scholarly journals Presence of Metallic Microfragments on Dentinal Walls and Instrument Defects following Root Canal Preparation

2017 ◽  
Vol 18 (4) ◽  
pp. 270-276
Author(s):  
Carlos Estrela ◽  
Daniel de A Decurcio ◽  
Fernando B Barletta ◽  
Caroline Solda ◽  
Marina C Langaro ◽  
...  
Keyword(s):  
Elemental Composition ◽  
Root Canal ◽  
Structural Defects ◽  
Root Canal Preparation ◽  
Root Canals ◽  
Rotary Instruments ◽  
Molar Teeth ◽  
Reciprocating Instruments ◽  
Reciprocating Systems ◽  
Better Than

ABSTRACT Aim To determine the presence of metallic microfragments and their elemental composition in the dentinal walls of root canals following preparation using different endodontic instruments and to assess the active cutting edges of instruments with regard to structural defects. Materials and methods A total of 108 molar teeth were selected and prepared using different endodontic instruments. Teeth were randomly divided into nine groups of 12 teeth each, according to the instruments employed: Manual systems – K-FlexoFile, K-File, and Hedstroem; rotary systems – ProTaper Next, Mtwo, BioRaCe; and reciprocating systems – Reciproc, Unicone, and WaveOne. Both root canals and instruments were assessed using scanning electron microscopy, and the elemental composition of metallic microfragments was determined using energy-dispersive X-ray spectroscopy. Results Metallic microfragments were found in the groups prepared with both manual and reciprocating instruments, with no statistically significant differences between groups, thirds, or presence of metallic microfragments (p ≥ 0.05). Moreover, all groups presented structural defects in both new and used instruments; however, rotary instruments (ProTaper Next, Mtwo 702, BioRaCe) were the ones with the lowest number of defects, at statistically significant differences in comparison with other instruments (p < 0.05). Conclusion The presence of metallic microfragments on dentinal walls following root canal preparation was associated with manual and reciprocating instrumentation. Furthermore, rotary instruments were the ones with the lowest number of defects. Considering the outcomes measured in this study, rotary instruments performed better than the other two groups, as they were associated with the lowest number of metallic microfragments and structural defects. Clinical significance During root canal preparation, operative procedures may induce changes to the root canal shape, as well as the release of metallic fragments resulting from the action of instruments on dentinal walls. Therefore, it is important to determine, among the different techniques used for this purpose, which ones are least susceptible to this occurrence. How to cite this article Solda C, Langaro MC, Machado AN, Vanni JR, de A Decurcio D, Silva JA, Estrela C, Barletta FB. Presence of Metallic Microfragments on Dentinal Walls and Instrument Defects following Root Canal Preparation. J Contemp Dent Pract 2017;18(4):270-276.

scholarly journals Effects of different glide path techniques on the amount of extruded debris and preparation times during root canal preparation

2020 ◽  
Vol 14 (3) ◽  
pp. 187-190
Author(s):  
Damla Kırıcı ◽  
Simay Koç ◽  
Alper Kuştarcı
Keyword(s):  
Root Canal ◽  
Root Canal Preparation ◽  
Root Canals ◽  
Glide Path ◽  
Working Length ◽  
Significant Difference ◽  
Molar Teeth ◽  
Group 3 ◽  
Group 2 ◽  
Post Hoc

Background.This study purposed to compare the effect of new single glide path files on extruded apical debris and total preparation times during root canal preparation with the WaveOne Gold system. Methods. Thirty-six extracted human lower molar teeth with mesiobuccal canal curvature angles of 25‒35° were randomly splited to three groups. In group 1, the glide path was created with WaveOne Gold Glider (WGG) file at working length (WL); in group 2, the glide path was created with ProGlider file (PG); in group 3, the glide path was not performed. In all the groups, the root canals were shaped with WaveOne Gold Primary (WOG) reciprocating files at WL. Apically extruded debris during instrumentation was picked up into pre-weighed Eppendorf tubes. The weight of the dry extruded debris was calculated by subtracting the pre- and post-instrumentation weights of the tubes in each group. The total time elapsed during the canal preparation was calculated with a chronometer. The data were analyzed using one-way ANOVA and post hoc Tukey tests. Results. The WGG/WOG group extruded significantly fewer debris than the WOG and PG/WOG groups (P<0.05). There was no significant difference between the WOG and PG/WOG groups (P>0.05). The WGG/WOG and PG/WOG groups were significantly faster than the WOG group. Conclusion. The amount of debris extruded apically significantly diminished when conventional WGG was implemented before using WOG. The total preparation time significantly diminished when the WOG file was used in combination with reciprocating and rotary glide path preparation techniques.

