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Morales MDLNP, Sánchez JAG, Elmsmari F, Duran-Sindreu F, Salmon P, Jaramillo DE, Olivieri JG. Microcomputed tomographic evaluation of 6 NiTi files on the pericervical dentin and the smallest dentin thickness zones in mesial root canals of mandibular molars: an in vitro study. Clin Oral Investig 2024; 28:166. [PMID: 38388725 DOI: 10.1007/s00784-024-05493-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 01/06/2024] [Indexed: 02/24/2024]
Abstract
OBJECTIVE The aim of this study was to evaluate six files on the pericervical dentin (PCD) and the smallest dentin thickness zones (SDTZ) in mesial root canals of mandibular molars. MATERIALS AND METHODS Sixty mandibular molars with two mesial canals and Vertucci configuration were aleatory allocated in 6 experimental groups of 10 molars and 20 root canals. Specimens were scanned before instrumentation using the SkyScan 1275 (Bruker microCT, Kontich, Belgium). Group 1 was treated with WaveOne Gold (WG), group 2 with Reciproc Blue (RB), group 3 with TRUShape (TS), group 4 with XP-endo Shaper (XP), group 5 with iRace (IR), and group 6 with TruNatomy (TN). After instrumentation, the molars were scanned again and the images recorded were reconstructed with the NRecon v.1.7 (Bruker micro-CT) and analyzed with CTAn v.1.20.8 software (Bruker micro-CT) quantifying the changes produced in the surface, volume, structure thickness, SMI, and centroids at the Pericervical Dentin area of the root canals (PCD) located from the root canal orifices at the floor of the pulp chamber to 4 mm in the apical direction, and the changes in the Smallest Dentin Thickness Zones (SDTZ) located (from the furcation to 4 mm and 7 mm in the apical direction. The data obtained were compared using Wilcoxon and ANOVA with a 5% significance level. RESULTS XP and TN were similar in all the parameters (P >.05) at the PCD, but TN showed significant differences from WG, RB, TS, and IR (P <.05), while XP showed significant differences from WG (P <.05) in volume, surface, and structure thickness. Regarding the changes in the SDTZ, the amount of dentin removed was similar between the groups in both canals at the middle 1/3, at the cervical 1/3 for MB canals, and in ML canals for RB, TS, XP, IR, and TN (P>.05). The action of WG was significantly different from that of XP and TN in the cervical 1/3 of the ML canal (P <.05). CONCLUSIONS XP and TN rotatory files with small taper and volume maintained better with minor changes at the PCD and SDTZ, while WG reciprocation file produced the largest change. All the files were maintained centered at the PCD, and their performances were safe with a minimal thickness higher 0.5 mm at the SDTZ, and without risk of perforation. TRIAL REGISTRATION No clinical trials were indicated in this study. CLINICAL RELEVANCE The choice of endodontic files is a relevant factor in the conservative performance of root canal treatments.
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Affiliation(s)
| | - José Antonio González Sánchez
- Departments of Endodontics, School of Dentistry, International University of Catalunya, Sant Cugat del Valles, Barcelona, Spain.
| | - Firas Elmsmari
- Department of Clinical Sciences, College of Dentistry, Ajman University, Ajman, United Arab Emirates
- Centre of Medical and Bio-Allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates
| | - Fernando Duran-Sindreu
- Departments of Endodontics, School of Dentistry, International University of Catalunya, Sant Cugat del Valles, Barcelona, Spain
| | - Phil Salmon
- Department of Scientific Applications, Bruker micro-CT, Kontich, Belgium
| | - David E Jaramillo
- Department of Endodontics, University of Texas Health Science Center at Houston, Houston, TX, USA
| | - Juan Gonzalo Olivieri
- Departments of Endodontics, School of Dentistry, International University of Catalunya, Sant Cugat del Valles, Barcelona, Spain
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Kapadia KH, Patni PM, Jain P, Raghuvanshi S, Pandey SH, Singhal RR. Assessment of minimally invasive file systems on resistance to fracture using traditional and contracted access cavity designs in the maxillary first and second molars. J Conserv Dent Endod 2023; 26:395-401. [PMID: 37705550 PMCID: PMC10497085 DOI: 10.4103/jcd.jcd_194_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Received: 03/21/2023] [Revised: 04/19/2023] [Accepted: 05/08/2023] [Indexed: 09/15/2023]
Abstract
Objective The objective of the study was to evaluate the effect of access cavity design on fracture resistance of the extracted maxillary first and second molars prepared with three minimally invasive files. Materials and Methods One hundred and twelve extracted human maxillary molars were selected for the study and divided randomly into three groups according to different minimally invasive files used (self-adjusting files [SAF], XP-endo Shaper [XP], and 4 V-Taper 2H [VT]) and one control group (CG). All experimental groups were subdivided into two subgroups, i.e., conservative access cavity (CAC) and traditional access cavity (TAC). All the canals in different experimental groups were enlarged up to apical size 30. The data were analyzed using the analysis of variance and Post hoc Tukey tests (P < 0.05). Results The highest mean fracture resistance of teeth with CAC was of the CG (1399.957), followed by teeth with CAC instrumented by SAF (1378.314) and XP-endo Shaper (1202.929). The least value was of the V-Taper file system (937.157). Furthermore, the highest mean fracture resistance value of teeth with TAC was of the CG (1143.171), followed by teeth with TAC instrumented by SAF (1150.607) and then XP-endo Shaper (998.150). The least value was of the V Taper file system (757.050). Conclusion Conservative endodontic access (CAC) in the maxillary molars had shown significantly increased fracture resistance over TAC. SAF showed the maximum fracture resistance, while V-Taper files showed the least fracture resistance among the experimental groups compared.
