); (J.P.)
- LIBPhys-FCT UID/FIS/04559/2013 (https://doi.org/10.54499/UIDB/04559/2020), 1600-277 Lisboa, Portugal
- Instituto de Implantologia, 1070-064 Lisboa, Portugal
| | - Duarte Marques
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal; (A.O.B.); (S.A.-O.); (J.C.); (D.M.); (J.P.)
- LIBPhys-FCT UID/FIS/04559/2013 (https://doi.org/10.54499/UIDB/04559/2020), 1600-277 Lisboa, Portugal
- Instituto de Implantologia, 1070-064 Lisboa, Portugal
- Grupo de Investigação em Bioquimica e Biologia Oral (GIBBO), Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), 1600-277 Lisboa, Portugal
- Centro de Estudos de Medicina Dentária Baseada na Evidência (CEMDBE), 1600-277 Lisboa, Portugal
| | - Jaime Portugal
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal; (A.O.B.); (S.A.-O.); (J.C.); (D.M.); (J.P.)
- Grupo de Investigação em Materiais Dentários (BIOMAT), Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), 1600-277 Lisboa, Portugal
| | - Jorge N. R. Martins
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal; (A.O.B.); (S.A.-O.); (J.C.); (D.M.); (J.P.)
- LIBPhys-FCT UID/FIS/04559/2013 (https://doi.org/10.54499/UIDB/04559/2020), 1600-277 Lisboa, Portugal
- Instituto de Implantologia, 1070-064 Lisboa, Portugal
- Grupo de Investigação em Bioquimica e Biologia Oral (GIBBO), Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), 1600-277 Lisboa, Portugal
- Centro de Estudos de Medicina Dentária Baseada na Evidência (CEMDBE), 1600-277 Lisboa, Portugal
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Wrangstål L, Pigg M, Almutairi N, Fransson H. A critical look at outcome measures: Comparison between four dental research journals by use of a hierarchical model. Int Endod J 2024; 57:119-132. [PMID: 38082460 DOI: 10.1111/iej.14011] [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: 05/09/2023] [Revised: 10/28/2023] [Accepted: 11/28/2023] [Indexed: 01/11/2024]
Abstract
AIM To assess the status quo of outcome measures used in treatment studies in Endodontics, and potentially identify strategies for improvement, by (i) systematically assessing the outcome measures using a conceptual model and (ii) comparing these with measures used in corresponding studies in the adjacent fields. METHODOLOGY The International Endodontic Journal, Caries Research, The Journal of Clinical Periodontology and The Journal of Oral & Facial Pain and Headache were selected to cover four adjacent dental disciplines. In each journal, the 50 most recent consecutive publications fulfilling inclusion criteria were included. A hierarchical model for diagnostic imaging studies was modified to assess studies related to treatment. The model comprised six levels, with technical as the lowest level and societal as the highest. Extracted data included study origin, study type, and identified outcome measures. Fisher's Exact Tests with Bonferroni corrections compared studies. p < .05 was considered statistically significant. RESULTS Amongst 756 publications, the 200 most recent studies matching the inclusion criteria were identified. Less than half (36.5%) assessed the clinical, patient, or societal aspects of treatment; 10.0% in International Endodontic Journal, 28.0% in Caries Research, 38.0% in Journal of Clinical Periodontology, and 70.0% in Journal of Oral & Facial Pain and Headache (p < .001). CONCLUSIONS According to included publications, research on treatment within the endodontic field is mainly focusing on technical and biological outcomes. The benefits of patients and society were less frequently examined than in corresponding journals in adjacent disciplines. When designing studies, including higher-level outcomes should be considered.
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Affiliation(s)
- Linnéa Wrangstål
- Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
- Department of Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden
- Department of Cariology, Malmö University, Malmö, Sweden
| | - Maria Pigg
- Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Nawaf Almutairi
- Conservative Dental Science Department, College of Dentistry, Qassim University, Qassim, Saudi Arabia
| | - Helena Fransson
- Department of Endodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
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Baruwa AO, Chasqueira F, Arantes-Oliveira S, Caramês J, Marques D, Portugal J, Martins JNR. Comparative Analysis of Endodontic 0.15 Stainless-Steel K-Files: Exploring Design, Composition, and Mechanical Performance. Dent J (Basel) 2024; 12:29. [PMID: 38392233 PMCID: PMC10887620 DOI: 10.3390/dj12020029] [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: 11/27/2023] [Revised: 01/14/2024] [Accepted: 01/30/2024] [Indexed: 02/24/2024] Open
Abstract
To establish a glide path, smaller files (up to size 0.15) with tapers of 2% are commonly used as pathfinding files. They pre-shape the root canal space before transitioning to larger taper endodontic instruments, aiming to prevent procedural errors. This study aimed to compare the design, metal wire composition, and mechanical characteristics of seven different ISO size 15 stainless-steel hand files (K-File and C-File+). Ninety-one new stainless-steel ISO 15 K-files were mechanically tested. All files were inspected for deformations before the assessment. Dental operating microscope, scanning electron microscope (SEM), and optical microscope analyses were conducted on four randomly selected instruments from each group, and two instruments per group underwent an energy-dispersive X-ray spectroscopy (EDS) analysis. Buckling mechanical tests were performed using an Instron universal testing machine, and microhardness was assessed using a Vickers hardness tester. The statistical analysis employed the nonparametric Mood's median test, with a significance level set at 0.05. The instrument design analysis unveiled variations in the active blade area length and the number of spirals, while maintaining consistent cross-sections and symmetrical blades. Distinct tip geometries and surface irregularities were observed. While the energy-dispersive X-ray spectroscopy confirmed similar compositions, the buckling strength and microhardness values exhibited variability across for all tested files. Notably, the Dentsply ReadySteel C-File+ recorded the highest buckling value (2.10 N), and the Dentsply ReadySteel K-File exhibited the lowest (1.00 N) (p < 0.05). Moreover, the Dentsply ReadySteel K-File recorded the highest microhardness value (703 HVN), while the SybronEndo Triple-Flex had the lowest (549 HVN) (p < 0.05). While similarities in cross-section design and metal wire composition were noted among the files, variations in the number of spirals and mechanical performance were also observed. Thus, all of these factors should be considered when selecting suitable files for an efficient root canal treatment.
