scholarly journals Evaluation of Curved Canal Transportation Using the Neoniti Rotary System with Reciprocal Motion: A Comparative Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Mohsen Aminsobhani ◽  
Arvin Rezaei Avval ◽  
Fatemeh Hamidzadeh

The ideal root canal preparation is where the original canal morphology is maintained during the biomechanical preparation. Preparation of curved canals has always been a challenge to clinicians. Better results have been suggested for a single NiTi instrument with reciprocating motion than the conventional continuous rotation method in the preparation of curved root canals. Although the Neoniti rotary system is not suggested to be used with reciprocal motion, running a pilot study, we found that it could be possible. The present study aimed to investigate if shaping curved canals using the Neoniti rotary system with reciprocal motion leads to better results in terms of root canal transportation. One hundred acrylic j-shape canal simulator endoblocks were used in this study. Five preparation sequences were applied: GPS followed by A1#20 (GPS + A1#20), GPS followed by A1#20 and then A1#25 (GPS + A1#20 + A1#25), GPS followed by A1#25 (GPS + A1#25), hand file followed by A1#20 (hand file + A1#20), and GPS followed by A1#20 (with reciprocal motion) (GPS + A1#20(reciprocal)). Pictures were taken from blocks once before and once after preparation from two dimensions. Before-and-after pictures were superimposed in Photoshop software. Measurements were performed in Digimizer. The number of autoreverses and pecking motions was recorded after reviewing the recorded videos. Data were analyzed in SPSS, version 26. A p value of less than 0.05 was considered statistically significant. The group GPS + A1#20 + A1#25 had more transportation compared with the others, at apical, middle, and coronal thirds not only in the frontal view but also in the lateral view. Other groups were not significantly different. The number of peckings and autoreverses was significantly less when A1#25 was used after GPS and A1#20. When A1#20 was used with reciprocal motion, it had less peckings compared with the same file with continuous rotation, and no autoreverses were observed in that group. Using Neoniti files with reciprocal motion might result in less instrument fatigue and favorable results, with respect to canal anatomy preservation. Using A1#20 before A1#25 also will decrease the stress on the instrument during preparation. However, this may lead to significantly more canal transportation.

2016 ◽  
Vol 39 (12) ◽  
pp. 625-628
Author(s):  
Hakan Arslan ◽  
Damla O. Kirici ◽  
Ahmet D. Uygun ◽  
Ruslan Khalilov ◽  
Yahya Güven ◽  
...  

Purpose The aim of this study was to investigate the apical transportation of the ProGlider and ProTaper Next using 3 different motions (150° clockwise [CW]; 0° counter clockwise [CCW], 270° CW-30° CCW; and [360° CW] continuous rotation). Materials and Methods 36 simulated, curved, plastic training blocks were randomly distributed into 3 groups for treatment according to the movement kinematics used for ProGlider (Dentsply Maillefer) followed by ProTaper Next (Dentsply Maillefer) instruments (n = 12): 150° CW-30° CCW, 270° CW-30° CCW, and 360° CW (continuous rotation). Pre- and post-instrumentation photographs were taken from the root canals in a standardized manner. Root canal transportation was calculated at 1, 2, 3, 4, and 5 mm from the apical terminus of the canal. Data were analyzed using a Kruskal-Walis H test (p = .05). Results At the 1- and 2-mm levels, both reciprocating motions (150° CW-30° CCW and 270° CW-30° CCW) resulted in less transportation than those of continuous rotation (p<.05). However, there were no significant differences between the groups at the 3-, 4-, and 5-mm levels (p>.05). Conclusions Both reciprocating motions were found to have less canal transportation than the continuous rotation group at the 1- and 2-mm levels. This is the first study about the use of the ProGlider and ProTaper Next activated by different motions. Reciprocating motion can be beneficial for ProGlider and ProTaper Next to reduce transportation of root canals.


2019 ◽  
Vol 60 (1) ◽  
pp. 8-16
Author(s):  
Jader Vinicius Andreazza ◽  
Miguel Assis Martins Dos Santos ◽  
Lucas Siqueira Pinheiro ◽  
Júlia Eick Iglesias ◽  
Fernanda Ulmann Lopez ◽  
...  

