scholarly journals Aspects of the biomechanical root canal treatment – step-back technique. In vitro study

2015 ◽  
Vol 61 (4) ◽  
pp. 304-310
Author(s):  
Monica Voiculeanu ◽  
◽  
Ioana Suciu ◽  
Bogdan Dimitriu ◽  
Mihaela Grigore ◽  
...  
Keyword(s):  
Stainless Steel ◽  
Root Canal ◽  
In Vitro Study ◽  
Final Shape ◽  
Root Canals ◽  
Apical Transportation ◽  
Canal Transportation ◽  
Preparation Errors ◽  
Treatment Step

Evaluation of post-operative root canal shape have been performed using simulated root canals in resin blocks and magnification analysis (stereomicroscope) have been used for the study. The technique selected was stepback with conventional hand stainless steel instruments. The aim of studies on post-operative root canal shape is to evaluate the conicity, taper and flow and maintenance of original canal shape and to record the degree and frequency of straightening, apical transportation, ledging, zipping, teardrops, elbows. Ideal preparation forms for the root canals can be possible without any preparation errors with circular incorporation of the original canal cross section – if the technique starts with adequately precurved negotiating files. Preparation errors (zips, canal transportation, apical perforations, elbows, teardrops, etc) can occur mostly when stainless steel hand instruments (K-file) are used for moderate to severe curved of root canals, especially K-file with cutting tips and not prebent. Ideal preparation shape without any preparation errors could be a final shape and adequate shape even for conventional hand files and step-back technique. For the first area of step back technique, even for the begining, we can usually use various prebent stainless steel hand instruments for pathfinding. In many cases, conventional hand instruments produces adequate shapes for the root canals. For this final shape, is important to use adequately precurved negotiating files. Conventional stainless stell are rigid enough that thay should be precurved to match the curvature of the canal during instrumentation. Conventional hand instruments has two basic design, Kerr-file and Kerr-reamer. Kerr-file could be used to enlarge the canal with a longitudinal filing action. Kerr-reamer may used in a same fashion, but is much more flexible instrument than K-file. Noncutting tip follow the canal better than instruments with active tips – clinically usefull element.

scholarly journals Cone-Beam Computed Tomographic Analysis of Apical Transportation and Centering Ratio of Protaper and XP-Endo Shaper Niti Rotary Systems in Curved Canals: An in Vitro Study

2020 ◽  
Author(s):  
Hamed Karkehabadi ◽  
Zeinab Siahvashi ◽  
Abbas Shokri ◽  
Nasin Haji Hasani
Keyword(s):  
Root Canal ◽  
File Systems ◽  
Calculated Data ◽  
In Vitro Study ◽  
Cone Beam ◽  
Computed Tomographic ◽  
Apical Transportation ◽  
Canal Transportation ◽  
The Difference

Abstract Background: Cleaning and shaping of the root canal system is important in an endodontic treatment. Canal transportation is a common procedural error in preparation of curved canals. This study aimed to compare the canal transportation and centering ratio of two rotary files in curved canals using cone-beam computed tomography (CBCT). Methods: 44 extracted human mandibular first molars with mature apices and apical curvature of 10° to 30° were selected. The samples were randomly divided into two groups (n=22) with similar curvature. The canals were prepared with ProTaper and XP-endo Shaper file systems according to the manufacturers’ instructions. CBCT images were captured using Cranex 3D CBCT system before and after root canal preparation, and canal transportation and centering ratio of the files at 3, 4 and 5 mm from the apex were calculated. Data were analyzed and compared between two groups using independent t-test at 0.05 level of significance.Results: The ProTaper Universal caused greater canal transportation and had lower centering ratio than XP-endo Shaper in both mesiodistal and buccolingual directions at all levels from the apex. The difference between two groups regarding transportation was significant at all levels from the apex in buccolingual direction (P<0.05) except for 3 mm from the apex (P>0.05). The difference between two groups regarding centering ratio was not significant (P>0.05) in mesiodistal direction at all levels except for 4 mm from the apex (P<0.05). Conclusion:The ProTaper Universal causes greater canal transportation in both buccolingual and mesiodistal directions than XP-endo Shaper.

