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

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.

Download Full-text

Effect of glide path on transportation promoted by NiTi and M-Wire instruments

Brazilian Dental Science ◽

10.14295/bds.2018.v21i1.1525 ◽

2018 ◽

Vol 21 (1) ◽

pp. 104

Author(s):

Tatiane Pires Nogueira ◽

Ellen Roberta Lima Bessa ◽

Eduardo Da Costa Nunes ◽

André Augusto Franco Marques ◽

Lucas Da Fonseca Roberti Garcia ◽

...

Keyword(s):

Statistical Analysis ◽

Root Canal ◽

Polyester Resin ◽

Root Canal Preparation ◽

Root Canals ◽

Path Creation ◽

Dental Instruments ◽

Glide Path ◽

Significant Difference ◽

Before And After

Objective: To evaluate the effect of glide path creation on transportation promoted by NiTi and M-Wire instruments. Material and Methods: Sixty polyester resin blocks containing a simulated root canal were distributed into four groups (n=15), according to the protocols/systems used for root canal preparation: GPR group - glide path + Revo-S system; R group - no glide path + Revo-S system; GPPN group - glide path + ProTaper Next system and PN group - no glide path + ProTaper Next system. Root canals were photographed before and after preparation, and the images were superimposed to evaluate the transportation at the apical, middle and coronal thirds. The time spent to perform preparation was also measured (seconds). Data were submitted to the non-parametric Kruskal-Wallis test (p<0.05) for statistical analysis. Results: In the apical third, there was no significant difference among groups (p>0.05). GPR and R groups were similar in the middle third (p>0.05). However, the transportation value in GPR group was statistically higher in comparison with GPPN and PN groups (p<0.05). In the coronal third, GPR and R groups were similar (p>0.05). Only R group presented significant difference in comparison with GPPN and PN groups (p<0.05). There was no difference among groups about time spent to perform preparation (p>0.05). Conclusion: None of the systems were capable of maintaining the original trajectory of the simulated root canal, and the glide path had no effect on the transportation promoted by instruments.KeywordsDental instruments; Endodontics; Root canal preparation.

Download Full-text

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

Download Full-text

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

Current Medical Imaging Formerly Current Medical Imaging Reviews ◽

10.2174/1573405614666181115115352 ◽

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.

Download Full-text

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

European Journal of Dentistry ◽

10.1055/s-0039-3399407 ◽

2019 ◽

Vol 13 (04) ◽

pp. 613-618 ◽

Cited By ~ 2

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.

Download Full-text

Shaping Ability of Reciproc, UnicOne, and Protaper Universal in Simulated Root Canals

The Scientific World JOURNAL ◽

10.1155/2015/690854 ◽

2015 ◽

Vol 2015 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Etevaldo Matos Maia Filho ◽

Cláudia de Castro Rizzi ◽

Matheus Bandeca Coelho ◽

Sara Freitas Santos ◽

Luzia Mayanne Oliveira Costa ◽

...

Keyword(s):

Czech Republic ◽

Root Canal ◽

Root Canals ◽

Significant Difference ◽

Before And After ◽

Reciprocating Instruments ◽

Shaping Ability ◽

Reciprocating Movement ◽

Curved Root Canals

The study aimed to compare the shaping effects, preservation of the original curvature, and transportation of the apical foramen of Reciproc (VDW, Munich, Germany), UnicOne (Medin, Nové Město na Moravě, Czech Republic), and Protaper Universal (Dentsply Maillefer, Ballaigues, Switzerland) in simulated root canals. Thirty resin blocks with simulated curved root canals were distributed into three groups(n=10),and prepared using Reciproc (RCp), UnicOne (UnO) and the Protaper Universal (PTu). Standardized photographs were taken before and after the instrumentation, after which they were superimposed. Measurements were taken of the quantity of resin removed from the inner and outer walls of the curvature at 6 levels, the curvature angles before and after instrumentation, and the transportation of the apical foramen. RCp obtained the highest values for amount of resin removed from the inner wall while UnO demonstrated similar shaping on both the inner and outer walls. PTu produced the greatest transportation of foramen when compared to the reciprocating instruments. There was no significant difference between the groups in terms of the change in angle(P>0.05). All the instruments were capable of maintaining the original curvature of the root canal; however, the UnO, which used reciprocating movement, produced more conservative shapes with lower foramen transportation.