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Affiliation(s)
| | - Filipa Chasqueira
- Instituto Universitário Egas Moniz, 2829-511 Monte da Caparica, Portugal
| | - Sofia Arantes-Oliveira
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal
- Grupo de Investigação em Materiais Dentários (BIOMAT), Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), FMDUL, 1600-277 Lisboa, Portugal
- LIBPhys-FCT UID/FIS/04559/2013, 1600-277 Lisboa, Portugal
| | - João Caramês
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal
- LIBPhys-FCT UID/FIS/04559/2013, 1600-277 Lisboa, Portugal
- Instituto de Implantologia, 1070-064 Lisboa, Portugal
| | - Duarte Marques
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal
- LIBPhys-FCT UID/FIS/04559/2013, 1600-277 Lisboa, Portugal
- Instituto de Implantologia, 1070-064 Lisboa, Portugal
- Centro de Estudos de Medicina Dentária Baseada na Evidência (CEMDBE), 1600-277 Lisboa, Portugal
- Grupo de Investigação em Bioquimica e Biologia Oral (GIBBO), Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), 1600-277 Lisboa, Portugal
| | - Jaime Portugal
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal
- Grupo de Investigação em Materiais Dentários (BIOMAT), Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), FMDUL, 1600-277 Lisboa, Portugal
| | - Jorge N R Martins
- Faculdade de Medicina Dentária, Universidade de Lisboa, 1600-277 Lisboa, Portugal
- Instituto de Implantologia, 1070-064 Lisboa, Portugal
- Centro de Estudos de Medicina Dentária Baseada na Evidência (CEMDBE), 1600-277 Lisboa, Portugal
- Grupo de Investigação em Bioquimica e Biologia Oral (GIBBO), Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), 1600-277 Lisboa, Portugal
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Araújo LBB, Calefi PHS, Alcalde MP, Gavini G, Vivan RR, Duarte MAH. Impact of kinematics on the efficiency and safety of an engine-driven file for glide path preparation in MB2 canals of maxillary molars. Clin Oral Investig 2023; 27:1153-1158. [PMID: 36104605 DOI: 10.1007/s00784-022-04712-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2022] [Accepted: 09/06/2022] [Indexed: 11/25/2022]
Abstract
AIM To evaluate the influence of different kinematics on the efficiency and safety of an engine-driven file for glide path preparation in second mesiobuccal canals (MB2) of maxillary molars. In addition, the torsional resistance of the file was assessed after use. METHODOLOGY Thirty-six maxillary first and second molars with two canals in the mesiobuccal root were selected and the anatomy of the canals was verified by micro-CT. The teeth were divided into 4 groups (n = 9) according to the kinematics used for glide path preparation: continuous rotation (CR), 30°/150° reciprocation (REC 30°/150°), 30°/90° reciprocation (REC 30°/90°), and 90° optimum glide path motion (OGP 90°). The duration of the procedure, number of canals in which the file reached the full working length (RFWL), canal volume before and after the procedure, rate of file fracture, and file torsional strength after use were evaluated. The ANOVA and Tukey tests or Kruskal-Wallis and Dunn tests were used for statistical analysis. RESULTS No significant differences among the groups were found for procedure duration, success at reaching the FWL, distance from the file to apex, and number of fractured files (P > 0.05). The CR group showed a significant decrease in rotation angle compared with REC 90° and OGP 90° groups (P < 0.05). There was no significant difference in canal volume among the groups (P > 0.05). CONCLUSION The type of kinematics used did not affect the efficiency, success rate, and shaping ability of the file during glide path preparation. CR seems to induce more torsional stress than the other kinematics. CLINICAL RELEVANCE The glide path preparation of narrow canals such as the MB2 is difficult and accidents such as file fracture may occur. This study showed that reciprocation with different file angulations can be safer during this challenging stage.
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Affiliation(s)
- Larissa B B Araújo
- Department of Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Alameda Dr. Octávio Pinheiro Brisolla, 9-75 - Jardim Brasil, Bauru, São Paulo, 17012-901, Brazil
| | - Pedro H S Calefi
- Department of Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Alameda Dr. Octávio Pinheiro Brisolla, 9-75 - Jardim Brasil, Bauru, São Paulo, 17012-901, Brazil
| | - Murilo P Alcalde
- Department of Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Alameda Dr. Octávio Pinheiro Brisolla, 9-75 - Jardim Brasil, Bauru, São Paulo, 17012-901, Brazil
| | - Giulio Gavini
- Department of Restorative Dentistry, School of Dentistry, University of São Paulo, São Paulo, São Paulo, Brazil
| | - Rodrigo R Vivan
- Department of Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Alameda Dr. Octávio Pinheiro Brisolla, 9-75 - Jardim Brasil, Bauru, São Paulo, 17012-901, Brazil
| | - Marco Antonio Hungaro Duarte
- Department of Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Alameda Dr. Octávio Pinheiro Brisolla, 9-75 - Jardim Brasil, Bauru, São Paulo, 17012-901, Brazil.
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Vivan RR, Costa VASM, Conti LC, Duque JA, Bramante CM, Só MVR, Alcalde MP, Duarte MAH. Effect of nickel-titanium alloys on root canal preparation and on mechanical properties of rotary instruments. Braz Oral Res 2022; 36:e085. [PMID: 35703710 DOI: 10.1590/1807-3107bor-2022.vol36.0085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2020] [Accepted: 02/24/2022] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to evaluate the quality of curved root canal preparation, torsional fatigue, and cyclic fatigue of rotary systems manufactured with different NiTi alloys. Ninety single-rooted canals with curvatures of 15° to 30o were scanned and divided into three groups according to the rotary system used: BT-Race (BTR) - 10.06, 35.00, 35.04; SequenceRotaryFile (SRF) - 15.04, 25.06, 35.04; and ProDesignLogic (PDL) - 25.01, 25.06, 35.05. Each system was used on three specimens. The teeth were prepared, scanned, and analyzed to assess increase in volume, transportation, and centering ability of the root canal. Torsional fatigue of glide path instruments (BTR 10.06, SRF 15.04 and PDL 25.01) and cyclic fatigue of the finishing instrument (BTR 35.04, SRF 35.04 and PDL 35.05) were obtained by analyzing completely new instruments (n = 10) and instruments after they had been used three times (n = 10). After the torsional and cyclic fatigue tests, the fractured surface of the new and used instruments were examined by scanning electron microscopy. Increase in volume, canal transportation, and centering ability showed no significant differences among the groups (p > 0.05). The torsional test showed that SRF 15.04 produced the highest torque values for both new and used instruments, followed by PDL 25.01 and BTR 10.06 (p < 0.05). PDL 25.01, both new and used, exhibited higher values of angular deflection followed by SRF 15.04 and BTR 10.06 (p < 0.05). As regards cyclic fatigue, use of PDL 35.05, both new and used, required a longer time and larger number of cycles than did SRF 35.04 and BTR 35.04 (p < 0.05). Clinical use affected the torsional fatigue of BTR; however, cyclic fatigue was not significantly affected (p < 0.05). All rotary systems were able to prepare the curved canals satisfactorily and were used safely on the three specimens. Relative to torsional fatigue, SRF 15.04 exhibited a higher torque, and PDL 25.01, higher angular deflection. BTR 10.06 was the most affected by clinical use. PDL 35.05 showed greater resistance to cyclic fatigue.
