scholarly journals A comparative study of protaper and twisted file nickel titanium instruments in curved canals preparation

2013 ◽  
Vol 60 (4) ◽  
pp. 175-182
Author(s):  
Lima De ◽  
Giselle Nevares ◽  
Felipe Xavier ◽  
Ferraz Gominho ◽  
Albuquerque de
Keyword(s):  
Cross Sections ◽  
Root Canal ◽  
Nickel Titanium ◽  
Torque Control ◽  
Cross Sectional ◽  
Root Canals ◽  
Group 2 ◽  
Mean Differences ◽  
Root Canal Instrumentation ◽  
Group 1

Introduction. Root canal instrumentation is performed to achieve cleaning and shaping with maximum preservation of its original anatomy. However, in curved canals this approach may cause excessive damage or canal transportation. The present study aimed to evaluate changes in dentin wall caused by instrumentation of curved canals using two nickel titanium rotary systems, ProTaper and Twisted File. Material and Methods. Twenty five extracted human mandibular first molars with two separated mesial root canals were selected. Distal roots were amputated and 50 canals (25 mesiobuccal and 25 mesiolingual) were randomly assigned into two groups: group 1 - ProTaper, and group 2 - Twisted File. All files were used with torque control engine, following the manufacturer instructions. The final instruments were F3 (group 1) and #30/.06 (group 2). Pre and postoperative cross sections were obtained from coronal, middle, and apical portions. Changes in dentin wall were measured and evaluated using Bramante method and digital image software. Statistical analysis was performed using the Mann Whitney U test (p<0.05). Results. The ammount of dentin removed by ProTaper in cervical and middle canal thirds was significantly greater than with Twisted File (p=0.040 and p=0.043). ProTaper eliminated significantly greater ammount of dentin than Twisted File from mesial wall in coronal sections (p=0.039). Mean differences in distance from the center to other walls were not statistically significant in the middle and apical thirds of both groups (p>0.05). Conclusion. ProTaper system produced greater changes in cross sectional area of the root canal compared to Twisted File system.

scholarly journals Apical Extrusion of Debris and Irrigants Using Different Irrigation Needles

2016 ◽  
Vol 27 (2) ◽  
pp. 192-195 ◽  
Author(s):  
Paula Barcellos Silva ◽  
Angélica Mohnsam Krolow ◽  
Katerine Jahnecke Pilownic ◽  
Renata Picanço Casarin ◽  
Regina Karla Pontes Lima ◽  
...  
Keyword(s):  
Root Canal ◽  
Bonferroni Correction ◽  
Root Canals ◽  
Needle Type ◽  
Apical Extrusion ◽  
Group 3 ◽  
Group 2 ◽  
Root Canal Instrumentation ◽  
Final Instrument ◽  
Group 1

Abstract This study evaluated the influence of irrigation tip, root canal curvature and final apical diameter on periapical debris and irrigant extrusion during root canal instrumentation. After being classified as mildly or moderately curved, the mesiobuccal root canals of 90 human molars were instrumented. The teeth were allocated into three groups according to the used needle type: a flat open-end needle (Group 1), a side-vented needle (Group 2) or a double side-vented needle (Group 3). The amount of extruded material after instrumentation was calculated for each group. The differences in irrigant and debris extrusion between the experimental groups were analyzed with the Mann-Whitney U test. Irrigation tips and final instrument diameter differences were analyzed with the Kruskal-Wallis test. Multiple groups were compared using the Mann-Whitney U-test with a Bonferroni correction at α=0.05. The amount of extruded material from the double side-vented needle was significantly less than the open-ended flat needle (p=0.008), but there was no difference compared to the side-vented needle (p=0.929). The results showed no effect of root curvature and final apical diameter on the amount of irrigant and debris extrusion (p>0.05). The double side-vented needles generated the least material extrusion to the periapical tissues. Irrigation needle type had the greatest influence on periapical irrigant and debris extrusion and the double side-vented needles may be safely used during endodontic therapy.