scholarly journals Cone-beam Computed Tomography Evaluation of Root Canal Preparation using Various Rotary Instruments: An in vitro Study

2015 ◽  
Vol 16 (11) ◽  
pp. 869-872 ◽  
Author(s):  
Suhashini Ramanathan ◽  
Pradeep Solete
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Root Canal Preparation ◽  
Root Canals ◽  
Rotary Instruments ◽  
Significant Difference ◽  
Dentin Thickness

ABSTRACT Aim To evaluate the remaining dentin thickness of teeth after cleaning and shaping the root canal using three rotary instrumentation technique using cone-beam computed tomography (CBCT). Materials and methods This in vitro study is being done with 30 premolar samples with 20’ curvature. The study is divided into three groups a CBCT was taken to measure the shortest distance from the root canal outline to the closest adjacent root surface was measured at each level from the cementoenamel junction (CEJ) (1,3, 5 and 7 mm) before and after root canal instrumentation. The purpose of this study was to compare the effects of different instruments used to prepare curved root canals on the remaining cervical dentin thickness and total amount of dentin removed from root canals during instrumentation by using multi-slice CBCT. The remaining dentin thickness is very much necessary for the success rate of root canal treatment. However, this study helps to prove that a conservative preparation with a sound remaining dentin thickness is much more advisable. Result It was observed that there was a significant difference at 1 and 3 mm (p < 0.05) and at 5 and 7 mm there was no significant difference (p > 0.05). Mtwo has removed less amount dentin when compared to ProTaper Universal and ProTaper Next system at 1 and 3 mm. Conclusion Under the conditions of the study, we concluded that ProTaper Universal and ProTaper Next should be used judiciously, as it causes higher thinning of root dentin of the root when compared with Mtwo. How to cite this article Ramanathan S, Solete P. Cone-beam Computed Tomography Evaluation of Root Canal Preparation using Various Rotary Instruments: An in vitro Study. J Contemp Dent Pract 2015;16(11):869-872.

scholarly journals Shaping ability of rotary or reciprocating systems for oval root canal preparation: a micro-computed tomography study

2018 ◽  
Vol 22 (9) ◽  
pp. 3189-3194 ◽  
Author(s):  
Camila Galletti Espir ◽  
Camila Almeida Nascimento-Mendes ◽  
Juliane Maria Guerreiro-Tanomaru ◽  
Bruno Cavalini Cavenago ◽  
Marco Antonio Hungaro Duarte ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Root Canal ◽  
Micro Computed Tomography ◽  
Root Canal Preparation ◽  
Reciprocating Systems ◽  
Shaping Ability

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 Effects of Contemporary Irrigant Activation Schemes and Subsequent Placement of an Interim Dressing on Bacterial Presence and Activity in Root Canals Associated with Asymptomatic Apical Periodontitis

2020 ◽  
Vol 9 (3) ◽  
pp. 854 ◽  
Author(s):  
Alexandre P. L. Carvalho ◽  
Laura C. L. Nardello ◽  
Fernanda S. Fernandes ◽  
Fernanda P. Bruno ◽  
Luiza R. Paz ◽  
...  
Keyword(s):  
Calcium Hydroxide ◽  
Root Canal ◽  
Quantitative Polymerase Chain Reaction ◽  
Apical Periodontitis ◽  
Universal Primers ◽  
Rrna Gene ◽  
Root Canal Preparation ◽  
Root Canals ◽  
Mechanical Preparation ◽  
Root Canal Disinfection

New tools for activating endodontic irrigants have evolved, yet their impact on root canal disinfection, in comparison to the passive placing of an inter-visit medication, have not yet been fully elucidated. The use of DNA- and rRNA-based methods may cast some new light on this issue, as they allow a comparison to be made between microbial presence and activity. Therefore, the aim of this single-arm intervention trial is to evaluate the antibacterial effect of endodontic procedures using both molecular methods. Root canal samples were obtained from 20 patients with asymptomatic apical periodontitis after each treatment step: access cavity, chemo-mechanical preparation, adjunctive procedures (XP-endo Finisher file and passive ultrasonic irrigation), calcium hydroxide medication, and 2nd-visit root canal preparation. DNA and cDNA from the samples were subjected to quantitative polymerase chain reaction with universal primers for the bacterial 16S rRNA gene. Chemo-mechanical preparation promoted a drastic reduction in bacterial levels and activity, whereas the adjunctive procedures did not make a significant contribution to further disinfection. At the 2nd visit, bacteria were active after the use of calcium hydroxide medication; however, they were significantly reduced after a 2nd-visit preparation. Consequently, the lowest bacterial levels were found at the end of the treatment. This clinical trial, which used an rRNA and rDNA combined approach, confirmed previous studies showing that root canal preparation represents the main strategy for root canal disinfection.

