scholarly journals The shaping advantage of M-wire compared with conventional nickel-titanium rotary instruments in heavy curvature canal

2020 ◽  
Author(s):  
Mika Tanaka-Sato ◽  
Noriko Mutoh ◽  
Kaori Shimojima ◽  
Nobuyuki Tani-Ishii
Keyword(s):  
Root Canal ◽  
Nickel Titanium ◽  
Canal Wall ◽  
Root Canals ◽  
Rotary Instruments ◽  
The Mean ◽  
Canal Shaping ◽  
Shaping Ability

Abstract Background The purpose of this study was to evaluate the shaping advantage of M-wire NiTi ProTaper NEXT (PTN) compared with a conventional NiTi ProTaper Universal (PTU) file in heavy curvature canal. The shaping ability was measured by the amount of canal cutting and transportation between the PTN and conventional PTU. Methods Root canal shaping by the PTN and conventional PTU was classified into two experimental groups according to the final tip size, ISO #25 or ISO #40. Eighty-four J-shaped root canals (10°, 20°, 30° apical curvature) in resin block were used. Results After adjusting for the level and canal wall side, the mean transportation did not significantly decrease between the PTN and PTU with ISO #25. Significantly less deviation occurred with the PTN and PTU between 10° and 30° using ISO #40. Conclusions The M-Wire NiTi PTN improves file flexibility and enables accurate canal shaping for heavy curvature canals.

scholarly journals A comparative study of root canal shaping using protaper universal and protaper next rotary files in preclinical dental education

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e7419 ◽  
Author(s):  
Gül Çelik ◽  
Feyza Özdemir Kısacık ◽  
Emir Faruk Yılmaz ◽  
Arife Mersinlioğlu ◽  
İhsan Furkan Ertuğrul ◽  
...  
Keyword(s):  
Root Canal ◽  
Dental Students ◽  
Chi Square ◽  
Significance Level ◽  
Root Canals ◽  
Rotary Instruments ◽  
Working Length ◽  
Chi Square Test ◽  
The Mean ◽  
Canal Shaping

BackgroundDentistry has undergone an evolution in endodontics practice caused by the advancement of rotary techniques for root canal preparation and their subsequent incorporation into the teaching of dentistry undergraduates. This research aimed to evaluate the shaping ability of third-year dental students as their first experience in rotary instrumentation using ProTaper Universal (PTU) and ProTaper Next (PTN) (Dentsply Maillefer) rotary instruments in simulated curved canals.MethodsForty students instrumented 200 simulated canals with a 40° curvature in resin blocks according to the manufacturer’s instructions with PTU and 39 students and 195 canals with PTN files. The canals were prepared at a speed of 300 rpm using a 16:1 reduction hand-piece powered by an electric motor (Xsmart; Dentsply Maillefer). The final apical preparation was set to F2 for the PTU and X2 for the PTN group. The change in canal curvature was evaluated based on Schneider technique using the AutoCAD 2007 software on post-digital photographs. The incidence of instrument fracture and deformation, the incidence of ledge, the change in working length (WL), and the working time were noted. The data were analyzed with Student’st-test and Chi-Square test at a significance level of 0.05 using SPSS.ResultsPTN maintained the original canal curvature better, resulting in fewer fractures and ledges, and shaped the canals faster than the PTU (P < 0.05). The mean curves of the resin canals after the instrumentation for the PTU and PTN groups were 24.03° ± 3.14° and 25.64° ± 2.72°, respectively. Thirty-three (17.4%) PTU and 18 (9.3%) PTN files fractured (p < 0.05). Nine (4.5%) PTU and 2 (2.6%) PTN deformed (p > 0.05). The change in WL after instrumentation was 0.97 mm ± 0.95 mm in PTU and 0.96 mm ± 0.80 mm in PTN (p < 0.05). The mean times were 627 s ± 18 s for PTU and 379 s ± 18 s for PTN (p < 0.000).DiscussionPTN can be recommended in severely curved root canals in terms of maintenance of the original canal curvature, superior instrument fracture and fewer ledges. Even if training before preparation provides an acceptable level of canal shaping for preclinical students, the use of NiTi rotary instruments should be included in the undergraduate dental curriculum, contributing to an increase in the quality of root canal shaping and, consequently, to an improvement of the clinical experience of students.

