scholarly journals Microtomographic Evaluation of Canal Centralization and Dentine Removal after Canal Preparation with Two Rotary Systems: HyFlex EDM and ProTaper Next

2022 ◽  
Author(s):  
Vivian Ronquete ◽  
Alexandre Sigrist de Martin ◽  
Karin Zuim ◽  
Thais Machado de Carvalho Coutinho ◽  
Eduardo Fagury Videira Marceliano ◽  
...  
Keyword(s):  
Root Canal ◽  
Root Diameter ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Type Iv ◽  
Canal Diameter ◽  
Mandibular Molar ◽  
Apical Transportation ◽  
Significant Difference ◽  
Before And After

Abstract Objective This study compared the ProTaper Next (PTN; Dentsply Sirona, Tulsa, Oklahoma, United States) and HyFlex EDM (HEDM; Coltene/Whaledent AG, Alstätten, Switzerland) systems using micro–computed tomography (CT). Materials and Methods Twenty-one mesial roots classified as Vertucci's type IV from extracted mandibular first molars with curvatures between 20 and 40 degrees were selected. The teeth were scanned using a micro-CT before and after root canal preparation by both systems, applied to the same root, in alternating canals. The following parameters were analyzed: canal centering, apical transportation, root canal diameter/root diameter. Results No statistically significant differences between both systems were observed for any of the assessed morphological parameters (p > 0.05). All canals presented diameter enlargement of more than 40% in relation to root diameter in the cervical and middle segments. No statistically significant difference was noted between the HEDM and PTN groups. The wear percentage for the HEDM group in the cervical and middle thirds were 49.66 ± 8.65 and 46.48 ± 14.29, respectively, and 51.02 ± 11.81 and 45.48 ± 10.79 for the PTN group, respectively. Conclusion Both systems displayed similar mandibular molar mesial canals preparation, with no differences noted for any of the assessed parameters. Both groups showed increased canal diameter in the cervical and middle thirds by more than 40%.

scholarly journals Dentinal Microcrack Formation after Root Canal Instrumentation by XP-Endo Shaper and ProTaper Universal: A Microcomputed Tomography Evaluation

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sarah M. Alkahtany ◽  
Ebtissam M. Al-Madi
Keyword(s):  
The Body ◽  
Micro Ct ◽  
Cross Sectional ◽  
Significance Level ◽  
Root Canals ◽  
Type Iv ◽  
Significant Difference ◽  
Before And After ◽  
Microcrack Formation ◽  
Group 2

Aim. To evaluate dentinal microcrack formation on root canals instrumented, continuously in the body temperature, with XP-endo shaper (XPES) and ProTaper Universal (PTU), by means of microcomputed tomographic (micro-CT) analysis. Methodology. Nineteen mesial roots with two separate canals (Vertucci Type IV) of extracted mandibular molars were used in this study. The root canals (N = 38) were divided into 2 groups. Group 1 (n = 19): all MB canals were instrumented with XPES. Group 2 (n = 19): all ML canals were instrumented with PTU. All roots were scanned with micro-CT before and after instrumentation. Two precalibrated examiners evaluated the cross-sectional images of each sample with DataViewer program. The dentinal microcracks (complete and incomplete) were counted in each third of the root for the preinstrumentation and the postinstrumentation images. Wilcoxin signed-rank and Mann–Whitney U tests were used for statistical analysis at a significance level of P<0.05. Results. The number of microcracks increased significantly (P<0.05) after instrumentation with XPES in the middle and cervical thirds. The number of microcracks increased significantly (P<0.05) after instrumentation with PTU in the cervical third only. There was no significant difference between the groups in the cervical and apical thirds. In the middle third, the XPES induced more incomplete microcracks than PTU (P<0.05). Conclusion. Within the limitations of this study, there was no significant difference in the dentinal microcrack formation between XPES and PTU in the apical and cervical thirds of the root. However, XPES instrumentation induced more incomplete microcracks than PTU in the middle third of human roots.

scholarly journals The Influence of Brushing Movement on Geometrical Shaping Outcomes: A Micro-CT Study

