scholarly journals Root Canal Transportation after Root Canal Preparation with ProTaper Next, WaveOne Gold, and Twisted Files

2020 ◽  
Vol 9 (11) ◽  
pp. 3661
Author(s):  
Wojciech Eliasz ◽  
Kinga Kubiak ◽  
Wojciech Poncyljusz ◽  
Anna Surdacka
Keyword(s):  
Computed Tomography ◽  
Root Canal ◽  
Mean Value ◽  
Root Canal Preparation ◽  
Movement Kinematics ◽  
Root Canals ◽  
Adaptive Motion ◽  
Computed Tomography Scans ◽  
Canal Transportation ◽  
The Mean

Background: Root canal preparation during endodontic treatment may be associated with various complications, including a change in the original pathway of the root canal lumen. The aim of our study was to determine whether files of similar sizes that use various movement kinematics (rotary, reciprocal, adaptive motion) cause root canal transportation, and whether the differences between such systems are statistically significant. Methods: The degree of root canal transportation (DT) was calculated with the use of computed tomography scans for 3 groups of teeth (for each group: n = 20) in which the root canals were prepared using either rotary (ProTaper Next—PTN), reciprocal (WaveOne Gold—WOG), or adaptive movement (Twisted Files—TF) instruments. Results: For rotary ProTaper Next instruments, the mean value of the DT index was 0.0795 (SD = 0.0179) for 3 mm from the apex, 0.09 (SD = 0.0262) for 6 mm from the apex, and 0.106 (SD = 0.0221) for 9 mm from the apex. For reciprocal WaveOne Gold Primary instruments, the mean value of the DT index was 0.0355 (SD = 0.015) for 3 mm from the apex, 0.061 (SD = 0.02) for 6 mm from the apex, and 0.08 (SD = 0.25) for 9 mm from the apex. For Twisted Files, the mean value of the DT index was 0.05 (SD = 0.03) for 3 mm from the apex, 0.092 (SD = 0.17) for 6 mm from the apex, and 0.08 (SD = 0.02) for 9 mm from the apex. Conclusions: The use of PTN, WOG, and TF files resulted in root canal transportation to a different degree. The use of rotary PTN files produced the most transported preparation, whereas the use of WOG files produced the conservative root canal preparation that allowed the retention of the original shape of the root canal.

scholarly journals Multidimensional Analysis of Curved Root Canal Preparation Using Continuous or Reciprocating Nickel-titanium Instruments

2018 ◽  
Vol 12 (1) ◽  
pp. 32-45 ◽  
Author(s):  
Iussif Mamede-Neto ◽  
Álvaro Henrique Borges ◽  
Ana Helena Gonçalves Alencar ◽  
Marco Antonio Hungaro Duarte ◽  
Manoel Damião Sousa Neto ◽  
...  
Keyword(s):  
Root Canal ◽  
Nickel Titanium ◽  
Reference Points ◽  
Multidimensional Analysis ◽  
Cone Beam ◽  
Root Canal Preparation ◽  
Root Canals ◽  
Computed Tomography Scans ◽  
Before And After ◽  
Canal Transportation

Objective: To evaluate transportation (T) and centering ability (CA) of root canal preparations using continuous or reciprocating nickel-titanium endodontic files. Materials and Methods: Ninety-six mesiobuccal root canals of mandibular first and second molars were randomly divided into 6 groups (n=16) according to the rotary file used: 1. ProTaper Next; 2. ProTaper Gold; 3. Mtwo; 4. BioRaCe; 5. WaveOne Gold; 6. Reciproc. Root canals were prepared according to manufacturer’s instructions. Cone beam computed tomography scans were obtained before and after root canal preparation. Measurements were made at six different reference points: 2, 3 and 4 mm from the apex and 2, 3 and 4 mm below furcation in different directions. Results: The greatest Mesiodistal (MD) Transportation (T) was found for Reciproc files (p<0.05), and the greatest buccolingual (BL) T, for Reciproc, ProTaper Gold and ProTaper Next files (p<0.05). The greatest Mesiodistal (MD) Centering Ability (CA) was found for BioRaCe files (p<0.05), and the greatest Buccolingual (BL) CA, for BioRaCe and Mtwo files (p<0.05). Conclusion: All systems produced root canal transportation. No file system achieved perfect CA of root preparation. Reciproc files had the greatest MD T and BL T. BioRaCe files had the greatest MD CA, whereas BL CA was similar for BioRaCe and Mtwo files.

