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Nisar P, Katge F, Chimata VK, Pradhan D, Patil D, Agrawal I. Comparative evaluation of hand and rotary file systems on dentinal microcrack formation during pulpectomy procedure in primary teeth: an in vitro study. Eur Arch Paediatr Dent 2024; 25:181-189. [PMID: 38461490 DOI: 10.1007/s40368-024-00863-0] [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: 05/02/2023] [Accepted: 01/03/2024] [Indexed: 03/12/2024]
Abstract
PURPOSE Pulpectomy can be used for the management of deep dentinal carious lesions in primary teeth which can be restored. Mechanical preparation of root canals can be performed using hand or NiTi rotary files. However, this may cause dentinal stress and consequently dentinal microcracks. Hence, the aim was comparative evaluation of hand and rotary file systems on dentinal microcrack formation during pulpectomy procedure in primary teeth. METHODS 60 extracted primary molar teeth were selected comprising of 80 root canals. Simple random sampling was used to divide root canals into four groups (n = 20): Group A-Hedstrom file, Group B-Pro AF Baby Gold rotary, Group C-ProTaper Next rotary, and Group D-unprepared group. Assessment was conducted on presence or absence of microcracks using Chi square test (p < 0.05). RESULTS The total number of microcracks in Group A: one (5%), Group B: four (20%), Group C: nine (45%) and Group D: zero (0%) which was statistically significant (p = 0.002). At cervical third, the number of microcracks seen with Group A: one (5%), Group B: zero (0%), Group C: five (25%) and Group D: zero (0%) (p = 0.005). At the middle third, the number of microcracks seen in Group A: zero (0%), Group B: four (20%), Group C: four (20%) and Group D: zero (0%) (p = 0.029). CONCLUSION The study concluded that dentinal microcracks are formed with both hand and rotary file systems in primary teeth. ProTaper Next showed significantly higher number of microcracks, followed by ProAF Baby Gold and H files.
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Affiliation(s)
- P Nisar
- Department of Pediatric and Preventive Dentistry, Terna Dental College, Navi Mumbai, Maharashtra, India
| | - F Katge
- Department of Pediatric and Preventive Dentistry, Terna Dental College, Navi Mumbai, Maharashtra, India.
| | - V K Chimata
- Department of Pediatric and Preventive Dentistry, Terna Dental College, Navi Mumbai, Maharashtra, India
| | - D Pradhan
- Department of Pediatric and Preventive Dentistry, Terna Dental College, Navi Mumbai, Maharashtra, India
| | - D Patil
- Department of Pediatric and Preventive Dentistry, Terna Dental College, Navi Mumbai, Maharashtra, India
| | - I Agrawal
- Department of Pediatric and Preventive Dentistry, Terna Dental College, Navi Mumbai, Maharashtra, India
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Chidambaram JVN, Jayaprakash J, Arangannal P. Volumetric Analysis of Various Pediatric Rotary Files in the Preparation of Primary Root Canals Using Cone-beam Computed Tomography. Int J Clin Pediatr Dent 2024; 17:15-20. [PMID: 38559863 PMCID: PMC10978504 DOI: 10.5005/jp-journals-10005-2724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/04/2024] Open
Abstract
Aim This study was planned to evaluate and compare the cleaning efficacy of three pediatric rotary files with the standard Protaper adult file system in primary teeth using cone-beam computed tomography (CBCT). Materials and methods A total of 40 extracted deciduous second molars, with palatal/mesial roots having at least two-thirds of root length and an intact furcation area, were distributed randomly among four groups, with each group containing 10 teeth. Canal preparation of group I (Pro AF Baby Gold), group II (Kedo SG Blue), group III (Prime Pedo), and group IV (Protaper) was done. Pre- and postoperative CBCT images were taken. The volumetric changes of the root canals were assessed and subjected to statistical analysis using Statistical Package for the Social Sciences (SPSS) version 16 and R Studio 3.1.1. Volumetric changes within the groups were analyzed using paired t-tests and between the groups using analysis of variance (ANOVA). Results The comparison of mean volume difference between groups using ANOVA was statistically significant with F = 4.467, p = 0.002. A Tukey post hoc test revealed that group IV was statistically significant compared with groups I (p = 0.033) and III (p = 0.008) but was not statistically significant with group II (p = 0.170). There was no statistically significant difference in volumetric changes within the three pediatric rotary file systems. Conclusion Protaper removed more dentin than all the pediatric rotary files, but it was not statistically significant over Kedo SG Blue. Among the pediatric rotary files, Kedo SG Blue removed more dentin than Pro AF Baby Gold and Prime Pedo, but they were not statistically significant. How to cite this article Nainer Chidambaram JV, Jayaprakash J, Arangannal P. Volumetric Analysis of Various Pediatric Rotary Files in the Preparation of Primary Root Canals Using Cone-beam Computed Tomography. Int J Clin Pediatr Dent 2024;17(1):15-20.
