scholarly journals Surface Characteristics of Reciprocating Instruments Before and After Use - A SEM Analysis

2015 ◽  
Vol 26 (2) ◽  
pp. 121-127 ◽  
Author(s):  
Aida Rene Assayag Hanan ◽  
Daniely Amorin de Meireles ◽  
Emílio Carlos Sponchiado Júnior ◽  
Simone Hanan ◽  
Milton Carlos Kuga ◽  
...  
Keyword(s):  
Microscopic Analysis ◽  
Surface Characteristics ◽  
Sem Analysis ◽  
Significance Level ◽  
Root Canals ◽  
Mechanical Preparation ◽  
Significant Difference ◽  
Before And After ◽  
Reciprocating Instruments ◽  
Descriptive Statistical Analysis

The presence of debris, defects and deformations of endodontic reciprocating instruments before and after chemical-mechanical preparation (MCP) was analyzed using scanning electron microscopy (SEM). The following 26 instruments were divided into 2 groups: Waveone (n=13) and Reciproc (n=13) and examined by SEM (150 x magnification) prior to canal preparation at 2 and 4 mm from the tip. The instruments were used in the preparation of mesial root canals of 26 extracted human permanent mandibular molars. The instruments were then washed in ultrasonic bath and subjected to new microscopic analysis of debris and deformation by a score that used the presence or absence of irregular edges, grooves, microcavities and burrs as criteria. After the SEM analysis and with the scores of the examiners, the collected data were subjected to descriptive statistical analysis using the Kruskall-Walis and Mann Whitney test at a 5% significance level. All instruments examined presented debris before and after use. A statistically significant difference was found for defects and deformation between the groups (p<0.05). The presence of defects and deformities was higher in the WaveOne instruments, and Reciproc instruments presented a lower rate.

scholarly journals Shaping Ability of XP Endo Shaper File in Curved Root Canal Models

2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Abdulmohsen Alfadley ◽  
Abdalrhman Alrajhi ◽  
Hamad Alissa ◽  
Faisal Alzeghaibi ◽  
Lubna Hamadah ◽  
...  
Keyword(s):  
Body Temperature ◽  
File Systems ◽  
Lower Number ◽  
Significance Level ◽  
Root Canals ◽  
Shaping Time ◽  
Significant Difference ◽  
Before And After ◽  
Canal Shaping ◽  
Shaping Ability

The aim of this study was to assess the shaping ability of the XP Shaper (XPS) file in severely curved canal models under simulated body temperature and compare it with that of the WaveOne Gold (WOG) file. Ninety-six simulated root canals were equally distributed into XPS and WOG systems to be shaped by eight files each. Files were assessed under a stereomicroscope prior to canal shaping to detect deformation if any. The canals were shaped at 35 ± 1°C using the X-Smart Plus motor. Images of the canals were obtained before and after instrumentation using a stereomicroscope to measure the amount of removed resin from both the inner and outer curvature sides at apex (0 mm) and 3 mm and 6 mm from the apex. The shaping time was calculated. The data were statistically analyzed by the independent t-test at 5% significance level. The XPS and WOG systems shaped the canals in 37.0 ± 9.5 and 62.6 ± 11.3 seconds (P<0.05), respectively. At the apex level, the amount of resin removal in both sides did not show a significant difference between the tested groups (P>0.05). At 3 mm and 6 mm levels, the WOG removed more resin than XPS at both sides (P<0.05). In XPS, deformation was observed in four files: one file after the first use, one file after the fourth use, and two files after the sixth use. In WOG, two files were deformed: one file after the fifth use and one file after the sixth use. One XPS file was fractured after the sixth use. In short, XPS and WOG files can be used in shaping severely curved canals as they showed the ability to maintain the original shape with minimal transportation. Both file systems showed signs of deformation after use with a lower number of deformed files observed in WOG throughout the experiment.

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

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
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.

