scholarly journals The Influence of Brushing Movement on Geometrical Shaping Outcomes: A Micro-CT Study

2020 ◽  
Vol 10 (14) ◽  
pp. 4805 ◽  
Author(s):  
Mario Alovisi ◽  
Damiano Pasqualini ◽  
Giorgia Carpegna ◽  
Allegra Comba ◽  
Edoardo Moccia ◽  
...  

Brushing motion has been proposed for endodontic single-file reciprocating systems to eliminate coronal interferences, but it may hesitate in a less conservative root canal shaping. The aim of the study was to compare the maintenance of the original root canal anatomy using the WaveOne Gold (WOG) technique with or without a brushing motion. Sixty extracted human mandibular first molars were selected. Manual canal scouting and mechanical glide path were performed. Samples were randomized into two groups (n = 30): WOG Primary was used to shape the mesio-lingual canals without (NB group) or with (B group) an intentional brushing motion. Specimens were scanned with micro-computed tomography (micro-CT) before and after instrumentation in order to match the volumes. Increases in canal volume and surface area were measured. Centroid shift and thickness of removed dentine from the inner curvature were assessed at the furcation, 1.5 mm and 3 mm apically from the furcation, and in relation to the point of maximum curvature. Data were analyzed by one-way ANOVA and post-hoc Student–Newmann–Keuls tests (p < 0.05). No brushing technique resulted in being significantly associated with a better maintenance of the canal anatomy, especially in the coronal third (p < 0.05). When using the WOG system, a no-brushing technique resulted in less invasive shaping, reducing the risk of stripping.

Odontology ◽  
2021 ◽  
Author(s):  
Mario Alovisi ◽  
Damiano Pasqualini ◽  
Nicola Scotti ◽  
Giorgia Carpegna ◽  
Allegra Comba ◽  
...  

AbstractThe shaping outcomes after instrumentation with rotary and reciprocating glide path and shaping systems were evaluated through micro-computed tomography (Micro-CT). Thirty extracted maxillary first molars were selected. Mesio-buccal canals were randomized into two groups (n = 15): rotary system ProGlider and ProTaper Next X1, X2 (PG-PTN) and reciprocating system WaveOne Gold Glider and WaveOne Gold Primary (WOGG-WOG). Specimens were micro-CT scanned before, after glide path and after shaping. Increase in canal volume and surface area, percentage of removed dentin from the inner curvature, centroid shift and canal geometry variation through ratio of diameter ratios (RDR) and ratio of cross-sectional areas (RA) were measured in the apical and coronal levels and at the point of maximum curvature. The number of pecking motions needed to reach the working length (WL) was recorded. One-way ANOVA and post hoc Turkey–Kramer tests were used (p < 0.05). Post-glide path analysis revealed that in the coronal third, RDR was more favorable to PG and centroid shift was lower for WOGG in the apical third. Post-shaping analysis showed a reduced removal of dentin and a more favorable RA for PTN at point of maximum curvature. The number of pecking motions up to WL resulted in different between groups both for glide path and shaping phases. Despite a higher dentin removal for reciprocating instruments at the point of maximum curvature, both systems seemed to produce well-centered glide path and shaping outcomes. Rotary and reciprocating systems seemed able to respect the original canal anatomy.


2015 ◽  
Vol 26 (6) ◽  
pp. 612-618 ◽  
Author(s):  
Ricardo Abreu da Rosa ◽  
Manuela Favarin Santini ◽  
Bruno Cavalini Cavenago ◽  
Jefferson Ricardo Pereira ◽  
Marco Antônio Húngaro Duarte ◽  
...  

The aim of this study was to quantify the residual filling material after filling removal, re-preparation with rotary or reciprocating files and passive ultrasonic irrigation (PUI). Twenty maxillary molars were prepared using ProTaper instruments up to F1. The teeth were filled with AH Plus and ProTaper gutta-percha points using the single-cone technique. Thereafter, the specimens were scanned using a micro-computed tomography system (Micro-CT #1). Then, the root canal filling was removed using ProTaper Retreatment files, and a new scan was performed (Micro-CT #2). The specimens were divided into two groups according to the instrument used for re-preparation: ProTaper rotary or WaveOne reciprocating files (Micro-CT #3). Finally, PUI was performed, and a new micro-CT scan was performed (Micro-CT #4). Intragroup and intergroup analyses were performed using Friedman and Dunn's post hoc test and the Kruskal-Wallis and Dunn post hoc tests, respectively. Palatal canal presented the highest volume of residual filling material in all stages of endodontic retreatment (p<0.05). The main reduction of filling volume was achieved after using ProTaper Retreament (p<0.05). The amount of remaining filling material after using ProTaper Retreatment was similar to that achieved with rotary and reciprocating files and after PUI (p>0.05). Rotary and reciprocating files achieved similar removal of the root canal filling (p>0.05). The greatest reduction in filling material was achieved after using ProTaper Retreatment files. Rotary and reciprocating instruments and PUI did not improve the removal of root canal filling materials.