Aims: To evaluate the centering ability, canal transportation and surface modifications of F2 and F3 ProTaper Universal (PT) instruments used in continuous rotation (CR) and reciprocating motion (RM) for the preparation of curved root canals. Material and methods: sixty mesiobuccal root canals of upper molars with curvatures between 25º and 35° were divided into three groups: I - PT in CR up to F3; II - PT in RM up to F3; III - F2 and F3 PT instruments in RM. Cone Beam Computed Tomography images were obtained before and after instrumentation. The scans were superimposed to determine the centering ability and canal transportation in apical, medium and cervical thirds. The apical 6 mm of the F2 and F3 files were evaluated under Scanning Electron Microscope before and after 1, 3 and 6 uses to assess distortion, surface wear and fracture. The statistical analysis of centering ability and canal transportation were performed by Kruskal–Wallis and ANOVA, respectively. The scores for deformation and surface wear were compared using ANOVA. Fisher’s exact test was used for the evaluation of instrument fracture. Results: there were no significant differences between groups regarding centering ability and canal transportation, as well as, for distortion, surface wear and fracture (p>.05). Conclusion: F2 and F3 instruments can be used for curved canals instrumentation. However, when used for entire canal preparation, F2 and F3 should be discarded after single use.


2021 ◽  
Vol 6 (2) ◽  
pp. 101-105
Author(s):  
Kadam Krutika Kiran ◽  
Vagarali Hemant ◽  
Pujar Madhu A ◽  
Tamase Aishwarya S ◽  
Sahana Umesh

This study aimed to compare the canal transportation and canal centering ability in the preparation of curved root canals after instrumentation with TruNatomy (TN) (TN; Dentsply Sirona, Maillefer, Ballaigues, Switzerland) and ProTaper Gold (PG) (PG; Dentsply, Tulsa Dental Specialties, Tulsa, OK, USA) files using cone‑beam computed tomography (CBCT). 30 Single rooted extracted human teeth with root curvature ranging from 20-30° according to Schneider’s method were selected. Teeth with any visible cracks or fractures, calcifications, previous root canal treatments were excluded. The teeth were randomly assigned into two groups i.e. Group 1-TN and Group 2-PG (n = 15 each). The teeth were instrumented according to manufacturer’s guidelines for both the groups. Canals were scanned using a CBCT scanner before and after preparation to evaluate the transportation and centering ratio at 3 mm, 5 mm, and 7 mm from the apex. The data analysis was done using SPSS software and the test used was independent sample t test for comparison between the 2 groups.Data obtained suggested that TN group presented lesser canal transportation at the middle third of the root. The PG group showed better centering abitily at apical third of the root canal when both the groups were compared. TN resulted in less transportation than PG at the middle third, and PG showed better centering ability at the apical third. Overall, both systems safely prepared root canals, causing minimal errors.


2017 ◽  
Vol 74 (3) ◽  
pp. 187
Author(s):  
Mariana Santoro Rocha ◽  
Brenda Leite Muniz ◽  
Marianna Fernandes Carapiá ◽  
Felipe Gonçalves Belladonna ◽  
Justine Monteiro Monnerat Tinoco ◽  
...  

Objective: this study evaluated the ability of rotary (ProTaper-Retreatment and Mtwo-Retreatment) and reciprocating (Reciproc and WaveOne) systems in maintaining the original shape of the canal after root canal retreatment. Material and Methods: forty curved resin blocks with simulated root canals were prepared and filled. After that, each block was randomly assigned to 4 groups (n = 10) according to the retreatment system used. Stereomicroscopic images from each block were taken before and after retreatment procedures. Evaluation of canal transportation was obtained for all canal length and for 2 independent canal regions: straight and curved parts. ANOVA followed by Tukey’s test was used (P<0.05). Results: for all canal length ProTaper-Retreatment system showed lowest transportation values followed by Reciproc, MTwo-Retreatment and WaveOne systems (P <0.01). At the straight part, ProTaper-Retreatment system produced the lowest canal transportation followed by Reciproc and MTwo-Retreatment systems (P < 0.05); at the curved part, ProTaper-Retreatment and Reciproc systems produced the lowest canal transportation followed by MTwo-Retreatment system (P < 0.05). The WaveOne system resulted in the highest transportation values at both canal parts (P < 0.05). Conclusion: overall, ProTaper-Retreatment system produced less canal transportation in both portions of the simulated canals than the others systems tested after retreatment procedures.