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

2011 ◽  
Vol 22 (1) ◽  
pp. 28-31 ◽  
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.

scholarly journals Comparison of Surface Characteristics of Apical Third of Rotary NiTi Files Manufactured from Different Phases of NiTi before and after Use: an Sem Analysis

2016 ◽  
Vol 04 (01) ◽  
pp. 018-022
Author(s):  
Dhwani Bakhai ◽  
Vibha Hegde
Keyword(s):  
Surface Defects ◽  
File Systems ◽  
Surface Characteristics ◽  
Sem Analysis ◽  
P Value ◽  
Austenitic Phase ◽  
Significant Difference ◽  
Before And After ◽  
Multiple Uses ◽  
Niti Instruments

AbstractClinically, there is a real potential for rotary NiTi instruments to separate in the canal; hence increasing the resistance to fracture has been a focus in the designing of new NiTi rotary systems. NiTi alloys go through various transitional phases and these have been utilized by manufacturers in different file systems. Aim: To evaluate and compare the surface changes of rotary nickel-titanium instruments manufactured from the Austenite phase, M-wire technology and R- phase before and after multiple uses. Materials and Methodology: 60 freshly extracted human mandibular premolars with a single, straight canal were selected. They were divided into 3 groups of 20 teeth each. Cleaning and Shaping was carried out using the crown down technique. All instruments were evaluated for defects under Scanning Electron Microscope (SEM) before and after multiple uses and scored for the defects. Results were statistically analyzed using Kruskal Wallis and Mann Whitney U test. Results: The p-value was <0.0001, indicating a statistically significant difference between the three groups in terms of resistance to surface defects. Conclusion: R-phase technology had superior resistance to surface defects, followed by M-wire and the austenitic phase.

scholarly journals Shaping and Centering Ability, Cyclic Fatigue Resistance and Fractographic Analysis of Three Thermally Treated NiTi Endodontic Instrument Systems

Materials ◽  
2020 ◽  
Vol 13 (24) ◽  
pp. 5823
Author(s):  
Saulius Drukteinis ◽  
Vytaute Peciuliene ◽  
Ruta Bendinskaite ◽  
Vilma Brukiene ◽  
Rasmute Maneliene ◽  
...  
Keyword(s):  
Fatigue Resistance ◽  
Cyclic Fatigue ◽  
Fractographic Analysis ◽  
Significance Level ◽  
Root Canals ◽  
Topographic Features ◽  
New Instrument ◽  
Before And After ◽  
Number Of Cycles ◽  
Thermally Treated

The better understanding of the clinically important behavioral features of new instrument systems has an important significance for the clinical endodontics. This study aimed to investigate the shaping and centering ability as well as cyclic fatigue resistance of HyFlex CM (CM), HyFlex EDM (EDM) and EdgeFile (EF) thermally treated nickel–titanium (NiTi) endodontic instrument systems. Sixty curved root canals of the mesial roots of mandibular molars were randomly assigned into three groups (n = 20) and shaped using CM, EDM and EF files up to the size 40 and taper 04 of the instruments. µCT scanning of the specimens before and after preparation was performed and the morphometric 2D and 3D parameters were evaluated in the apical, middle and coronal thirds of root canals. In each group, 40.04 instruments (n = 20) were subjected to the cyclic fatigue resistance test in artificial root canals at 37 °C temperature until fractures occurred, and the number of cycles to failure (NCF) was calculated. The fractographic analysis was performed using a scanning electron microscope, evaluating topographic features and surface profiles of the separated instruments. The one-way analysis of variance with post hoc Tuckey’s test was used for statistical analysis of the data; the significance level was set at 5%. All systems prepared the comparable percentage of root canal surface with the similar magnitude of canal transportation in all root thirds (p > 0.05), but demonstrated significantly different resistance to cyclic fatigue (p < 0.05). The most resistant to fracture was EF, followed by EDM and CM. The length of the fractured fragments was not significantly different between the groups, and fractographic analysis by SEM detected the typical topographic features of separated thermally treated NiTi instrument surfaces.

scholarly journals Effectiveness of calcium hydroxide in reducing bacterial load comparing with chemo-mechanical preparation- A systematic review

