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 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 Endodontic Treatment of a Maxillary Central Incisor with Two Roots

2013 ◽  
Vol 14 (2) ◽  
pp. 345-347 ◽  
Author(s):  
Hamid Jafarzadeh ◽  
Amir Maghsoudlou ◽  
Maryam Forghani
Keyword(s):  
Root Canal ◽  
Healing Process ◽  
Endodontic Treatment ◽  
Clinical Report ◽  
Central Incisor ◽  
Root Canal Therapy ◽  
Maxillary Central Incisor ◽  
Root Canals ◽  
Dental Anatomy ◽  
Root Canal Morphology

ABSTRACT Aim This clinical report presents a rare case of maxillary central incisor with two separate roots. Background Unusual morphology of the roots and root canals may exist in any tooth. Recognition of the dental anatomy and its variations is necessary for successful endodontic therapy. It is well known that maxillary incisors are usually single-rooted teeth. Case report The root canals were instrumented with conventional hand files and Gates Glidden and obturated by using the lateral technique. Recall radiograph after 1 year shows the healing process of the preoperative apical periodontitis. Conclusion and clinical significance Clinicians should be aware of unexpected root canal morphology when performing root canal therapy. The present case demonstrated the importance of accurate preoperative radiograph and adequate access preparation. How to cite this article Maghsoudlou A, Jafarzadeh H, Forghani M. Endodontic Treatment of a Maxillary Central Incisor with Two Roots. J Contemp Dent Pract 2013;14(2):345-347.

scholarly journals Factors influencing incidents of complications while using nickel-titanium rotary instruments for root canal treatment

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ahmad A. Madarati
Keyword(s):  
Root Canal ◽  
Nickel Titanium ◽  
Influential Factor ◽  
Common Complication ◽  
Pilot Studies ◽  
Significance Level ◽  
Rotary Instruments ◽  
Chi Squared ◽  
Final Questionnaire ◽  
General Dentists

Abstract Background To investigate the complications associated with the use of nickel titanium rotary instruments (NiTi-RIs) for root canal treatments (RCTs), in Saudi Arabia dental practice, and to explore the influencing factors. Methods After obtaining an ethical approval, two pilot studies were conducted to formulate the final questionnaire. The sample size was measured taking into consideration 60% expected response rates and confidence level of 99.9%. The questionnaire was emailed to 600 general dentists (GDs) randomly selected from the dental register and all of the endodontists (175). The email’s introduction clarified objectives of the study and guaranteed that all of the collected information would remain confidential. A reminder was sent after 10 weeks. The data were collected and analyzed using the chi-squared test at a 0.05 significance level. Results With a 51% overall response rate, 71.9% off the respondents used NiTi-RIs. The majority (83.1%) experienced complications while using NiTi-RIs; with the instruments’ fracture being significantly the most common complication (52.7%) (p < 0.001). The majority (87.7%) experienced NiTi-RIs’ fractureat least once; with more endodontists (94.3%) than GDs (83.3%) (p < 0.001). The greater the number of weekly performed RCTs and participants’ experiences, the more NiTi-RIs fractures and the greater the number of fracture incidents (p < 0.001). While 60% of those who performed 1–3 RCTs per week experienced NiTi-RIs fractures, 100% of those who performed more than 12 RCTs per week did so. The highest percentage of those who experienced more than 10 fractured NiTi-RIs (60%) was within the group who performed more than 12 RCTs per week. Although fracture incidents decreased with a smaller number of reuses, there was no significant correlation between the number of fractured instruments and NiTi-RIs discard strategy (p ≥ 0.05). Conclusion Fracture incidence was the most common complication while using NiTi-RIs, regardless of the clinicians’ experiences and skills. While the single use may reduce NiTi-RIs fractures, to some extent, the greater number of RCTs performed per week was the most influential factor.

scholarly journals Root Canal Stripping: Malpractice or Common Procedural Accident—An Ethical Dilemma in Endodontics

2016 ◽  
Vol 2016 ◽  
pp. 1-5
Author(s):  
Ionela Elisabeta Ciobanu ◽  
Darian Rusu ◽  
Stefan-Ioan Stratul ◽  
Andreea Cristina Didilescu ◽  
Corina Marilena Cristache
Keyword(s):  
Risk Factors ◽  
Ethical Dilemma ◽  
Root Canal ◽  
Tooth Extraction ◽  
Nickel Titanium ◽  
Middle Section ◽  
Root Canals ◽  
Legal Consequences ◽  
Curved Root Canals