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Affiliation(s)
- Rodrigo Ricci Vivan
- Universidade de São Paulo - USP, Bauru School of Dentistry , Department of Dentistry, Endodontics, and Dental Materials , Bauru , SP , Brazil
| | - Vanessa Abreu Sanches Marques Costa
- Universidade de São Paulo - USP, Bauru School of Dentistry , Department of Dentistry, Endodontics, and Dental Materials , Bauru , SP , Brazil
| | - Leticia Citelli Conti
- Universidade de São Paulo - USP, Bauru School of Dentistry , Department of Dentistry, Endodontics, and Dental Materials , Bauru , SP , Brazil
| | - Jussaro Alves Duque
- Universidade de São Paulo - USP, Bauru School of Dentistry , Department of Dentistry, Endodontics, and Dental Materials , Bauru , SP , Brazil
| | - Clovis Monteiro Bramante
- Universidade de São Paulo - USP, Bauru School of Dentistry , Department of Dentistry, Endodontics, and Dental Materials , Bauru , SP , Brazil
| | - Marcus Vinicius Reis Só
- Universidade Federal do Rio Grande do Sul - UFRS, Department of Endodontics , Porto Alegre , RS , Brazil
| | - Murilo Priori Alcalde
- Universidade de São Paulo - USP, Bauru School of Dentistry , Department of Dentistry, Endodontics, and Dental Materials , Bauru , SP , Brazil
| | - Marco Antonio Hungaro Duarte
- Universidade de São Paulo - USP, Bauru School of Dentistry , Department of Dentistry, Endodontics, and Dental Materials , Bauru , SP , Brazil
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Shi L, Yang Y, Wan J, Xie W, Yang R, Yao Y. Shaping ability of rotary and reciprocating single-file systems in combination with and without different glide path techniques in simulated curved canals. J Dent Sci 2022; 17:1520-1527. [PMID: 36299306 PMCID: PMC9588838 DOI: 10.1016/j.jds.2022.04.029] [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: 04/02/2022] [Revised: 04/27/2022] [Indexed: 11/01/2022] Open
Abstract
Background/purpose Materials and methods Results Conclusion
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Kyaw MS, Ebihara A, Maki K, Kimura S, Nakatsukasa T, Htun PH, Thu M, Omori S, Okiji T. Effect of kinematics on the torque/force generation, surface characteristics, and shaping ability of a nickel titanium rotary glide path instrument: an ex-vivo study. Int Endod J 2022; 55:531-543. [PMID: 35263803 DOI: 10.1111/iej.13718] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Revised: 03/01/2022] [Accepted: 03/01/2022] [Indexed: 11/30/2022]
Abstract
AIM To evaluate the effect of various rotational motions on the torque/force generation, surface wear, and shaping ability of the ProGlider glide path instrument (Dentsply Sirona). METHODOLOGY Mesiobuccal and mesiolingual canals of mandibular molars were selected based on the canal volume, length, angle of curvature (25°-40°), and radius of curvature (4-8 mm) after micro-computed tomographic scanning. The samples were randomly assigned to four groups (n = 13, each) according to movement kinematics [continuous rotation (CR; 300 rpm), optimum torque reverse motion (OTR; 180° forward and 90° reverse when torque > 0.4 N·cm), time-dependent reciprocal motion (TmR; 180° forward and 90° reverse), and optimum glide path motion (OGP; a combination of 90° forward, 90° reverse, 90° forward, and 120° reverse)]. Instrumentation was performed with an automated root canal instrument and torque/force analysing device. Maximum torque/force values, canal volume changes, and canal-centring ratios at 1, 3, 5, and 7 mm were evaluated. Surface defects (pits, grooves, microcracks, blunt cutting edges, and disruption of cutting edges) and spiral distortion on the ProGlider instrument were scored at the tip and 5 mm short of the tip before and after five consecutive uses with scanning electron microscopy. The Kruskal-Wallis test followed by Dunn's post-test with Bonferroni correction and Wilcoxon signed-rank test were used to analyse the data (α = 0.05). RESULTS OGP generated significantly less clockwise torque and greater upward force than other groups (P < 0.05). OGP resulted in significantly fewer surface defects than CR (P < 0.05). In OGP and CR, the tip exhibited more surface defects than 5 mm short of the tip (P < 0.05). CR resulted in greater volume changes than OGP and TmR (P < 0.05) and greater centring ratios (i.e., more deviation) than OGP at 1 mm and OTR at 3 mm (P < 0.05). CONCLUSIONS Under laboratory conditions using the ProGlider instrument, OGP generated significantly less clockwise torque and greater upward force than the other rotatory motions. OGP generated fewer superficial defects than CR, and the three modes of reciprocal rotation better maintained the apical curvature of root canals than CR with the ProGlider instrument.