The impact of minimally invasive root canal preparation strategies on the ability to shape root canals of mandibular molars

2020 ◽  
Vol 53 (12) ◽  
pp. 1680-1688
Author(s):  
C. O. Lima ◽  
A. F. A. Barbosa ◽  
C. M. Ferreira ◽  
C. M. Augusto ◽  
L. M. Sassone ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Root Canal ◽  
Root Canal Preparation ◽  
Root Canals ◽  
Mandibular Molars ◽  
The Impact

scholarly journals Quality of Root Canal Fillings Performed by Undergraduate Dental Students

2011 ◽  
Vol 05 (03) ◽  
pp. 324-330 ◽  
Author(s):  
Gul Celik Unal ◽  
Ayse Diljin Kececi ◽  
Bulem Ureyen Kaya ◽  
Ali Gurhan Tac
Keyword(s):  
Root Canal ◽  
Dental Students ◽  
Technical Quality ◽  
Chi Square ◽  
Significance Level ◽  
Root Canals ◽  
Anterior Teeth ◽  
Molar Teeth ◽  
Clinical Curriculum

ABSTRACTObjectives: The purpose of this study was to evaluate the radiographic quality of root canal fillings performed by first and second clinical year dental students at the Faculty of Dentistry in Süleyman Demirel University, Turkey. Methods: The technical quality of 833 root canal fillings was evaluated by three examiners according to the density of the filling and the distance between the end of the filling and the radiographic apex. A root canal with acceptable filling length and homogeneous root filling was defined as being good quality endodontic work (GQEW). A treated tooth was defined as having good quality endodontic work tooth (GQEW-T) when all its canals had a GQEW rating. Results: A Chi-square (χ2) test at the 0.05 significance level was used for the statistical analysis of the data. Of a total of 833 root canals, 662 (79.47%) root fillings were classed as GQEW. Two hundred fifty canals (73.4%) (135 teeth) treated by first clinical year dental students were defined as GQEW-T while 412 canals (204 teeth) (73.9%) treated by second clinical year dental students were defined as GQEW-T (P>.05). Most of the GQEW-T were defined in anterior teeth (90.1%), whereas the fewest were in molar teeth (46.6%) for both first and second clinical year dental students (P<.001). Conclusions: The quality of root canal fillings in anterior teeth performed by undergraduate dental students in Isparta, Turkey was satisfactory. However, to improve the success with molar teeth, education about newer techniques and instruments must be incorporated into the preclinical and clinical curriculum. (Eur J Dent 2011;5:324-330)

scholarly journals Evaluation Algorithm of Root Canal Shape Based on Steklov Spectrum Analysis

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.

scholarly journals Effect of a Surfactant on the Antimicrobial Activity of Sodium Hypochlorite Solutions

2014 ◽  
Vol 25 (5) ◽  
pp. 416-419 ◽  
Author(s):  
Marcos Rodolfo Bolfoni ◽  
Marcelo dos Santos Ferla ◽  
Otávio da Silva Sposito ◽  
Luciano Giardino ◽  
Rogério de Castilho Jacinto ◽  
...  
Keyword(s):  
Antimicrobial Activity ◽  
Sodium Hypochlorite ◽  
Root Canal ◽  
Root Canal Preparation ◽  
Human Teeth ◽  
Significance Level ◽  
Root Canals ◽  
Tukey Test ◽  
Irrigation Solution ◽  
Period Data

The objective of the present study was to evaluate the antimicrobial activity of sodium hypochlorite (NaOCl) associated with a surfactant. Seventy single-rooted extracted human teeth were inoculated with Enterococcus faecalis, and incubated for 21 days (37 °C). The groups were distributed according to the irrigation solution used during root canal preparation: 5%, 2.5% and 1% NaOCl; 5%, 2.5% and 1% Hypoclean(r), a solution containing a surfactant (cetrimide) associated with NaOCl. Three microbiological samples were collected from each tooth: S1 - before instrumentation; S2 - immediately after instrumentation; and S3 - after a seven-day period. Data were submitted to ANOVA and Tukey test with 5% significance level. The results showed that immediately after root canal preparation (S2), E. faecalis was eliminated in all the experimental groups. However, after 7 days (S3), only the groups in which Hypoclean was used, remained contamination-free, including Hypoclean associated with 1% NaOCl, while the root canals irrigated with 1% NaOCl only, presented the highest percentage of bacterial growth. In conclusion, the addition of surfactant increased the antimicrobial activity of 1% NaOCl to levels similar to 5% NaOCl.

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