scholarly journals Clinical Update on Nickel-Titanium Rotary Instruments

2015 ◽  
Vol 6 (2) ◽  
pp. 97-103
Author(s):  
Suraj Pawar ◽  
Ekta Keswani ◽  
Priyanka Jain ◽  
Swapna Nayan
Keyword(s):  
Root Canal ◽  
Nickel Titanium ◽  
Root Canal Therapy ◽  
Root Canals ◽  
Rotary Instruments ◽  
Procedural Complications

ABSTRACT In the last decade, nickel-titanium (NiTi) rotary canal instruments have proved to be valuable for root canal therapy because of their exceptional ability to shape root canals with potentially fewer procedural complications. The purpose of this clinical update article is to bring clinicians up to date with the current and popular endodontic rotary NiTi instrument systems. How to cite this article Jain P, Nayan S, Keswani E, Pawar S. Clinical Update on Nickel-Titanium Rotary Instruments. World J Dent 2015;6(2):97-103.

scholarly journals Geometric Analysis of Maxillary First Premolar Prepared by Two Nickel-Titanium Rotary Instruments

2014 ◽  
Vol 15 (2) ◽  
pp. 174-180 ◽  
Author(s):  
Dina Al-Sudani ◽  
Majed Almalki ◽  
Saad Al-Shahrani ◽  
Michael Ahlquist
Keyword(s):  
Cross Sections ◽  
Root Canal ◽  
Geometric Analysis ◽  
Microcomputed Tomography ◽  
Nickel Titanium ◽  
Rotary Instruments ◽  
Significant Difference ◽  
Before And After ◽  
Canal Transportation ◽  
Shaping Ability

ABSTRACT Aim The present study was conducted with the aim of evaluating and comparing the shaping ability of two Nickel-titanium rotary instruments, with two disparate design features, on root canal geometry of extracted human maxillary first premolars using microcomputed tomography. Study design Twenty four bifurcated maxillary first premolars were divided into two groups and embedded in a rubber-based impression material. Both groups were submitted to microcomputed tomography before and after canal preparation (buccal and palatal) with either ProFile Vortex or Revo-S rotary instruments. Images were reconstructed and cross-sections corresponding to a distance 1, 2, 3, 4, 5, 6, and 7 mm from the anatomical apex were selected for canal transportation analysis. Volume changes were also measured. Results The degree and direction of canal transportation were non-significant for both instruments. Statistically significant differences were observed only between levels in the buccal canal in both groups. There was no significant difference between the two rotary systems in regards to the volume of dentin removed. Conclusion Our findings showed that ProFile Vortex and Revo-S instruments respected the original root canal anatomy and behaved similarly. ProFile Vortex rotary systems produced with innovative process were concluded to shape the upper maxillary premolar by leading minimal canal transportation, similar to Revo-S, rotary systems produced from traditional process. How to cite this article Al-Sudani D, Almalki M, Al-Shahrani S, Ahlquist M. Geometric Analysis of Maxillary First Premolar Prepared by Two Nickel-Titanium Rotary Instruments. J Contemp Dent Pract 2014;15(2):174-180.

scholarly journals Nickel-Titanium Single-file System in Endodontics

2015 ◽  
Vol 16 (10) ◽  
pp. 834-839
Author(s):  
Alberto Dagna
Keyword(s):  
Root Canal ◽  
File System ◽  
Nickel Titanium ◽  
Root Canals ◽  
Single File ◽  
Continuous Rotation ◽  
Bending Stresses ◽  
Single Use ◽  
Canal Shaping ◽  
Clinical Cases

