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.

Efficiency of Different Nickel-Titanium Endodontic File Systems in Cleaning and Apical Transportation of Simulated Curved Root Canals

2017 ◽  
Vol 68 (5) ◽  
pp. 957-961
Author(s):  
Andrea Csinszka Kovacs Ivacson ◽  
Mariana Pacurar ◽  
Monica Monea ◽  
Monika Kovacs ◽  
Mihai Pop ◽  
...  
Keyword(s):  
Root Canal ◽  
File Systems ◽  
Nickel Titanium ◽  
Endodontic Treatment ◽  
Root Canal Treatment ◽  
Cleaning Efficiency ◽  
Root Canals ◽  
Apical Transportation ◽  
Curved Root Canals ◽  
Reference Areas

The use of nickel-titanium instruments have become an important part of the root canal treatment, in order to facilitate the cleaning and shaping of root canals, because the incorrect utilization of the endodontic files during endodontic treatment may produce unwanted procedural errors. The aim of this study was to evaluate on simulated curved root canal models the cleaning efficiency and the apical transportation in three reference areas of the root canal files, ProTaper (Dentsply Maillefer), K3XF (Sybron Endo) and HyFlex (Coltene Endo) systems, compared to the hand K-files (DentsplyMaillefer). According to our results, rotary file systems are more efficient than the hand files, in cleaning the root canal.

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 The evaluation of two rotary instrumentation techniques under "operator-related variables" standardized conditions

2013 ◽  
Vol 07 (04) ◽  
pp. 395-398
Author(s):  
Ozgur Uzun ◽  
Ozgur Topuz ◽  
Fatma Yalpi ◽  
Feyza Unsal ◽  
Cumhur Aydin ◽  
...  
Keyword(s):  
Root Canal ◽  
Nickel Titanium ◽  
Test Results ◽  
Root Canals ◽  
Significant Difference ◽  
Computer Controlled ◽  
Rotary Instrument ◽  
Preparation Techniques ◽  
Different Levels ◽  
Curved Root Canals

ABSTRACT Objective: We aimed here to evaluate the enlargement characteristics of two nickel-titanium rotary instrument systems that use two different preparation techniques, in simulated root canals under "operator-related variables" standardized conditions. Materials and Methods: A total of 40 simulated canals in resin blocks were divided into two groups as the Mtwo group for use with a single-length technique and the ProTaper instrument system group for use with crown down technique. To standardize the operator-related variables, all preparations were carried out with a computer controlled device that was developed and used previously as described in a published study. The pre- and post-operative digital images of the canals were superimposed and measured at 11 levels from the apical tip. The distances between the pre- and post-operative outer lines of the root canals were measured at both the inner and outer sides of the curve. The amount of removed material and the symmetry of the preparations were evaluated. Statistical analyses were performed with Mann-Whitney test. Results: Significantly more material was removed by Mtwo at 9 levels and by ProTaper at 2 levels (P < 0.05) while no significant difference was determined at 11 levels. The preparations made with ProTaper were more symmetrical at 4 levels while no significant difference was determined at 7 levels. Conclusions: Mtwo removed significantly more material than ProTaper at different levels of the curved root canals. Mtwo and ProTaper made symmetrical preparations and maintained the original shape of the root canal at different levels under controlled operator-related variables.

Comparative Study of Different Novel Nickel-Titanium Rotary Systems for Root Canal Preparation in Severely Curved Root Canals

2014 ◽  
Vol 40 (6) ◽  
pp. 852-856 ◽  
Author(s):  
Ismail Davut Capar ◽  
Huseyin Ertas ◽  
Evren Ok ◽  
Hakan Arslan ◽  
Elif Tarim Ertas
Keyword(s):  
Comparative Study ◽  
Root Canal ◽  
Nickel Titanium ◽  
Root Canal Preparation ◽  
Root Canals ◽  
Curved Root Canals

scholarly journals Safety and Effectiveness of Additional Apical Preparation using a Rotary Heat-treated Nickel–Titanium file with Larger Diameter and Minimum Taper in Retreatment of Curved Root Canals

