Aim
To evaluate the shaping ability of the single‐file XP‐endo Shaper system (XP‐S; FKG Dentaire, La Chaux‐de‐Fonds, Switzerland) employing a different working time and of the multiple‐file ProTaper Next system (Dentsply Sirona, Ballaigues, Switzerland) using micro‐computed tomography (micro‐CT) technology.
Methodology
Twenty long oval‐shaped canals in mandibular incisors were matched anatomically and scanned by micro‐CT (Skyscan 1172; Bruker micro‐CT, Kontich, Belgium). The canals were divided into two groups (n = 10) according to the canal preparation protocol: XP‐endo Shaper (XP‐S) with an extra 45 s of instrumentation and ProTaper Next (PTN X4). The images recorded before and after preparation were evaluated for morphometric measures of volume, surface area, structure model index and untouched walls. The data were compared statistically (Student's t‐test for homogenous variances and Mann–Whitney test) between the two groups (XP‐S and PTN X4) at α = 5%.
Results
Root canal preparation significantly increased all parameters (volume, surface area, structure model index and untouched walls) tested in each group (P < 0.05). There was no significant difference (P > 0.05) in the percentage increase of volume (107.50%–93.13%), surface area (27.74%–29.68%) or untouched canal wall (13.08%–11.74%) between XP‐S and PTN X4, respectively.
Conclusions
The XP‐endo Shaper system (single‐file) with an extra 45 s of instrumentation and the ProTaper Next system (multiple files) had a similar root canal shaping ability. Neither technique was able to fully prepare the long oval‐shaped canals of mandibular incisors.
BackgroundThis study aims to evaluate the frequency of dentinal defects after root canal preparation with the ProTaper NEXT, K3XF and WaveOne GOLD systems using microcomputed tomography.MethodsSixty permanent mandibular incisors with a single canal were selected. Inspection of the teeth was performed under a stereomicroscope (15x) to observe the presence of pre-existing cracks and fractures lines. Samples were divided into three experimental groups (n = 20): ProTaper NEXT (PTN), K3XF (K3XF) and WaveOne GOLD (WOG). Specimens were scanned through high-resolution microcomputed tomography before and after the preparation of the root canal. Subsequently, all the axial images were examined by two different methods to find possible dentinal defects. Furthermore, an analysis of each millimeter of ten apical millimeters was also performed. The absence or presence of dentinal defects was screened by 3 pre-calibrated blinded examiners.ResultsAfter analysing all 45,720 slices, dentinal defects were observed in 48,33% (22096 slices). PTN, K3XF and WOG groups represented 11,11% (5079 slices), 17,22% (7873 slices) and 20% (n = 9144) of the cross-sectional images, respectively. At 10 apical millimeters (600 slices), 33,33% (200 slices) presented some dentinal defects, representing 7,22% (43 slices), 13,33% (80 slices) and 12,77% (77 slices) of the cross-sectional images in the PTN, K3XF and WOG groups, respectively. All the dentinal defects presented in the postoperative images existed in the images prior to instrumentation.ConclusionsThere was no correlation between the preparation of a root canal using the PTN, K3XF and WOG systems and the formation of new dentinal defects.
This study aimed to analyze the potential occurrence of dentinal defects after the removal of a root canal filling with two different sealers using Reciproc (RC) or Reciproc Blue (RB). The mesial roots of 60 mandibular molars with a Vertucci type IV configuration were selected. The samples were initially instrumented with Reciproc (R25) and then divided into the following four experimental groups according to the endodontic sealer and retreatment instrument (n = 15): BC Sealer/Reciproc (BCRC); BC Sealer/Reciproc Blue (BCRB); AH Plus/Reciproc (AHRC); and AH Plus/Reciproc Blue (AHRB). Then, the samples were scanned under micro-CT after obturation and removal of the filling material. Two analyses were conducted. First, an evaluation was performed on all the axial images, and another analysis evaluated each millimeter of the 10 mm from the apex. Dentinal defects were observed in all the samples. All of the identified defects in the images after filling material removal were present in the corresponding images after obturation. The use of AH Plus and EndoSequence BC Sealer, and filling material removal using RC and RB instruments did not induce dentinal defects.
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