Root canal stripping is defined as an oblong, vertical perforation that appears especially in the middle section of curved root canals during endodontic treatments with nickel-titanium (Ni-Ti) instruments. Its occurrence may drastically affect the outcome of the treatment, transforming a common otherwise efficient endodontic procedure into a complication such as tooth extraction. In order to discuss the ethical and legal consequences, two cases of dental strip perforations are herewith presented. Due to the existence of risk factors for dental strip perforation, experience of the clinician and the use of magnification and modern imagistic methods (CBCT) may avoid or reduce the frequency of this type of accidents. Under correct working circumstances, dental stripping should not be regarded as a malpractice but as a procedural accident. However, the patient must always be informed, before and during the endodontic procedure, about the event and the possible complications that may occur.

The Influence of Cervical Preflaring of Root Canal on Determination of Initial Apical File using Gates Glidden Drills, Protaper, Race and Diamond-Coated Galaxy Files

2012 ◽  
Vol 13 (4) ◽  
pp. 554-558 ◽  
Author(s):  
TS Ashwini ◽  
Sonam Bhandari
Keyword(s):  
Root Canal ◽  
Accurate Determination ◽  
Size Determination ◽  
File Size ◽  
Root Canals ◽  
Multiple Comparison Test ◽  
Rotary Instruments ◽  
Working Length ◽  
Maxillary Premolars

ABSTRACT Aim To investigate the influence of cervical preflaring on apical file size determination using four different rotary instruments. Materials and methods Fifty root canals from extracted human maxillary premolars with complete root formation, straight roots were used for the study. Access opening was done and the working length established with 8 no K-file for each canal. Teeth were randomly divided into five groups of 10 canals. In Group 1- no preflaring was done and acted as control and in Groups 2, 3, 4 and 5 cervical and middle third preflaring of the root canals were done using Gates Glidden drills, Protaper instruments, Race instruments and Galaxy files respectively. After preflaring, the apical file size determination was done and the initial apical file (IAF) was fixed at the working length. Teeth were sectioned transversally 1 mm from the apex, with the binding file in position. The samples were imaged under stereomicroscope with 30× magnification. Root canal and file maximum diameters were recorded for each sample. The readings were subjected to analysis of variance test and Scheffe's multiple comparison test. Results Preflaring with Race instruments lead to most accurate determination of the IAF. It was followed by Protaper, Galaxy files and Gates Glidden drills. Conclusion Traditional method of apical size determination may lead to a substantial underestimation of actual canal size. Cervical preflaring increases the accuracy of apical size determination. Clinical significance Thus, cervical preflaring is recommended before selection of IAF as it increases the accuracy of apical size determination. How to cite this article Ashwini TS, Bhandari S. The Influence of Cervical Preflaring of Root Canal on Determination of Initial Apical File using Gates Glidden Drills, Protaper, Race and Diamond-Coated Galaxy Files. J Contemp Dent Pract 2012; 13(4):554-558.

scholarly journals Prevalence of Different Types of Apical Root Canal Morphology and their Treatment Recommendations in an Institute

2018 ◽  
Vol 56 (210) ◽  
pp. 616-620 ◽  
Author(s):  
Sushmita Shrestha ◽  
Smriti Karki ◽  
Navin Agrawal ◽  
Mannu Vikram ◽  
Vimmi Singh ◽  
...  
Keyword(s):  
Root Canal ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Root Canals ◽  
Rotary Instruments ◽  
Root Canal Morphology ◽  
Different Shapes ◽  
Diamond Disc

  Introduction: Canals can be of different shapes in cross section including round canals, oval canals, long oval canals or ribbon shaped canals. Recesses of nonround canals may not be included in the round preparation created by rotary instruments and thus they remain unprepared. The aim of this study included determination of shape and taper of the apical root canal based on diameter at different levels. Methods: This was a cross sectional study which used convenient sampling technique to determine the sample size. Seventy extracted teeth were sectioned horizontally at one, two and three millimeter from the apex using the diamond disc which was observed under trinocular research microscope for the determination of diameter of root canal under 10x magnification. Results: The most common canal configuration was oval. The taper of the canals was 25% in mesial root and 20% in distal in bucco-lingual orientation and 14% in mesial root and 15% in distal in mesio-distal orientation. Conclusions: The most prevalent canal configuration in this study was non round, however, most of the rotary instruments tend to prepare root canals into round shape making their use questionable. The taper of the root canals was found to be higher in our study than what most of the shaping instruments have to offer. So it would be advisable to consider this fact while selecting instruments and preparing these non-round canals as far as the Nepalese subpopulation is considered.

