Three-dimensional Analysis of the Root Canal Preparation with Reciproc Blue, WaveOne Gold and XP EndoShaper. A New Method in vivo

Abstract Background: Evaluation of changes in volume after root canal preparation. with single file rotary systems such as Reciproc-Blue, WaveOne-Gold and XP-EndoShaper, with a new in vivo study model using CBCT and 3D reconstructions on patients Methods: Thirty human lower premolars were randomly divided into three groups, in which the root canals were prepared using one of these single-file systems: Reciproc-Blue, WaveOne-Gold and XP-EndoShaper. Root canals were scanned before and after root canal preparation using CBCT, and a 3D reconstruction was performed with RHINOCEROS 5.0 software to assess the increase in canal volume for each group after instrumentation. The Anova test was used to determine statistically significant differences between the groups and Post-hoc Tukey's-test to compare the groups with each other. Results: The proposed 3D-reconstruction model allows to measure the variation of the volume within the root canal of the premolars studied. With this model, Reciproc-Blue showed higher increase in canal volume, followed by WaveOne-Gold and XP-EndoShaper (Anova p = 0.003). XP-EndoShaper did not show a statistically significant increase in canal volume after root canal preparation (Tukey's test for paired data p = 0.06 confirmed the results with each other).Conclusion: it is possible to use CBCT and 3D reconstruction as a model to study the preparation quality of the root canal in vivo. With this model, Reciproc-Blue showed higher increase in root canal volume, followed by WaveOne-Gold, while XP-EndoShaper did not significantly increase root canal volume during preparation.

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Three-dimensional analysis of the root canal preparation with Reciproc Blue®, WaveOne Gold® and XP EndoShaper®: a new method in vivo

BMC Oral Health ◽

10.1186/s12903-021-01450-1 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Javier Caviedes-Bucheli ◽

Nestor Rios-Osorio ◽

Diana Usme ◽

Cristian Jimenez ◽

Adriana Pinzon ◽

...

Keyword(s):

3D Reconstruction ◽

Root Canal ◽

Paired Comparison ◽

Three Dimensional ◽

New Method ◽

Root Canal Preparation ◽

Paired Data ◽

Before And After ◽

Student’S T

Abstract Background The purpose of this study was to evaluate the changes in canal volume after root canal preparation in vivo with 3 different single-file techniques (Reciproc-Blue®, WaveOne-Gold® and XP-EndoShaper®), with a new method using CBCT and 3D reconstruction. Methods In this prospective study, thirty human lower premolars from healthy patients were used, in which extraction was indicated for orthodontic reasons. All the teeth used were caries- and restoration-free with complete root development, without signs of periodontal disease or traumatic occlusion, and with only one straight canal (up to 25º curvature). Teeth were randomly divided into three different groups: Reciproc-Blue, WaveOne-Gold and XP-EndoShaper. CBCT scans before root canal preparation were used to create a 3D reconstruction with RHINOCEROS 5.0 software to assess the initial canal volume, and then compared with 3D reconstructions after canal preparation to measure the increase in canal volume. Student’s t test for paired data were used to determine statistically significant differences between the before and after canal volumes. Anova test was used to determine statistically significant differences in the percentage of canal volume increase between the groups and Tukey's post-hoc test were used to paired comparison. Results Reciproc-Blue showed the higher increase in canal volume, followed by WaveOne-Gold and XP-EndoShaper (p = 0.003). XP-EndoShaper did not show a statistically significant increase in canal volume after root canal preparation (p = 0.06). Conclusion With this model, Reciproc-Blue showed higher increase in root canal volume, followed by WaveOne-Gold, while XP-EndoShaper did not significantly increase root canal volume during preparation.

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Three-dimensional analysis of the root canal preparation with Reciproc Blue®, WaveOne Gold® and XP EndoShaper®. A new method in vivo

10.21203/rs.3.rs-63578/v2 ◽

2020 ◽

Author(s):

Javier Caviedes-Bucheli ◽

Nestor Rios-Osorio ◽

Diana Usme ◽

Cristian Jimenez ◽

Adriana Pinzon ◽

...

Keyword(s):

3D Reconstruction ◽

Root Canal ◽

Paired Comparison ◽

Three Dimensional ◽

New Method ◽

Root Canal Preparation ◽

Paired Data ◽

Reconstruction Methods ◽

Before And After

Abstract Background: The purpose of this study was to evaluate the changes in canal volume after root canal preparation in vivo with 3 different single-file techniques (Reciproc-Blue®, WaveOne-Gold® and XP-EndoShaper®), with a new method using CBCT and 3D reconstruction. Methods: In this prospective study, thirty human lower premolars from healthy patients were used, in which extraction was indicated for orthodontic reasons. All the teeth used were caries- and restoration-free with complete root development, without signs of periodontal disease or traumatic occlusion, and with only one straight canal (up to 25º curvature). Teeth were randomly divided into three different groups: Reciproc-Blue, WaveOne-Gold and XP-EndoShaper. CBCT scans before root canal preparation were used to create a 3D reconstruction with RHINOCEROS 5.0 software to assess the initial canal volume, and then compared with 3D reconstructions after canal preparation to measure the increase in canal volume. Student’s t test for paired data were used to determine statistically significant differences between the before and after canal volumes. Anova test was used to determine statistically significant differences in the percentage of canal volume increase between the groups and Tukey's post-hoc test were used to paired comparison.Results: Reciproc-Blue showed the higher increase in canal volume, followed by WaveOne-Gold and XP-EndoShaper (p = 0.003). XP-EndoShaper did not show a statistically significant increase in canal volume after root canal preparation (p = 0.06).Conclusion: With this model, Reciproc-Blue showed higher increase in root canal volume, followed by WaveOne-Gold, while XP-EndoShaper did not significantly increase root canal volume during preparation.