scholarly journals Cone-beam computed tomographic analysis of apical transportation and centering ratio of ProTaper and XP-endo Shaper NiTi rotary systems in curved canals: an in vitro study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Hamed Karkehabadi ◽  
Zeinab Siahvashi ◽  
Abbas Shokri ◽  
Nasrin Haji Hasani
Keyword(s):  
Root Canal ◽  
File Systems ◽  
Calculated Data ◽  
In Vitro Study ◽  
Cone Beam ◽  
Computed Tomographic ◽  
Apical Transportation ◽  
Canal Transportation ◽  
The Difference

Abstract Background Cleaning and shaping of the root canal system is an important step of endodontic treatment. Canal transportation is a common procedural error in preparation of curved canals. This study aimed to compare the canal transportation and centering ratio of two rotary files in curved canals using cone-beam computed tomography (CBCT). Methods Forty-four extracted human mandibular first molars with mature apices and 10° to 30° apical curvature were selected. The samples were randomly divided into two groups (n = 22) with similar curvature. The canals were prepared with ProTaper and XP-endo Shaper file systems according to the manufacturers’ instructions. The CBCT images were obtained using Cranex 3D CBCT scanner before and after root canal preparation, and canal transportation and centering ratio of the files at 3, 4 and 5 mm levels from the apex were calculated. Data were compared between the two groups using independent t-test at 0.05 level of significance. Results The ProTaper Universal caused greater canal transportation and had lower centering ratio than XP-endo Shaper in both mesiodistal and buccolingual directions at all levels from the apex. The difference between the two groups regarding canal transportation was significant at all levels from the apex in buccolingual direction (P < 0.05) except for 3 mm from the apex (P > 0.05). The difference between the two groups regarding centering ratio was not significant (P > 0.05) in mesiodistal direction at all levels except for 4 mm from the apex (P < 0.05). Conclusion The ProTaper Universal causes greater canal transportation in both buccolingual and mesiodistal directions than XP-endo Shaper.

scholarly journals Apical Transportation of Mesiobuccal Canals of Maxillary Molars Following Root Canal Preparation with Two Rotary Systems and Hand Files: A Cone-Beam Computed Tomographic Assessment

2019 ◽  
Author(s):  
Pegah Sarraf ◽  
Nazanin Kiomarsi ◽  
Farrokh Haj Taheri ◽  
Behrang Moghaddamzade ◽  
Fatemeh Dibaji ◽  
...  
Keyword(s):  
Root Canal ◽  
In Vitro Study ◽  
Cone Beam ◽  
Root Canal Preparation ◽  
Computed Tomographic ◽  
Maxillary Molars ◽  
Apical Transportation ◽  
Significant Difference ◽  
Canal Transportation

Objectives: This study aimed to compare the transportation of the mesiobuccal canal of maxillary molars following root canal preparation with HyFlex CM (HCM) and Edge Taper Platinum (ETP) rotary systems and stainless steel (SS) hand files using cone-beam computed tomography (CBCT). Materials and Methods: This in-vitro study was performed on 48 maxillary molars in three groups of 16. The teeth were mounted in acrylic blocks, and root canals were prepared using HCM in group 1 (up to #30/0.06), ETP in group 2 (up to F3/0.06), and SS hand files in group 3 (up to #30). CBCT scans were taken before and after root canal preparation. The amount of canal transportation was measured at 0, 3, 6, and 9mm from the apex. Data were analyzed using Kruskal-Wallis and Mann-Whitney tests. Results: The difference in canal transportation at 0 and 6mm from the apex was significant between the HCM and ETP groups (P=0.031 and 0.023) but none of the systems showed any significant difference with hand files at 0- and 6-mm levels (P=0.10, 0.56, 0.22, and 0.50), respectively. At 3mm from the apex, no significant difference was noted among the groups (P=0.30). At the 9-mm level, the amount of canal transportation was not significantly different between HCM and ETP (P=0.83) but they showed significant differences with hand files (P<0.001). Conclusion: ETP and HCM caused less canal transportation at the curvature of the mesiobuccal canal of maxillary molars compared to hand files. ETP showed superior efficacy in root canal preparation compared to HCM.

scholarly journals Comparison of Shaping Ability between Continuous Rotary and Manual Instrumentations in Pediatric Endodontics

2021 ◽  
Vol 28 (2) ◽  
Author(s):  
Burcu Güçyetmez Topal ◽  
◽  
Seda Falakaloğlu ◽  
Hatice Türkoğlu ◽  
◽  
...  
Keyword(s):  
Primary Teeth ◽  
Primary Root ◽  
In Vitro Study ◽  
Primary Molars ◽  
Preparation Time ◽  
Root Canals ◽  
Apical Transportation ◽  
Canal Transportation ◽  
Shaping Ability

