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Lucisano MP, Ramos GT, Blanco-Victorio DJ, Ramírez-Sotelo LR, Lima RB, Nelson-Filho P, da Silva RAB, Miranda JA, da Silva LAB. Root canal conicity determination of primary second molars using nanotomography: An in vitro study. Int J Paediatr Dent 2024. [PMID: 38676283 DOI: 10.1111/ipd.13198] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/03/2023] [Revised: 04/06/2024] [Accepted: 04/15/2024] [Indexed: 04/28/2024]
Abstract
BACKGROUND The conicity of the root canals of primary teeth is an important measure for endodontic therapies. However, determining this conicity depends on the methods employed, which requires further investigation. AIM The aim of this study was to determine the conicity of the root canals of the upper and lower primary second molars using nanotomography (nCT). DESIGN An in vitro study was performed using nine primary second molars, both upper and lower, subjected to nCT. Comparisons between the diameters of root canals were performed between the thirds (cervical-D0, middle-D5, and apical-D7). The conicity (%) was determined for each root canal from cervical to apical. Data were statistically analyzed with a significance level of 5%. RESULTS The conicity ranged from 2% to 8% for the upper primary second molars. Significant differences in root canal diameter between the thirds (D0, D5, and D7 points) were observed in the mesio- and distobuccal roots (p < .05), but not in the palatal roots (p > .05). For the lower primary second molars, the conicity ranged from 2% to 17%, as well as significant differences in root canal diameter between the thirds (D0, D5, and D7 points) were observed in all roots (distal, mesiobuccal, and mesiolingual; p < .05). CONCLUSION The conicity of the upper primary second molars was different from that of the lower ones, which showed a greater variability.
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Affiliation(s)
- Marília Pacífico Lucisano
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Gilmer Torres Ramos
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
- Departamento de Odontopediatría, Facultad de Odontología, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | | | - Laura Ricardina Ramírez-Sotelo
- Departamento de Estomatología Médico Quirúrgico, Facultad de Odontologia, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Ricardo Barbosa Lima
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Raquel Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
| | - Jessica Arieta Miranda
- Departamento de Odontopediatría, Facultad de Odontología, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Léa Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil
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Ramos GT, Lucisano MP, Victorio DJB, Ramirez-Sotelo LR, Nelson-Filho P, da Silva RAB, Koecklin KHU, da Silva LAB. Estimation of root canal conicity of deciduous canines evaluated by nano-CT. Eur Arch Paediatr Dent 2023:10.1007/s40368-023-00809-y. [PMID: 37306868 DOI: 10.1007/s40368-023-00809-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2022] [Accepted: 06/01/2023] [Indexed: 06/13/2023]
Abstract
PURPOSE To estimate the taper of root canals of deciduous maxillary and mandibular canines by nano computed tomography (nano-CT). METHODS This in vitro study involved CT scan analysis of nine maxillary and five mandibular primary canines. The images of each tooth were reconstructed using OnDemand3D software. Thereon, diameter and taper analyses were performed on the free FreeCAD 0.18 software for the three-dimensional (3D) computer-aided design model. Statistical analysis was conducted using Stata v14.0 software, adopting a significance level of 5%. RESULTS 3D image reconstruction was performed, considering the diameters obtained along the entire length of the tooth root, and the conical model was built with a height of 10 mm. The diameters of the maxillary canine at points D0 (0 mm), D5 (5 mm), D7 (7 mm), and D10 (10 mm) were 1.62, 1.07, 0.78, and 0.49 mm, respectively, with a significant difference between the four points (p = 0.0001). Regarding maxillary canine root taper values in the cervical, middle, and apical regions, the values were 12%, 14%, and 10%, respectively. For mandibular canines, the mean diameter values obtained at points D0, D5, D7, and D10 were 1.51, 0.83, 0.64, and 0.45 mm, respectively, with significant differences among the four points (p = 0.005). The inferior canine root tapers in the cervical, middle, and apical regions were 14%, 10%, and 6%, respectively. CONCLUSION The detailed knowledge of the root morphology of maxillary and mandibular deciduous canines, as it has been shown in vitro using nano-CT, is critical to achieve accurate and efficient endodontic treatments.