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

Journal of International Medical Research ◽

10.1177/0300060518801451 ◽

2018 ◽

Vol 47 (1) ◽

pp. 325-334 ◽

Cited By ~ 2

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.

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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.

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Evaluation Algorithm of Root Canal Shape Based on Steklov Spectrum Analysis

Computational and Mathematical Methods in Medicine ◽

10.1155/2019/4830914 ◽

2019 ◽

Vol 2019 ◽

pp. 1-16

Author(s):

Dongqing Wu ◽

Jian Gao ◽

Xiaoli Hu ◽

Zhengtao Xiao ◽

Zhuwei Huang ◽

...

Keyword(s):

Root Canal ◽

Evaluation Method ◽

Complete Removal ◽

Root Canal Preparation ◽

Root Canals ◽

Need To Evaluate ◽

Before And After ◽

Evaluation Algorithm ◽

Steklov Spectrum ◽

Volume Difference

In recent years, we have seen more and more interest in the field of medical images and shape comparison motivated by the latest advances in microcomputed tomography (μCT) acquisition, modelling, and visualization technologies. Usually, biologists need to evaluate the effect of different root canal preparation systems. Current root canal preparation evaluation methods are based on the volume difference, area difference, and transportation of two root canals before and after treatment. The purpose of root canal preparation is to minimize the volume difference and ensure the complete removal of the smear layer. Previous methods can reflect some general geometric differences, but they are not enough to evaluate the quality of root canal shape. To solve this problem, we proposed a novel root canal evaluation method based on spectrum and eigenfunctions of Steklov operators, which can be served as a better alternative to current methods in root canal preparation evaluation. Firstly, the ideal root canal model was simulated according to the root canal model before and after preparation. Secondly, the Steklov spectrum of the two models was calculated. Thirdly, based on the spectrum and the histogram of the Gaussian curvature on the surface, the weight of each eigenvalue was computed. Therefore, the Steklov spectrum distance (SSD), which measures shape difference between the root canals, was defined. Finally, the calculation method that quantifies the root canal preparation effect of root canals was obtained. Through experiments, our method manifested high robustness and accuracy compared with existing state-of-the-art approaches. It also demonstrates the significance of our algorithm’s advantages on a variety of challenging root canals through result comparison with counterpart methods.

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Efficiency of the Self Adjusting File, WaveOne, Reciproc, ProTaper and hand files in root canal debridement

European Journal of Dentistry ◽

10.4103/1305-7456.137636 ◽

2014 ◽

Vol 08 (03) ◽

pp. 326-329 ◽

Cited By ~ 4

Author(s):

K. Meltem Topcu ◽

Ertugrul Karatas ◽

Damla Ozsu ◽

Ibrahim Ersoy

Keyword(s):

Contrast Medium ◽

Root Canal ◽

File Systems ◽

The Self ◽

Root Canals ◽

Single File ◽

Canal Systems ◽

Better Than

ABSTRACT Objectives: The aim of this study was to compare the canal debridement capabilities of three single file systems, ProTaper, and K-files in oval-shaped canals. Materials and Methods: Seventy-five extracted human mandibular central incisors with oval-shaped root canals were selected. A radiopaque contrast medium (Metapex; Meta Biomed Co. Ltd., Chungcheongbuk-do, Korea) was introduced into the canal systems and the self-adjusting file (SAF), WaveOne, Reciproc, ProTaper, and K-files were used for the instrumentation of the canals. The percentage of removed contrast medium was calculated using pre- and post-operative radiographs. Results: An overall comparison between the groups revealed that the hand file (HF) and SAF groups presented the lowest percentage of removed contrast medium, whereas the WaveOne group showed the highest percentage (P < 0.001). The ProTaper group removed more contrast medium than the SAF and HF groups (P < 0.05). Conclusions: None of the instruments was able to remove the contrast medium completely. WaveOne performed significantly better than other 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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Root canal preparation with reciprocating instruments - A literature review and clinical application

South African Dental Journal ◽

10.17159/2519-0105/2020/v75no9a4 ◽

2020 ◽

Vol 75 (9) ◽

pp. 493-504

Author(s):

Christiaan Victor ◽

Peet J Van der Vyver ◽

Martin Vorster ◽

Zunaid I Vally

Keyword(s):