Comparison of apically extruded debris of different nickel titanium instruments

2018 ◽  
Vol 14 (1) ◽  
pp. 16
Author(s):  
Dr. Diyar Kh. Bakr
Keyword(s):  
Root Canal ◽  
Nickel Titanium ◽  
The Other ◽  
Group 3 ◽  
Group 2 ◽  
The One ◽  
Root Canal Instrumentation ◽  
Group 1 ◽  
Shape Group

AbstractBackground and objective: During root canal instrumentation irrigants, necroticpulp tissue, microorganism and dentin debris may be extruded beyond the apexinto the periradicular tissue. These extrusions may cause flare-up. The purpose ofthis study was to compare the amount of apically extruded debris with three rotaryNickel titanium instruments.Methods: Sixty single rooted, single canalled premolars were selected. The rootswere divided randomly into three groups; (n = 10) according to the type ofinstrumentation system used, group 1“ProTaper Next” system, group 2 “OneShape” system and group 3 “Mani Silk” system. The Debris extruded during theinstrumentation was collected and dried in preweighed vials and the amount ofextruded debris was assessed with an electronic balance.Result: results showed that the Mani silk system extruded significantly less debristhan the ProTaper Next and One shape systems (P < .05), and there is nosignificant difference in apically extruded debris between ProTaper Next groupand One Shape group but the One Shape produced more debris than ProTaperNext.Conclusion: the Mani silk file instrument was behaved well during instrumentationand extruded less debris than the other groups.

scholarly journals Comparison of Air-driven vs Electric Torque Control Motors on Canal Centering Ability by ProTaper NiTi Rotary Instruments

2013 ◽  
Vol 14 (1) ◽  
pp. 71-75 ◽  
Author(s):  
Mina Zarei ◽  
Maryam Javidi ◽  
Mahdi Erfanian ◽  
Mahdi Lomee ◽  
Farzaneh Afkhami
Keyword(s):  
Cross Sections ◽  
Root Canal ◽  
Ex Vivo ◽  
Controlled Trial ◽  
Acrylic Resin ◽  
Torque Control ◽  
Rotary Instruments ◽  
Canal Transportation ◽  
Group 2 ◽  
Niti Rotary Instruments

ABSTRACT Aim Cleaning and shaping is one of the most important phases in root canal therapy. Various rotary NiTi systems minimize accidents and facilitate the shaping process. Todays NiTi files are used with air-driven and electric handpieces. This study compared the canal centering after instrumentation using the ProTaper system using Endo IT, electric torque-control motor, and NSK air-driven handpiece. Materials and methods This ex vivo randomized controlled trial study involved 26 mesial mandibular root canals with 10 to 35° curvature. The roots were randomly divided into 2 groups of 13 canals each. The roots were mounted in an endodontic cube with acrylic resin, sectioned horizontally at 2, 6 and 10 mm from the apex and then reassembled. The canals were instrumented according to the manufacturer's instructions using ProTaper rotary files and electric torque-control motors (group 1) or air-driven handpieces (group 2). Photographs of the cross-sections included shots before and after instrumentation, and image analysis was performed using Photoshop software. The centering ability and canal transportation was also evaluated. Repeated measurement and independent t-test provided statistical analysis of canal transportation. Results The comparison of the rate of transportation toward internal or external walls between the two groups was not statistically significant (p = 0.62). Comparison of the rate of transportation of sections within one group was not significant (p = 0.28). Conclusion Use of rotary NiTi file with either electric torquecontrol motor or air-driven handpiece had no effect on canal centering. Clinical significance NiTi rotary instruments can be used with air-driven motors without any considerable changes in root canal anatomy, however it needs the clinician to be expert. How to cite this article Zarei M, Javidi M, Erfanian M, Lomee M, Afkhami F. Comparison of Air-driven vs Electric Torque Control Motors on Canal Centering Ability by ProTaper NiTi Rotary Instruments. J Contemp Dent Pract 2013;14(1):71-75.

scholarly journals Comparison of the effect on postoperative pain between instrumentation with and without connected electronic apex locator: a randomized clinical trial

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 868
Author(s):  
Khoa Van Pham ◽  
Cuong Hoang
Keyword(s):  
Clinical Trial ◽  
Postoperative Pain ◽  
Randomized Clinical Trial ◽  
Root Canal ◽  
Single Visit ◽  
Significant Difference ◽  
Group 2 ◽  
Root Canal Instrumentation ◽  
Electronic Apex Locator ◽  
Group 1

