Numerical simulation and experimentation of endodontic file using Taguchi DoE

The endodontic file is a tapered, needle shape body used for the preparation of curved human root canals. During the preparation, process files get failed due to the locking action offered by the canal wall. The present study aimed to find the fatigue life of endodontic files at 23°, 33° and 43° root canal curvature angles. Four brands of files were selected for the present study viz. Hyplex CM, Pro-Taper Next, Hero Shaper, Pro-File Vortex. The strain life analysis done using ANSYS showed that the Hyplex CM file gives the highest fatigue life at 23°, 33° and 43° root canal curvature angles. Therefore, Hyplex CM file was selected for DoE Taguchi Optimization study. Each experimental reading was conducted on X Smart Plus experimental setup under purely rotary and combined reciprocating-rotary motion, at 500 rpm, 600 rpm and 700 rpm and 23°, 33° and 43° root canal curvature angles. Hyplex CM file given maximum fatigue life at 23° root canal curvature angle and 500 rpm speed of rotation. But if file motion is combined rotary-reciprocating, life reduces. The ANNOVA study showed that P-value and significance F are very small, which represented that the regression model is effective.

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Evaluation of the sealer/gutta-percha ratio on sets of root section surfaces of some extracted teeth sealed using the cold lateral condensation technique

Journal of Medicine and Life ◽

10.25122/jml-2021-0102 ◽

2021 ◽

Vol 14 (3) ◽

pp. 337-346

Author(s):

Ioana Suciu ◽

◽

Bogdan Dimitriu ◽

Mihai Ciocardel ◽

Mihaela Chirila ◽

...

Keyword(s):

Root Canal ◽

Essential Role ◽

Canal Wall ◽

Root Section ◽

Root Canals ◽

Gutta Percha ◽

Percentage Area ◽

The Difference ◽

Imagej Software

Canal filling must be well adapted to the walls of the root canal to prevent bacterial infiltration. Endodontic seals play an essential role in ensuring tightness, without which the canal filling would suffer infiltrations. This study aimed to evaluate the areas occupied by the two components of the canal filling, as well as the sealer/gutta-percha ratio in the root canals of the maxillary central incisors after their filling using the cold lateral condensation technique with gutta-percha. Thirty extracted upper central incisors were rotatably prepared with ProTaper Universal up to F3 and sealed using the cold lateral condensation technique with gutta-percha. After setting the sealer, the roots of the teeth were sectioned perpendicularly to 1 (L1), 3 (L3), 6 (L6), and 8 (L8) mm from the apex. The surface of the sections was analyzed with a Leica EZ4D stereomicroscope and photographed at two magnification orders: 10x and 25x. The areas corresponding to the gutta-percha, sealer, gaps, and root canal were expressed in pixels using the ImageJ software, version 1.50i. The difference in the representation of sealer areas, gutta-percha and voids was statistically significantly different for all four sections analyzed. The best adaptation of the canal obturation was observed in L1 and L3. The gutta-percha area was statistically significantly higher than that of the sealer for the L1, L3, and L6 levels, while the sealer/gutta-percha ratio recorded the lowest value at the L3 level (0, 30) and the highest at its L8 (0.70) level, without registering statistically significant differences regarding the area at the four analyzed levels. The voids were mostly absent or recorded a minimal percentage area (<1%). Cold lateral condensation of gutta-percha has led to a good adaptation of gutta-percha to the root canal wall, with a small amount of sealer, especially to the sections made at 3 mm from the apex. Given the limitations of this study, we noted that the voids were few – observed in the 6 and 8 mm sections – and were negligible in many cases.