2020 ◽  
Vol 10 (14) ◽  
pp. 4805 ◽  
Author(s):  
Mario Alovisi ◽  
Damiano Pasqualini ◽  
Giorgia Carpegna ◽  
Allegra Comba ◽  
Edoardo Moccia ◽  
...  
Keyword(s):  
Root Canal ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
System A ◽  
Glide Path ◽  
Before And After ◽  
Centroid Shift ◽  
Canal Shaping ◽  
Post Hoc ◽  
Reciprocating Systems

Brushing motion has been proposed for endodontic single-file reciprocating systems to eliminate coronal interferences, but it may hesitate in a less conservative root canal shaping. The aim of the study was to compare the maintenance of the original root canal anatomy using the WaveOne Gold (WOG) technique with or without a brushing motion. Sixty extracted human mandibular first molars were selected. Manual canal scouting and mechanical glide path were performed. Samples were randomized into two groups (n = 30): WOG Primary was used to shape the mesio-lingual canals without (NB group) or with (B group) an intentional brushing motion. Specimens were scanned with micro-computed tomography (micro-CT) before and after instrumentation in order to match the volumes. Increases in canal volume and surface area were measured. Centroid shift and thickness of removed dentine from the inner curvature were assessed at the furcation, 1.5 mm and 3 mm apically from the furcation, and in relation to the point of maximum curvature. Data were analyzed by one-way ANOVA and post-hoc Student–Newmann–Keuls tests (p < 0.05). No brushing technique resulted in being significantly associated with a better maintenance of the canal anatomy, especially in the coronal third (p < 0.05). When using the WOG system, a no-brushing technique resulted in less invasive shaping, reducing the risk of stripping.

scholarly journals On the Causality Between Dentinal Defects and Root Canal Preparation: A Micro-CT Assessment

2016 ◽  
Vol 27 (6) ◽  
pp. 664-669 ◽  
Author(s):  
Gustavo De-Deus ◽  
Felipe Gonçalves Belladonna ◽  
Juliana Roter Marins ◽  
Emmanuel João Nogueira Leal Silva ◽  
Aline de Almeida Neves ◽  
...  
Keyword(s):  
Cross Section ◽  
Root Canal ◽  
Optical Microscope ◽  
Control Group ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Preparation ◽  
Micro Cracks ◽  
Before And After ◽  
Experimental Group

Abstract This study aimed to evaluate the cause-effect relationship between canal preparation with ProTaper Universal (PTU) system and dentinal defects formation using micro-computed tomography (micro-CT) analysis. Forty mesial canals of mandibular molars with a type II Vertucci's canal configuration were scanned at an isotropic resolution of 14.16 µm. The sample was assigned to an experimental (n = 30) and a control (n = 10) groups, and the mesial canals were prepared with PTU system up to F2 instrument. The specimens from the experimental group were scanned and the cross-section images of the mesial roots, before and after preparation, were screened to identify the presence of dentinal defects. In the control group, the specimens were sectioned perpendicularly to the long axis of the root into 1-mm-thick slices (n = 80) and examined under optical microscope. Once a dentinal defect was detected, the slice was scanned through micro-CT. In the experimental group, dentinal micro-cracks were observed in 4,828 slices (24.04%). In all cross-section images, dentinal defects identified in the postoperative images were already present in the corresponding preoperative image. In the control group, 13 out of 80 slices (16.25%) had at least one dentinal defect visualized under stereomicroscopy, which was identified after a further micro-CT scanning. Micro-CT showed reliability as similar as optical microscopy in detecting dentinal defects, adding the possibility of tracking the dentinal tissue, before and after canal preparation, and providing a clear visualization of micro-cracks. Root canal preparation with PTU system did not induce the formation of new dentinal defects.