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Affiliation(s)
- Krupa Himanshu Kapadia
- Department of Conservative Dentistry and Endodontics, Peoples Dental Academy, Bhopal, Madhya Pradesh, India
| | - Pallav Mahesh Patni
- Department of Conservative Dentistry and Endodontics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
| | - Pradeep Jain
- Department of Conservative Dentistry and Endodontics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
| | - Swadhin Raghuvanshi
- Department of Conservative Dentistry and Endodontics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
| | - Sanket Hans Pandey
- Department of Conservative Dentistry and Endodontics, Sri Aurobindo College of Dentistry, Indore, Madhya Pradesh, India
| | - Rochit Rajesh Singhal
- Department of Dermatology, Venereology and Leprosy, Chirayu Medical College and Hospital, Bhopal, Madhya Pradesh, India
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Bhardwaj A, Gupta RK, Ates AA, Wahjuningrum DA, Arıcan B, AlOmari T, Luke AM, Pawar AM. Comparison of Postoperative Pain After the Utilization of Different File Systems in Single Visit Endodontics. Patient Prefer Adherence 2023; 17:1025-1034. [PMID: 37090182 PMCID: PMC10115180 DOI: 10.2147/ppa.s405723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 03/30/2023] [Indexed: 04/25/2023] Open
Abstract
Purpose This prospective single-blind, parallel-group, randomized clinical trial was aimed to compare the effect of three different rotary instrumentation systems ProTaper Next (PTN), Self-Adjusting File (SAF) and XP-endo Shaper (XPS) on postoperative pain and analgesic intakes. Patients and Methods A total of 159 molars diagnosed with symptomatic irreversible pulpitis were randomly divided into three study groups according to the instrumentation techniques: PTN (n = 54), SAF (n = 52), and XPS (n = 53). The preoperative pain scores were taken before the onset of treatment in the groups. After a single appointment for root canal treatment, the patients were asked to rate the level of their pain according to the Visual Analog Scale (VAS) of 100 mm at 6, 24, 48, and 72-hour post-treatment intervals. Ibuprofen was prescribed to be taken while experiencing pain; patients were requested to note the number of pills consumed at intervals after treatment. Results The patients in SAF and XPS groups had lower mean VAS scores than the PTN group at 24-, 48-, and 72-hour intervals (p < 0.05). The most common analgesic intake was optimally seen in the PTN group at a 6-hour interval. All shaping procedures caused postoperative pain, whose intensity decreased with time. Conclusion The SAF and XPS groups had a lesser intensity of pain as well as minimum analgesic intakes as compared to the PTN group. All instrumentation systems moderately caused pain, and the PTN group experienced the highest pain among others.