Background: The aim of the present study was to evaluate the postoperative pain between root canal instrumentation with unconnected electronic apex locator and instrumentation with connected electronic apex locator. Methods: Forty-two patients were randomly divided into two groups (n=21). Group 1 was treated using the traditional endodontic motor with unconnected electronic apex locator (EAL) and group 2 was treated using the endodontic motor with connected EAL. All teeth were treated in single-visit endodontic therapy. Postoperative pain levels at 6, 24, 48, 72 h and 1 week were recorded by patients. The data were collected and analyzed using the χ2, and Mann-Whitney U tests with significance at 0.05. Results: Postoperative pain levels were significantly reduced by half at 6 hours in both experimental groups; however, no significant differences were found in postoperative pain levels between the two groups at all considered times. The postoperative pain levels using a percussion test were reduced on day 7 in both groups, and there was no significant difference in this variable between two groups. Conclusions: Both groups have a similar effect on reduction of the postoperative pain for endodontic patients undergoing root canal.

scholarly journals Evaluation of apical transportation and apical root sealing in root canals prepared with mtwo rotary system with and without apical enlargement – an in vitro study

2021 ◽  
Vol 37 ◽  
pp. e37004
Author(s):  
Matheus Albino Souza ◽  
João Paulo De Carli ◽  
Fernando Tolfo Rodrigues ◽  
Larissa Piuco ◽  
Karolina Frick Bischoff ◽  
...  
Keyword(s):  
Root Canal ◽  
Scanning Electronic Microscopy ◽  
Root Canal Preparation ◽  
Electronic Microscopy ◽  
Image Subtraction ◽  
Root Canal Filling ◽  
Root Canals ◽  
Apical Transportation ◽  
Group 2 ◽  
Group 1

The aim of this study was to evaluate apical transportation and apical root canal sealing after root canal filling in human teeth prepared with MTwo® Rotary System with and without apical foramen enlargement. Twenty mandibular premolars were divided into two groups (n=10). Group 1 had root canals prepared 1mm beyond the apical foramen. Group 2 had root canals prepared 1mm below the root canal length. After chemo-mechanical preparation, samples were submitted to scanning electronic microscopy. Apical foramen images had 75x magnification at standardized positions, allowing measurements from the apical foramen area before and after root canal preparation, and after root canal filling. Apical foramen shape and apical transportation, as well as its level of circumferential filling after root canal preparation were accessed using the Image Subtraction System. Scanning electronic microscopy analysis demonstrated that samples of Group 1 showed larger foraminal diameter than samples of Group 2 (p<0.05). Apical foramen transportation was statistically different between Groups 1 and 2 (p=0.0108). Furthermore, the apical foramen sealing also differed statistically between groups 1 and 2 (p=0.0007) and 100% of samples of Group 1 showed apical root canal sealing. Apical root canal sealing was more effective when the root canal was prepared with apical foramen enlargement, even when the apical transportation was detected.

scholarly journals Apical extrusion of debris by manual and mechanical instrumentation

2007 ◽  
Vol 18 (1) ◽  
pp. 16-19 ◽  
Author(s):  
Lilia E. Leonardi ◽  
Diana M. Atlas ◽  
Guillermo Raiden
Keyword(s):  
Root Canal ◽  
Significance Level ◽  
Root Canals ◽  
Group 4 ◽  
Apical Extrusion ◽  
Working Length ◽  
Significant Difference ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

The aim of the present study was to assess the presence of apically extruded debris and evaluate the influence of canal curvature on the amount of debris produced by manual and mechanical techniques. Forty single-rooted mature teeth with 15 to 30 degree of root canal curvature were selected. The presence of only one foramen was confirmed using a magnifying lens. A size 15 K-file was placed up to the apical foramen to determine the patency. Working length was determined with the same instrument, 1 mm short of the foramen. According to the employed technique, the groups were labeled as follows: Group 1 - Manual instrumentation with Mor-flex files; Group 2 - Mechanical instrumentation with Cursor and Mor-flex files; Group 3 - Manual instrumentation with Flexi-cut files; Group 4 - Mechanical instrumentation with Cursor and Flexi-cut files. During instrumentation, the root canals were irrigated with 20 mL. Debris extruded through the apical foramen was collected using the Myers and Montgomery technique. The values (in mg) were: Group 1: 0.422 ± 0.683; Group 2: 0.688 ± 0.795; Group 3: 0.409 ± 0.323; Group 4: 0.810 ± 0.708. Data were analyzed statistically by ANOVA at 5% significance level. There was no statistically significant difference among the groups (p<0.05). No statistically significant differences were found between slight and moderate curvatures in terms of the amount of extruded debris (p>0.05).