Quantitative Analysis of Root Canal System and Apical Part with Vertucci Type II Configuration Following Preparation with Three Different Preparation Systems: A Micro-computed Tomography Study

2020 ◽  
Vol 16 (4) ◽  
pp. 438-443
Author(s):  
Ali Keleş ◽  
Cangül Keskin
Keyword(s):  
Quantitative Analysis ◽  
Root Canal ◽  
Apical Part ◽  
Type Ii ◽  
Micro Computed Tomography ◽  
Chi Square ◽  
Root Canals ◽  
Significant Difference ◽  
Before And After ◽  
Canal Systems

Objective: Isthmuses are narrow communications between root canals, and form as the result of the merging of the two root canals widening in a buccolingual direction. This widening causes the high ovality of isthmuses. The shaping and cleaning of all root canal systems are regarded as one of the major difficulties in long-oval shaped root canals. This study aims to make quantitative analysis of Vertucci type II root canal systems following preparation with Self- Adjusting file (SAF), Reciproc or Revo-S. Methods: Major diameter and roundness values were measured at the level 1.2 mm from apical foramen before and after preparation. A ‘post-preparation node’ point was described when the minimum minor diameter value was smaller than major diameter of apical 1.2 mm. Data were analysed using one-way ANOVA, Tukey and Chi-square tests. Results: Preparation resulted in a significant increase in the major diameter values regardless of the instrumentation (p = 0.000). Preparation with Reciproc led to the significant increase in roundness values (p = 0.000), whereas no significant difference was detected in specimens prepared with SAF (p = 0.21) and Revo-S (p = 0.15). Conclusion: Root canal preparation with SAF, Reciproc and Revo-S led to a significant increase in the major diameter of apical 1.2 mm and resulted in high frequencies of the post-preparation node.

scholarly journals Apical Transportation and Centering Ability After Root Canal Filling Removal Using Reciprocating and Continuous Rotary Systems: A CBCT Study

2019 ◽  
Vol 13 (04) ◽  
pp. 613-618 ◽  
Author(s):  
Etienny da Silva Arruda ◽  
Emílio Carlos Sponchiado-Júnior ◽  
Mariana Travi Pandolfo ◽  
Márcio Acris de Carvalho Fredson ◽  
Lucas da Fonseca Roberi Garcia ◽  
...  
Keyword(s):  
Root Canal ◽  
Material Removal ◽  
Filling Material ◽  
Root Canal Filling ◽  
Universal System ◽  
Root Canals ◽  
Computed Tomographic ◽  
Apical Transportation ◽  
Significant Difference ◽  
Before And After

Abstract Objective To evaluate the apical transportation and centering ability promoted by reciprocating and continuous rotary systems after root canal filling removal. Materials and Methods After obturation, 40 mesial root canals of mandibular molars were distributed into four groups (n = 20) for filling material removal: PTU group–F2 instrument (25.08) of ProTaper Universal system; R25 group–R25 instrument (25.08) of Reciproc system; X2 group–X2 instrument (25.06) of ProTaper Next system and X3 group–X2 instrument (25.06) of ProTaper Next system, followed by X3 instrument (30.07). Cone-beam computed tomographic analysis was performed before and after filling material removal for acquisition of apical images. Apical transportation (AT) and its direction, and centering ability (CA), were assessed using the equations AT = (X1–X2)–(Y1–Y2) and CA = (X1–X2/Y1–Y2 or Y1–Y2/X1–X2), respectively. Data were submitted to the nonparametric Kruskal–Wallis and Dunn multiple comparison tests (p < 0.05) for statistical analysis. Results There was no statistically significant difference among groups for AT (p > 0.05), with a tendency toward transportation in the distal direction. Also, there was no statistically significant difference among groups regarding CA (p > 0.05). Conclusions The different systems, including ProTaper Next, caused AT within the acceptable clinical limit after filling removal. In addition, none of the tested systems presented adequate CA.

scholarly journals The comparison of the rate of apical displacement in curved root canals using Neoniti and RaCe files by cone beam CT Scan

2019 ◽  
Vol 22 (3) ◽  
pp. 313-320
Author(s):  
Mostafa Godiny ◽  
Nafiseh Nikkerdar ◽  
Reza Hatam ◽  
Leila Shahsavand ◽  
Atefeh Khavid
Keyword(s):  
Root Canal ◽  
Cone Beam Ct ◽  
File Systems ◽  
Root Canals ◽  
Mandibular Molar ◽  
Significant Difference ◽  
Before And After ◽  
Molar Teeth ◽  
Canal Transportation ◽  
The Mean