Author(s):  
Vivian Ronquete ◽  
Alexandre Sigrist de Martin ◽  
Karin Zuim ◽  
Thais Machado de Carvalho Coutinho ◽  
Eduardo Fagury Videira Marceliano ◽  
...  

Abstract Objective This study compared the ProTaper Next (PTN; Dentsply Sirona, Tulsa, Oklahoma, United States) and HyFlex EDM (HEDM; Coltene/Whaledent AG, Alstätten, Switzerland) systems using micro–computed tomography (CT). Materials and Methods Twenty-one mesial roots classified as Vertucci's type IV from extracted mandibular first molars with curvatures between 20 and 40 degrees were selected. The teeth were scanned using a micro-CT before and after root canal preparation by both systems, applied to the same root, in alternating canals. The following parameters were analyzed: canal centering, apical transportation, root canal diameter/root diameter. Results No statistically significant differences between both systems were observed for any of the assessed morphological parameters (p > 0.05). All canals presented diameter enlargement of more than 40% in relation to root diameter in the cervical and middle segments. No statistically significant difference was noted between the HEDM and PTN groups. The wear percentage for the HEDM group in the cervical and middle thirds were 49.66 ± 8.65 and 46.48 ± 14.29, respectively, and 51.02 ± 11.81 and 45.48 ± 10.79 for the PTN group, respectively. Conclusion Both systems displayed similar mandibular molar mesial canals preparation, with no differences noted for any of the assessed parameters. Both groups showed increased canal diameter in the cervical and middle thirds by more than 40%.


2016 ◽  
Vol 27 (6) ◽  
pp. 664-669 ◽  
Author(s):  
Gustavo De-Deus ◽  
Felipe Gonçalves Belladonna ◽  
Juliana Roter Marins ◽  
Emmanuel João Nogueira Leal Silva ◽  
Aline de Almeida Neves ◽  
...  

Abstract This study aimed to evaluate the cause-effect relationship between canal preparation with ProTaper Universal (PTU) system and dentinal defects formation using micro-computed tomography (micro-CT) analysis. Forty mesial canals of mandibular molars with a type II Vertucci's canal configuration were scanned at an isotropic resolution of 14.16 µm. The sample was assigned to an experimental (n = 30) and a control (n = 10) groups, and the mesial canals were prepared with PTU system up to F2 instrument. The specimens from the experimental group were scanned and the cross-section images of the mesial roots, before and after preparation, were screened to identify the presence of dentinal defects. In the control group, the specimens were sectioned perpendicularly to the long axis of the root into 1-mm-thick slices (n = 80) and examined under optical microscope. Once a dentinal defect was detected, the slice was scanned through micro-CT. In the experimental group, dentinal micro-cracks were observed in 4,828 slices (24.04%). In all cross-section images, dentinal defects identified in the postoperative images were already present in the corresponding preoperative image. In the control group, 13 out of 80 slices (16.25%) had at least one dentinal defect visualized under stereomicroscopy, which was identified after a further micro-CT scanning. Micro-CT showed reliability as similar as optical microscopy in detecting dentinal defects, adding the possibility of tracking the dentinal tissue, before and after canal preparation, and providing a clear visualization of micro-cracks. Root canal preparation with PTU system did not induce the formation of new dentinal defects.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Shiva Shojaeian ◽  
Niloofar Mortezapour ◽  
Fatemeh Soltaninejad ◽  
Nazanin Zargar ◽  
Babak Zandi ◽  
...  

Aims. A glide path is created prior to root canal instrumentation by nickel-titanium (NiTi) rotary files to increase the efficiency and safety of cleaning and shaping. This study aimed to assess root canal transportation in use of different glide path files in curved canals. Materials and Methods. 30 sound mesiobuccal root canals of mandibular molars with 20° to 40° curvature were selected and randomly assigned to 3 groups of EdgeGlidePath (EGP, EdgeEndo), One-G (Micro-Mega), and Neolix (Neoniti). The specimens were scanned before and after glide path creation by microcomputed tomography (micro-CT). The pre- and postoperative micro-CT scans were superimposed, and the degree of canal transportation and centering ratio were measured at 1, 3, 5, and 7 mm distances from the apical foramen. Statistical Analysis. The data were analyzed by two-way and one-way ANOVA. Results. The effects of distance from the apical foramen and instrument type and the interaction effect of the two were not significant on the centering ability of the files or canal transportation. Conclusion. EdgeGlidePath, One-G, and Neolix files fabricated from the conventional NiTi alloy or heat-treated M-Wire alloy showed similar performance regarding centering ability and canal transportation in glide path preparation in curved canals.