scholarly journals Comparative evaluation of shaping ability of trunatomy and protaper gold files in curved canals using cone?beam computed tomography: An invitro study

2021 ◽  
Vol 6 (2) ◽  
pp. 101-105
Author(s):  
Kadam Krutika Kiran ◽  
Vagarali Hemant ◽  
Pujar Madhu A ◽  
Tamase Aishwarya S ◽  
Sahana Umesh
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Cone Beam ◽  
Human Teeth ◽  
Root Canals ◽  
Before And After ◽  
Canal Transportation ◽  
Group 2 ◽  
Shaping Ability

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.

scholarly journals Second Root Canal in Mandibular Incisors: an Ex Vivo Cone-Beam Computed Tomography (CBCT) Study

2018 ◽  
Vol 22 (1) ◽  
pp. 38-42
Author(s):  
Maria Elpida Kalaitzoglou ◽  
Eleni Kantilieraki ◽  
Charalampos Beltes ◽  
Christos Angelopoulos ◽  
Panagiotis Beltes
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Ex Vivo ◽  
Cone Beam ◽  
Mean Values ◽  
Root Canals ◽  
The Mean ◽  
Type 3 ◽  
Mandibular Incisors

SummaryBackground/Aim: To analyze the internal morphology of mandibular incisors with two root canals using cone-beam computed tomography (CBCT). Material and Methods: 289 (143 central and 146 lateral) extracted intact mandibular incisors were radiographed for detection of a second root canal. The teeth presenting a second root canal were imaged with CBCT and evaluated regarding: root canal type, the distance of the cementoenamel junction (CEJ) to the bifurcation of the canals and the distance of the canal fusion to the apical foramen (in teeth in which canals rejoined). Results: Out of 143 central and 146 lateral mandibular incisors, 41 (28.7%) and 44 (30.1%) teeth respectively showed a second root canal. Types II, III, V and an additional type to Vertucci’s classification were identified. Type III was the most prevalent and presented in 30 (73.2%) central and 34 (77.3%) lateral mandibular incisors with two root canals. The mean values of the distance of the CEJ to the canal bifurcation were 4.2 mm and 4.0 mm for central and lateral mandibular incisors respectively. The mean values of the distance of the canal fusion to the apical foramen 5.5 mm and 5.1 mm for central and lateral mandibular incisors respectively. Conclusions: Mandibular incisors with two root canals mainly present with Vertucci’s Type 3 canal configuration. The canal bifurcation was identified mostly at the coronal and middle thirds of the root, while the canal fusion occurred in the middle third of the root.

Apical Transportation of ProGlider and ProTaper Next Activated with Different Motions

2016 ◽  
Vol 39 (12) ◽  
pp. 625-628
Author(s):  
Hakan Arslan ◽  
Damla O. Kirici ◽  
Ahmet D. Uygun ◽  
Ruslan Khalilov ◽  
Yahya Güven ◽  
...  
Keyword(s):  
Root Canal ◽  
Rotation Group ◽  
Reciprocating Motion ◽  
Movement Kinematics ◽  
Root Canals ◽  
Continuous Rotation ◽  
Apical Transportation ◽  
Canal Transportation

Purpose The aim of this study was to investigate the apical transportation of the ProGlider and ProTaper Next using 3 different motions (150° clockwise [CW]; 0° counter clockwise [CCW], 270° CW-30° CCW; and [360° CW] continuous rotation). Materials and Methods 36 simulated, curved, plastic training blocks were randomly distributed into 3 groups for treatment according to the movement kinematics used for ProGlider (Dentsply Maillefer) followed by ProTaper Next (Dentsply Maillefer) instruments (n = 12): 150° CW-30° CCW, 270° CW-30° CCW, and 360° CW (continuous rotation). Pre- and post-instrumentation photographs were taken from the root canals in a standardized manner. Root canal transportation was calculated at 1, 2, 3, 4, and 5 mm from the apical terminus of the canal. Data were analyzed using a Kruskal-Walis H test (p = .05). Results At the 1- and 2-mm levels, both reciprocating motions (150° CW-30° CCW and 270° CW-30° CCW) resulted in less transportation than those of continuous rotation (p<.05). However, there were no significant differences between the groups at the 3-, 4-, and 5-mm levels (p>.05). Conclusions Both reciprocating motions were found to have less canal transportation than the continuous rotation group at the 1- and 2-mm levels. This is the first study about the use of the ProGlider and ProTaper Next activated by different motions. Reciprocating motion can be beneficial for ProGlider and ProTaper Next to reduce transportation of root canals.