Root Canal ◽

Three Dimensional ◽

File Systems ◽

Apical Part ◽

Pulp Tissue ◽

Root Canals ◽

Periodontal Tissues ◽

Endodontic Infection ◽

Reciprocating Instruments ◽

Canal Shaping

It is well described that the presence of microbial flora in the pulp space of the tooth, and the inability of the immune system to remove these pathogens, are the major sources of peri-apical and radicular inflam-mation.1 Eradication of these pathogens from the pulp and root canal space by means of cleaning, shaping, disinfecting and complete obturation is necessary to safeguard the health of the periodontal tissues from endodontic infection and subsequent breakdown.2,3 The basic objectives of cleaning and shaping of root canals include: (1) removal of all infected soft and hard tissues; (2) creating space for delivery of disinfectants and medicaments to the apical part of the canal; (3) facilitating three dimensional obturation and (4) preservation of radicular structures.4 Even modern endodontic file systems leave untouched areas on the root canal walls after preparation and show compaction of hard tissue debris.5 This debris consists of pulp tissue remnants, bacteria and dentine chips of which most is found in the apical part of the prepared root canal system.6 Aiming for a centred preparation that corresponds to the original canal anatomy accompanied by the lowest amount of canal transportation, especially in middle and apical parts of curved canals, will result in the most favourable post instrumented canal shape. The four optimal canal shaping objectives are: (1) to have a tapered funnel from orifice to apex, (2) maintenance of original anatomical canal pathway, (3) apical foramen position should remain constant and (4) leaving the apical opening as small as possible.2,7

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Comparison of Canal Transportation and Centering Ability of ProGlider and WaveOne Gold Glider in Curved Canals

European Journal of Dentistry ◽

10.1055/s-0040-1715780 ◽

2020 ◽

Vol 14 (04) ◽

pp. 639-643

Author(s):

Gabriela Behne Miró ◽

Flávia Sens Fagundes Tomazinho ◽

Edson Pelisser ◽

Mariana Maciel Batista Borges ◽

Marco Antônio Hungaro Duarte ◽

...

Keyword(s):

Root Canal ◽

File Systems ◽

Root Canal Preparation ◽

Volume Increase ◽

Volume Variation ◽

Glide Path ◽

Significant Difference ◽

Before And After ◽

Canal Transportation ◽

Level Of Significance

Abstract Objectives The aim of this study was to compare the volume variation and maintenance of the root canal position when using the ProGlider 16.02 (PG) and the WaveOne Gold Glider 15.02 (WOGG) file systems for glide path preparation. Materials and Methods Twenty-four moderately curved mesiobuccal canals of maxil-lary first molars were selected and randomly divided into two groups: PG and WOGG. The selected teeth were scanned using microtomography before and after root canal preparation to assess centralization and linear transport at 1, 3, 5, and 7 mm from the apical foramen. Statistical Analysis The data were analyzed with the Mann–Whitney U test. The level of significance was 5%. Results There were no significant differences in volume variation or root canal transport (p > 0.05). There was a significant difference in the centralization of the root canal at 3 mm from the foramen (p < 0.05). Conclusions WOGG and PG instruments presented similar results regarding the root canal volume increase and transport. WOGG caused higher decentralization at 3 mm from the apical foramen.

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Evaluation of the WaveOne Gold and One Shape New Generation in Reducing Enterococcus faecalis from Root Canal

Brazilian Dental Journal ◽

10.1590/0103-6440201801910 ◽

2018 ◽

Vol 29 (3) ◽

pp. 249-253 ◽

Cited By ~ 2

Author(s):

Raquel Esmeralda Guillén ◽

Cleber Keiti Nabeshima ◽

Hector Caballero-Flores ◽

Miguel Roig Cayón ◽

Montse Mercadé ◽

...

Keyword(s):

Enterococcus Faecalis ◽

Root Canal ◽

File Systems ◽

Bacterial Reduction ◽

Root Canals ◽

Single File ◽

Bacterial Removal ◽

Significant Difference ◽

Post Hoc ◽

New Generation

Abstract The aim of this study was to evaluate the WaveOne Gold and One Shape New Generation systems regarding the bacterial removal from root canals infected with Enterococcus faecalis by comparing them to the conventional WaveOne and One Shape systems. Forty-eight distobuccal root canals of maxillary molars sterilized with ethylene oxide were infected with E. faecalis for 21 days, and then root canal initial bacterial sample was collected with paper cones and plated on M-enterococcus agar. The specimens were randomly divided into 4 groups according to the instrumentation: WaveOne Gold, One Shape New Generation, WaveOne and One Shape. After instrumentation, samples were collected with use of scraping and paper cones at immediate and 7 days after instrumentation. The bacterial reduction was calculated and then made intragroup analysis by Friedman test and intergroup analysis by Kruskal-Wallis with Dunn’s post-hoc test, all at 5% significance. All techniques significantly reduced the number of bacteria in the root canal (p<0.05). WaveOne Gold and One Shape New Generation promoted higher bacterial reduction than WaveOne and One Shape systems (p<0.05), but no significant difference was found between WaveOne Gold and One Shape New Generation or between WaveOne and One Shape (p>0.05). Novel single-file systems promote better bacterial removal than the conventional single-file systems.

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