Author(s):  
Gozde Serindere ◽  
Ceren Aktuna Belgin ◽  
Kaan Orhan

Background: There are a few studies about the evaluation of maxillary first premolars internal structure with micro-computed tomography (micro-CT). The aim of this study was to assess morphological features of the pulp chamber in maxillary first premolar teeth using micro- CT. Methods: Extracted 15 maxillary first premolar teeth were selected from the patients who were in different age groups. The distance between the pulp orifices, the diameter of the pulp and the width of the pulp chamber floor were measured on the micro-CT images with the slice thickness of 13.6 µm. The number of root canal orifices and the presence of isthmus were evaluated. Results: The mean diameter of orifices was 0.73 mm on the buccal side while it was 0.61 mm on palatinal side. The mean distance between pulp orifices was 2.84 mm. The mean angle between pulp orifices was -21.53°. The mean height of pulp orifices on the buccal side was 4.32 mm while the mean height of pulp orifices on the palatinal side was 3.56 mm. The most observed shape of root canal orifices was flattened ribbon. No isthmus was found in specimens. Conclusion: Minor anatomical structures can be evaluated in more detail with micro-CT. The observation of the pulp cavity was analyzed using micro-CT.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Jae-Young Kim ◽  
Hyo-Won Jang ◽  
Jung-In Kim ◽  
In-Ho Cha

AbstractThe purpose of this study was to investigate the effect of administering intermittent parathyroid hormone (iPTH) before tooth extraction versus after tooth extraction on the risk of developing MRONJ in experimental animal model. Twenty-five ovariectomized rats received 6 weeks of bisphosphonate therapy. They were classified into 3 groups, based on the timing of the medication, as Control, Pre-PTH and Post-PTH groups. For Control group, normal saline was administered before and after tooth extraction. iPTH was administered during 4 weeks before tooth extraction for Pre-PTH group and after tooth extraction for Post-PTH group. The animals were euthanized 8 weeks after tooth extraction. Macroscopic, histological, micro-computed tomography (micro-CT), and histomorphometric examinations were conducted. The incidences of impaired healing were 11.11% both in Pre-PTH and Post-PTH groups, which was lower than the Control group (42.86%). Bone healing in the extraction socket, based on micro-CT and histomorphometry evaluations, was best in Post-PTH and worst in Control group. The Pre-PTH group showed moderate healing pattern. Despite of limitations in this study, the authors identified Pre-PTH group seems to have positive effect on extraction socket healing. With regard to timing, administering iPTH after tooth extraction was superior to applying it before tooth extraction.


2019 ◽  
Vol 25 ◽  
pp. 6351-6358
Author(s):  
Gabrielė Česaitienė ◽  
Tadas Venskutonis ◽  
Vita Mačiulskienė ◽  
Vaidotas Cicėnas ◽  
Vykintas Samaitis ◽  
...  

2019 ◽  
Vol 13 (1) ◽  
pp. 57-60
Author(s):  
Damla Özsu Kırıcı ◽  
Ertuğrul Karataş ◽  
Ahmet Demirhan Uygun ◽  
Ezgi Doğanay Yıldız ◽  
Kezban Meltem Çolak ◽  
...  

Background. The aim of the present study was to compare the cyclic fatigue resistance of novel nickel titanium rotary pathfinding instruments. Methods. Twenty instruments were selected for each file system. A simulated stainless steel root canal, with a 90° angle of curvature and a curvature radius of 3 mm, was used for cyclic fatigue test of the ProGlider (#16, progressive taper: 0.02‒ 0.085), PathGlider (#15, taper: .03), and One G (#14, taper: .03) instruments. Statistical analyses were performed with oneway ANOVA (P=0.05). Post hoc Tukey tests were used to determine any statistically significant differences between the groups. Results. The ProGlider instruments exhibited significantly more cyclic fatigue resistance than both PathGlider and One G instruments (P<0.001). One G instruments had significantly more resistance to fracture than PathGlider instruments (P<0.05). Conclusion. ProGlider instruments had better cyclic fatigue resistance than PathGlider and One G instruments.


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 ◽  
...  

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