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Affiliation(s)
| | - Jeevarathan Jayaprakash
- Department of Pedodontics and Preventive Dentistry, Sree Balaji Dental College & Hospital, Chennai, Tamil Nadu, India
| | - Ponnudurai Arangannal
- Department of Pedodontics and Preventive Dentistry, Sree Balaji Dental College & Hospital, Chennai, Tamil Nadu, India
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de Souza BK, Alcalde MP, Duarte MAH, Machado MAAM, Oliveira TM, Lourenço N. Shaping ability of a pediatric motor-driven instrumentation system in primary molar root canal prototypes. Braz Dent J 2023; 34:36-42. [PMID: 38133471 PMCID: PMC10759958 DOI: 10.1590/0103-6440202305372] [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: 05/03/2023] [Accepted: 10/02/2023] [Indexed: 12/23/2023] Open
Abstract
Evaluate the shaping ability and preparation time using a pediatric motor-driven rotary instrumentation compared to other systems in resin prototypes of primary molars. METHODS Thirty specimens were scanned in micro-CT and divided into three groups according to the instrumentation type: pediatric motor-driven Sequence baby File (SBF); conventional motor-driven (Sequence Rotary File - SRF); manual K file. Instrumentation time was timed. After preparation, the specimens were scanned again. The pre- and post-instrumentation images were superimposed to measure the amount of root canal deviation and the resin remnant thickness. ANOVA followed by the Tukey test analyzed the comparisons between groups (p<0.05). RESULTS No statistically significant differences occurred in root canal deviation among groups (p>0.05). There were statistically significant differences in the comparison among root thirds (p<0.001) but without significant differences in the interaction group vs. root third (p>0.05). Both motor-driven instrumentations showed statistically greater weariness than manual instrumentation (p<0.001), without significant significant differences between SBF and SRF. Motor-driven instrumentation had a shorter working time than manual instrumentation (p<0.001). CONCLUSION Pediatric motor-driven instrumentation demonstrated good outcomes in relation to root canal deviation and amount of remnant structure, with shorter instrumentation time. SBF can be a suitable alternative for endodontic instrumentation in primary molars.
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Affiliation(s)
- Bianca Katsumata de Souza
- Department of Pediatric Dentistry, Orthodontics and Community Dentistry, Discipline of Pediatric Dentistry, Bauru School of Dentistry, University of São Paulo; Bauru, Brazil
| | - Murilo Priori Alcalde
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo; Bauru, Brazil
| | - Marco Antonio Hungaro Duarte
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo; Bauru, Brazil
| | - Maria Aparecida Andrade Moreira Machado
- Department of Pediatric Dentistry, Orthodontics and Community Dentistry, Discipline of Pediatric Dentistry, Bauru School of Dentistry, University of São Paulo; Bauru, Brazil
| | - Thais Marchini Oliveira
- Department of Pediatric Dentistry, Orthodontics and Community Dentistry, Discipline of Pediatric Dentistry, Bauru School of Dentistry, University of São Paulo; Bauru, Brazil
| | - Natalino Lourenço
- Department of Pediatric Dentistry, Orthodontics and Community Dentistry, Discipline of Pediatric Dentistry, Bauru School of Dentistry, University of São Paulo; Bauru, Brazil
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Schulz-Weidner N, Wang J, Steinbart J, Windfelder AG, Krombach GA, Krämer N, Schlenz MA, Scherberich J. Evaluation of Mechanical Versus Manual Root Canal Preparation in Primary Molars-A Comparative In Vitro Study. J Clin Med 2023; 12:7718. [PMID: 38137787 PMCID: PMC10743663 DOI: 10.3390/jcm12247718] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2023] [Revised: 12/04/2023] [Accepted: 12/12/2023] [Indexed: 12/24/2023] Open
Abstract
The endodontic treatment of primary teeth is to maintain the function of the tooth free of symptoms until its physiological exfoliation. A critical factor for success is how quickly and effectively the root canal preparation can be performed. Therefore, the aim of this comparative in vitro study was to analyze the efficiency of two mechanical root canal preparation systems FM (FlexMaster) and HF (HyFlex EDM) to manual KF (K-file) on extracted primary molars. A total of 45 teeth were divided into three groups (n = 15): KF (#15-35), FM (04#30) and HF (25/~ OneFile). Root canal preparation was performed, and the preparation time was measured. All root canals were non-destructively analyzed by micro-computed tomography in the cervical, middle and apical thirds before and after preparation with regard to the parameters of canal transport (in μm) and centering ratio (0-1). Statistical analysis was performed at a 5% significance level using non-parametric tests. HF caused the lowest canal transport in the apical third (p = 0.008). The centering ratio value of HF was significantly higher in the middle third of the root canals than in the other two groups (p < 0.01). The mean instrumentation time was significantly higher for KF (6.67 min) than for FM (4.69 min) and HF (4.03 min, p < 0.01). HF can be recommended for primary molar root canal treatment.