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Affiliation(s)
- M S Kyaw
- Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.,Department of Conservative Dentistry, University of Dental Medicine (Mandalay), Mandalay, Myanmar
| | - A Ebihara
- Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - K Maki
- Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - S Kimura
- Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - T Nakatsukasa
- Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - P H Htun
- Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - M Thu
- Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - S Omori
- Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
| | - T Okiji
- Department of Pulp Biology and Endodontics, Division of Oral Health Sciences, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), Tokyo, Japan
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Comparison of Canal Transportation and Centering Ability of One-G, EdgeGlidePath, and Neolix: A MicroComputed Tomography Study of Curved Root Canals. Int J Dent 2021; 2021:4898684. [PMID: 34795762 PMCID: PMC8594984 DOI: 10.1155/2021/4898684] [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: 05/06/2021] [Revised: 09/17/2021] [Accepted: 10/18/2021] [Indexed: 12/02/2022] Open
Abstract
Aims A glide path is created prior to root canal instrumentation by nickel-titanium (NiTi) rotary files to increase the efficiency and safety of cleaning and shaping. This study aimed to assess root canal transportation in use of different glide path files in curved canals. Materials and Methods 30 sound mesiobuccal root canals of mandibular molars with 20° to 40° curvature were selected and randomly assigned to 3 groups of EdgeGlidePath (EGP, EdgeEndo), One-G (Micro-Mega), and Neolix (Neoniti). The specimens were scanned before and after glide path creation by microcomputed tomography (micro-CT). The pre- and postoperative micro-CT scans were superimposed, and the degree of canal transportation and centering ratio were measured at 1, 3, 5, and 7 mm distances from the apical foramen. Statistical Analysis. The data were analyzed by two-way and one-way ANOVA. Results The effects of distance from the apical foramen and instrument type and the interaction effect of the two were not significant on the centering ability of the files or canal transportation. Conclusion EdgeGlidePath, One-G, and Neolix files fabricated from the conventional NiTi alloy or heat-treated M-Wire alloy showed similar performance regarding centering ability and canal transportation in glide path preparation in curved canals.
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11
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Alcalde MP, Duarte MAH, Calefi PHS, Cruz VDM, Vasconcelos BCD, Só MVR, Vivan RR. Evaluation of type of kinematics on glide path procedures and torsional fatigue resistance after preparation of moderately curved canals. Braz Oral Res 2021; 35:e064. [PMID: 34076189 DOI: 10.1590/1807-3107bor-2021.vol35.0064] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2020] [Accepted: 01/20/2021] [Indexed: 11/21/2022] Open
Abstract
Sixty moderately curved canals of mandibular molars classified as Vertucci's type IV canal configuration were selected by micro-CT 1174. The teeth were divided into two groups according to the kinematics used, whether reciprocating or rotary motion (n=30, totaling 60 mesial root canals). The instruments used to perform the glide path procedures had identical features (0.15 mm of tip size, 0.04 mm/mm taper, thermal treatment, and square cross-section), but differed in the direction of the cutting blade. The duration of the procedure and the absolute and percentage frequency of the instruments to reach the full working length were recorded. The torsional test (3630-1; 1992) was performed on both used and unused instruments, to evaluate a possible reduction in the torsional resistance when using the glide path procedure. Statistical analysis was performed using the unpaired t-test and the chi-square test, and the level of significance was set at 5%. The type of kinematics used affected the duration of glide path procedures, and the reciprocating motion seemed to induce less torsional stress during glide path procedures.
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Affiliation(s)
- Murilo Priori Alcalde
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Dentistry, Endodontics and Dental Materials, Bauru, SP, Brazil
| | - Marco Antonio Hungaro Duarte
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Dentistry, Endodontics and Dental Materials, Bauru, SP, Brazil
| | - Pedro Henrique Souza Calefi
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Dentistry, Endodontics and Dental Materials, Bauru, SP, Brazil
| | - Victor de Moraes Cruz
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Dentistry, Endodontics and Dental Materials, Bauru, SP, Brazil
| | | | - Marcus Vinícius Reis Só
- Universidade Federal do Rio Grande do Sul - UFRGS, Department of Dentistry, Porto Alegre, RS, Brazil
| | - Rodrigo Ricci Vivan
- Universidade de São Paulo - USP, Bauru School of Dentistry, Department of Dentistry, Endodontics and Dental Materials, Bauru, SP, Brazil
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12
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Sunildath MS, Mathew J, George L, Vineet RV, Thomas P, John D. Canal transportation and centering ability of root canals prepared using rotary and reciprocating systems with and without PathFiles in cone-beam computed tomography-based three-dimensional molar prototypes. J Conserv Dent 2021; 24:246-251. [PMID: 35035149 PMCID: PMC8717843 DOI: 10.4103/jcd.jcd_200_21] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Revised: 08/04/2021] [Accepted: 08/12/2021] [Indexed: 11/23/2022] Open
Abstract
Background: It is important to use instruments that cause minimal changes in the canal path for root canal preparation. There is inadequate literature comparing rotary and reciprocating systems and hand files. No study used three-dimensional printed models to compare rotary, reciprocating, and hand files. Aims: We aimed to assess the canal transportation and centering ability of WaveOne Gold, ProTaper Gold, and NiTi Flex K-file systems with and without glide path preparation. Material and Methods: Forty-nine resin models were randomly divided into Group I A – WaveOne Gold with WaveOne Gold Glider and Group I B – WaveOne Gold without glide path; Group II A – ProTaper Gold with ProGlider and Group II B – ProTaper Gold without glide path; and Group III A – NiTi Flex K-files with no. 10 stainless steel K-file and Group III B – NiTi Flex K-files without glide path. Pre- and postinstrumentation cross-sectional images at levels 3, 5, 7, 9, and 11 mm were compared. Results: WaveOne Gold caused the least canal transportation and improved centering ability (P < 0.05). NiTi Flex K-files transported the canal more than others in the apical levels (3, 5 mm). Glide path creation reduced canal transportation and improved canal-centering ability. Conclusions: WaveOne Gold system has better centering ability and lesser canal transportation than ProTaper Gold and NiTi Flex K-file. Glide path creation reduced canal transportation and improved canal-centering ability.