2018 ◽  
Vol 12 (1) ◽  
pp. 32-45 ◽  
Author(s):  
Iussif Mamede-Neto ◽  
Álvaro Henrique Borges ◽  
Ana Helena Gonçalves Alencar ◽  
Marco Antonio Hungaro Duarte ◽  
Manoel Damião Sousa Neto ◽  
...  

Objective: To evaluate transportation (T) and centering ability (CA) of root canal preparations using continuous or reciprocating nickel-titanium endodontic files. Materials and Methods: Ninety-six mesiobuccal root canals of mandibular first and second molars were randomly divided into 6 groups (n=16) according to the rotary file used: 1. ProTaper Next; 2. ProTaper Gold; 3. Mtwo; 4. BioRaCe; 5. WaveOne Gold; 6. Reciproc. Root canals were prepared according to manufacturer’s instructions. Cone beam computed tomography scans were obtained before and after root canal preparation. Measurements were made at six different reference points: 2, 3 and 4 mm from the apex and 2, 3 and 4 mm below furcation in different directions. Results: The greatest Mesiodistal (MD) Transportation (T) was found for Reciproc files (p<0.05), and the greatest buccolingual (BL) T, for Reciproc, ProTaper Gold and ProTaper Next files (p<0.05). The greatest Mesiodistal (MD) Centering Ability (CA) was found for BioRaCe files (p<0.05), and the greatest Buccolingual (BL) CA, for BioRaCe and Mtwo files (p<0.05). Conclusion: All systems produced root canal transportation. No file system achieved perfect CA of root preparation. Reciproc files had the greatest MD T and BL T. BioRaCe files had the greatest MD CA, whereas BL CA was similar for BioRaCe and Mtwo files.


Metals ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 172 ◽  
Author(s):  
Saulius Drukteinis ◽  
Vytaute Peciuliene ◽  
Ruta Bendinskaite ◽  
Vilma Brukiene ◽  
Rasmute Maneliene ◽  
...  

The aim of this study was to investigate the shaping ability and cyclic fatigue resistance of Genius (GN) and WaveOne (WO) nickel-titanium (NiTi) instruments. Forty mesial root canals of mandibular molars were randomly divided into two groups, according to the instrument system used for root canal preparation (n = 20): GN and WO. Root canals were prepared to the full working length using the crown-down technique, with up to 40.04 instruments for GN group and 40.08 instruments for WO group. Specimens were scanned with a µCT before and after instrumentation. The changes in 3D parameters and degree of canal transportation were evaluated in the apical, middle and coronal thirds of root canals. Size 25, taper 0.04 (GN) and 0.08 (WO) instruments (n = 20) were used in simulated root canals until fracturing, and the number of cycles to failure (NCF) was recorded. The fractured files were investigated under a scanning electron microscope to characterize fractured surfaces. Data were analyzed using ANOVA post hoc Tuckey’s tests with the significance level set at 5%. The GN system was able to prepare the higher percentage of the canal surface with less canal transportation in all root canal thirds and displayed the higher resistance to cyclic fatigue in comparison to WO instruments (p < 0.05). However, the length of the fractured segments was not significantly different among the groups; meanwhile, SEM investigations revealed the typical topographic characteristics of fractured surfaces. Hybrid GN instruments demonstrated superior shaping ability and resistance to cyclic fatigue. However, both NiTi instrument systems prepared the root canals with no significant shaping errors, considerable changes in 3D parameters and no significant differences in the topographic appearances of the instrument surfaces after fractures.


2019 ◽  
Vol 22 (3) ◽  
pp. 313-320
Author(s):  
Mostafa Godiny ◽  
Nafiseh Nikkerdar ◽  
Reza Hatam ◽  
Leila Shahsavand ◽  
Atefeh Khavid

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.  


2020 ◽  
Vol 24 (3) ◽  
pp. 334-339
Author(s):  
Gabriela Bonacina ◽  
Ana Carolina Neis Cifali ◽  
Rafaela Chies Hartmann ◽  
Maína De Aguiar Pinto ◽  
Maristela Gutierrez De Borba ◽  
...  

