scholarly journals Canal transportation and centering ability of root canals prepared using rotary and reciprocating systems with and without PathFiles in cone-beam computed tomography-based three-dimensional molar prototypes

2021 ◽  
Vol 24 (3) ◽  
pp. 246
Author(s):  
MSruthi Sunildath ◽  
Josey Mathew ◽  
Liza George ◽  
RV Vineet ◽  
Priya Thomas ◽  
...  
2021 ◽  
Vol 6 (2) ◽  
pp. 101-105
Author(s):  
Kadam Krutika Kiran ◽  
Vagarali Hemant ◽  
Pujar Madhu A ◽  
Tamase Aishwarya S ◽  
Sahana Umesh

This study aimed to compare the canal transportation and canal centering ability in the preparation of curved root canals after instrumentation with TruNatomy (TN) (TN; Dentsply Sirona, Maillefer, Ballaigues, Switzerland) and ProTaper Gold (PG) (PG; Dentsply, Tulsa Dental Specialties, Tulsa, OK, USA) files using cone‑beam computed tomography (CBCT). 30 Single rooted extracted human teeth with root curvature ranging from 20-30° according to Schneider’s method were selected. Teeth with any visible cracks or fractures, calcifications, previous root canal treatments were excluded. The teeth were randomly assigned into two groups i.e. Group 1-TN and Group 2-PG (n = 15 each). The teeth were instrumented according to manufacturer’s guidelines for both the groups. Canals were scanned using a CBCT scanner before and after preparation to evaluate the transportation and centering ratio at 3 mm, 5 mm, and 7 mm from the apex. The data analysis was done using SPSS software and the test used was independent sample t test for comparison between the 2 groups.Data obtained suggested that TN group presented lesser canal transportation at the middle third of the root. The PG group showed better centering abitily at apical third of the root canal when both the groups were compared. TN resulted in less transportation than PG at the middle third, and PG showed better centering ability at the apical third. Overall, both systems safely prepared root canals, causing minimal errors.


2016 ◽  
Vol 04 (02) ◽  
pp. 088-093
Author(s):  
Veerendra Uppin ◽  
Vinaya Varghese ◽  
Madhu Pujar ◽  
Nirmal Kurian ◽  
Hemant Vagarali

Abstract Objective: The aim of the study was to compare the canal transportation and centering ability of Rotary ProTaper Next, Hyflex CM and Wave One primary systems using cone beam computed tomography (CBCT) in curved root canals. Materials and Methods: Total 30 freshly extracted maxillary first molars having root canals with curvature between 10°- 20° were divided into three groups of 10 teeth each. All teeth were scanned by CBCT to determine the root canal shape before instrumentation. In Group 1, the canals were prepared with ProTaper Next files, in Group 2 with Hyflex CM files and in Group 3 with Wave One files. After preparation, post-instrumentation scan was performed. Pre-instrumentation and post-instrumentation images were obtained at 3 mm and 6 mm above the apical foramen and were compared using CBCT software. The amount of canal transportation and centering ability were assessed and statistically compared with one way analysis of variance and Tukey honestly significant test. (p<0.05). Results: All instrumentation systems used resulted in some amount of canal transportation. Data obtained suggested that Wave One files caused significantly lesser transportation and remained better centered in the canal than Hyflex CM and Rotary ProTaper Next files. Conclusion: The canal preparation with Wave One files results in lesser transportation and better centering ability than Hyflex CM and ProTaper Next rotary files in curved root canals.


2017 ◽  
pp. 11-13
Author(s):  
Nagaveni NB ◽  
Meghna Bajaj ◽  
Sneha Yadav ◽  
Poornima P

Permanent mandibular second molars usually show two roots, one mesial and the other distal root with four root canals (two mesial and two distal canals). Variation in root number and canal morphology rarely occur in these teeth. Cone Beam Computed Tomography is a new advent in the diagnostic field which provides three dimensional clear picture of the root/canal. The present article describes the endodontic management of permanent mandibular left second molar with Vertucci II canal configuration using cone beam computed tomography.


2013 ◽  
Vol 2013 ◽  
pp. 1-4
Author(s):  
Adrianne Freire de Paula ◽  
Manoel Brito-Júnior ◽  
Alex Carvalho Quintino ◽  
Carla Cristina Camilo ◽  
Antônio Miranda Cruz-Filho ◽  
...  

Endodontic treatment of mandibular molars is challenging because of variable root canal morphology. The nonsurgical endodontic management of a mandibular first molar presenting an independent middle mesial canal is reported. After coronal access, additional clinical inspection of the mesial canals’ orifices and their interconnecting groove using an endodontic explorer and 4.5× loupes enabled the identification of the middle mesial canal orifice. All root canals were chemomechanically prepared and filled. The tooth was asymptomatic and functional after 4 years of followup. Cone beam computed tomography (CBCT) images revealed normal periapical status and three-dimensional (3D) anatomical aspects of the root canal system.