scholarly journals Effectiveness of ProTaper Retreatment System associated with Organic Solvents in the Removal of Root Canal Filling Material

2013 ◽  
Vol 4 (3) ◽  
pp. 175-179
Author(s):  
Renato de Toledo Leonardo ◽  
Gisselle Moraima Chávez-Andrade ◽  
Milton Carlos Kuga ◽  
Flávia Angélica Guiotti ◽  
Gisele Faria ◽  
...  
Keyword(s):  
Organic Solvents ◽  
Root Canal ◽  
Filling Material ◽  
Root Canal Filling ◽  
Universal System ◽  
Orange Oil ◽  
Root Canals ◽  
Covered Area ◽  
Rotary Instruments ◽  
Root Canal Dentin

ABSTRACT Aim To evaluate the effectiveness of ProTaper universal retreatment system in the removal of root canal filling material with thermomechanical compaction, in comparison to manualmechanical technique, associated with orange oil or eucalyptol. Materials and methods Forty extracted lower incisors were filled with thermomechanical compaction technique. After 3 years, the root canal filling was removed by: G1 - manualmechanical technique with orange oil; G2 - manual-mechanical technique with eucalyptol; G3 - ProTaper universal retreatment system with orange oil and G4 - ProTaper universal retreatment system with eucalyptol. In sequence, all root canals were instrumented to F5 instrument. The teeth were longitudinally grooved, images of buccal half were obtained in stereomicroscope and covered area by root canal filling material was measured using image tool software, in cervical, middle and apical radicular thirds. The results were subjected ANOVA and Tukey test (p = 0.05). Results In all thirds, the manual-mechanical technique showed lower presence of root canal filling material on root canal dentin in comparison to ProTaper retreatment universal system, regardless of organic solvent used (p < 0.05). There is no difference between organic solvents in removal root canal filling material (p > 0.05). Conclusion The ProTaper universal retreatment system showed lower effectiveness in removal root canal filling material than manual-mechanical technique, regardless of organic solvents (orange oil or eucalyptol oil) used. Clinical significance Recently rotary instruments have been proposed to removal of root canal filling material. However, there are no studies evaluating its effectiveness in removal root canal filling material in association with orange oil or eucalyptol oil. How to cite this article Guiotti FA, Kuga MC, de Toledo Leonardo R, Chávez-Andrade GM, Magro MG, Cavenago BC, Faria G. Effectiveness of ProTaper Retreatment System associated with Organic Solvents in the Removal of Root Canal Filling Material. World J Dent 2013;4(3):175-179.

scholarly journals Root canals shaped by nickel-titanium instrumentation with automated computerized numerical control systems

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Liming Wang ◽  
Wenxiang Li ◽  
Yeon-Jee Yoo ◽  
Shin Hye Chung ◽  
Soram Oh ◽  
...  
Keyword(s):  
Root Canal ◽  
Nickel Titanium ◽  
Numerical Control ◽  
Central Axis ◽  
Downward Movement ◽  
Preparation Time ◽  
Root Canals ◽  
Insertion Angle ◽  
Group 4 ◽  
Working Length

Abstract Background To investigate the efficacy of a nickel-titanium (NiTi) file with an automated computerized numerical control (CNC) system for root canal shaping. Methods The movement of the automated device and the insertion angle were investigated. In Experiment 1, simulated resin root canals were randomly divided into four groups (n = 20): manual downward movement using a handpiece (Group 1), vertical downward movement by CNC (Group 2), reciprocating up and down movement by CNC (Group 3), and spiral up and down movement by CNC (Group 4). In Experiment 2, five different insertion angles of the NiTi file were evaluated (n = 20). Four parameters were used to evaluate the shaping ability: change in the working length, central axis offset, curvature variation, and preparation time. Groups were compared using one-way analysis of variance (ANOVA) with significance was set at P < 0.05. Results The change in central axis position in the curved part of the root canal was found to be smaller in Group 4 than in other groups (P < 0.05). The curvature changes and preparation time of Groups 1 and 4 were significantly reduced compared with Groups 2 and 3 (P < 0.05). The variation in working length and curvature in the 5° insertion angle group was significantly smaller than in the other groups (P < 0.05). Conclusions A spiral up and down movement, controlled by the CNC machine, and 5° insertion angle, maintained original root canal shape more precisely than other methods.

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