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Affiliation(s)
- Nelly Schulz-Weidner
- Department of Pediatric Dentistry, Dental Clinic, Justus Liebig University, 35392 Giessen, Germany; (N.S.-W.); (J.W.); (N.K.)
| | - Jiameng Wang
- Department of Pediatric Dentistry, Dental Clinic, Justus Liebig University, 35392 Giessen, Germany; (N.S.-W.); (J.W.); (N.K.)
| | - Jessica Steinbart
- Experimental Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Giessen, Justus Liebig University Giessen, 35392 Giessen, Germany; (J.S.); (A.G.W.)
| | - Anton G. Windfelder
- Experimental Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Giessen, Justus Liebig University Giessen, 35392 Giessen, Germany; (J.S.); (A.G.W.)
- Branch for Bioresources, Fraunhofer Institute for Molecular Biology and Applied Ecology IME, 35392 Giessen, Germany
| | - Gabriele A. Krombach
- Department of Diagnostic and Interventional Radiology, University Hospital Giessen, Justus Liebig University Giessen, Giessen 35392, Germany;
| | - Norbert Krämer
- Department of Pediatric Dentistry, Dental Clinic, Justus Liebig University, 35392 Giessen, Germany; (N.S.-W.); (J.W.); (N.K.)
| | - Maximiliane A. Schlenz
- Department of Prosthodontics, Dental Clinic, Justus Liebig University, 35392 Giessen, Germany;
| | - Jan Scherberich
- Experimental Radiology, Department of Diagnostic and Interventional Radiology, University Hospital Giessen, Justus Liebig University Giessen, 35392 Giessen, Germany; (J.S.); (A.G.W.)
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Cyclic Fatigue Resistance of Nickel–Titanium Rotary Instruments after Simulated Clinical Use. Appl Bionics Biomech 2022; 2022:1716008. [PMID: 36267671 PMCID: PMC9578904 DOI: 10.1155/2022/1716008] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Accepted: 09/23/2022] [Indexed: 11/17/2022] Open
Abstract
Objective Cyclic fatigue occurred in the curved canal when the instrument freely rotated leading to repeated compressive and tensile stresses. This study aims to evaluate the cyclic fatigue resistance (CFR) of new and used 2Shape and AF F-One rotary instrument systems by using an artificial stainless-steel canal. Methods A total of 80 rotary nickel–titanium (NiTi) instruments of two systems were used, 2Shape/TS2 and AF F-ONE/F5 (40 in each group). The instruments were subdivided into group A 20 instruments (10 per system) that remain unused, group B 20 instruments (10 per system) instrumented 20 root canals (each file prepared 1 canal for 2 minutes), group C 20 instruments (10 per system) instrumented 40 canals each for 2 minutes (each file prepared 2 canals), group D of 20 instruments (10 per system) prepared 60 canals each for 2 minutes (each file prepared 3 canals). After each canal instrumentation, the instruments were cleaned and sterilized by autoclave. Then, all the instruments underwent cyclic fatigue testing in an artificial stainless steel canal with a 50° canal curvature and a radius of curvature of 5 mm. The time and number of cycles to failure (NCF) were recorded. Data were analyzed using the Welch ANOVA test for intragroup comparison and the pairwise test for multiple comparisons. Results The unused instruments of the AF F-One rotary system showed statistically higher CFR than clinically used instruments (P < 0.05). 2Shape system was not affected by clinical use (P > 0.05). The mean NCF of AF F-One instruments was significantly higher than the equivalent file group of 2Shape instruments (P < 0.05). Conclusion A reduction in the CFR for AF F-One instruments after use was observed when compared to the new unused file group. The 2Shape system was not affected by clinical use. AF F-One performed better in terms of NCF.
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de Carvalho KKT, Petean IBF, Silva-Sousa AC, de Camargo R, Mazzi-Chaves JF, Silva-Sousa YTC, Sousa-Neto MD. Evaluation of rotary instruments with whipping motion in the biomechanical preparation of large root canals of young permanent teeth. AUST ENDOD J 2022; 49:130-139. [PMID: 35649116 DOI: 10.1111/aej.12633] [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: 10/26/2021] [Revised: 04/05/2022] [Accepted: 05/16/2022] [Indexed: 11/30/2022]
Abstract
Shaping ability evaluation of taper ./01 instruments in large root canals, by microcomputed tomography (micro-CT) and scanning electron microscopy (SEM). Maxillary central incisors with large diameter root canals were divided into two groups (n = 10): XP-Endo Shaper (FKG-Dentaire, Switzerland) and manual instrumentation (FKG-Dentaire). Two- and three-dimensional parameters from cervical to apical root thirds were evaluated by micro-CT. Apical stop was evaluated by SEM images. Data were analysed by ANOVA and Tukey tests (α = 5%). XP-Endo Shaper allowed a regular biomechanical preparation with less dentinal wear compared with manual instrumentation, which showed excessive wear of the thin root canal walls (p < 0.05). Roundness and SMI showed similarity between both protocols (p > 0.05). XP-Endo Shaper SEM showed a regular and well-defined shape of the apical foramen suggesting the formation of the apical stop. Reduced diameter and taper instruments promoted a conservative wear and a well-defined apical stop formation in large root canals.