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Affiliation(s)
- Anuj Bhardwaj
- Department of Conservative Dentistry and Endodontics, College of Dental Science and Hospital, Indore, India
- Department of Conservative Dentistry, Universitas Airlangga, Surabaya, Indonesia
| | - Rudra Kumar Gupta
- Department of Conservative Dentistry and Endodontics, College of Dental Science and Hospital, Indore, India
| | - Ayfer Atav Ates
- Department of Endodontics, Istinye University, Faculty of Dentistry, Istanbul, Turkey
| | - Dian Agustin Wahjuningrum
- Department of Conservative Dentistry, Universitas Airlangga, Surabaya, Indonesia
- Correspondence: Dian Agustin Wahjuningrum, Department of Conservative Dentistry, Faculty of Dental Medicine, Universitas Airlangga, Surabaya, 60132, Indonesia, Email
| | - Burçin Arıcan
- Department of Endodontics, Bahçeşehir University, School of Dental Medicine, Istanbul, Turkey
| | - Taher AlOmari
- Department of Conservative Dentistry, Jordan University of Science and Technology, Al-Ramtha, Jordan
| | - Alexander Maniangat Luke
- Department of Clinical Science, College of Dentistry, Ajman University, Ajman, United Arab Emirates
- Center of Medical and Bio-allied Health Sciences Research, Ajman University, Ajman, United Arab Emirates
- Alexander Maniangat Luke, Department of Clinical Science, College of Dentistry, Ajman University, J1 Building C Block, Al-Jurf 346, Ajman, United Arab Emirates, Email
| | - Ajinkya M Pawar
- Department of Conservative Dentistry, Universitas Airlangga, Surabaya, Indonesia
- Department of Conservative Dentistry and Endodontics, Nair Hospital Dental College, Mumbai, 400008, India
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Hamed SA, Shabayek S, Hassan HY. Biofilm elimination from infected root canals using four different single files. BMC Oral Health 2022; 22:660. [PMID: 36585632 PMCID: PMC9805083 DOI: 10.1186/s12903-022-02690-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2022] [Accepted: 12/22/2022] [Indexed: 01/01/2023] Open
Abstract
INTRODUCTION Enterococcus faecalis (E. faecalis) is the most commonly isolated bacterium from infected root canals. It is found in the form of a biofilm, which makes it more resistant to antimicrobials, and requires optimal chemomechanical strategies to maximize root canal disinfection. AIM To evaluate the efficacy of 4 different endodontic file systems against E. faecalis biofilm growth in root canals using colony-forming units per milliliter (CFU/mL) and scanning electron microscope (SEM). METHODS Eighty-five extracted human mandibular premolars with straight root canals and apical diameters not larger than the #15 K-file were randomly selected. After performing a pilot study (n = 15) to determine the ideal incubation period for E. faecalis biofilm development, sixty-five root canals were infected with E. faecalis, incubated for 3 weeks, and then mechanically prepared using one of four single files (XP-endo Shaper, Hyflex EDM, One Curve, and Fanta. AFTM F One) (n = 15). Five infected root canals were excluded for the positive control. Five non-contaminated root canals were included for the negative control. Samples were collected using sterile paper points pre- and post-instrumentation to determine the bacterial load (CFU/mL). Root canals from each group were topographically evaluated at the coronal, middle, and apical segments using scanning electron microscope (SEM). Bacterial reduction data were estimated and statistically analyzed by Kruskal-Wallis and Mann-Whitney U tests (post hoc test) (P ≤ .05). RESULTS XP-endo Shaper, Hyflex DEM, and One Curve significantly could eradicate E. faecalis biofilms in infected root canals with no significant difference among them compared to Fanta. AF™ F One. CONCLUSION None of the systems were capable of completely eliminating biofilms. XP-endo Shaper, Hyflex EDM, and One Curve mechanically eliminated E. faecalis biofilms compared to Fanta. AF™ F One from infected root canals.
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Affiliation(s)
- Sarah A. Hamed
- grid.33003.330000 0000 9889 5690Endodontic Department, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt
| | - Sarah Shabayek
- grid.33003.330000 0000 9889 5690Microbiology and Immunology Department, Faculty of Pharmacy, Suez Canal University, Ismailia, Egypt
| | - Hayam Y. Hassan
- grid.33003.330000 0000 9889 5690Endodontic Department, Faculty of Dentistry, Suez Canal University, Ismailia, Egypt
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Xavier F, Zuolo M, Nevares G, Kherlakian D, Velozo C, de Albuquerque D. Postoperative Pain after Use of the WaveOne Gold and XP-endo Shaper Systems: A Randomized Clinical Trial. J Endod 2021; 47:1550-1556. [PMID: 34171356 DOI: 10.1016/j.joen.2021.06.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2021] [Revised: 05/30/2021] [Accepted: 06/16/2021] [Indexed: 11/30/2022]
Abstract
INTRODUCTION The present study aimed to clinically compare the incidence of postoperative pain after endodontic treatment of posterior teeth using the WaveOne Gold (WOG; Dentsply Sirona, Ballaigues, Switzerland) and XP-endo Shaper (XPES; FKG Dentaire, La Chaux-de-Fonds, Switzerland) systems. METHODS In a single-blind randomized clinical trial, 148 vital teeth with an indication for conventional endodontic therapy for prosthetic purposes were treated by 5 specialists following a preestablished protocol. All participants were unaware of the treatment they received. The teeth were randomly divided into 2 groups (n = 74) according to the instrumentation system used (the WOG group and XPES group). The treatments were performed in a single session. The participants were asked to rate the intensity of postoperative pain on a visual analog scale (no pain, mild pain, moderate pain, and severe pain) after 24, 48, and 72 hours and 7 days. RESULTS The incidence of postoperative pain was higher in the XPES group after 24, 48, and 72 hours compared with those in the WOG group (P < .05). Two participants in the WOG group experienced severe postoperative pain after 24 hours. None of the participants in either group reported pain after 7 days (P > .05, Mann-Whitney test). CONCLUSIONS Postoperative pain is expected after preparation of the root canal system with the WOG and XPES systems tested, but it only persists for a short period. Although more common after the use of the XPES system, the pain was classified as mild at all time points.