Background and aim: There is a high prevalence of root canal transportation in the teeth with the curve. effect of root canal transportation on the success of root canal therapy of tooth is negative and there is no study about comparing RaCe and Neoniti files in root canal transportation. The aim of this study is assessment and comparing two different RaCe and Neoniti files to determine transportation error in various parts of root using CBCT assessment and comparing them with each other.Method: In this experimental study 50 extracted mandibular molar teeth selected. Teeth were divided randomly into two groups i.e. 25 teeth threated with RaCe file (first group) and 25 teeth threated with Neonitu files (second group). in this study to measurement  thickness of dentine in the scan ,before and after instrumentation at the same time we used axial images that obtain from NNT viewer 6.1.0 software .Findings: in the first group ,The mean tooth transportation  in 5 mm of apex  was 0.15 and  in the second group The mean tooth transportation  in 5 mm of apex  was 0.18 mm that there was no statistically significant difference in canal transportation  between RaCe and Neoniti files in five millimeters distant from apex area (p=0.492) and the mean transportation from 9 mm of apex was 0.14 in the second group that There was no statistically significant difference in canal transportation between two  groups (p=0.911).Conclusion: The results indicated that there was no significant difference of tooth transportation between two file systems in 3, 9, 7, 5 and 11mm from the apex and both files were safe.  

scholarly journals Comparative Analysis of Root Dentin Loss when Using Modern Mechanical Cleaning Instruments in Immature Permanent Teeth

Folia Medica ◽  
2020 ◽  
Vol 62 (2) ◽  
pp. 352-357
Author(s):  
Krasimir Hristov ◽  
Natalia Gateva ◽  
Nikolay Ishkitiev ◽  
Liliya Doitchinova
Keyword(s):  
Root Canal ◽  
Permanent Teeth ◽  
Micro Computed Tomography ◽  
Mean Values ◽  
Root Canals ◽  
Immature Teeth ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
Mechanical Cleaning

Introduction: The full decontamination and disinfection of the root canal system is essential for the success of regenerative endodontic procedures. The current literature does not have information regarding mechanical cleaning of immature teeth with contemporary endodontic instuments. Aim: To compare the thickness and volume of the dentin removed from the roots of immature teeth after endodontic preparation using XP-endo Finisher, GentleFile Brush and a standard H-file scraping technique through micro-computed tomography. Methods: The study included 51 immature permanent molars. Endodontic access was prepared and without performing preliminary extirpation of the pulp, the teeth were divided into three groups. The first group of teeth were instrumented for two minutes with XP-endo Finisher, the second - two minutes with Gentlefile Brush, in the third group the root canals walls were scraped with a No. 40 H-file. The thickness and the volume of the removed dentin was assessed using micro-CT imaging before and after the use of the instruments. Results: There is no statistically significant difference in the mean values of thickness of dentin removed between the teeth, prepared with XP-endo finisher and Gentlefile Brush. When comparing the mean values of volume of dentin removed between the separate groups, a statistically significant difference was discovered for every compared pair with the highest volume of removed dentin in the group prepared with a hand instrument. Conclusion: The endodontic systems tested when used in immature permanent teeth remove significantly less quantity of hard dental structures compared to a hand file for scraping the root canal.

scholarly journals Quality of Root Canal Filling Using a Bioceramic Sealer in Oval Canals: A Three-Dimensional Analysis

2021 ◽  
Author(s):  
Poliana J. Penha da Silva ◽  
Marília F. Marceliano-Alves ◽  
José C. Provenzano ◽  
Rafaela L. A. Dellazari ◽  
Lucio Souza Gonçalves ◽  
...  
Keyword(s):  
Root Canal ◽  
Three Dimensional ◽  
Nickel Titanium ◽  
Morphological Parameters ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Root Canal Filling ◽  
Significant Difference ◽  
Single Cone