Objective: To assess the apical transportation in simulated root canals with different curvature angles prepared using manual instrumentation and rotary and reciprocating motions. Methods: Sixty simulated root canals were prepared using manual instrumentation (Flexofile K-file) (MT), continuous rotation (HyFlex CM) (HF), and reciprocating motion (WaveOne Gold) (WG). A trained operator prepared the canals, and the apical enlargement was standardized up to a #25 file in all systems tested. Two different curvature angles of the simulated root canals were tested: 70° and 50°. Overlapping photographs of the simulated root canals, before and after root canal preparation, were used to measure the apical transportation (mm), using the ImageJ software. Descriptive statistics (mean and standard deviation) were analyzed and the groups were compared with two-way ANOVA followed by Tukey’s post-hoc, with α=5%. Results: There was a statistically significant interaction between the effects of group and angle in the apical transportation (F = 3.740; p = 0.031). Simple main effects analysis showed that HyFlex CM produced a significantly lower apical transportation when compared to WaveOne Gold (p = 0.02) and the manual technique (p < 0.01), regardless of the angle. However, there were no differences between WaveOne Gold and manual technique in canals with the 70° angle (p>0.05). The group with the highest mean apical transportation was the MT, with 0.0917 mm, followed by WG and HF, with 0.0633 and 0.0325, respectively. Conclusion: Simulated root canals prepared with rotary motion (HyFlex CM) showed the lowest apical transportation, followed by the reciprocating motion (WaveOne Gold). The manual technique showed the most unfavorable results, with the highest apical transportation.


2020 ◽  
Vol 71 (6) ◽  
pp. 170-177
Author(s):  
Sanda Ileana Cimpean ◽  
Adrian Mihai Varvara ◽  
Smaranda Dana Buduru ◽  
Ioana Sofia Ciutrila ◽  
Mihaela Carmen Hedesiu ◽  
...  

Preservation of the root canal anatomy is very important for the success of endodontic treatment.Properly instrumentation of curvet root canals is influenced by flexibility of endodontic instruments which depends on composition and thermomechanical treatment of the metallic alloy. The aim of the current study was to compare the changes in root canal geometry after the preparation with two systems that work in reciprocating motion (Reciproc25, Primary Wave One) and another one in continuous rotation (One Shape), using CT measurements. Forty-five canals of extracted molars with curvatures ranging from 9 to 40 degrees were chosen for this study. The canals were divided, according to the canal curvature into three homogeneous groups and were prepared with three different rotary systems: group I with Reciproc file 25.08 (VDW, Munich, Germany), group II with Wave One Primary 25.08 (Dentsply-Maillefer Ballaigues, Switzerland) and group III with One Shape 25.06 (Micro Mega, Bensancon, France).All groups were scanned pre and post instrumentation, using NewTo 3G CBCT (QR, Italy, FOV, 0.16mm voxel size). The following parameters were assessed after measurements on cross-sectional CBCT images: the centering ability, diameter change, canal transportation. All instruments maintain the original canal curvature well, resulting in no significant differences of their centering ability (P]0.05) and canal transportation (P]0.05). The highest increase in diameter of canal was observed with Primary Wave One, which was not statistically significant for the entire canal (P]0.05). Instrumentation with Reciproc was faster than instrumentation with One Shape and Wave One,but the differences were not statistically significant (P]0.05). All systems perform safe and proper canal preparations and can be used in root canal treatment of curved canals.


2018 ◽  
Vol 29 (3) ◽  
pp. 245-248 ◽  
Author(s):  
Ozgur Genc Sen ◽  
Burcu Bilgin ◽  
Sibel Koçak ◽  
Baran Can Sağlam ◽  
Mustafa Murat Koçak

Abstract The aim of this study was to compare the amount of apically extruded debris during root canal instrumentation using ProTaper Next (PTN), Twisted File (TF) Adaptive, and Reciproc instruments. Forty-five extracted human maxillary canines were selected and randomly assigned into 3 groups. The root canals were prepared using PTN instruments with continuous rotation (n=15), TF Adaptive instruments with adaptive motion (n=15), Reciproc instruments with reciprocating motion (n=15). During the preparations, canals were irrigated using distilled water and material extruded apically was collected in pre-weighed Eppendorf tubes. After a 5-day drying period in an incubator, the tubes were weighed and the dry weight of the extruded debris was calculated. Data distributions were assessed via the Shapiro-Wilk test, and groups were compared via the Kruskal-Wallis test. The greatest amount of debris extruded by TF Adaptive and the least by PTN, but the difference was insignificant between groups (p=0.259). All instrumentation systems were associated with debris extrusion.


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