2021 ◽  
Author(s):  
Jader Camilo Pinto ◽  
Fernanda Ferrari Esteves Torres ◽  
Airton Oliveira Santos-Junior ◽  
Marco Antonio Hungaro Duarte ◽  
Juliane Maria Guerreiro-Tanomaru ◽  
...  
Keyword(s):  
Fatigue Resistance ◽  
Continuous Wave ◽  
Cyclic Fatigue ◽  
Nickel Titanium ◽  
Filling Material ◽  
Root Canals ◽  
Filling Materials ◽  
Heat Treated ◽  
Before And After ◽  
Curved Root Canals

Abstract Objective The aim of this study was to investigate the effect of additional apical preparation using the ProDesign Logic (PDL) 50/.01 rotary heat-treated nickel–titanium (NiTi) file with a larger diameter and minimal taper for retreatment of curved root canals. Materials and Methods Mesial curved root canals of 12 mandibular molars were prepared using PDL 25/.06 and filled using the continuous wave of condensation technique and AH Plus sealer. After retreatment using ProDesign S (PDS) 25/.08, PDL 25/.06 and PDL 35/05, a complementary procedure was performed with PDL 50/.01. Microcomputed tomography (micro-CT) scanning was performed before and after retreatment procedures. The cyclic fatigue resistance of unused PDS 25/.08, PDL 25/.06, PDL 35/.05 and PDL 50/.01 instruments (n = 12) was evaluated in a stainless-steel device. Statistical Analysis Data on the volumes of the root canals and the remaining filling materials were submitted to the paired t-test. Cyclic fatigue resistance data was submitted to one-way ANOVA and Tukey’s tests (α = 0.05). Results Use of PDL 50/.01 decreased the remaining filling materials in the apical third (p < 0.05). The root canal volume was similar in the cervical and middle thirds before and after preparation using PDL 50/.01 (p > 0.05). PDL 50/.01 presented the highest cyclic fatigue resistance (p < 0.05). Conclusions Use of the PDL 50/.01 instrument as an additional apical preparation for retreatment of curved root canals improved filling material removal in the apical third, while maintaining the dentin in the cervical and middle thirds. In addition, PDL 50/.01 presented high-flexural resistance.

scholarly journals GuttaFlow Bioseal as Monocone Obturation Technique in Curved Root Canals: A Scanning Electron Microscopy Study

2021 ◽  
Vol 15 (2) ◽  
pp. 42-59
Author(s):  
Musliana Mustaffa ◽  
◽  
Hajar Ar Rahmah Nasri ◽  
Insyirah Kamarulzaman ◽  
Mohamad Shafiq Mohd Ibrahim ◽  
...  
Keyword(s):  
Surface Area ◽  
Root Canal ◽  
Current Approach ◽  
Filling Material ◽  
Sem Images ◽  
Root Canals ◽  
Gutta Percha ◽  
Curved Root Canals ◽  
Scanning Electron ◽  
Group 1

The obturation quality of GuttaFlow Bioseal in curved root canals is not commonly investigated although there has been a current approach toward utilizing this material in extracted molars in recent years. This study assessed the obturated surface area, extrusion of root filling material beyond the apical foramen and duration of obturation procedure in curved root canals using monocone obturation technique. Access cavity was prepared in 20 human mandibular molars. Root canals with curvature of more than 10 as determined according to Schneider’s method were included. Samples were prepared using Hyflex CM rotary files and divided into two groups (n=10): Group 1 [gutta-percha cone and GuttaFlow Bioseal] and Group 2 [gutta-percha cone and RoekoSeal Automix root canal sealer]. The duration of obturation procedure was recorded and obturation radiographs were taken. Samples were bisected and the mesial roots were sectioned horizontally to obtain 3 root segments; apical, middle and coronal. All resected roots were mounted on brass stubs, sputter-coated with thin platinum coating and observed under scanning electron microscope (SEM) at 70x magnification. The SEM images were transferred to the SketchAndCalc Area Calculator software. No statistically significant differences in the obturated surface area and extrusion of root filling material were observed between Group 1 and 2, irrespective of the status of root canal curvature. Duration for obturation in severe root canal curvatures between Group 1 and 2 were statistically significant. Obturated surface area and extrusion of root filling material were not affected by the root canal curvature, however duration for obturation using GuttaFlow Bioseal in severe root canal curvatures was slightly longer.

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