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Affiliation(s)
| | - Igor Bassi Ferreira Petean
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Alice Corrêa Silva-Sousa
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Rafael de Camargo
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | - Jardel Francisco Mazzi-Chaves
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
| | | | - Manoel Damião Sousa-Neto
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, São Paulo, Brazil
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Haridoss S, Rakkesh KM, Swaminathan K. Transportation and Centering Ability of Kedo-S Pediatric and Mtwo Instruments in Primary Teeth: A Cone-beam Computed Tomography Study. Int J Clin Pediatr Dent 2022; 15:S30-S34. [PMID: 35645489 PMCID: PMC9108830 DOI: 10.5005/jp-journals-10005-2127] [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] [Indexed: 11/23/2022] Open
Abstract
Background Cleaning and debriding the canals and preserving the shape of the canal without deformation is the primary goals of pulpectomy. Transportation is a critical endodontic iatrogenic fault that could cause a catastrophe. This study evaluated the canal centering ability and canal transportation caused by Kedo-S pediatric and Mtwo instruments, using a cone-beam computed tomography (CBCT). Materials and methods This in vitro study was performed on distal roots of 50 primary mandibular first molars. The teeth were scanned using CBCT and randomly divided into two groups. The canals were then prepared using either Kedo-S or Mtwo files (n = 25). The instrumented canals were rescanned. The scanned volumes were sectioned at 2, 4, and 6 mm from cementoenamel junction (CEJ). Canal transportation (CT) and instrument centering ability were estimated and compared in both groups. Results The mean values for two study groups were compared. T -test was used to determine theP value. The Levene's test was used to test the significance between two groups. The two groups showed similar results in terms of transportation and centering ability (P > 0.05). Conclusion Kedo-S pediatric and Mtwo instruments demonstrated similar canal centering ability and CTs. How to cite this article Haridoss S, Rakkesh KM, Swaminathan K. Transportation and Centering Ability of Kedo-S Pediatric and Mtwo Instruments in Primary Teeth: A Cone-beam Computed Tomography Study. Int J Clin Pediatr Dent 2022;15(S-1):S30-S34.
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Affiliation(s)
- Selvakumar Haridoss
- Department of Pediatric and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India
| | | | - Kavitha Swaminathan
- Department of Pediatric and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India
- Kavitha Swaminathan, Department of Pediatric and Preventive Dentistry, Faculty of Dental Sciences, Sri Ramachandra Institute of Higher Education and Research (Deemed to be University), Chennai, Tamil Nadu, India, Phone: +91 4424768027, e- mail:
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Root canal instrumentation efficacy of non-fused and fused primary molar roots: a micro-computed tomography study. Eur Arch Paediatr Dent 2021; 22:911-927. [PMID: 34146251 DOI: 10.1007/s40368-021-00641-2] [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: 12/16/2020] [Accepted: 05/25/2021] [Indexed: 10/21/2022]
Abstract
PURPOSE Pulpectomy may be indicated in restorable primary teeth exhibiting irreversible pulpitis or pulpal necrosis. The purpose of this study was to compare the cleaning and shaping efficacy of NiTi systems (Reciproc® Blue and MTwo®) with manual stainless-steel instrumentation in primary molars using micro-CT analysis. METHODS Fifty-seven maxillary second primary molars were scanned using micro-CT. Teeth with three divergent roots were divided randomly (n = 15) according to instrument type (K file, MTwo®, and Reciproc® Blue). Teeth with root fusion were instrumented manually as a separate group (n = 12). Pre- and post-instrumentation micro-CT images were superimposed, and the instrumentation area (IA) and procedural complications were recorded. RESULTS No statistically significant differences in IA between file systems was observed in the non-fused teeth. The mean IA of fused roots was significantly lower than in the non-fused distobuccal (p = 0.003) and palatal (p < 0.001) roots. The root segment had a significant effect on IA (p < 0.001) and the highest mean IA was observed in the apical third. Manual instrumentation had fewer procedural complications compared with rotary systems. CONCLUSION No differences were determined in the cleaning and shaping effectiveness of all systems in non-fused teeth. Uninstrumented areas (> 60%) occurred in both non-fused and fused primary teeth with fewer procedural complications observed after manual instrumentation.
