Prupose: To compare the shaping ability of 4 nickel-titanium rotary instruments in preparation of curved root canals.
Methods: Forty extracted human maxillary first or second molars with mesiobuccal root canal curvature ranging from 20°-40° were selected. The teeth were randomly equally divided into 4 groups(n=10). Mesial root canals were separately prepared using Protaper Universal, Protaper Next, TF, and S3 nickel-titanium instruments. A series of preoperative and postoperative images were taken by Micro-CT. Mimics 17.0 software was used to analyze the following parameters: canal transportation, centering ratio values, root canal volume, volume of removed dentin, and canal/root width ratio. Data analysis was performed by using SPSS 20.0 software package.
Results: In terms of canal transportation after preparation at 1, 3 and 5 mm from the apex, Protaper Universal was more than the other three groups(P<0.05). The centering ratio value of Protaper Universal was significantly smaller than that of the other three groups at 1 mm from the apex(P<0.05). The amount of dentin removal was significantly different after instrumentation with the four test systems(P<0.05). Protaper Universal had the highest mean volume of removed dentin. After preparation, all root canals had a diameter that was not larger than 39% of the root diameter at the coronal and middle segments.
Conclusions: Under the conditions of this study, Protaper Next, TF, S3 systems seem to be better choices than Protaper Universal system in preparing curved root canals.
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PLoS 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 PDFJ Endod
December 2024
Graduate Institute of Clinical Dentistry, School of Dentistry, National Taiwan University and National University Hospital, Taipei, Taiwan; National Taiwan University Hospital, National Taiwan University, Taipei City, Taiwan; School of Dentistry, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung City, Taiwan. Electronic address:
Introduction: The separation of Nickel-Titanium (NiTi) endodontic instruments due to excessive torque adversely affects treatment outcomes. Previous studies have analyzed torque values under static conditions and failed to accurately simulate the dynamic conditions of instruments within root canals. This study aimed to apply a novel finite element analysis (FEA) to assess the real-time dynamic performance of NiTi endodontic instruments during operation in root canals.
View Article and Find Full Text PDFDent J (Basel)
November 2024
Department of General Surgery and Surgical-Medical Specialties, University of Catania, 95131 Catania, Italy.
: Apical extrusion of debris can affect the success of endodontic treatments, and the specific performance of certain retreatment systems has not been studied yet. Therefore, the aim of this in vitro study was to quantitatively assess the amount of apically extruded debris produced during retreatment procedures using three rotary NiTi retreatment systems in mature non-resorbed straight roots. : Thirty extracted permanent human teeth with single straight roots were selected.
View Article and Find Full Text PDFJ Dent (Shiraz)
December 2024
Dept. of Pediatric and Preventive Dentistry, Terna Dental College, Phase - II, Sector- 22, Nerul (west), Navi Mumbai, India.
Statement Of The Problem: Root canal preparation with rotary files causes dentinal cracks in root canals of primary teeth affecting their longevity.
Purpose: Nickel-titanium rotary files have been widely used for root canal preparation in primary teeth. The present study compared occurrence of dentinal microcracks in root canals of extracted primary molar teeth prepared using Hedstrom (H) files, ProTaper Universal rotary files, and ProTaper Next rotary file systems.
Eur Endod J
December 2024
Department of Conservative Dentistry and Endodontics, University of Jammu, J and K, Indira Gandhi Government Dental College Jammu, India.
Objective: The present study aimed to evaluate the effect of heat-treated nickel titanium (NiTi) files TruNatomy and XP- Endo Shaper on the major apical foramen deformation and enlargement in curved root canals using area, circularity, and Feret's diameter ratio.
Methods: Sixty mesio-buccal roots of maxillary and mandibular molars with Vertucci type II root canal were selected. The teeth were decoronated using a carborundum disc.
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