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Affiliation(s)
- M Sruthi Sunildath
- Department of Oral Pathology and Microbiology, Annoor Dental College and Hospital, Ernakulam, Kerala, India
| | - Josey Mathew
- Department of Oral Pathology and Microbiology, Annoor Dental College and Hospital, Ernakulam, Kerala, India
| | - Liza George
- Department of Oral Pathology and Microbiology, Annoor Dental College and Hospital, Ernakulam, Kerala, India
| | - R V Vineet
- Department of Oral Pathology and Microbiology, Annoor Dental College and Hospital, Ernakulam, Kerala, India
| | - Priya Thomas
- Department of Conservative Dentistry and Endodontics, Annoor Dental College and Hospital, Ernakulam, Kerala, India
| | - Dhanya John
- Department of Oral Pathology and Microbiology, Annoor Dental College and Hospital, Ernakulam, Kerala, India
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Gavini G, Akisue E, Kawakami DAS, Caldeira CL, Candeiro GTDM, Vivan RR, Calefi PHS, Alcalde MP, Duarte MAH. Optimum glide path motion is safer than continuous rotation of files in glide path preparation. AUST ENDOD J 2021; 47:544-549. [PMID: 33913601 DOI: 10.1111/aej.12519] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Revised: 04/01/2021] [Accepted: 04/11/2021] [Indexed: 12/15/2022]
Abstract
This study evaluated the resistance to flexural fatigue and torsional strength of files for glide path preparation in continuous rotation or Optimum Glide Path motion (OGP). ScoutRace 15.02 and ProGlider 16.02 files were used in a dynamic testing device during preparation of simulating curved root canals (40-degree curvature and 5 mm radius). For the torsional test, a machine was used to test torsion measured maximum torsional strength (N.cm). Two-way anova and Tukey's multiple comparisons test were used for statistical analysis. Files in OGP motion had a statistically better resistance to flexural fatigue (P < 0.05). ProGlider files took longer time to failure than ScoutRace files only when OGP was used (P < 0.05). The torsional test revealed that OGP produced significantly less torsional stress than rotary motions for both types of glide path files (P < 0.05) In conclusion, OGP motion increased substantially the mechanical safety of endodontic glide path files.
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Affiliation(s)
- Giulio Gavini
- Post Graduation Program in Dentistry, Department of Restorative Dentistry, Faculty of Dentistry, University of São Paulo, São Paulo, Brazil
| | - Eduardo Akisue
- Discipline of Endodontics, Faculty of Dentistry, University Santa Cecília, Santos, Brazil
| | | | - Celso Luiz Caldeira
- Post Graduation Program in Dentistry, Department of Restorative Dentistry, Faculty of Dentistry, University of São Paulo, São Paulo, Brazil
| | | | - Rodrigo Ricci Vivan
- Post Graduation Program in Dentistry, Department of Restorative Dentistry, Faculty of Dentistry, University of São Paulo, Bauru, Brazil
| | - Pedro Henrique Souza Calefi
- Post Graduation Program in Dentistry, Department of Restorative Dentistry, Faculty of Dentistry, University of São Paulo, Bauru, Brazil
| | - Murilo Priori Alcalde
- Post Graduation Program in Dentistry, Department of Restorative Dentistry, Faculty of Dentistry, University of São Paulo, Bauru, Brazil
| | - Marco Antonio Húngaro Duarte
- Post Graduation Program in Dentistry, Department of Restorative Dentistry, Faculty of Dentistry, University of São Paulo, Bauru, Brazil
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14
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Campos DS, Rodrigues EA, Bueno CEDS, Fontana CE, da Silva EJNL, de Lima CO, De Martin AS. The ability of reciprocating glide path instruments to reach the full root canal working length. AUST ENDOD J 2021; 47:487-492. [PMID: 33754413 DOI: 10.1111/aej.12510] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/07/2021] [Indexed: 11/30/2022]
Abstract
This study evaluated the ability of reciprocating glide path instruments to reach the full working length (RFWL). Thirty mesial roots of mandibular molars were matched into 2 groups (n = 15 teeth, 30 root canals), according to the system used for glide path: WaveOne Gold Glider (WOGG) and R-Pilot. The samples with fractured instruments or when it was not possible to RFWL were scanned using micro-computed tomography. Fractured instruments were also visualised through a scanning electron microscopy to verify the type of fracture. The parameters were compared statistically by Fisher's and chi-square tests (P < 0.05). No instrument fractures were observed in the R-pilot, while 2 fractures occurred in the WOGG group (P > 0.05). RFLW was achieved in 29 canals (96.66%) and 28 canals (93.33%) with R-pilot and WOGG instruments, respectively (P > 0.05). The instruments are able to RFWL in mesial canals of mandibular molars. WOGG showed two fractures while no R-Pilot instruments fractured.
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Affiliation(s)
- Daniel Souza Campos
- Department of Endodontics, School of Dentistry, São Leopoldo Mandic Faculty, Campinas, Brazil
| | - Evaldo Almeida Rodrigues
- Department of Endodontics, School of Dentistry, State University of Feira de Santana (UEFS), Feira de Santana, Brazil
| | | | - Carlos Eduardo Fontana
- Department of Endodontics, School of Dentistry, São Leopoldo Mandic Faculty, Campinas, Brazil
| | - Emmanuel João Nogueira Leal da Silva
- Department of Endodontics, School of Dentistry, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil.,Department of Endodontics, School of Dentistry, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil
| | - Carolina Oliveira de Lima
- Department of Endodontics, School of Dentistry, State University of Rio de Janeiro (UERJ), Rio de Janeiro, Brazil
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Shaping ability of a new heat-treated NiTi system in continuous rotation or reciprocation in artificial curved canals. Odontology 2021; 109:792-801. [PMID: 33751302 DOI: 10.1007/s10266-021-00600-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 03/15/2021] [Indexed: 01/15/2023]
Abstract
The purpose is to evaluate canal transportation of a new heat-treated NiTi system, the Endostar E3 Azure operated in continuous rotation or reciprocation. 40 resin blocks were divided into two groups. The first was shaped in continuous rotation while the second in reciprocation. A preoperative and two postoperative images were taken, one after the use of the 20/06 and one after the 25/06. The images were superimposed to determine canal transportation. Time required for canal shaping was recorded. One-sample and student t tests, repeated-measure analyses of variance, univariate analyses and Bonferroni multiple comparisons tests were used for statistical analysis. The significance level was set at p < 0.05. There was no significant difference between continuous and reciprocating motion with the 20/06 and 25/06, respectively, at 1 mm (p = 0.761, p = 0.559), 2 mm (p = 0.584, p = 0.810) and 3 mm (p = 0.651, p = 0.070). The reciprocating motion showed significantly less canal transportation at 5 mm (p = 0.049, p < 0.001) and 7 mm (p < 0.001, p < 0.001) for the 20/06 and 25/0.6. Continuous rotation was more time-consuming than reciprocation (p < 0.001). The Endostar E3 Azure in reciprocation respected the original canal curvature better than in continuous rotation at all levels, and required less time to prepare artificial curved canals. Endodontists should know the shaping abilities of novel heat-treated NiTi files, regarding canal transportation and its relation with the instruments' motion and apical diameter enlargement.