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Santos MC, Souza-Gabriel AE, Cruz-Filho AM, Sousa-Neto MD, Silva RG. Detection of the internal anatomy of lower anterior teeth using cone-beam computed tomography. AUST ENDOD J 2021; 47:442-449. [PMID: 33650769 DOI: 10.1111/aej.12497] [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: 10/20/2020] [Revised: 01/18/2021] [Accepted: 02/16/2021] [Indexed: 11/28/2022]
Abstract
Morphology study of root canal systems is essential for a correct diagnosis, therapy and prognosis of root canal treatment. This study aimed to analyse the dental anatomy of the lower anterior teeth, using cone-beam computed tomography (CBCT). Lower anterior teeth were classified in terms of type, number and location of root canals, evaluating the bilaterality of anatomical occurrences and determining whether the gender and age influence the findings. We analysed 749 CBCT of patients attending the School of Dentistry for different reasons. Spearman's correlations and Wilcoxon signed-rank test were used to analyse data (α = 0.05). There was no significant correlation between gender (male and female) and anatomy of the canals 33 (P = 0.162), 32 (P = 0.815), 31 (P = 0.708), 41 (P = 0.422), 42 (P = 0.382) and 43 (P = 0.063). There was a significant correlation between age and anatomy of the canals 33 (P = 0.045), 32 (P = 0.033), 31 (P = 0.022), 41 (P = 0.000), 42 (P = 0.037) and 43 (P = 0.037). There was no significant correlation between gender and patients' age (P = 0.325). There was no anatomical difference between the bilateral pairs (right and left homologous teeth) (P > 0.05). The most common anatomical configuration was single-canal teeth (85.29%), followed by the configuration in which one canal leaves the chamber, divides into two and unite again (12.88%). Anatomy of the lateral incisors and lower canines does not change with the gender of patients. However, as age rises, single canals and the incidence of division into two canals ending in a single foramen also increases.
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Affiliation(s)
- Marice C Santos
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Aline E Souza-Gabriel
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Antônio M Cruz-Filho
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Manoel D Sousa-Neto
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Ricardo G Silva
- Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
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A Critical Review of Methods for Quantitative Evaluation of Root Canal Transportation. J Endod 2021; 47:721-731. [PMID: 33587997 DOI: 10.1016/j.joen.2021.02.002] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2020] [Revised: 02/02/2021] [Accepted: 02/04/2021] [Indexed: 11/22/2022]
Abstract
INTRODUCTION A comparison between root canal transportation studies is nearly impossible because of nonstandardized transportation evaluation methods. The aim of the present review was to search, compare, and critically discuss transportation evaluation methods. METHODS A search of PubMed, Web of Science, Scopus, ScienceDirect, and reference lists of articles was conducted up to March 2020 using appropriate key words to identify transportation evaluation methods. The methods in the included articles were extracted, compared, and categorized. RESULTS Seventy-four articles using original methods were selected. All studies share 3 main steps: image acquisition, image measurements, and calculation of parameters. Images were acquired by photography, radiography, and computed tomographic imaging. Two types of measurements were used: the amount of removed material and the canal center point distance. The parameters were calculated and reported as distance or ratio. Relationships between the different transportation parameters were found and confirmed with mathematical simulation. CONCLUSIONS Although methods were proposed as being novel, similarities between them were found, enabling the classification of the methods and identifying correlations. The canal center point distance is the most suitable for the description of canal transportation because it is comprehensible and it relates to the mathematical concept of translation. Removed material-based measurements are double the value of the canal center point distance. Ratio parameters are not suitable for reporting transportation.
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Yalniz H, Koohnavard M, Oncu A, Celikten B, Orhan AI, Orhan K. Comparative evaluation of dentin volume removal and centralization of the root canal after shaping with the ProTaper Universal, ProTaper Gold, and One-Curve instruments using micro-CT. J Dent Res Dent Clin Dent Prospects 2021; 15:47-52. [PMID: 33927841 PMCID: PMC8058162 DOI: 10.34172/joddd.2021.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2020] [Accepted: 11/29/2020] [Indexed: 11/19/2022] Open
Abstract
Background. The main goal of our study was to assess the volume of dentin removed and transportation in root canals using ProTaper Universal (PTU), ProTaper Gold (PTG) and One-Curve (OC). Ni-Ti rotary instruments in extracted human teeth using by micro-CT. Methods: Thirty human upper 1st premolar teeth with two separate root canals and sturdy, mature root tips were used in the present study. Specimens were decoronated and root length was standardized for micro CT scanning before root canal preparation done. The teeth were randomly separated into three categories (n = 10) according to the rotary NiTi system used for canal instrumentation, i.e., PTU (Dentsply, Maillefer), PTG (Dentsply, Maillefer), and OC (Micro-Mega SA). After root canal preparation, samples were scanned again on micro-CT by the same scanning parameters. Surface area, canal volume, structure model index (SMI), percentage of uninstrumented area and transportation parameters were obtained for each sample before and after micro-CT analyse. Results: No significant differences between the PTG and PTU in terms of the total volume of removed dentin, surface area and percentage of uninstrumented areas were found. However, regarding to parameters above, OC showed a lower efficacy than PTG and PTU in coronal section. Regarding canal transportation, PTG and OC showed lower mean transportation values at all levels. Conclusion: This paper demonstrated the root canal shaping abilities of the PTU, PTG, and OC NiTi file systems. The PTG and OC systems were associated less canal transportation and a better ability to preserve dentinal walls than PTU. There was no significance different between all rotary file systems for SMI values however, PTU and PTG showed greater canal volume and surface area change than OC file systems in coronal section.