scholarly journals Apical Extrusion of Debris during Root Canal Preparation with ProTaper Next, WaveOne Gold and Twisted Files

Materials ◽  
2021 ◽  
Vol 14 (21) ◽  
pp. 6254
Author(s):  
Wojciech Eliasz ◽  
Beata Czarnecka ◽  
Anna Surdacka
Keyword(s):  
Root Canal ◽  
Root Canal Preparation ◽  
Movement Kinematics ◽  
Liquid Component ◽  
Apical Extrusion ◽  
Working Length ◽  
Adaptive Motion ◽  
Group 3 ◽  
Group 2 ◽  
Group 1

(1) Background: Apical extrusion of debris is an example of a complication that may arise during root canal treatment, and it has been proven to be an unavoidable occurrence during endodontic treatment by numerous authors. Even though it may not hinder the long-term outcome of treatment, it may lead directly to increased levels of postoperative pain and, therefore, lower levels of patient acceptance and satisfaction. The aim of the study was to assess the weight of apically extruded debris during root canal preparation with instruments that use different movement kinematics (rotary, reciprocating, and adaptive motion); (2) Methods: The study was performed using the Myers and Montgomery model. Sixty human premolar teeth were inserted into preweighed Eppendorf tubes and randomly classified into three groups. After manual glide-path preparation, teeth in each group were instrumented to working length set 1 mm short of the anatomical apex using the standard sequence provided by the manufacturers (for Group 1: ProTaper Next X1 & X2; for Group 2: WaveOne Gold Primary, for Group 3: Twisted Files SM1-SM3). Root canals were irrigated with 1 mL of 0.9% NaCl solution between each file insertion. The tubes with collected debris were stored in an incubator at 70 °C for 5 days in order to evaporate the liquid component. Measurement of the weight of extruded debris was performed by subtracting the preinstrumentation from the postinstrumentation weight of the tubes. The results were analyzed with Kruskal–Wallis ANOVA, with significance level set at 0.05; (3) Results: The weight of extruded debris was 0.337 mg (SD = 0.148) for Group 1, 0.305 mg (SD = 0.201) for Group 2, and 0.348 mg (SD = 0.135) for Group 3. (4) Conclusions: Engine-driven root canal preparation with the use of instruments ProTaper Next, WaveOne Gold and Twisted Files that use different movement kinematics (rotary, reciprocating, and adaptive motion) was associated with apical extrusion of debris to a similar extent.

scholarly journals The comparison of the rate of apical displacement in curved root canals using Neoniti and RaCe files by cone beam CT Scan

2019 ◽  
Vol 22 (3) ◽  
pp. 313-320
Author(s):  
Mostafa Godiny ◽  
Nafiseh Nikkerdar ◽  
Reza Hatam ◽  
Leila Shahsavand ◽  
Atefeh Khavid
Keyword(s):  
Root Canal ◽  
Cone Beam Ct ◽  
File Systems ◽  
Root Canals ◽  
Mandibular Molar ◽  
Significant Difference ◽  
Before And After ◽  
Molar Teeth ◽  
Canal Transportation ◽  
The Mean

Background and aim: There is a high prevalence of root canal transportation in the teeth with the curve. effect of root canal transportation on the success of root canal therapy of tooth is negative and there is no study about comparing RaCe and Neoniti files in root canal transportation. The aim of this study is assessment and comparing two different RaCe and Neoniti files to determine transportation error in various parts of root using CBCT assessment and comparing them with each other.Method: In this experimental study 50 extracted mandibular molar teeth selected. Teeth were divided randomly into two groups i.e. 25 teeth threated with RaCe file (first group) and 25 teeth threated with Neonitu files (second group). in this study to measurement  thickness of dentine in the scan ,before and after instrumentation at the same time we used axial images that obtain from NNT viewer 6.1.0 software .Findings: in the first group ,The mean tooth transportation  in 5 mm of apex  was 0.15 and  in the second group The mean tooth transportation  in 5 mm of apex  was 0.18 mm that there was no statistically significant difference in canal transportation  between RaCe and Neoniti files in five millimeters distant from apex area (p=0.492) and the mean transportation from 9 mm of apex was 0.14 in the second group that There was no statistically significant difference in canal transportation between two  groups (p=0.911).Conclusion: The results indicated that there was no significant difference of tooth transportation between two file systems in 3, 9, 7, 5 and 11mm from the apex and both files were safe.  