Objective: The aim of this in vitro study was to evaluate the efficacy of rotary EndoArt Ni-Ti Gold Pedo Kit and K-files in shaping ability, canal transportation, centering ability and instrumentation time in primary molars. Methods: For the study total of 30 extracted primary molars root with minimum 7mm root length were selected. Shaping of root canals in primary molars were done using the two systems, and CBCT and specialized software were used for scanning and analysis of pre-operative and post-operative to evaluate the groups for their shaping properties, apical transportation and preparation time in primary root canals. Results: No differences were found in canal transportation measures and instrumentation time between the two groups (p>0.05). The EndoArt group removed more dentin compared to K-file in all sides of the root curvature. The statistical differences were significant for coronal and middle third of the root (p<0.05). Conclusions: Under the conditions of this study, rotary EndoArt Ni-Ti Gold Pedo Kit provided more conical canals than K-files in primary teeth.

scholarly journals Cone-beam Computed Tomographic Analysis of Canal Transportation and Centering Ability of Three Different Nickel-Titanium Rotary File Systems

2021 ◽  
Vol 9 (D) ◽  
pp. 30-36
Author(s):  
Balaji Sopanrao Kapse ◽  
Pradnya S. Nagmode ◽  
Jayshree Ramkrishna Vishwas ◽  
Hrishikesh B. Karpe ◽  
Harshal V. Basatwar ◽  
...  
Keyword(s):  
Root Canal ◽  
File System ◽  
File Systems ◽  
Nickel Titanium ◽  
Root Canals ◽  
Apical Transportation ◽  
Significant Difference ◽  
Canal Transportation ◽  
Curved Root Canals

AIM: The aim of the present study was to compare the canal transportation and centering ability of three rotary nickel-titanium file systems, HyFlex controlled memory, Revo-S, and Mtwo in moderately curved root canals using computed tomography (CT). MATERIALS AND METHODS: Thirty freshly extracted single-rooted teeth having curved root canals with at least 10°–20° of curvature were selected. The teeth were divided into three experimental groups of ten each. After preparation with HyFlex CM (Coltene-Whaledent, Allstetten, Switzerland), Revo-S (Micro-Mega, Besançon, France), and Mtwo (VDW, Munich, Germany) all teeth were scanned using CT to determine the root canal shape. Pre- and post-instrumentation images were obtained at three levels, 3 mm apical, 9 mm middle, and 15 mm coronal above the apical foramen were compared using CT software. Amount of transportation and centering ability were assessed. The three groups were statistically compared with analysis of variance and post-hoc Tukey’s honestly significant difference test. RESULTS: Least apical transportation and higher centering ability were seen in HyFlex CM file system in all the three sections followed by Revo-S, Mtwo file system showed maximum transportation. CONCLUSIONS: According to the present in-vitro study, we can conclude that HyFlex CM rotary file systems showed least canal transportation and highest centering ability as compared to Revo-S and Mtwo file system but there was no statistically significant difference among these file systems (p > 0.05) at coronal, middle, and apical level of root canal.

scholarly journals Apical Transportation of Mesiobuccal Canals of Maxillary Molars Following Root Canal Preparation with Two Rotary Systems and Hand Files: A Cone-Beam Computed Tomographic Assessment

2019 ◽  
Author(s):  
Pegah Sarraf ◽  
Nazanin Kiomarsi ◽  
Farrokh Haj Taheri ◽  
Behrang Moghaddamzade ◽  
Fatemeh Dibaji ◽  
...  
Keyword(s):  
Root Canal ◽  
In Vitro Study ◽  
Cone Beam ◽  
Root Canal Preparation ◽  
Computed Tomographic ◽  
Maxillary Molars ◽  
Apical Transportation ◽  
Significant Difference ◽  
Canal Transportation