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Affiliation(s)
- Felipe Xavier
- Department of Restorative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco, Camaragibe, Brazil.
| | - Mário Zuolo
- Faculdade de Odontologia, APCD, São Paulo, Brazil
| | - Giselle Nevares
- Department of Restorative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco, Camaragibe, Brazil
| | | | - Christianne Velozo
- Department of Restorative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco, Camaragibe, Brazil
| | - Diana de Albuquerque
- Department of Restorative Dentistry and Endodontics, Dental College of Pernambuco, University of Pernambuco, Camaragibe, Brazil
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Pérez Morales MDLN, González Sánchez JA, Olivieri JG, Elmsmari F, Salmon P, Jaramillo DE, Terol FDS. Micro-computed Tomographic Assessment and Comparative Study of the Shaping Ability of 6 Nickel-Titanium Files: An In Vitro Study. J Endod 2021; 47:812-819. [PMID: 33549630 DOI: 10.1016/j.joen.2020.12.021] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 11/23/2020] [Accepted: 12/15/2020] [Indexed: 11/15/2022]
Abstract
INTRODUCTION This research studies and compares the shaping ability of WaveOne Gold (WG; Dentsply Tulsa Dental Specialties, Tulsa, OK), the Reciproc Blue (RB; VDW, Munich, Germany), TRUShape (TS, Dentsply Tulsa Dental Specialties), XP-endo Shaper (XP; FKG, La Chaux-de-Fonds, Switzerland), iRace (IR, FKG), and TruNatomy (TN; Dentsply Sirona, Ballaigues, Switzerland) in the preparation of moderately curved canals and using micro-computed tomographic technology. METHODS Sixty lower molars with 2 mesial canals were randomly distributed into 6 groups of 10 molars and 20 canals per group (n = 20). Specimens were scanned before and after preparation using the SkyScan 1275 (Bruker microCT, Kontich, Belgium). Group 1 was treated with WG, group 2 with RB, group 3 with TS, group 4 with XP, group 5 with IR, and group 6 with TN. After instrumentation, researchers quantified the changes produced in the canal geometry in terms of surface, volume, structure thickness, surface convexity index, structure model index, percentage of surface touched, and centroids. Wilcoxon and analysis of variance tests were performed to compare the values before and after preparation and the differences between groups. The significance level was established at 5%. RESULTS There were no significant differences between WG and RB (P > .05) and between TN and XP (P > .05). TN had significant differences with WG, RB, TS, and IR (P < .05). All the files produced similar apical transportation (P > .05). CONCLUSIONS WG and RB and TN and XP had similar shaping effectivity. TS and WG touched the highest percentages of canal surfaces (81% and 73%, respectively) but produced the biggest changes in the canal anatomy. TN and XP better kept the canal anatomy, but TN touched the lowest percentage of canal surface (50%). All the files used were able to clean and to shape moderately curved canals with minimal apical transportation.
