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

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.

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Comparative analysis of three rotary instruments used for coronal pre-enlargement in radicular dentin thickness and root canal area of mandibular molars

Journal of Research in Dentistry ◽

10.19177/jrd.v1e32013246-252 ◽

2013 ◽

Vol 1 (3) ◽

pp. 246

Author(s):

Keren Cristina Fagundes Jordão Basso ◽

Milton Carlos Kuga ◽

Katia Cristina Keine ◽

Marina Oliveira Gonçalves Galoza ◽

Marcus Vinicius Reis Só

Keyword(s):

Root Canal ◽

Thickness Reduction ◽

Root Canals ◽

Mandibular Molars ◽

Rotary Instruments ◽

Before And After ◽

Rotary Instrument ◽

Mandibular First Molar ◽

Dentin Thickness ◽

Cervical Area

PURPOSE: The purpose of this study was to evaluate the increase of the cervical area and dentin thickness in mesial and distal walls of the mesial canals from mandibular molars after the use of LA Axxess (LA), CP Drill (CP) and Gates-Glidden (GG) rotary instruments. MATERIAL AND METHODS: Sixty root canals from thirty mandibular first molar were sectioned 3 mm below the cement-enamel junction, divided in 3 groups (n = 20 root canals, each) according to rotary instrument used, and the cervical images were captured before and after pre-enlargement instrumentation. The increase of the instrumented cervical area (mm2) and the dentin removal thickness (mm), at mesial and distal walls were calculated using Image tools software, by comparison of images. Data were analyzed by ANOVA and Tukey tests (p=0.05). RESULTS: All rotary instruments promoted thickness reduction in dentin walls. In mesial wall, all rotary instruments promoted similar thickness reduction of dentinal wall and did not differ from each other (p>0.05). In distal wall, LA Axxess instrument promoted higher dentin thickness reduction than other groups (p<0.05). The three rotary instruments promoted different increase at the instrumented cervical area (p<0.05), LA promoted the highest increase area and GG and CP presented similar results. CONCLUSION: LA 20/0.06 promoted the highest thickness reduction in distal wall and increase of cervical area of root canal. On the other hand, CP was the safest instrument, with lower dentin removal of distal wall and similar increased area to GG.

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

International Journal of Dentistry ◽

10.1155/2020/4687045 ◽

2020 ◽

Vol 2020 ◽

pp. 1-6 ◽

Cited By ~ 2

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.

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Micro-CT Evaluation of Non-instrumented Canal Areas with Different Enlargements Performed by NiTi Systems

Brazilian Dental Journal ◽

10.1590/0103-6440201300116 ◽

2015 ◽

Vol 26 (6) ◽

pp. 624-629 ◽

Cited By ~ 32

Author(s):

Gustavo De-Deus ◽

Felipe Gonçalves Belladonna ◽

Emmanuel João Nogueira Leal Silva ◽

Juliana Roter Marins ◽

Erick Miranda Souza ◽

...

Keyword(s):

Surface Area ◽

Root Canal ◽

Repeated Measures ◽

Significance Level ◽

Isotropic Resolution ◽

Computed Tomographic ◽

Mandibular Molars ◽

Canal Surfaces ◽

Before And After ◽

Ct Evaluation

The aim of this study was to compare the percentage of non-instrumented area of root canals prepared with different enlargements using single-file reciprocating systems (Reciproc and WaveOne) and a conventional multi-file rotary (BioRaCe) system by micro-computed tomographic analysis. Thirty mesial roots of mandibular molars with moderate curvature (10° to 20°) presenting a type II Vertucci canal configuration and similar internal volume were chosen and scanned at an isotropic resolution of 14.16 µm. The sample was assigned to 3 groups (n=10) according to the system used for root canal preparation: Reciproc, WaveOne, and BioRaCe groups. Second and third scans were taken after the canals were prepared with instruments sizes 25 and 40, respectively. The recorded images of the surface area voxels of the canals, before and after preparation were examined from the furcation level to the apex to quantify the non-instrumented surface. Statistical data were compared using GLM for repeated-measures with a significance level set at 5%. Instrumentation systems did not influence the percentage of untouched root canal surfaces (p=0.690) whilst a significant reduction in the percentage of static voxels was observed after the enlargement of the root canal (p=0.010) in all groups (p=0.507). None of the systems was able to prepare the entire surface area of the mesial root canal of mandibular molars. The increased final apical size resulted in a significant positive effect on the shaping ability of the tested systems.