Objectives: This study aimed to compare the transportation of the mesiobuccal canal of maxillary molars following root canal preparation with HyFlex CM (HCM) and Edge Taper Platinum (ETP) rotary systems and stainless steel (SS) hand files using cone-beam computed tomography (CBCT). Materials and Methods: This in-vitro study was performed on 48 maxillary molars in three groups of 16. The teeth were mounted in acrylic blocks, and root canals were prepared using HCM in group 1 (up to #30/0.06), ETP in group 2 (up to F3/0.06), and SS hand files in group 3 (up to #30). CBCT scans were taken before and after root canal preparation. The amount of canal transportation was measured at 0, 3, 6, and 9mm from the apex. Data were analyzed using Kruskal-Wallis and Mann-Whitney tests. Results: The difference in canal transportation at 0 and 6mm from the apex was significant between the HCM and ETP groups (P=0.031 and 0.023) but none of the systems showed any significant difference with hand files at 0- and 6-mm levels (P=0.10, 0.56, 0.22, and 0.50), respectively. At 3mm from the apex, no significant difference was noted among the groups (P=0.30). At the 9-mm level, the amount of canal transportation was not significantly different between HCM and ETP (P=0.83) but they showed significant differences with hand files (P<0.001). Conclusion: ETP and HCM caused less canal transportation at the curvature of the mesiobuccal canal of maxillary molars compared to hand files. ETP showed superior efficacy in root canal preparation compared to HCM.

Force and vibration analysis in biomechanical preparation of root canals using reciprocating endodontic file system: In vitro study

2021 ◽  
pp. 095441192110442
Author(s):  
Vinod Singh Thakur ◽  
Pavan Kumar Kankar ◽  
Anand Parey ◽  
Arpit Jain ◽  
Prashant Kumar Jain
Keyword(s):  
Root Canal ◽  
Vibration Analysis ◽  
File System ◽  
In Vitro Study ◽  
Root Canal Preparation ◽  
Root Canals ◽  
Improper Use ◽  
Four Levels ◽  
Root Canal Instrumentation

The shaping and cleaning of the root canal are very important in root canal treatment. The excessive force and vibration during biomechanical preparation of the root canal may result in failure of the endodontic file. In this study, force and vibration analysis was carried out during root canal preparation. The samples of human extracted (premolar) teeth were provided by the College of Dental Science and Hospital. Endodontic instruments for reciprocating motion, such as the WaveOne Gold file system, had been used for root canal preparation. Force and vibration signals were recorded by dynamometer and accelerometer, respectively. The acquired signals were denoised using the db4 (SWT denoising 1-D) wavelet. Four levels of decomposition were carried out for each signal. The signal denoising technique was used to remove unwanted noise from the acquired signal. FESEM analysis was used to visualize the levels of severity of endodontic files during the cleaning and shaping of the root canal. In most of the cases, the failure occurred due to the improper use of the root canal instrumentation. The optimum amount of force was used to avoid the file failure and provided the proper instrumentation. The curve fitting regression model was used to find the interdependency between force and vibration.

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

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.

scholarly journals [NO TITLE AVAILABLE]

2007 ◽  
Vol 18 (4) ◽  
pp. 289-293 ◽  
Author(s):  
Orlando Limongi ◽  
Diana Santana de Albuquerque ◽  
Flares Baratto Filho ◽  
José Roberto Vanni ◽  
Elias P. Motcy de Oliveira ◽  
...  
Keyword(s):  
Root Canal ◽  
Multislice Ct ◽  
In Vitro Study ◽  
Ct Scanner ◽  
Root Canals ◽  
Group I ◽  
Working Length ◽  
Root Dentin ◽  
Dentin Thickness

This in vitro study compared, using computed tomography (CT), the amount of dentin removed from root canal walls by manual and mechanical rotary instrumentation techniques. Forty mandibular incisors with dental crown and a single canal were selected. The teeth were randomly assigned to two groups, according to the technique used for root canal preparation: Group I - manual instrumentation with stainless steel files; Group II - mechanical instrumentation with RaCe rotary nickel-titanium instruments. In each tooth, root dentin thickness of the buccal, lingual, mesial and distal surfaces in the apical, middle and cervical thirds of the canal was measured (in mm) using a multislice CT scanner (Siemens Emotion, Duo). Data were stored in the SPSS v. 11.5 and SigmaPlot 2001 v. 7.101 softwares. After crown opening, working length was determined, root canals were instrumented and new CT scans were taken for assessment of root dentin thickness. Pre- and post-instrumentation data were compared and analyzed statistically by ANOVA and Tukey's post-hoc test for significant differences (p=0.05). Based on the findings of this study, it may be concluded that regarding dentin removal from root canal walls during instrumentation, neither of the techniques can be considered more effective than the other.

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