Download Full-text

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

Brazilian Dental Science ◽

10.14295/bds.2019.v22i3.1748 ◽

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.

Download Full-text

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

Folia Medica ◽

10.3897/folmed.62.e39515 ◽

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.

Download Full-text

Effects of Gates-Glidden, LA Axxess and orifice shaper burs on the cervical dentin thickness and root canal area of mandibular molars

Brazilian Dental Journal ◽

10.1590/s0103-64402011000100004 ◽

2011 ◽

Vol 22 (1) ◽

pp. 28-31 ◽

Cited By ~ 10

Author(s):

Marco Antonio Hungaro Duarte ◽

Ricardo Affonso Bernardes ◽

Ronald Ordinola-Zapata ◽

Bruno Carvalho de Vasconcelos ◽

Clovis Monteiro Bramante ◽

...

Keyword(s):

Root Canal ◽

Significance Level ◽

Root Canals ◽

Canal Area ◽

Mandibular Molars ◽

Significant Difference ◽

Before And After ◽

Dentin Thickness

This study evaluated the increase of the instrumented area and dentin thickness in the mesial and distal aspects of mesial canals of mandibular molars after the use of Gates Glidden (GG), LA Axxess (LA) and Orifice Shaper (OS) instruments. A total of 53 canals from 27 mandibular molars were embedded in resin and divided into 3 groups. The roots were sectioned 3 mm below the cementoenamel junction and the images were captured before and after instrumentation. The increase of the instrumented area in terms of percentages and the remaining dentin thickness, in mm, at the mesial and furcal aspects were calculated using the Image tools software. Data were analyzed using the Kruskal-Wallis and Dunn's test. The significance level was set at 5%. All instruments promoted cervical flaring with different amounts of dentin removal at the mesial and distal aspects of the root canals. Statistically significant difference (p<0.05) was found between LA and all other instruments after using the first instrument. Regarding dentin thickness, no significant difference (p>0.05) was found between the mesial and distal walls in all groups. It may be concluded that LA 35.06 and GG 3 burs produced the thinnest dentin walls, and thus their use in mesial canals of mandibular molars should be done with caution.

Download Full-text

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.

Download Full-text

Comparison of the Effects of a Bioceramic and Conventional Resin-Based Sealers on Postoperative Pain after Nonsurgical Root Canal Treatment: A Randomized Controlled Clinical Study

Materials ◽

10.3390/ma14102661 ◽

2021 ◽

Vol 14 (10) ◽

pp. 2661

Author(s):

Kiche Shim ◽

Young-Eun Jang ◽

Yemi Kim

Keyword(s):

Postoperative Pain ◽

Postoperative Period ◽

Root Canal ◽

Continuous Wave ◽

Root Canal Treatment ◽

Root Canals ◽

Anterior Teeth ◽

Significant Difference ◽

Ah Plus ◽

Group 2

Background: This clinical trial aimed to compare the effects of bioceramic sealer and resin-based sealer on the incidence and intensity of postoperative pain. Methods: Patients with anterior teeth or premolars requiring root canal treatment were assigned to group 1 (n = 51). Those with molars requiring treatment were assigned to group 2 (n = 57). In groups 1En and 2En, root canals were obturated with Endoseal MTA using the single-cone technique. In groups 1AH and 2AH, the sealer used was AH Plus with the continuous wave technique. On the day of canal filling, each patient was instructed to indicate their pain intensity over the 7 day postoperative period, at rest and, while biting, using a visual analog scale. Results: There was no significant difference in the incidence or intensity of postoperative pain between the Endoseal MTA and AH Plus groups during the 7 day postoperative period (p > 0.05). Less time was needed to seal the root canals with Endoseal MTA, especially in group 2 (p < 0.05). Conclusions: Endoseal MTA and AH Plus had similar effects on the incidence and intensity of postoperative pain. The obturation time was shorter when using Endoseal MTA compared to AH Plus.

Download Full-text