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16
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Sivas Yilmaz Ö, Keskin C, Aydemir H. Comparison of the Torsional Resistance of 4 Different Glide Path Instruments. J Endod 2021; 47:970-975. [PMID: 33640424 DOI: 10.1016/j.joen.2021.02.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/02/2020] [Revised: 02/11/2021] [Accepted: 02/17/2021] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The present study aimed to compare the torsional strength of the initial files of the Mtwo (VDW, Munich, Germany) and novel Rotate systems (VDW, Munich, Germany) with the ProGlider (Dentsply Sirona, Ballaigues, Switzerland) and R-Pilot (VDW) glide path instruments. METHODS The Mtwo (10/.04), ProGlider (16/.02), R-Pilot (12.5/.04), and Rotate (15/.04) glide path files were compared regarding their torsional strength, which was tested using a specially designed test device (N = 20). The data obtained were statistically analyzed at 5% significance level using 1-way analysis of variance and the post hoc Tukey test. The fragment surfaces and separated instruments were examined with ×50, ×100, and ×1000 magnification under a scanning electron microscope. RESULTS The R-Pilot group showed the highest torsional strength value among all groups (P < .05), whereas there was no significant difference between the torsional strength values of the Mtwo and ProGlider groups (P > .05). The Rotate group had the lowest torsional strength among all groups (P < .05). The Mtwo group showed the lowest angle of rotation among all groups (P < .05). CONCLUSIONS Although the R-Pilot glide path file exhibited the highest torsional strength in all groups, Rotate showed the highest angle of rotation. Differences in torsional resistance of the instruments may be associated with their manufacturing methods and design features.
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Affiliation(s)
- Özlem Sivas Yilmaz
- Department of Endodontics, Faculty of Dentistry, Karabuk University, Karabuk, Turkey.
| | - Cangül Keskin
- Department of Endodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey
| | - Hikmet Aydemir
- Department of Endodontics, Faculty of Dentistry, Ondokuz Mayıs University, Samsun, Turkey
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17
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Loureiro MAZ, Rossi-Fedele G, Amezcua OG, Souza POC, Silva JA, Estrela C, Decurcio DA. Dynamic torque analysis of rotary and reciprocating instruments during root canal instrumentation in simulated canals by an endodontist or a general dentist. J Conserv Dent 2021; 23:126-130. [PMID: 33384482 PMCID: PMC7720756 DOI: 10.4103/jcd.jcd_380_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 08/04/2020] [Accepted: 08/05/2020] [Indexed: 11/17/2022] Open
Abstract
Background: Excessive torque is associated with engine-driven file fracture. Aims: The aim of this study to evaluate the real-time torque of rotary and reciprocating instruments, working time, and the occurrence of procedural errors during root canal preparation of simulated canals by an endodontist and a general dentist. Methods: Thirty-six commercially available simulated “J-shaped” root canals in resin blocks were used. Instrumentation was performed using WaveOne, WaveOne Gold, ProTaper Next, Reciproc, Reciproc Blue, and Mtwo. The real-time torque analysis and the number of times the maximum torque applied to the instrument were evaluated. Images were obtained to assess the occurrence of procedural errors, and working time was recorded. Statistical Analysis: The one-way analysis of variance with a Bonferroni post hoc test, Mann Whitney test and the t-test was used for statistical analysis (P < 0.05). Results: Reciprocating instruments showed lower values in the number of times that reached maximum torque and percentage time in the area of critical torque, with significant differences compared to rotary instruments (P < 0.05). Operators influenced torque values only with rotary motion instruments. There was no significant difference in mean working time between the operators or instruments. No fracture of instruments or canal transportation occurred. Conclusions: Rotary instruments were associated with higher peaks in real-time torque variation during the preparation of simulated root canals.
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Affiliation(s)
- Marco Antonio Z Loureiro
- Department of Oral Science, School of Dentistry, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - Giampiero Rossi-Fedele
- Endodontic Discipline, Adelaide Dental School, University of Adelaide, Adelaide, South Australia, Australia
| | - Octavio G Amezcua
- Department of Endodontics, University Centre of Health Sciences, University of Guadalajara, Guadalajara, Mexico
| | - Paulo O Carmo Souza
- Department of Oral Science, School of Dentistry, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - Julio A Silva
- Department of Oral Science, School of Dentistry, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - Carlos Estrela
- Department of Oral Science, School of Dentistry, Federal University of Goiás, Goiânia, Goiás, Brazil
| | - Daniel A Decurcio
- Department of Oral Science, School of Dentistry, Federal University of Goiás, Goiânia, Goiás, Brazil
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18
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Lopes WSP, Vieira VTL, Silva EJNL, Silva MCD, Alves FRF, Lopes HP, Pires FR. Bending, buckling and torsional resistance of rotary and reciprocating glide path instruments. Int Endod J 2020; 53:1689-1695. [PMID: 32767775 DOI: 10.1111/iej.13385] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2020] [Revised: 07/31/2020] [Accepted: 08/04/2020] [Indexed: 11/27/2022]
Abstract
AIM To evaluate the bending, buckling and torsional resistance of ProGlider (PG) (Dentsply Sirona, Ballaigues, Switzerland), R-Pilot (RP) (VDW, Munich, Germany) and WaveOne Gold Glider (WOGG) (Dentsply Sirona). METHODOLOGY Ninety instruments were used: 30 PG (size 0.16, .02v taper), 30 RP (size 0.125, .04 taper) and 30 WOGG (size 0.15, .02v taper). The bending resistance test was performed on 10 randomly selected instruments of each system according to ISO 3630-1 specifications. For the buckling resistance test, a loading was applied in the axial direction of each instrument using a universal test machine, with a 20 N cell and 15 mm min-1 speed, in the axial direction. When a lateral elastic displacement of 1 mm occurred, the force was registered. The torsional resistance test was performed according to ISO 3630-1 specifications. Statistical analysis was performed using one-way anova and post hoc Student-Newman-Keuls test (P < 0.05). RESULTS WOGG had the lowest bending resistance, whilst RP had the highest bending resistance (P < 0.05). RP also had the highest buckling resistance, and WOGG had the lowest (P < 0.05). PG had intermediate results regarding bending and buckling resistance, with significant differences to RP and WOGG (P < 0.05). RP had the highest torsional strength and the lowest angular deflection when compared to PG and WOGG (P < 0.05). No differences in the torsional strength and angular deflection were observed between WOGG and PG (P> 0.05). CONCLUSION The glide path instruments had different behaviours in term of bending, buckling and torsional resistance.