Abstract Objectives The oval canals may be associated with inadequate debridement, which can affect the quality of the root canal filling, thus the treatment outcome. The aim of the present work was to compare the quality of oval canals fillings using EndoSequence BC sealer with the single-cone technique or cold lateral compaction. Materials and Methods Thirty-eight human single-rooted premolars with oval canals were instrumented to 1 mm from the apical foramen with hand nickel–titanium files, followed by circumferential filing with Hedstrom files. Teeth were paired into two groups based on their micro-computed tomography (CT) morphological parameters. Both groups were filled using EndoSequence BC sealer. The first used a single cone and the other with the cold lateral compaction technique. The voids volume was evaluated by micro-CT and the percentage was calculated for the total length and for the apical 5 mm of each canal. The Mann–Whitney U test was used to assess whether the surface area and obturation length differed significantly between the groups and to compare the percentage of voids for each technique. Results Both techniques resulted in less than 16% voids, with no statistically significant difference between them for the total canal length and for the apical 5 mm (p > 0.05). Conclusions The quality of the obturation performed with the single-cone technique was similar to that achieved with lateral compaction using EndoSequence BC sealer in oval canals.

Observation of the Pulp Chamber of Maxillary First Premolars: A Micro-computed Tomographic Study

2020 ◽  
Vol 16 (3) ◽  
pp. 224-230
Author(s):  
Gozde Serindere ◽  
Ceren Aktuna Belgin ◽  
Kaan Orhan
Keyword(s):  
Root Canal ◽  
Age Groups ◽  
Slice Thickness ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Pulp Chamber ◽  
Anatomical Structures ◽  
Computed Tomographic ◽  
The Mean ◽  
Chamber Floor

Background: There are a few studies about the evaluation of maxillary first premolars internal structure with micro-computed tomography (micro-CT). The aim of this study was to assess morphological features of the pulp chamber in maxillary first premolar teeth using micro- CT. Methods: Extracted 15 maxillary first premolar teeth were selected from the patients who were in different age groups. The distance between the pulp orifices, the diameter of the pulp and the width of the pulp chamber floor were measured on the micro-CT images with the slice thickness of 13.6 µm. The number of root canal orifices and the presence of isthmus were evaluated. Results: The mean diameter of orifices was 0.73 mm on the buccal side while it was 0.61 mm on palatinal side. The mean distance between pulp orifices was 2.84 mm. The mean angle between pulp orifices was -21.53°. The mean height of pulp orifices on the buccal side was 4.32 mm while the mean height of pulp orifices on the palatinal side was 3.56 mm. The most observed shape of root canal orifices was flattened ribbon. No isthmus was found in specimens. Conclusion: Minor anatomical structures can be evaluated in more detail with micro-CT. The observation of the pulp cavity was analyzed using micro-CT.

scholarly journals Effects of pre-extraction intermittent PTH administration on extraction socket healing in bisphosphonate administered ovariectomized rats

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jae-Young Kim ◽  
Hyo-Won Jang ◽  
Jung-In Kim ◽  
In-Ho Cha
Keyword(s):  
Tooth Extraction ◽  
Bisphosphonate Therapy ◽  
Ovariectomized Rats ◽  
Control Group ◽  
Micro Ct ◽  
Micro Computed Tomography ◽  
Extraction Socket ◽  
Before And After ◽  
Socket Healing ◽  
Positive Effect

AbstractThe purpose of this study was to investigate the effect of administering intermittent parathyroid hormone (iPTH) before tooth extraction versus after tooth extraction on the risk of developing MRONJ in experimental animal model. Twenty-five ovariectomized rats received 6 weeks of bisphosphonate therapy. They were classified into 3 groups, based on the timing of the medication, as Control, Pre-PTH and Post-PTH groups. For Control group, normal saline was administered before and after tooth extraction. iPTH was administered during 4 weeks before tooth extraction for Pre-PTH group and after tooth extraction for Post-PTH group. The animals were euthanized 8 weeks after tooth extraction. Macroscopic, histological, micro-computed tomography (micro-CT), and histomorphometric examinations were conducted. The incidences of impaired healing were 11.11% both in Pre-PTH and Post-PTH groups, which was lower than the Control group (42.86%). Bone healing in the extraction socket, based on micro-CT and histomorphometry evaluations, was best in Post-PTH and worst in Control group. The Pre-PTH group showed moderate healing pattern. Despite of limitations in this study, the authors identified Pre-PTH group seems to have positive effect on extraction socket healing. With regard to timing, administering iPTH after tooth extraction was superior to applying it before tooth extraction.

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