2019 ◽  
Author(s):  
SaiSiva Naga GayathriNaidu ◽  
B Vikram Simha ◽  
Koka Krishna Mohan ◽  
Rammohan Modem ◽  
Kommineni Harish Chowdary
Keyword(s):  
Clinical Trials ◽  
Calcium Hydroxide ◽  
Bacterial Load ◽  
Bacterial Reduction ◽  
Bacterial Populations ◽  
Hand Search ◽  
Root Canals ◽  
Mechanical Preparation ◽  
Infected Root ◽  
Significant Difference

Aim: To determine and compare to what extent the intra-canal medicament like calcium hydroxide along with chemo-mechanical preparation reduces the bacterial load in infected root canals. Methodology: PubMed Cental, Medline, Google Scholar and hand search was carried out using the keywords calcium hydroxide (Ca(OH)2) , intra-canal medicament(ICM) and chemo-mechanical preparation. Selection Criteria: Clinical trials in which bacterial samples were evaluated at 3 intervals (Baseline, after chemo-mechanical preparation, after dressing with intra canal medicament ICM and trials which use Ca(OH)2 with any vehicle as ICM, but not compared with any other ICM were selected for this review. The data collection form was customized. The primary outcome measures were reduction of bacterial populations in infected root canals. Results: Seven clinical trials that met all inclusion criteria involving 117 participants were reviewed. Included studies showed significant difference in bacterial reduction after chemo-mechanical preparation and placement of Ca(OH)2 dressing for a week. In all included trials, Ca(OH)2 reduced bacterial load further compared with chemo-mechanical preparation. Conclusion: Ca(OH)2 as an inter-appointment medication promoted further decrease in the bacterial bioburden to levels significantly below those achieved by the chemo-mechanical procedures alone. Intra-canal medicament such as Ca(OH)2 should be considered for bacterial reduction along with chemo-mechanical preparation for long term success. Key Words: Intra-canal medicament, calcium hydroxide, Root canal treatment, bacterial load, Pulpitis

scholarly journals The Effects of Massage on the Quality of Sleeping in Babies 3-4 Months Old at Gelatik and Nuri IHCs of Tanjung Unggat Village of Tanjungpinang in 2014

2014 ◽  
Vol 1 (3) ◽  
pp. 230-235
Author(s):  
Utami Dewi ◽  
Fidyah Aminin ◽  
Harvensica Gunnara
Keyword(s):  
Sleep Quality ◽  
Health Professionals ◽  
Sampling Technique ◽  
Significance Level ◽  
Body Development ◽  
Significant Difference ◽  
Before And After ◽  
Waking Up ◽  
Quasi Experiment Study

Sleep is an essential need that must be met, especially in the development phase since brain and body development will occur during sleep. Thus, sleep disturbance is a problem that will cause adverse effects on growth and development, especially for babies. Sleep quality for babies can be improved by providing baby massage on a regular basis. The purpose of this study was to prove whether there were differences in sleep quality before and after the massage in babies aged 3-4 months in Gelatik and Nuri IHC (Integrated Health Center) of Tanjungunggat Village of Tanjungpinang Municipality. Design: This was a Quasi Experiment study with a pretest-posttest method. The sample consisted of 17 respondents selected by purposive sampling technique. The statistical test used in this study was a dependent t-test with a significance level of 0.05.Result: The results showed that there was no significant difference between baby sleep duration before and after the massage (p = 0.414). However, there was significant difference between the frequency of waking up before and after the massage (p = 0.001) and there was a significant difference between the duration of waking up before and after the massage (p = 0.046. Discuss: Based on the results of this study, it is suggested that mothers should improve their knowledge on the importance of baby massage provided by health professionals and the health professionals should provide and demonstrate clear, complete and sustained information to the mothers and other related parties surrounding the IHC.