ABSTRACT Aim This work describes clinical cases treated with a innovative single-use and single-file nickel-titanium (NiTi) system used in continuous rotation. Background Nickel-titanium files are commonly used for root canal treatment but they tend to break because of bending stresses and torsional stresses. Today new instruments used only for one treatment have been introduced. They help the clinician to make the root canal shaping easier and safer because they do not require sterilization and after use have to be discarded. A new sterile instrument is used for each treatment in order to reduce the possibility of fracture inside the canal. The new One Shape NiTi single-file instrument belongs to this group. Case description One Shape is used for complete shaping of root canal after an adequate preflaring. Its protocol is simple and some clinical cases are presented. It is helpful for easy cases and reliable for difficult canals. Conclusion After 2 years of clinical practice, One Shape seems to be helpful for the treatment of most of the root canals, with low risk of separation. After each treatment, the instrument is discarded and not sterilized in autoclave or re-used. Clinical significance This single-use file simplifies the endodontic therapy, because only one instrument is required for canal shaping of many cases. The respect of clinical protocol guarantees predictable good results. How to cite this article Dagna A. Nickel-Titanium Single-file System in Endodontics. J Contemp Dent Pract 2015;16(10): 834-839.

scholarly journals A microcomputed tomography evaluation of the shaping ability of three thermally-treated nickel-titanium rotary file systems in curved canals

2018 ◽  
Vol 47 (1) ◽  
pp. 325-334 ◽  
Author(s):  
Zhuwei Huang ◽  
Jingjing Quan ◽  
Jia Liu ◽  
Wen Zhang ◽  
Xiaolei Zhang ◽  
...  
Keyword(s):  
Root Canal ◽  
File Systems ◽  
Microcomputed Tomography ◽  
Nickel Titanium ◽  
Root Canal Preparation ◽  
Root Canals ◽  
Before And After ◽  
Shaping Ability ◽  
Thermally Treated

Objective To evaluate the shaping ability of three thermally-treated rotary nickel-titanium (NiTi) systems including ProTaper Next (PTN), HyFlex™ CM (HFCM) and HyFlex™ EDM (HFEDM) during root canal preparation in simulated root canals. Methods A total of 45 simulated root canals were divided into three groups ( n = 15) and prepared with PTN, HFCM or HFEDM files up to size 25. Microcomputed tomography (microCT) was used to scan the specimens before and after instrumentation. Volume and diameter changes, transportations and centring ratios at 11 levels of the simulated root canals were measured and compared. Results HFEDM caused significantly greater volume increases than HFCM and PTN in the entire root canal and in the apical and middle thirds. HFCM removed the least amount of resin in the coronal third compared with HFEDM and PTN. Overall, HFCM caused significantly less transportation in the apical 2 mm and was better centred than PTN in the apical 3 mm. Conclusion Under the conditions of this study, all systems prepared curved canals without significant shaping errors and instrument fracture. PTN and HFCM cut less resin than HFEDM. HFCM stayed centred apically and cut the least material coronally.

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

Metals ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. 172 ◽  
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.

scholarly journals The advantage using Ni - Ti rotary instruments as the smoothness of one-third apical root canal wall

2014 ◽  
Vol 26 (3) ◽  
Author(s):  
Badi Soerachman ◽  
Endang Sukartini ◽  
Dudi Aripin
Keyword(s):  
Experimental Research ◽  
Root Canal ◽  
T Test ◽  
Nickel Titanium ◽  
Canal Wall ◽  
In Vitro Method ◽  
Roughness Surface ◽  
Rotary Instruments ◽  
Quasi Experimental

Canal wall preparation achieved by smoothness. Objective of this study to determine smoothness differences of nickel-titanium manual instruments compared with nickel-titanium rotary instruments in apical third region canal wall. This study was a quasi-experimental research conducted by in vitro method on 30 single rooted upper permanent incisive that have been extracted. They were randomly divided into two groups (n=15) and each group root canal teeth were cleaned and shaped with manual rotary nickel-titanium instruments. Roughness analyzed used with Mitutoyo roughness surface instruments. Every sample analyzed in third region canal wall. Data have been analyzed with a t-test. The result of the study showed that different smoothness for every sample after preparation by manual and rotary. In conclusion, from this study showed those instrumentations with rotary nickel titanium will give the best smoothness than manual nickel titanium instruments, so the result gets significantly.

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