scholarly journals Root Canal Transportation and Centering Ability of Nickel-Titanium Rotary Instruments in Mandibular Premolars Assessed Using Cone-Beam Computed Tomography

2017 ◽  
Vol 11 (1) ◽  
pp. 71-78 ◽  
Author(s):  
Iussif Mamede-Neto ◽  
Alvaro Henrique Borges ◽  
Orlando Aguirre Guedes ◽  
Durvalino de Oliveira ◽  
Fábio Luis Miranda Pedro ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Statistical Significance ◽  
Nickel Titanium ◽  
Cone Beam ◽  
Root Canal Preparation ◽  
Rotary Instruments ◽  
Before And After ◽  
Canal Transportation

Introduction: The aim of this study was to evaluate, using cone-beam computed tomography (CBCT), transportation and centralization of different nickel-titanium (NiTi) rotary instruments. Methods: One hundred and twenty eight mandibular premolars were selected and instrumented using the following brands of NiTi files: WaveOne, WaveOne Gold, Reciproc, ProTaper Next, ProTaper Gold, Mtwo, BioRaCe and RaCe. CBCT imaging was performed before and after root canal preparation to obtain measurements of mesial and distal dentin walls and calculations of root canal transportation and centralization. A normal distribution of data was confirmed by the Kolmogorov-Smirnov and Levene tests, and results were assessed using the Kruskal-Wallis test. Statistical significance was set at 5%. Results: ProTaper Gold produced the lowest canal transportation values, and RaCe, the highest. ProTaper Gold files also showed the highest values for centering ability, whereas BioRaCe showed the lowest. No significant differences were found across the different instruments in terms of canal transportation and centering ability (P > 0.05). Conclusion: Based on the methodology employed, all instruments used for root canal preparation of mandibular premolars performed similarly with regard to canal transportation and centering ability.

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 Evaluation of the Shaping Ability of Three Thermally Treated Nickel–Titanium Endodontic Instruments on Standardized 3D-printed Dental Replicas Using Cone-Beam Computed Tomography

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 ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Root Canal ◽  
Small Degree ◽  
Cone Beam ◽  
Root Canals ◽  
3D Printed ◽  
Canal Transportation ◽  
Distal Direction ◽  
Shaping Ability

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.

scholarly journals Comparative evaluation of dentin volume removal and centralization of the root canal after shaping with the ProTaper Universal, ProTaper Gold, and One-Curve instruments using micro-CT

2021 ◽  
Vol 15 (1) ◽  
pp. 47-52
Author(s):  
Hatice Yalniz ◽  
Mehrdad Koohnavard ◽  
Aysenur Oncu ◽  
Berkan Celikten ◽  
Ayse Isil Orhan ◽  
...  
Keyword(s):  
Surface Area ◽  
Root Canal ◽  
File Systems ◽  
Micro Ct ◽  
Root Canal Preparation ◽  
Root Tips ◽  
Human Teeth ◽  
Root Canals ◽  
Coronal Section ◽  
Canal Transportation

Background. The main goal of our study was to assess the volume of dentin removed and transportation in root canals using ProTaper Universal (PTU), ProTaper Gold (PTG) and One-Curve (OC). Ni-Ti rotary instruments in extracted human teeth using by micro-CT. Methods: Thirty human upper 1st premolar teeth with two separate root canals and sturdy, mature root tips were used in the present study. Specimens were decoronated and root length was standardized for micro CT scanning before root canal preparation done. The teeth were randomly separated into three categories (n = 10) according to the rotary NiTi system used for canal instrumentation, i.e., PTU (Dentsply, Maillefer), PTG (Dentsply, Maillefer), and OC (Micro-Mega SA). After root canal preparation, samples were scanned again on micro-CT by the same scanning parameters. Surface area, canal volume, structure model index (SMI), percentage of uninstrumented area and transportation parameters were obtained for each sample before and after micro-CT analyse. Results: No significant differences between the PTG and PTU in terms of the total volume of removed dentin, surface area and percentage of uninstrumented areas were found. However, regarding to parameters above, OC showed a lower efficacy than PTG and PTU in coronal section. Regarding canal transportation, PTG and OC showed lower mean transportation values at all levels. Conclusion: This paper demonstrated the root canal shaping abilities of the PTU, PTG, and OC NiTi file systems. The PTG and OC systems were associated less canal transportation and a better ability to preserve dentinal walls than PTU. There was no significance different between all rotary file systems for SMI values however, PTU and PTG showed greater canal volume and surface area change than OC file systems in coronal section.

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