scholarly journals Incidence of Postoperative Pain after Single- and Multi-Visit Endodontic Treatment in Teeth with Vital and Non-Vital Pulp

2009 ◽  
Vol 03 (04) ◽  
pp. 273-279 ◽  
Author(s):  
Bayram Ince ◽  
Ertugrul Ercan ◽  
Mehmet Dalli ◽  
Coruh Turksel Dulgergil ◽  
Yahya Orcun Zorba ◽  
...  
Keyword(s):  
Postoperative Pain ◽  
Root Canal ◽  
Severe Pain ◽  
Endodontic Treatment ◽  
Treatment Groups ◽  
Significant Difference ◽  
Chisquare Test ◽  
Group 2 ◽  
Root Canal Instrumentation ◽  
Group 1

ABSTRACTObjectives: To assess the incidence of postoperative pain after single- and multi-visit endodontic treatment of teeth with vital and non-vital pulp.Methods: In total, 306 patients with teeth requiring endodontic treatment were identified and were included in this study. Two experienced clinicians treated the patients, who were randomly assigned to two groups. While the teeth of patients in group 1 were obturated, group 2 were temporarily sealed and obturated after one week. Three days after the root canal instrumentation of each tooth, the patients were asked whether they experienced any postoperative pain and to rate the level of discomfort as no, mild, moderate, or severe pain. Data were analyzed statistically using the chisquare test.Results: No significant difference in postoperative pain was found between vital and non-vital teeth (P>.01). Mild, moderate, and severe pain occurred in 31.4, 13.7, and 4.6% of vital teeth, respectively. Postoperative pain occurred in 107 (69.9%) and 106 (69.3%) teeth in the single- and multi-visit treatment groups, respectively. There was no significant difference in postoperative pain between the two groups (P>.01).Conclusions: The prevalence of postoperative pain did not differ between vital and non-vital teeth. The majority of patients in either groups reported no or only mild pain. (Eur J Dent 2009;3:273-279)

scholarly journals ANÁLISE DA CAPACIDADE DE LIMPEZA DE TRÊS TÉCNICAS DE INSTRUMENTAÇÃO EM CANAIS RADICULARES ACHATADOS: DIAPHANIZATION STUDY

2015 ◽  
Vol 6 (1) ◽  
Author(s):  
Wagner Altamirando Santana Barros de Souza ◽  
Paloma Souza Gonçalves ◽  
Luis Cardoso Rasquin ◽  
Fabiola Bastos de Carvalho
Keyword(s):  
Root Canal ◽  
Root Canal Preparation ◽  
Arithmetic Average ◽  
Root Canals ◽  
India Ink ◽  
Group 3 ◽  
Group 2 ◽  
Lower Incisors ◽  
Group 1

The purpose of this study was to evaluate by diaphanization the cleaning ability of walls of flattened root canals prepared with three different instruments. Thirty lower incisors, which had their root canals filled with India ink after coronal access and determination of the work length, were selected. The samples were randomly divided into three groups of 10 teeth each, according to the instrument used in the preparation: Group 1– hand files instrumentation; Group 2– instrumentation with ProTaper Universal rotary files; Group 3 – instrumentation with iRace rotary files. After instrumentation, the teeth were diaphanized and evaluated by cleaning ability, analyzing the amount of dentin walls in which India ink was not removed. When performing the Kruskal-Wallis test (p>0.05) there were not statistical significant differences between the groups, as the arithmetic average of the scores at cervical, middle and apical thirds. None of the instruments used in root canal preparation of flattened root canals was able to perform a complete cleaning of the dentin walls.

scholarly journals The assessment of the filling material remaining on root canal walls after using protaper universal rotary retreatment system with or without a solvent