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Affiliation(s)
- María de Las Nieves Pérez Morales
- Departments of Endodontics and Dental Research, International University of Catalunya, School of Dentistry, Sant Cugat del Valles, Barcelona, Spain
| | - José Antonio González Sánchez
- Departments of Endodontics and Dental Research, International University of Catalunya, School of Dentistry, Sant Cugat del Valles, Barcelona, Spain.
| | - Juan Gonzalo Olivieri
- Departments of Endodontics and Dental Research, International University of Catalunya, School of Dentistry, Sant Cugat del Valles, Barcelona, Spain
| | - Firas Elmsmari
- Departments of Endodontics and Dental Research, International University of Catalunya, School of Dentistry, Sant Cugat del Valles, Barcelona, Spain
| | | | - David E Jaramillo
- Department of Endodontics, University of Texas Health Science Center at Houston, Houston, Texas
| | - Fernando Durán-Sindreu Terol
- Departments of Endodontics and Dental Research, International University of Catalunya, School of Dentistry, Sant Cugat del Valles, Barcelona, Spain
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Abstract
Aim The aim of this study was to evaluate the effect of the different rotational speeds and creating a glide path on cyclic fatigue resistance of XP-endo Shaper® (XPS) (FKG Dentaire SA, La Chaux-de-Fonds, Switzerland) at intracanal temperature. Materials and Methods Ninety-six XPS files were divided into 6 groups [directly used at 1000 rpm (G1) or 3000 rpm (G4), with glide path at 1000 rpm (G2) or 3000 rpm (G4), without glide path at 1000 rpm (G3) and 3000 rpm (G6)]. All the instruments were rotated in a stainless-steel artificial canal with a 75° angle of curvature, 7.5 mm radius of curvature, and 1.3 mm inner diameter until the fracture occurred. The number of cycles to failure (NCF) and the length of the fractured (LF) segments were evaluated. Weibull analysis, one-way ANOVA, and Tukey multiple comparison tests were performed with the significance level set at 0.05. Results NCF of 3000 rpm groups was statistically higher than that of 1000 rpm groups (P < 0.05). And time to fracture was found statistically higher in 1000 rpm as compared to 3000 rpm. The mean LF of the instruments was statistically insignificant (P > 0.05). There was no statistical difference within the groups subjected at 1000 rpm and 3000 rpm files used with or without a glide path (P > 0.05). Conclusion Within the limitations of this in vitro study, it was determined that XPS can be used safely even at 3000 rpm speed with or without glide path.
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Affiliation(s)
- A Atav Ates
- Department of Endodontics, Istanbul Okan University, Faculty of Dentistry, Turkey
| | - B Arican
- Department of Endodontics, Istanbul Okan University, Faculty of Dentistry, Turkey
| | - H F Ounsi
- Department of Restorative Dentistry and Endodontics, Lebanese University; Department of Endodontics and Restorative Dentistry, Siena University, Faculty of Dental Medicine, Italy
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Arıcan Öztürk B, Atav Ateş A, Fişekçioğlu E. Cone-Beam Computed Tomographic Analysis of Shaping Ability of XP-endo Shaper and ProTaper Next in Large Root Canals. J Endod 2020; 46:437-443. [PMID: 31911004 DOI: 10.1016/j.joen.2019.11.014] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2019] [Revised: 11/12/2019] [Accepted: 11/23/2019] [Indexed: 11/26/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate and compare the shaping abilities of the XPS (XP-endo Shaper) and PTN (ProTaper Next) systems by using cone-beam computed tomography on apical, middle, and coronal thirds of the pre-created large canals with different apical sizes. METHODS Seventy-two teeth with single canal were divided into 3 groups, and then large root canals were created with apical diameter #30 (Group 1), #35 (Group 2), or #40 (Group 3) by using hand files. Each group was again divided into 2 experimental groups, and root canals were instrumented with either XPS or PTN. Canals were scanned before and after instrumentation by using cone-beam computed tomography scanner to evaluate mesiodistal transportation, buccolingual transportation, centering ratio, percent increased prepared area (PA) (mm2), and percent increased prepared outline (PO) (mm) at 2, 5, and 8 mm from the apex. Data were statistically analyzed, and the significance level was set at P < .05. RESULTS There were no statistically significant differences in PA, PO, and centering ratio values between instruments in size 30 and size 35. The mean increases in PA and PO (P < .021) were statistically higher with XPS in size 40. PTN had statistically higher buccolingual transportation in size 30 and size 35. XPS had lower mesiodistal transportation values in all 3 apical sizes. CONCLUSIONS PTN system is able to remove the dentin even in cases of increased apical diameter. However, XPS has less canal transportation and better centering ability compared with PTN.
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Affiliation(s)
- Burçin Arıcan Öztürk
- Department of Endodontics, Faculty of Dentistry, Istanbul Okan University, Istanbul, Turkey.
| | - Ayfer Atav Ateş
- Department of Endodontics, Faculty of Dentistry, Istanbul Okan University, Istanbul, Turkey
| | - Erdoğan Fişekçioğlu
- Department of DentoMaxillofacial Radiology, Faculty of Dentistry, Istanbul Okan University, Istanbul, Turkey
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