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SMEAR LAYER REDUCTION IN ROOT CANALS PREPARED WITH TRIANGULAR AND RECTANGULAR FILES AS EVALUATED BY SCANNING ELECTRON MICROSCOPY

International Journal of Applied Pharmaceutics ◽

10.22159/ijap.2020.v12s2.op-21 ◽

2020 ◽

pp. 27-30

Author(s):

MEITA HERISA ◽

NONI MAHARANI ◽

RATNA MEIDYAWATI ◽

DEWA AYU NYOMAN PUTRI ARTININGSIH ◽

KAMIZAR NAZAR

Keyword(s):

Cross Section ◽

Root Canal ◽

Rectangular Cross Section ◽

Smear Layer ◽

Canal Wall ◽

Root Canals ◽

Cross Section Shape ◽

Section Shape ◽

Significant Difference ◽

Scanning Electron

Objective: Root canal preparation procedures can produce a smear layer when in contact with the root canal wall, which can result in treatmentfailure. As such, the cross-section shape of the file may influence the production of smear layer. In this study, we compared the smear layer productionat the apical third of the root canal wall between files with a triangular or rectangular cross-section shape.Methods: Thirty-two human premolar samples taken from mandibles were divided into two groups whose root canals were prepared using fileswith either a triangular (One Curve®, n=16) or rectangular (Hyflex EDM®, n=16) cross-section shape. After preparation, the root canals were irrigatedwith a combination of 2.5% NaOCl and 17% ethylenediaminetetraacetic acid (EDTA). The smear layers in the apical third of the root canal walls wereobserved using a scanning electron microscope and quantified according to the Foschi scoring system.Results: The Mann–Whitney U-test revealed a significant difference between root canal preparations using the different file shapes. The groupprepared with the triangular file produced lower smear layer scores compared with the group prepared with the rectangular file.Conclusion: Root canal preparations using files with different cross-section shapes (e.g., triangular and rectangular), followed by irrigation with 2.5%NaOCl and 17% EDTA, produced smear layers in the apical third area. However, root canal preparations using files with a triangular cross-sectionshape were shown to reduce smear layer production compared with files with a rectangular cross-section shape

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The shaping advantage of M-wire compared with conventional nickel-titanium rotary instruments in heavy curvature canal

10.21203/rs.3.rs-47617/v1 ◽

2020 ◽

Author(s):

Mika Tanaka-Sato ◽

Noriko Mutoh ◽

Kaori Shimojima ◽

Nobuyuki Tani-Ishii

Keyword(s):

Root Canal ◽

Nickel Titanium ◽

Canal Wall ◽

Root Canals ◽

Rotary Instruments ◽

The Mean ◽

Canal Shaping ◽

Shaping Ability

Abstract Background The purpose of this study was to evaluate the shaping advantage of M-wire NiTi ProTaper NEXT (PTN) compared with a conventional NiTi ProTaper Universal (PTU) file in heavy curvature canal. The shaping ability was measured by the amount of canal cutting and transportation between the PTN and conventional PTU. Methods Root canal shaping by the PTN and conventional PTU was classified into two experimental groups according to the final tip size, ISO #25 or ISO #40. Eighty-four J-shaped root canals (10°, 20°, 30° apical curvature) in resin block were used. Results After adjusting for the level and canal wall side, the mean transportation did not significantly decrease between the PTN and PTU with ISO #25. Significantly less deviation occurred with the PTN and PTU between 10° and 30° using ISO #40. Conclusions The M-Wire NiTi PTN improves file flexibility and enables accurate canal shaping for heavy curvature canals.

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Effect of circumferential undercut placement in the root canal wall on the retention of a tapered post in large and small root canals

Journal of Dentistry ◽

10.1016/s0300-5712(03)00047-2 ◽

2003 ◽

Vol 31 (4) ◽

pp. 247-252

Author(s):

D.C. Chen ◽

Y.L. Lai ◽

H.L. Chen ◽

S.Y. Lee

Keyword(s):

Root Canal ◽

Canal Wall ◽

Root Canals ◽

Small Root

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Assessment Using AutoCAD Software of the Preparation of Dentin Walls in Root Canals Produced by 4 Different Endodontic Instrument Systems

International Journal of Dentistry ◽

10.1155/2015/517203 ◽

2015 ◽

Vol 2015 ◽

pp. 1-5 ◽

Cited By ~ 1

Author(s):

Cristina Cabanillas ◽

Manuel Monterde ◽

Antonio Pallarés ◽

Susana Aranda ◽

Raquel Montes

Keyword(s):