2016 ◽  
Vol 62 (4) ◽  
pp. 204-208
Author(s):  
Sînziana Adina Scărlătescu ◽  
◽  
Irina Maria Gheorghiu ◽  
Stana Păunica ◽  
Paula Perlea ◽  
...  
Keyword(s):  
Root Canal ◽  
Filling Material ◽  
Universal System ◽  
Root Canals ◽  
Group 4 ◽  
Gutta Percha ◽  
Ah Plus ◽  
Group 2 ◽  
The Times ◽  
Group 1

The purposes of retreatment are to eliminate the cause for failure of initial endodontic treatment and to preserve the tooth as well. The aim of this study is a comparative evaluation of efficacy of Protaper rotaty retreatment instruments for gutta-percha removal with or without solvents specific both to the sealer and gutta-percha. Materials and methods: Forty single-rooted extracted teeth were randomly divided into 4 groups according to different methods of retreatment. The teeth were prepared with Protaper Universal system (Dentsply-Maillefer, Ballaigues, Switzerland) and filled using lateral condensation of gutta-percha and AH Plus (Dentsply DeTrey, Konstanz, Germany). All root canal fillings were removed using Protaper Universal Retreatment system (Dentsply-Maillefer, Ballaigues, Switzerland). During the retreatment procedure, in group 1 Resosolv (Pierre Rolland, Merignac, France) was used; in group 2 eucalyptol was used, in group 3 Endosolv E (Septodont, Paris, France) was used and in group 4 no solvent was used. The times required for retreatments and radiographycal evaluation after retreatment were recorded. Results: All root canals showed filling material remnants and group 1 with specific solvent for AH Plus recorded the shortest time. Conclusions: Although it is not possible to eliminate the entire filling material on the canal walls, the duration of retreatment was reduced by the use of a solvent specific to the sealer compared with a gutta-percha solvent or no solvent.

scholarly journals Experimental Study of the Effects of Torsional Loading on Three Types of Nickel-Titanium Endodontic Instruments

2021 ◽  
Vol 11 (16) ◽  
pp. 7224
Author(s):  
Andreea-Simona Boscornea-Pușcu ◽  
Laura Orel ◽  
Oana-Alexandra Velea-Barta ◽  
Razvan Mihai Horhat ◽  
Meda-Lavinia Negruțiu ◽  
...  
Keyword(s):  
Cross Sections ◽  
Root Canal ◽  
Large Scale ◽  
Twist Angle ◽  
Nickel Titanium ◽  
Root Canals ◽  
Canal Shaping ◽  
The Moment ◽  
Torque Values ◽  
Twisting Angle

In modern endodontics, nickel-titanium (NiTi) rotary instruments are used on a large scale for root canal shaping. Nevertheless, the separation of an instrument is a serious concern during shaping. The aim of this study is to determine and compare the torsional fracture characteristics of three types of NiTi endodontic instruments, each with different cross-section designs and movements performed during root canal shaping: Endostar E3 (Endostar, Poldent Co. Ltd., Warsaw, Poland); Reciproc R25 (VDW, Munich, Germany); and Protaper Next X2 (Dentsply Maillefer, Ballaigues, Switzerland). Fifteen instruments are used in this study, divided in three groups (n = 5): Group Endostar, Group Reciproc and Group Protaper. For testing, each instrument is used to shape five simulated root canals, following which its torsional stress to failure is measured. The fracture lengths of all three groups are roughly between 2 and 3 mm from the tip. Higher values of the moment of torsion in fracture, and smaller values of the maximum twisting angle are observed for Group Endostar, as well as closer to circular cross-sections. However, the values of the shear tension are similar for all three groups, because the disadvantage given by the fracture section shape for Groups Reciproc and Protaper is compensated either by size or by intrinsic properties of the instrument material. For the shear tension the Endostar values are insignificantly increased (Kruskal–Wallis test, p = 0.207), and in the case of the maximum twist angle the Protaper values are insignificantly increased (Kruskal–Wallis test, p = 0.287). Because of the instruments shape and conicity, the analysis had to be carried out separately with regard to the length of the fractured tip. Rules-of-thumb are extracted from the study for current practice: if a blockage of the first 2 to 3 mm part of the tip can be anticipated (by the excessive curving of the instrument), the handpiece must be adjusted to torque values that do not exceed 1.5 to 2.5 N · cm for Endostar and 1 to 2 N · cm for Reciproc and Protaper instruments.

Sign in / Sign up

Export Citation Format

Share Document