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Affiliation(s)
- Hatice Yalniz
- Bezmialem Vakif University, Faculty of Dentistry, Department of Endodontics, Istanbul, Turkey
| | - Mehrdad Koohnavard
- Ankara University, Faculty of Dentistry, Department of Endodontics, Ankara, Turkey
| | - Aysenur Oncu
- Ankara University, Faculty of Dentistry, Department of Endodontics, Ankara, Turkey
| | - Berkan Celikten
- Ankara University, Faculty of Dentistry, Department of Endodontics, Ankara, Turkey
| | - Ayse Isil Orhan
- Ankara Yildirim Beyazit University, Department of Pediatric Dentistry, Ankara, Turkey
| | - Kaan Orhan
- Ankara University, Faculty of Dentistry, Department of DentoMaxillofacial Radiology, Ankara, Turkey
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Bonzanini LIL, Cavalheiro CP, Scherer MM, Pedrotti D, Bottezini PA, Rosa RAD, Casagrande L, Lenzi TL. Reciprocating and Rotatory NiTi Instruments Used for Root Canal Preparation of Primary Teeth: A Systematic Review and Meta-Analysis. PESQUISA BRASILEIRA EM ODONTOPEDIATRIA E CLÍNICA INTEGRADA 2021. [DOI: 10.1590/pboci.2021.124] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Barasuol JC, Massignan C, Bortoluzzi EA, Cardoso M, Bolan M. Influence of hand and rotary files for endodontic treatment of primary teeth on immediate outcomes: Secondary analysis of a randomized controlled trial. Int J Paediatr Dent 2021; 31:143-151. [PMID: 32516507 DOI: 10.1111/ipd.12682] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/29/2020] [Revised: 04/14/2020] [Accepted: 05/28/2020] [Indexed: 11/29/2022]
Abstract
BACKGROUND Endodontic treatment of primary teeth can be time-consuming. AIM To compare hand and rotary files regarding the time for root canal chemical-mechanical preparation, child's behavior, apical limit of the obturation, and post-operative pain. DESIGN This secondary data from a randomized clinical trial with two parallel arms evaluated endodontic instrumentation in 88 children aged 4-9 years. Stratified and block randomization was performed into two groups: K-file hand and ProDesign Logic rotary files. The evaluated outcomes were the chemical-mechanical preparation time, child's behavior using the Frankl scale, apical limit of the obturation, and post-operative pain using the Faces Pain Scale-Revised. One operator and all outcome appraisers were blinded to the chemical-mechanical technique. Multiple linear regression, chi-square, and Fisher's exact test were performed. RESULTS The mean time for chemical-mechanical preparation using hand files was 24.5 (SD 4.0) minutes, and using rotary files, it was 17.0 (SD 2.5) minutes (P < .001). No difference was found between the instrumentation methods in the child's behavior, apical limit of the obturation, or post-operative pain. CONCLUSIONS The ProDesign Logic file reduced the average procedure time but presented no difference in the other variables studied when compared to the K-file.