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Affiliation(s)
- W S P Lopes
- Department of Endodontics, School of Dentistry, UNESA - Estácio de Sá University, Rio de Janeiro, Brazil
| | - V T L Vieira
- Department of Endodontics, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil
| | - E J N L Silva
- Department of Endodontics, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil
| | - M C D Silva
- Department of Endodontics, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil
| | - F R F Alves
- Department of Endodontics, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil
| | - H P Lopes
- Department of Endodontics, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil
| | - F R Pires
- Department of Endodontics, School of Dentistry, UNESA - Estácio de Sá University, Rio de Janeiro, Brazil
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19
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Borges CC, Estrela C, Decurcio DDA, PÉcora JD, Sousa-Neto MD, Rossi-Fedele G. Cone-beam and micro-computed tomography for the assessment of root canal morphology: a systematic review. Braz Oral Res 2020; 34:e056. [PMID: 32578799 DOI: 10.1590/1807-3107bor-2020.vol34.0056] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2020] [Accepted: 04/14/2020] [Indexed: 11/21/2022] Open
Abstract
This study presents an overview of the accuracy of cone beam computed tomography (CBCT) compared with micro-computed tomography (μCT) in the assessment of root canal morphology of extracted human permanent teeth. A database search in PubMed, PubMed Central, Embase, Scopus, Opengrey, Scielo and Virtual Health Library was conducted which compared root canal morphology of extracted human permanent teeth on the accuracy of CBCT with μCT. In accordance with PRISMA statement guidelines, data were extracted on study characteristics, target mediators, sampling and assay techniques and the parameters associated with obtaining the image and ability to identify the root canal morphology. Amongst 2734 records, ten fulfilled the inclusion criteria. Four studies compared the accuracy of CBCT and μCT in the assessment of root canal morphology using Vertucci's classification, with at least one CBCT group or subgroup of each study presented high agreement compared to the μCT. Six studies assessed more detailed root canal morphology, including two articles that found a lack of agreement between these imaging systems. Risk of bias was deemed low in three studies, moderate in four and high in three. CBCT can be as accurate as μCT in the assessment of several morphological features of extracted human permanent teeth; however there are some exceptions related to the more detailed morphological aspects. Voxel size likely influences the ability to detect these features, though the different aspects of exposure setting used in studies components may be confounding factors. CBCT may be considered for the assessment of root canal morphology ex-vivo.
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Affiliation(s)
- Caroline Cristina Borges
- Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto, Department of Restorative Dentistry, Ribeirão Preto, SP, Brazil
| | - Carlos Estrela
- Universidade Federal de Goiás - UFG, Faculty of Dentistry, Department of Stomatological Sciences, Goiânia, Brazil
| | - Daniel de Almeida Decurcio
- Universidade Federal de Goiás - UFG, Faculty of Dentistry, Department of Stomatological Sciences, Goiânia, Brazil
| | - Jesus Djalma PÉcora
- Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto, Department of Restorative Dentistry, Ribeirão Preto, SP, Brazil
| | - Manoel Damião Sousa-Neto
- Universidade de São Paulo - USP, School of Dentistry of Ribeirão Preto, Department of Restorative Dentistry, Ribeirão Preto, SP, Brazil
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Hage W, Zogheib C, Bukiet F, Sfeir G, Khalil I, Gergi R, Naaman A. Canal Transportation and Centring Ability of Reciproc and Reciproc Blue With or Without Use of Glide Path Instruments: A CBCT Study. Eur Endod J 2020; 5:118-122. [PMID: 32766521 PMCID: PMC7398994 DOI: 10.14744/eej.2019.86570] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Accepted: 11/13/2019] [Indexed: 11/20/2022] Open
Abstract
Objective The objective of this ex vivo study was to evaluate canal transportation and centring ability of Reciproc and Reciproc blue systems in curved root canals with or without prior use of PathFile rotary system (PF) using Cone Beam Computed Tomography (CBCT). Methods One hundred and twenty curved root canals from maxillary and mandibular premolars were selected. Canals were divided randomly into 4 groups (n=30): Reciproc 25 (R25), (PF+R25), Reciproc Blue 25 (RB25), (PF+RB 25). Specimens were scanned before and after root canal preparation. Using CBCT, root canal transportation and centring ability was assessed by measuring the shortest distance from the edge of uninstrumented canal to the periphery of the root (mesial and distal) before and after preparation. Data were analysed using a one-way analysis of variance and Tukey test. The p value was set at 0.05. Results Less transportation and better centring ability occurred when PF was used before R25 or RB25 (P<0.0001). There was no significant difference between R25 and RB25 groups. Conclusion Using PF before R25 and RB25 resulted in less root canal transportation and better centring ability. The specific thermo-mechanical treatment of RB25 did not provide better results when compared to R25.