Root Canal ◽

Root Anatomy ◽

Canal Wall ◽

Root Canals ◽

Significant Difference ◽

Before And After

Objectives. To compare the effectiveness of four instrument systems for preparing oval root canals: manual instrumentation (Step-Back technique), ProTaper Universal, ProTaper Next, and Wave One.Material and Methods. For the purpose of this assessment, 60 teeth extracted for orthodontic or periodontal reasons, specifically canines and premolars with full coronal and root anatomy, were used and 15 samples were assigned to each group. The section of the canals was compared before and after instrumenting and the section of untouched canal wall was measured using AutoCAD software. The data was analysed by means of Shapiro-Wilk, ANOVA, and Kruskal-Wallis tests.Results. In the apical third, 100% of the canals were prepared with all the systems. In the middle third, apvalue of 0.5989 in the Kruskal-Wallis test was obtained, which indicates no significant difference between the groups. At the coronal third level, the results obtained revealed that Wave One had a significantly lower mean average than the rest (p<0.05).Conclusions. There are no differences between the various root canal instrument systems in the apical and middle thirds. At the coronal third level, Wave One system showed performance significantly worse than the rest, among which there were no differences.

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ProTaper retreatment system versus balanced force technique for apical extrusion and gutta-percha removal

International Dental Research ◽

10.5577/intdentres.2019.vol9.no2.5 ◽

2019 ◽

Vol 9 (2) ◽

pp. 63-68

Author(s):

Esma Sarıçam ◽

Bülent Altunkaynak ◽

Güven Kayaoğlu

Keyword(s):

Root Canal ◽

Native Speakers ◽

Primary Root ◽

Filling Material ◽

Canal Wall ◽

Root Canals ◽

Gutta Percha ◽

System Versus ◽

Apical Extrusion ◽

Native Speakers Of English

Introduction: The aim was to compare root canal wall cleanliness, amounts of apically extruded debris and irrigant during retreatment using the ProTaper Universal Retreatment (PT) system or balanced force technique (BFT). Materials and Methods: Root canals of extracted mandibular premolar teeth (n=44) were endodontically prepared and obturated, then the teeth were divided into two groups: BFT and PT. Apically extruded material was collected into preweighed Eppendorf tubes using the Myers and Montgomery method. The root halves were photographed under a stereomicroscope. Area of the remnant filling material (coronal, middle, apical thirds and total canal surface) was measured by software. Data were analyzed by Mann-Whitney U test. Results: The BFT and PT system provided similar degrees of canal wall cleanliness (p > 0.05) and amounts of extruded irrigant (p>0.05). The PT system caused less debris extrusion (p<0.05). Conclusions: Although the BFT was shown to cause less apical extrusion in primary root canal treatment compared to other manual instrumentation techniques, in the present study, BFT caused more debris extrusion than the PT group. How to cite this article: Sarıçam E, Altunkaynak B, Kayaoğlu G. ProTaper Retreatment system versus balanced force technique for apical extrusion and gutta-percha removal. Int Dent Res 2019;9(2):63-8. Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.

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The Effectiveness of Different Final Irrigation Protocols for Removal of Calcium Hydroxide Intracanal Medication from Root Canal

ARS Medica Tomitana ◽

10.2478/arsm-2019-0032 ◽

2019 ◽

Vol 25 (4) ◽

pp. 161-165

Author(s):

Scarlatescu Sanziana ◽

Gheorghiu Irina-Maria ◽

Mitran Loredana ◽

Mitran Mihai ◽

Perlea Paula

Keyword(s):

Calcium Hydroxide ◽

Root Canal ◽

Canal Wall ◽

Root Canal Filling ◽

Root Canals ◽

Irrigation Solution ◽

Group 2 ◽

Group 1

Abstract Calcium hydroxide is the most used intracanalar medicament between apointments. It shoud be properly removed before root canal filling because its remnants could compromise the sealing of root obturation. The aim of this study was to compare the effectiveness of two type of irrigation solutions, EDTA and SmearClear in the removal of calcium hydroxide from root canals. Materials and method: twenty human single rooted teeth were prepared using ProTaper Universal instrumentation till F2, .06 taper. The canals were filled with Ca(OH)2 and after 7 days the Ca(OH)2 was removed using 3 rinses of 5 ml 15% EDTA and 5 ml 5.25% NaOCl alternately (group 1; n=10) or 3 rinses of 5 ml Smear Clear (SybronEndo) and 5 ml 5.25% NaOCl alternately (group 2; n=10). Results: On the final radiographs the best result was found in group 2 where the cleanliness of the total surface of the root canal wall when SmearClear was used obtained better results comparative to NaOCl – 15% EDTA (91.34% to 71.69%). Conclusions: under the limitation of this study, SmearClear was superior in removing Ca(OH)2 material compared to NaOCl and 15% EDTA irrigation solution.