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Affiliation(s)
- Jéssica C Barasuol
- Department of Dentistry, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Carla Massignan
- Department of Dentistry, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Eduardo A Bortoluzzi
- Department of Dentistry, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Mariane Cardoso
- Department of Dentistry, Universidade Federal de Santa Catarina, Florianópolis, Brazil
| | - Michele Bolan
- Department of Dentistry, Universidade Federal de Santa Catarina, Florianópolis, Brazil
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Torres-Ramos G, Lucisano MP, Blanco-Victorio DJ, Ramírez-Sotelo LR, Nelson-Filho P, Silva RAB, Silva LAB. Root canal conicity estimation of primary maxillary central and lateral incisors-A study by Nano-CT. Int J Paediatr Dent 2020; 30:764-774. [PMID: 32236997 DOI: 10.1111/ipd.12642] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/11/2020] [Revised: 03/11/2020] [Accepted: 03/18/2020] [Indexed: 12/12/2022]
Abstract
AIM The objective of the study was to estimate the conicity of the root canals of maxillary central and lateral incisors by computed nanotomography (Nano-CT). DESIGN This in vitro study included nine extracted primary maxillary central incisors and 12 maxillary lateral incisors, which were subjected to Nano-CT analysis. The resulting images of each tooth were reconstructed using the OnDemand3D software, and root canal area, volume, and taper analysis were performed using the free FreeCAD 0.18 software for the 3D computer-aided design (CAD) model. Data were statistically analysed using the Stata v14.0 software, adopting a significance level of 5%. RESULTS The results presented the mean value of the diameter and area of the root canal of primary central and lateral incisors. In addition, the taper values for both dental groups between points D0-D5, D5-D7, and D7-D10 were determined. Considering the diameters obtained over the entire length of the root, with a length of 12 mm, a conical model was constructed. CONCLUSION Detailed knowledge of root morphology of maxillary central and lateral incisors of primary dentition by means of Nano-CT is important to achieve faster, more 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, Ribeirão Preto, 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, Ribeirão Preto, Brazil
| | - Daniel Jose Blanco-Victorio
- Departamento de Estomatología Médico Quirúrgico, Facultad de Odontologia, 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
| | - Paulo Nelson-Filho
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Raquel Assed Bezerra Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
| | - Lea Assed Bezerra Silva
- Department of Pediatric Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil
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Barasuol JC, Alcalde MP, Bortoluzzi EA, Duarte MAH, Cardoso M, Bolan M. Shaping ability of hand, rotary and reciprocating files in primary teeth: a micro-CT study in vitro. Eur Arch Paediatr Dent 2020; 22:195-201. [DOI: 10.1007/s40368-020-00530-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2019] [Accepted: 04/15/2020] [Indexed: 01/26/2023]
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16
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Velozo C, Silva S, Almeida A, Romeiro K, Vieira B, Dantas H, Sousa F, De Albuquerque DS. Shaping ability of XP‐endo Shaper and ProTaper Next in long oval‐shaped canals: a micro‐computed tomography study. Int Endod J 2020; 53:998-1006. [DOI: 10.1111/iej.13301] [Citation(s) in RCA: 17] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2019] [Accepted: 03/23/2020] [Indexed: 11/28/2022]
Affiliation(s)
- C. Velozo
- Department of Restorative Dentistry and Endodontics Dental College of Pernambuco University of Pernambuco Camaragibe Brazil
| | - S. Silva
- Department of Restorative Dentistry and Endodontics Dental College of Pernambuco University of Pernambuco Camaragibe Brazil
| | - A. Almeida
- Department of Restorative Dentistry and Endodontics Dental College of Pernambuco University of Pernambuco Camaragibe Brazil
| | - K. Romeiro
- Department of Restorative Dentistry and Endodontics Dental College of Pernambuco University of Pernambuco Camaragibe Brazil
| | - B. Vieira
- Department of Morphology Health Science Center Federal University of Paraíba Paraíba Brazil
| | - H. Dantas
- Department of Morphology Health Science Center Federal University of Paraíba Paraíba Brazil
| | - F. Sousa
- Department of Morphology Health Science Center Federal University of Paraíba Paraíba Brazil
| | - D. S. De Albuquerque
- Department of Restorative Dentistry and Endodontics Dental College of Pernambuco University of Pernambuco Camaragibe Brazil
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Esentürk G, Akkas E, Cubukcu E, Nagas E, Uyanik O, Cehreli ZC. A micro-computed tomographic assessment of root canal preparation with conventional and different rotary files in primary teeth and young permanent teeth. Int J Paediatr Dent 2020; 30:202-208. [PMID: 31651057 DOI: 10.1111/ipd.12587] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/15/2019] [Revised: 10/15/2019] [Accepted: 10/22/2019] [Indexed: 11/28/2022]
Abstract
BACKGROUND Root canals of primary teeth are commonly prepared with endodontic files that are originally manufactured for permanent teeth. AIM This micro-computed tomography (micro-CT) study evaluated and compared the changes in root canal morphology after preparation with different conventional and rotary files in primary teeth and young permanent teeth. DESIGN Seventy-two extracted primary and permanent molars were selected and randomly assigned to three subgroups according to the file systems used (n = 12/each). After pre-scanning of teeth with micro-CT, root canals were prepared with One Shape and Revo-S rotary systems and conventional endodontic files. After rescanning procedure, changes in canal volume, surface area, uninstrumented surface area, and apical transportation were evaluated. Mann-Whitney U test, Kruskal-Wallis test, and Conover's multiple comparison test were used for statistical analysis (P = .05). RESULTS Instrumentation with rotary files resulted in significantly greater volume and surface area of root canals and less uninstrumented areas (P < .001) than with manual files (P < .001). Primary molars showed significantly less apical transportation than permanent teeth (P < .001). CONCLUSIONS Preparation of canals with rotary files could be a viable alternative to conventional files in primary teeth. Regardless of the file system used, uninstrumented areas still exist in both primary teeth and permanent teeth.
