Purpose: To assess clinical application of Nickel-titanium(NiTi) rotary instruments Protaper in preparation of curved root canals.
Methods: 281 curved canals from 169 extracted molars were instrumented by Protaper rotary instruments using crown-down technique. An analysis was carried out regarding the relationship between the broken files and canal distribution,degree of curvature of canals, and the relationship between amount of the broken files and the duration was also included. SPSS18.0 software package was used for statistical analysis.
Results: A total of 43 kits files were used in the preparation of 281 curved root canals, and broken files often happened in canals with curvature of >30° and very complex canals.
Conclusions: The fracture of NiTi instruments is closely related to the anatomy of the root cana1. With the use of NiTi rotary instruments Protaper, curved root canals can be prepared effectively. Meanwhile, the problem of instrument separation should be prevented.
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Aim: The aim of the study is to compare the remaining dentinal thickness in the single-rooted tooth at the coronal, middle, and apical third using three different rotary instrumentation techniques using cone-beam computed tomography (CBCT).
Materials And Methodology: Sixty-eight noncarious single-rooted teeth were collected and decoronated at the level of cementoenamel junction with a diamond disc. All specimens were randomly divided into three experimental groups - Manual ProTaper Universal (PTU; Dentsply Maillefer, Ballaigues, Switzerland), Protaper Gold (PTG; Dentsply Maillefer), Waveone Gold (Dentsply Maillefer) and one control group of 17 teeth each.
Microsc Res Tech
January 2025
Faculty of Dental Medicine, Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.
One area of technological advancement has been the shift from stainless steel hand tools to nickel-titanium (Ni-Ti) rotary tools. This paper aims to perform an in vitro comparative study to evaluate the efficacy of five endodontic manual and rotary instruments such as Kerr files, Orodeka Plex V, ProTaper Flydent NiTi super files, and ProTaper Flydent NiTi super files in combination with an ultrasonic endodontic E3D Diamantata EMS scaler used for root canal shaping. The following aspects were highlighted: effective removal of smear layer (SL) from the dentinal tubules in the coronal 1/3, middle 1/3, and apical 1/3 of the root canal, appearance of cracks in the dentinal walls by SEM analysis, and highlighting of dentin mineral content and remnant debris by EDX analysis.
View Article and Find Full Text PDFPLoS One
January 2025
Aesthetic and Restorative Dentistry Department, College of Dentistry, University of Baghdad, Baghdad, Iraq.
This study evaluated the extent to which obturation materials bypass fractured endodontic instruments positioned in the middle and apical thirds of severely curved simulated root canals using different obturation techniques. Sixty resin blocks with simulated root canals were used, each with a 50° curvature, a 6.5 mm radius of curvature, and a length of 16.
View Article and Find Full Text PDFClin Oral Investig
January 2025
Department of Endodontics, Texas A&M College of Dentistry, Dallas, Texas, USA.
Objectives: The objective of this study is to evaluate the incidence and volume of contrast medium extrusion when activated with a laser and to compare these outcomes with those of other irrigation techniques.
Materials And Methods: Sixteen cadaver mandibles containing 116 single-rooted teeth were prepared using conventional rotary instrumentation. The teeth were randomly assigned to four irrigation groups: side-vented needle, sonic irrigation, laser activation at the orifice, and laser activation at the middle third of the canal.
Clin Case Rep
January 2025
Student Research Committee, School of Dentistry, Mashhad University of Medical Sciences Mashhad Iran.
Radix entomolaris (RE) characterized by an extra root in mandibular molars is a rare phenotype. When this condition coincides with complex root canal curvatures or S-shaped canals, root canal therapy (RCT) challenges arise. The present study presents three cases of RE along with complex root curvatures.
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