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Affiliation(s)
- Gilmer Torres Ramos
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil
- Departamento de Odontopediatría, Facultad de Odontologia, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Marília Pacífico Lucisano
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil.
| | - Daniel José Blanco Victorio
- Departamento de Estomatología Médico Quirúrgico, Facultad de Odontologia, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Laura Ricardina Ramirez-Sotelo
- Departamento de Estomatología Médico Quirúrgico, Facultad de Odontologia, Universidad Nacional Mayor de San Marcos, Lima, Peru
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil
| | - Raquel Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil
| | | | - Lea Assed Bezerra da Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Av. do Café, s/n, Monte Alegre, Ribeirão Preto, SP, 14040-904, Brazil
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Moraes RDR, Perez R, Silva ASSD, Machado AS, Lopes RT, Pintor AVB, Primo LG, Neves ADA. Micro-CT evaluation of root canal preparation with rotary instrumentation on prototyped primary incisors. Braz Oral Res 2021; 35:e132. [PMID: 34932661 DOI: 10.1590/1807-3107bor-2021.vol35.0132] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/29/2020] [Accepted: 06/02/2021] [Indexed: 11/21/2022] Open
Abstract
This study aimed to evaluate the endodontic instrumentation outcomes with asymmetrical files compared to reciprocating and hand files (HFs) in 3D-printed prototypes of upper primary incisors using micro-computed tomography (micro-CT). For this purpose, 50 prototypes were randomly divided (n = 10) according to the instrumentation technique as follows: HFs, a reciprocating file (WaveOne® Gold [WOG]), and three asymmetrical movement files: XP-Endo® Shaper (XPS), XP-Endo® Finisher (XPF), and XP Clean (XPC). The specimens were scanned and, after registration of the baseline and instrumented volumes, changes in the root canal volume (RCV), debris accumulation, removed root material volume (RRMV), non-instrumented areas, and the presence of cracks/perforations were quantified. Data were analyzed by analysis of variance and Student's t-test, while the effect size was calculated for statistically significant outcomes. All groups showed an increase in RCV after instrumentation (p < 0.05), but this was higher with HFs (p < 0.05). Accumulated debris was higher for WOG and XPS (p < 0.05), but WOG exhibited more in the medium and apical third areas. HFs showed the highest RRMV (p < 0.05), especially at the apical third. The non-instrumented areas were lower for HFs and XPC than for the other systems (p < 0.05). Cracks were present in a few WOG (n = 2) and HF specimens (n = 3) and in this group, one of the cracked specimens and two others showed perforations. The asymmetric systems resulted in conservative dentin removal and fewer cracks/perforations as compared to HFs and a reciprocation file in prototyped primary upper incisors. XPC showed the best compromise between RRMV and non-instrumented areas with a low accumulation of debris.
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Affiliation(s)
- Rafael Dos Reis Moraes
- Universidade Federal do Rio de Janeiro - UFRJ, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, Rio de Janeiro, RJ, Brazil
| | - Renata Perez
- Corpo de Bombeiros Militar do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil
| | - Aline Saddock Sá da Silva
- Universidade Federal do Rio de Janeiro - UFRJ, Laboratory for Nuclear Instrumentation, Rio de Janeiro, RJ, Brazil
| | - Alessandra Silveira Machado
- Universidade Federal do Rio de Janeiro - UFRJ, Laboratory for Nuclear Instrumentation, Rio de Janeiro, RJ, Brazil
| | - Ricardo Tadeu Lopes
- Universidade Federal do Rio de Janeiro - UFRJ, Laboratory for Nuclear Instrumentation, Rio de Janeiro, RJ, Brazil
| | - Andréa Vaz Braga Pintor
- Universidade Federal do Rio de Janeiro - UFRJ, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, Rio de Janeiro, RJ, Brazil
| | - Laura Guimarães Primo
- Universidade Federal do Rio de Janeiro - UFRJ, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, Rio de Janeiro, RJ, Brazil
| | - Aline de Almeida Neves
- Universidade Federal do Rio de Janeiro - UFRJ, School of Dentistry, Department of Pediatric Dentistry and Orthodontics, Rio de Janeiro, RJ, Brazil
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