Comparison of Visual versus Microscopic Methods to Detect Blood Splatter from an Intravascular Catheter with Engineered Sharps Injury Protection

2013 ◽  
Vol 34 (11) ◽  
pp. 1174-1180 ◽  
Author(s):  
Aiysha Ansari ◽  
Padmaja Ramaiah ◽  
Lillian Collazo ◽  
Hamisu M. Salihu ◽  
Donna Haiduven
Keyword(s):  
Confidence Interval ◽  
Venous Blood ◽  
Microscopic Analysis ◽  
Detection Methods ◽  
Bloodborne Pathogens ◽  
Naked Eye ◽  
Testing Chamber ◽  
Significant Difference ◽  
Before And After ◽  
Intravascular Catheters

Objective.To determine whether retractable intravenous devices produced blood splatter and whether blood splatter frequency differed between visual and microscopy detection methods.Methods.In this laboratory-based experiment, 105 venipunctures were performed in a simulated brachial vein containing mock venous blood. The retraction mechanism was activated in a testing chamber with precut fabric filters, placed at 3 different locations, to capture blood splatter. Differences in filter mass, visual inspection, and microscopic analysis for presence of blood on filters were the units of analysis. Descriptive statistics, paired Student t tests, and k statistics were used for data analysis.Results.Blood splatter was detected visually and microscopically as follows: filter A, 70% and 71%, respectively; filter B, 12% and 9%, respectively; and filter C, 13% and 10%, respectively. A statistically significant difference was observed in the mean mass of filter A between before and after activation when confirmed by the naked eye (P = .014) and microscopically (P = .0092). Substantial agreement between methods was observed for filter A (k = 0.78 [95% confidence interval, 0.64-0.92]), filter B (k = 0.73 [95% confidence interval, 0.51-0.95]), and filter C (k = 0.75 [95% confidence interval, 0.55-0.96]). However, blood was detected by microscopy and not by the naked eye in 7 instances (7%).Conclusions.Our findings demonstrate that splatter, which can potentially expose healthcare workers (HCWs) to bloodborne pathogens, is associated with the activation of intravascular catheters with retraction mechanisms. HCWs may not detect this splatter when it occurs and may not report a splash to mucous membranes or nonintact skin. The need to wear personal protective equipment when using such devices is reinforced.

scholarly journals Smear layer removal capacity of disinfectant solutions used with and without EDTA for the irrigation of canals: a SEM study

2003 ◽  
Vol 17 (4) ◽  
pp. 349-355 ◽  
Author(s):  
Ana Carolina Silveira Cardoso de Menezes ◽  
Caio Gorgulho Zanet ◽  
Márcia Carneiro Valera
Keyword(s):  
Root Canal ◽  
Saline Solution ◽  
Sem Analysis ◽  
Smear Layer ◽  
Electron Microscopic ◽  
Significance Level ◽  
Layer Removal ◽  
Root Canals ◽  
Removal Capacity ◽  
Group 5

The purpose of this study was to carry out a scanning electron microscopic (SEM) analysis of the cleaning qualities and smear layer removal from root canal walls, instrumented and irrigated with 2.5% NaOCl, 2.0% chlorhexidine and saline solutions. Fifty extracted teeth were used in this study. All teeth were radiographed to determine the existence of a single canal. The crowns were cut at the cervical limit and the root canals were instrumented with K-type files up to size 45. During root canal preparation, irrigations were made with the different solutions being evaluated: Group 1: 2.5% NaOCl (10 roots); Group 2: 2.5% NaOCl and 17% EDTA for 2 minute (10 roots); Group 3: 2.0% chlorhexidine (10 roots); Group 4: 2.0% chlorhexidine and 17% EDTA for 2 minutes (10 roots); Group 5: saline solution (5 roots); Group 6: saline solution and 17% EDTA for 2 minutes (5 roots). After instrumentation, the canals were irrigated with each one of the solutions and the roots were cut in the buccolingual direction for SEM analysis, at the cervical, middle and apical thirds, to ascertain the presence or absence of smear layer and debris. SEM analysis was performed by three calibrated examiners and scores were submitted to Kruskal-Wallis test at the significance level of p = 5%. Results showed that the use of 17% EDTA decreased the smear layer significantly (p < 0.05) for all evaluated solutions in all thirds. When EDTA was not used, a significantly higher quantity of smear layer on the apical third was observed only in the NaOCl groups. The use of 17% EDTA was significant for debris removal except for the chlorhexidine groups. The following conclusion could be drawn: the use of 17% EDTA was necessary to enhance cleanness of the root canals.

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