Author(s):  
Patel Nimeshkumar ◽  
Mistry Ekta

Introduction: Cone Beam Computed Tomography (CBCT) has transformed the manner in which radiological evaluation is performed. Methods: This article discusses the different aspects of CBCT, common dental applications of CBCT for diagnosis and treatment in different dental specialties from the current literature. Results: CBCT has been widely accepted into different dental practices. The main reasons are the decreased size, low cost, less exposure to radiation as compared to computed tomography. CBCT enables the three dimensional assessment of the region of maxilla, mandible, cranium, and associated structures. Conclusions: Dentists and dental specialists can utilize three dimensional radiography- CBCT for a comprehensive diagnosis. CBCT can also help in identifying the structures such as root canals, bifurcated canals, supernumerary teeth, impacted teeth in different planes and thus are a valuable tool for dental treatment planning.


2015 ◽  
Vol 16 (5) ◽  
pp. 360-365 ◽  
Author(s):  
Sevinç Aktemur Türker ◽  
Emel Uzunoglu

ABSTRACT Aim One Shape Apical 1 (OSA 1) is a new file for preparing the apical aspect of the root canal after One Shape (OS, Micro Mega, Besançon, France). This study compared apical transportation and centering ratios in curved root canals, which were instrumented with ProTaper Next (PTN, Dentsply Tulsa Dental Specialties, Tulsa, OK) up to size X3 and with OS up to OSA 1. Materials and methods Forty-eight mesial canals of mandibular molars were assigned into two groups (n = 24) with respect to canal length and curvature. Root canals were accessed conventionally and preperation was completed with PTN files up to X3 or with OS up to OSA 1 according to the manufacturer's protocols. Apical transportation was assessed pre- and postinstrumentation using cone-beam computed tomographic (CBCT) scans of 1, 2, 3, 4, and 5 mm sections. A Friedman test was performed to assess the significance between file systems. Results No significant difference was found between the file systems regarding apical transportation and centering ratio values (p > 0.05). Transportation in the mesial direction was greater than the distal transportation for both file systems. Conclusion Considering apical transportation and centering ratio in curved canals, two systems provided similar results. Clinical significance Preparation up to One Shape Apical 1 or ProTaper Next X3 was shown similar results regarding apical transportation and centering ratio. Both systems were safe to use in curved molar root canals. How to cite this article Uzunoglu E, Turker SA. Comparison of Canal Transportation, Centering Ratio by Cone-beam Computed Tomography after Preparation with Different File Systems. J Contemp Dent Pract 2015;16(5):360-365.


Medicina ◽  
2021 ◽  
Vol 57 (9) ◽  
pp. 901
Author(s):  
Laura Orel ◽  
Oana-Alexandra Velea-Barta ◽  
Luminita-Maria Nica ◽  
Andreea-Simona Boscornea-Pușcu ◽  
Razvan Mihai Horhat ◽  
...  

Background and Objectives: The aim of the present study is to compare the efficacy of three root canal preparation systems in the shaping of 3D-printed root canal replicas of single rooted teeth. Materials and Methods: Sixty 3D-printed root canal replicas were produced and divided into three groups, each consisting of twenty samples. Each group was shaped with a different instrument: Reciproc Blue R25/08 (VDW GmbH, Munich, Gemany), WaveOne Gold Primary 25/07 (Dentsply Sirona, Ballaigues, Switzerland), and ProTaper Gold F2 25/08 (Denstply Sirona). To ensure the reproducibility of pre- and post-operative CBCT images of the root canals, the endodontic printed replicas were placed in a mould of silicon impression material. A cone-beam computed tomography (CBCT) software was used to compare pre- and post-instrumentation images collected at three levels of the root canal length: 3, 6, and 9 mm from the apical foramen. The amount of transportation, centring ability, and curvature angle after shaping were evaluated for each system. The results were statistically analysed and compared using one-way analysis of variance (ANOVA). Results: Regarding the transportation of the root canal after shaping, significant differences between groups at 3 mm (p = 0.010721) and 6 mm (p = 0.000046) were recorded in the mesio-distal direction, while in the bucco-lingual significant differences were only observed at 6 mm (p = 0.000554). Reciproc Blue removed more dentin from the mesial and buccal wall of the root canal. When evaluating the centring ability of the three systems, significant differences were observed between the groups at the level of 9 mm (p = 0.037258) in the mesio-distal direction, and at the level of 6 mm (p = 0.038197) in the bucco-lingual direction. Significant differences of the canal curvature angle after shaping were also observed between groups (p = 0.000001). Reciproc Blue straightened the curvature the most, while ProTaper Gold the least. Conclusions: All systems produced minor root canal transportation. No instrument was able to achieve a perfect centring preparation of the root canal. All systems produced a small degree of root canal straightening.


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