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Affiliation(s)
- Wajih Hage
- From the Department of Endodontics, School of Dentistry, Saint Joseph University, Beirut, Lebanon
| | - Carla Zogheib
- From the Department of Endodontics, School of Dentistry, Saint Joseph University, Beirut, Lebanon
| | - Frédéric Bukiet
- Department of Odontology, Aix Marseille Univ, CNRS, ISM, Inst Movement Sci, Marseille, France; APHM, Timone Hospital, Marseille, France
| | - Germain Sfeir
- From the Department of Endodontics, School of Dentistry, Saint Joseph University, Beirut, Lebanon
| | - Issam Khalil
- From the Department of Endodontics, School of Dentistry, Saint Joseph University, Beirut, Lebanon
| | - Richard Gergi
- From the Department of Endodontics, School of Dentistry, Saint Joseph University, Beirut, Lebanon
| | - Alfred Naaman
- From the Department of Endodontics, School of Dentistry, Saint Joseph University, Beirut, Lebanon
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Plotino G, Nagendrababu V, Bukiet F, Grande NM, Veettil SK, De-Deus G, Aly Ahmed HM. Influence of Negotiation, Glide Path, and Preflaring Procedures on Root Canal Shaping-Terminology, Basic Concepts, and a Systematic Review. J Endod 2020; 46:707-729. [PMID: 32334856 DOI: 10.1016/j.joen.2020.01.023] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2019] [Revised: 12/24/2019] [Accepted: 01/28/2020] [Indexed: 12/19/2022]
Abstract
INTRODUCTION Negotiation, glide path, and preflaring are essential steps in root canal shaping procedures. This report aimed to discuss the terminology, basic concepts, and clinical considerations of negotiation, glide path, and preflaring procedures and the influence of these steps on root canal shaping. METHODS This systematic review was undertaken following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. The protocol has been registered with the International Prospective Register of Systematic Reviews (number CRD42019127021). A comprehensive literature search was performed by 2 independent reviewers using a selected search strategy in 2 electronic databases (PubMed and Scopus) until January 28, 2019. A further search was performed manually in endodontic journals. Studies investigating or comparing at least 1 shaping property resulting from root canal instrumentation with a glide path or preflaring in human extracted teeth or clinical studies were included. RESULTS The literature shows that the definition of glide path and preflaring procedures remains controversial, which requires an elaboration in the American Association of Endodontists' Glossary of Endodontic Terms. After the removal of irrelevant and duplicated articles, 98 articles were included. The impact of glide path preparation and preflaring on working length determination, apical file size determination, canal transportation, separation of endodontic files, shaping time, dentinal microcrack formation, and extrusion of debris was discussed. Because of heterogeneity among the included studies, quantitative synthesis was not performed for most of the parameters. CONCLUSIONS An evidence-based guideline is needed to define and correlate the basic concepts and current applications of each step of contemporary advancements in root canal instruments. Glide path preparation reduces the risk of debris extrusion, has no influence on the incidence of dentinal crack formation, and improves the preservation of the original canal anatomy. The creation of a glide path may have no impact on Reciproc files (VDW, Munich, Germany) in reaching the full working length. Preflaring increases the accuracy of working length determination. Further randomized clinical trials are required to evaluate the effect of a glide path and preflaring on root canal treatment outcomes.
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Affiliation(s)
| | - Venkateshbabu Nagendrababu
- Division of Clinical Dentistry, School of Dentistry, International Medical University, Kuala Lumpur, Malaysia
| | - Frederic Bukiet
- Aix Marseille University, CNRS, ISM, Inst Movement Sci, Marseille, France; APHM, Hôpital Timone, Service d'Odontologie, Marseille, France
| | | | - Sajesh K Veettil
- School of Pharmacy, International Medical University, Kuala Lumpur, Malaysia
| | - Gustavo De-Deus
- Department of Endodontics, School of Dentistry, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil
| | - Hany Mohamed Aly Ahmed
- Department of Restorative Dentistry, Faculty of Dentistry, University of Malaya, Kuala Lumpur, Malaysia.
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Madarati AA, Habib AA. Modalities of using endodontic nickel-titanium rotary instruments and factors influencing their implementation in dental practice. BMC Oral Health 2018; 18:192. [PMID: 30463557 PMCID: PMC6249782 DOI: 10.1186/s12903-018-0660-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2018] [Accepted: 11/08/2018] [Indexed: 02/07/2023] Open
Abstract
BACKGROUND To establish the extent of using nickel titanium rotary instruments (NiTi-RIs), to identify reasons for using / not using NiTi-RIs, to explore usage modalities and to identify factors and measures that can increase implementation of NiTi-RIs in general dental practice. METHODS Two pilot questionnaires were conducted on academic staff members at College of Dentistry, Taibah University, general dentists (GDs) and endodontists to finalise the questionnaire. A sample size was calculated considering the expected and minimum accepted response rates (60 and 48%, respectively) and a 99.9% Confidence Level. The online-questionnaire was sent to 600 GDs and all endodontists (175) working in Saudi Arabia. A reminder was emailed after 10 weeks to encourage non-respondents to complete the questionnaire. Responses, were collected and converted into numerical data which were analysed using the Chi-square test (p = 0.05). RESULTS Significantly most respondents (71.9%) used NiTi-RIs (p < 0.001); with more endodontists (96.9%) than GDs (60%). Most users (62.5%) had been using NiTi-RIs for More than 3 years (p < 0001). The trend of using NiTi-RIs increased as participants' experience and the number of root-canal treatments performed per week increased (p = 0.021). While most respondents (45.3%) used NiTi-RIs because of faster root-canal preparation, the majority of non-users (85.3%) didn't do so because of high cost. The highest proportion (43.3%) reported better undergraduate education as the most important factor that can significantly increase NiTi-RIs usage. The majority (91.8%) prepared glide-path before using NiTi-RIs; especially with stainless steel hand-files (63.3%). CONCLUSIONS NiTi-RIs are relatively well adopted in Saudi dental practice. However, better education, especially during undergraduate training and lower cost can increase their usage. Overall, clinicians showed good awareness of NiTi-RIs usage aspects which reflected on usage modalities.
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Affiliation(s)
- Ahmad A Madarati
- Restorative Dental Sciences Department, College of Dentistry, Taibah University, P.O Box 2898, Madina, 43353, Saudi Arabia. .,Restorative Dentistry Department, Faculty of Dentistry, Aleppo University, Aleppo, Syria.
| | - Adnan A Habib
- Restorative Dentistry Department, Faculty of Dentistry, Aleppo University, Aleppo, Syria.,Al-Farabi College of Dentistry, Riyadh, Saudi Arabia
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