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Effectiveness of hand and Mtwo™ instruments in preparing oval-shaped root canals: in vitro study

Revista da Faculdade de Odontologia - UPF ◽

10.5335/rfo.v21i2.5322 ◽

2016 ◽

Vol 21 (2) ◽

Author(s):

Fernanda Diederichs Coutinho ◽

Renata Dornelles Morgental ◽

Simone Bonato Luisi ◽

Fabiana Vieira Vier-Pelisser ◽

Patricia Maria Poli Kopper

Keyword(s):

Root Canal ◽

In Vitro Study ◽

Root Apex ◽

Conventional Technique ◽

Basic Sequence ◽

Preparation Technique ◽

Root Canals ◽

Canal Area ◽

Significant Difference

Objective: This study evaluated through stereomicroscopy the effectiveness of hand and rotary instrumentation techniques, either isolated or combined, in the preparation of oval-shaped root canals. Materials and method: Thirty single-rooted human mandibular incisors were selected. After endodontic access and coronal preflaring, teeth were mounted in a modified Bramante muffle and then sectioned transversely at 3 and 6 mm from the root apex. Images of each section were made under a stereomicroscope at 30× magnification. Teeth were reassembled in the muffle and divided into three groups (n=10) according to the root canal preparation technique: GI - rotary preparation with Mtwo™ basic sequence (10/.04; 15/.05; 20/.06; 25/.06), followed by Mtwo™ complementary instruments (30/.05; 35/.04; 40/.04); GII - rotary preparation with Mtwo™ basic sequence, complemented by hand instruments (#30, #35 and #40); GIII - hand instrumentation using the conventional technique (#10 to #40). All instruments were used in brushing motion. The muffles were separated again so that new images of each section could be obtained. The following parameters were evaluated in pre- and postoperative images: root canal area; perimeter; mesiodistal (MD) and buccolingual (BL) diameters; and mesial (M) and distal (D) wall thickness. Next, the values measured in post- and preoperative images were subtracted forcomparison of experimental groups. Data were analyzed using the Kruskal-Wallis test (α=0.05). Results: No significant difference between groups was observed for all parameters. Conclusion: There was no difference among hand, rotary, or combined instrumentation; all techniques were able to increase root canal area, perimeter, and diameter in MD and BL directions. Moreover, the amount of dentin wearon proximal root canal walls was similar for all tested groups.

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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.

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The Effect of Ultrasonic Agitation on the Porosity Distribution in Apically Perforated Root Canals Filled with Different Bioceramic Materials and Techniques: A Micro-CT Assessment

Journal of Clinical Medicine ◽

10.3390/jcm10214977 ◽

2021 ◽

Vol 10 (21) ◽

pp. 4977

Author(s):

Saulius Drukteinis ◽

Goda Bilvinaite ◽

Hagay Shemesh ◽

Paulius Tusas ◽

Vytaute Peciuliene

Keyword(s):

Root Canal ◽

Micro Computed Tomography ◽

Root Canal Filling ◽

Porosity Distribution ◽

Significance Level ◽

Ultrasonic Agitation ◽

Root Canals ◽

Gutta Percha ◽

Before And After ◽

Rotary Instrument

The present study evaluated the effect of ultrasonic agitation on the porosity distribution of BioRoot RCS/single gutta-percha cone (BR/SC) and MTA Flow (MF) root canals fillings used as apical plugs in moderately curved and apically perforated roots. Eighty mesial root canals of mandibular first molars were enlarged up to ProTaper NEXT X5 rotary instrument 2 mm beyond the apical foramen, simulating apical perforations. Specimens were randomly divided into four experimental groups (20 canals per group) according to the material and technique used for root canal obturation: BR/SC, BR/SC with ultrasonic agitation (BR/SC-UA), MF and MF with ultrasonic agitation (MF-UA). The ultrasonic tip was passively inserted into the root canal after the injection of flowable cement and activated for 10 s. The specimens were scanned before and after obturation with a high-resolution micro-computed tomography scanner, and the porosity of the apical plugs was assessed. The differences between groups were analyzed using the Kruskal-Wallis and Mann-Whitney tests, with the significance level set at 5%. None of the obturation materials and techniques used in this study was able to provide a pore-free root canal filling in the apical 5 mm. Considerably higher percentages of open and closed pores were observed in the MF and MF-UA groups, with the highest porosity being in the MF-UA group (p < 0.05). No significant differences were observed between the BR/SC and BR/SC-UA groups, where the quantity of open and closed pores remained similar (p > 0.05).

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

International Journal of Dentistry ◽

10.1155/2020/4030194 ◽

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.

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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.

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Shaping Ability, Cyclic Fatigue Resistance and Fractographic Analysis of Hybrid and Reciprocating Nickel Titanium Endodontic Instruments

Metals ◽

10.3390/met10020172 ◽

2020 ◽

Vol 10 (2) ◽

pp. 172 ◽

Cited By ~ 1

Author(s):

Saulius Drukteinis ◽

Vytaute Peciuliene ◽

Ruta Bendinskaite ◽

Vilma Brukiene ◽

Rasmute Maneliene ◽

...

Keyword(s):

Fatigue Resistance ◽

Root Canal ◽

Cyclic Fatigue ◽

Nickel Titanium ◽

Significance Level ◽

Root Canals ◽

Working Length ◽

Before And After ◽

Canal Transportation ◽

Shaping Ability

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.

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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.

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