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The role of intracanal medicaments in inhibition of bacteria isolated from root canals of infected primary molars

Mustansiria Dental Journal ◽

10.32828/mdj.v14i1.766 ◽

2019 ◽

Vol 14 (1) ◽

pp. 92

Author(s):

Dr. Maha Abdul- Kareem Mahmood ◽

Dr. Huda Elias Ali ◽

Dr. Haraa Khairi Abdul-Kadher

Keyword(s):

Antimicrobial Activity ◽

Streptococcus Mutans ◽

Normal Saline ◽

Root Canal ◽

Primary Teeth ◽

Primary Molars ◽

Root Canals ◽

Etiologic Agents ◽

Micro Organisms

Microbes are considered as the primary etiologic agents in endodontic diseases.Disinfection of the root canal is obtained by the combined effect of biomechanicalpreparation, irrigation and intra canal medicament. The aim of the present study wasto assess the antimicrobial activity of intracanal medicaments (formocresol andEndosepton) against two micro organisms (Streptococcus mutans and staphylococcusaureus) isolated from 15 necrotic pulps of primary molars indicated for pulpectomyprocedure. The samples were cultured, and purified using microbiological evaluation.Broth dilution test was performed in our study by preparing test tubes containing10 ml of BHI broth (pH. 7) which then inoculated with strains of the tested bacteriaand incubated at 37 C° for 24 h. After over night incubaction, ten fold dilution weremade in test tubes containing 9 ml of normal saline by adding 1 ml of the inoculum tothe first tube . Then from dilution 10-1 , 0.1 ml of cell suspension was added to 9.9 mlof formocresol and endosepton, then 0.1 ml was taken and spread on duplicates ofBHI agar plates at different intervals and incubated aerobically for 24 h. at 37 C°.Colonies on the plates were counted after incubation and CFU/mL (colony formingunit) was calculated. Our results indicating that there were no significant differencesbetween the intracanal medicaments, but there were high significant differencesbetween the intervals time of the study. We concluded that both materials had greatantibacterial effect against the pathogens commonly isolated from necrotic pulpaltissue of primary teeth.

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Аpplying of high-frequency monopolar diathermocoagulation in the treatment of chronic pulpitis

Medical alphabet ◽

10.33667/2078-5631-2020-12-40-42 ◽

2020 ◽

Vol 1 (12) ◽

pp. 40-42

Author(s):

F. Yu. Daurova ◽

D. I. Tomaeva ◽

S. V. Podkopaeva ◽

Yu. A. Taptun

Keyword(s):

Root Canal ◽

High Frequency ◽

Antibacterial Effect ◽

Comparison Group ◽

Poor Quality ◽

Endodontic Treatment ◽

Root Canals ◽

The Third ◽

Before And After

Relevance: the reason for the development of complications in endodontic treatment is poor-quality instrumental treatment root canals.Aims: a study of the animicrobial action and clinical efficacy of high-frequency monopolar diathermocoagulation in the treatment of chronic forms of pulpitis.Materials and methods: 102 patients with various chronic forms of pulpitis were divided into three groups of 34 patients each. In the first two groups, high-frequency monopolar diathermocoagulation was used in endodontic treatment in different modes. In the third group, endodontic treatment was carried out without the use of diathermocoagulation (comparison group). The root canal microflora in chronic pulpitis in vivo was studied twice-before and after diathermocoagulation.Results: it was established that high-frequency monopolar diathermocoagulation in the effect mode is 3, power is 4 (4.1 W) and effect is 4, power is 4 (5.4 W) with an exposure time of 3 seconds, it has a pronounced antibacterial effect on all presented pathogenic microflora obtained from the root canals of the teeth.

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