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Affiliation(s)
- Gülce Esentürk
- Department of Pediatric Dentistry, School of Dentistry, Hacettepe University, Ankara, Turkey.,Department of Pediatric Dentistry, School of Dentistry, Altinbas University, Istanbul, Turkey
| | - Efe Akkas
- Department of Mineralogy-Petrography, Division of Geological Engineering, Hacettepe University, Ankara, Turkey
| | - Evren Cubukcu
- Department of Mineralogy-Petrography, Division of Geological Engineering, Hacettepe University, Ankara, Turkey
| | - Emre Nagas
- Department of Endodontics, School of Dentistry, Hacettepe University, Ankara, Turkey
| | - Ozgur Uyanik
- Department of Endodontics, School of Dentistry, Hacettepe University, Ankara, Turkey
| | - Zafer C Cehreli
- Department of Pediatric Dentistry, School of Dentistry, Hacettepe University, Ankara, Turkey
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Biomechanical preparation in primary molars using manual and three NiTi instruments: a cone-beam-computed tomographic in vitro study. Eur Arch Paediatr Dent 2019; 21:203-213. [PMID: 31489569 DOI: 10.1007/s40368-019-00474-0] [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: 01/31/2019] [Accepted: 08/27/2019] [Indexed: 10/26/2022]
Abstract
PURPOSE To evaluate nickel-titanium rotary systems, ProTaper Universal (PTU), ProTaper Next (PTN), self-adjusting file (SAF), and stainless steel hand K files in deciduous root canals in longitudinal and horizontal sections by three-dimensional reconstruction. Whether there was any difference in shaping ability, transportation, dentine removal, untouched canal surface area, and preparation time among the different groups when used in primary root canals. METHODS Shaping and cleaning of canals in primary molars were done using the four systems, and CBCT and specialized software were used for scanning, image processing, three-dimensional reconstruction, and analysis of pre-operative and post-operative to evaluate the groups for their shaping properties, transportation, amount of dentine removal, untouched canal surface area, and preparation time in primary root canals. RESULTS None of the groups reported stripping of canals or instrument failure. SAF demonstrated less removal of dentine as compared to other groups. Hand K files presented with high untouched canal surface area, while it was least with SAF. In addition, rotary files provided faster preparation than hand files, and among the rotary systems, PTN took least time for cleaning and shaping of canals. All the groups were similar in transportation at cervical and apical third. CONCLUSION Under the conditions of this study, SAF seemed to result in more conservative and meticulous removal of dentine. This is desirable to preserve the integrity of thin-walled primary root canals. SAF also showed less untouched canal areas suggesting better contact with the primary canal walls. The rotary file groups required less clinical time which is important in paediatric treatments.
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Gambarini G, Miccoli G, Seracchiani M, Khrenova T, Donfrancesco O, D'Angelo M, Galli M, Di Nardo D, Testarelli L. Role of the Flat-Designed Surface in Improving the Cyclic Fatigue Resistance of Endodontic NiTi Rotary Instruments. MATERIALS (BASEL, SWITZERLAND) 2019; 12:E2523. [PMID: 31398814 PMCID: PMC6720207 DOI: 10.3390/ma12162523] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/16/2019] [Revised: 07/30/2019] [Accepted: 08/06/2019] [Indexed: 02/03/2023]
Abstract
The aim of this study was to investigate the role of the flat-designed surface in improving the resistance to cyclic fatigue by comparing heat-treated F-One (Fanta Dental, Shanghai, China) nickel-titanium (NiTi) rotary instruments and similar prototypes, differing only by the absence of the flat side. The null hypothesis was that there were no differences between the two tested instruments in terms of cyclic fatigue lifespan. A total of 40 new NiTi instruments (20 F-One and 20 prototypes) were tested in the present study. The instruments were rotated with the same speed (500 rpm) and torque (2 N) using an endodontic motor (Elements Motor, Kerr, Orange, CA, USA) in the same stainless steel, artificial canal (90° angle of curvature and 5 mm radius). A Wilcoxon-Mann-Whitney test was performed to assess the differences in terms of time to fracture and the length of the fractured segment between the flat- and non-flat-sided instruments. Significance was set at p = 0.05. The differences in terms of time to fracture between non-flat and flat were statistically significant (p < 0.001). In addition, the differences in terms of fractured segment length were statistically significant (p = 0.034). The results of this study highlight the importance of flat-sided design in increasing the cyclic fatigue lifespan of NiTi rotary instruments.
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Affiliation(s)
- Gianluca Gambarini
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Gabriele Miccoli
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Marco Seracchiani
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Tatyana Khrenova
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Orlando Donfrancesco
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
- Department of Anatomy, Histology, Forensic Medicine and Orthopaedics, Sapienza University of Rome, 00185 Rome, Italy
| | - Maurilio D'Angelo
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Massimo Galli
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
| | - Dario Di Nardo
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy.
| | - Luca Testarelli
- Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, 00161 Rome, Italy
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