Aim and Objective: The aim of this study is to evaluate the apical transportation, centering ability, and volume of removed dentin of WaveOne Gold (WOG) and 2Shape with the use of cone-beam computed tomography. Materials and Methods: Freshly extracted mandibular teeth with sample size of thirty were carefully chosen and instrumented using the 2Shape and WOG rotary files. Preoperative and postinstrumentation cone-beam computed tomographic scans were done to accomplish mesial and distal dentin walls’ measurements and volume of removed dentin calculations, apical transportation, and centering ratio. Statistical analysis was performed and confirmed by independent t -test. Statistical significance was set at 5%. Results: When shaping ability of 2Shape and WOG was evaluated, it was reported that there was no statistically significant differences noted among the groups in relation to the total volume of removed dentin, apical transportation, and centering ratio. Conclusion: It can be concluded that 2Shape and WOG preserved the original canal anatomy well and did not eliminate excess dentin during shaping and cleaning. Rotary nickel–titanium files which work on the principle of rotary movement attained an outcome analogous to that of the rotary files working on reciprocating motion in relation to alteration in angle.

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Objective:The objective of this study is to compare the apical sealability of mineral trioxide aggregate (MTA) Fillapex and Endosequence BC sealer at three different lengths of remaining gutta-percha after postspace preparation.Materials and Methods:A total of 80 freshly extracted human maxillary anterior teeth were decoronated, biomechanically prepared, and randomly divided into four groups; Group A and Group B served as positive and negative control with 10 teeth each. The teeth in Group C and Group D (with 30 teeth each) were obturated with gutta-percha using MTA Fillapex sealer and Endosequence BC sealer, respectively. Teeth in Group C and Group D were further subdivided into three subgroups depending on the length of remaining apical gutta-percha, i.e., 3, 4, and 5 mm after postspace preparation. Apical leakage was assessed using dye penetration method under stereomicroscope.Results:In both the Groups C and D, there was overall no statistically significant difference in leakage; however, Group C showed slightly more leakage than Group D. There was a statistically significant difference in leakage at 3 mm and 5 mm level in both groups.Conclusion:Although less microleakage occurred, the bioceramic sealers could not totally eliminate leakage.

Root canal system is complex to understand because of its unpredictable nature. It differs for different teeth and for the same teeth in different individuals. Successful endodontic therapy thus depends on the clinician's ability to anticipate and look for these variations. A mandibular first molar with six root canals represents a rare anatomical variant, particularly when four canals are found in distal root. This case report discusses successful nonsurgical endodontic management of two-root mandibular first molar with four distal canals and two mesial canals reported for the first time in Indian population. Cone beam computed tomography was used as a diagnostic method to confirm the position and presence of 4 root canals in the distal root.

Aim: The aim of this in vitro study was to compare the efficacy of newly developed irrigation systems, i.e., XP-endo Finisher file (XP-endo), EndoActivator (EA), and Endo-Irrigator Plus (EI) with gold standard passive ultrasonic irrigation (PUI) tip and in removal of calcium hydroxide (CH) from single-rooted teeth with artificial simulated internal resorption cavities. Materials and Methods: One hundred and twenty single-rooted mandibular premolars were decoronated and prepared using the ProTaper Gold system up to F5. Samples were buccolingually sectioned and resorption cavities were prepared. Twenty specimens were served as Group 1 – negative control. In the remaining specimens, CH was delivered and root halves were brought together. Twenty specimens were served as Group 2 – positive control. The remaining specimens were randomly divided into four experimental groups ( n = 20), where NaOCl and EDTA were activated using PUI, XP-endo, EA, and EI for 1 min. The remnants of CH were scored and analyzed by employing Kruskal–Wallis H- and Mann–Whitney U-tests. Results: PUI and XP-endo removed more CH than other devices ( P < 0.05), showing no significant difference between them. Conclusion: None of the tested systems were able to remove CH completely from resorption cavities. PUI and XP-endo were superior to other tested devices.

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Introduction: There are certain common as well as atypical characteristics in the root canal anatomy of each tooth. Simultaneous understanding of both can be the key to successful endodontics. Various methods have been used till date for visualisation of root canal morphology with variable success rates like magnification, radiography, CBCT, digital imaging and clearing. Clearing technique provides a three-dimensional view of the root canal anatomy from outsidewhile maintaining the original form and relationship of canals as minimal instrumentation is required in the procedure. It is a simple and inexpensive technique which involves decalcification of tooth structure, dehydration in alcohol and clearing by immersing in clearing agents. Aim: This study aimed to evaluate the efficacy of two decalcifying agents (nitric acid and trichloroacetic acid) and two clearing agents (methyl salicylate and eugenol) in the preparation of transparent tooth model for viewing the root canal system. Materials and Methods: The in-vitro research study from August 2, 2019 to August 27, 2019 included 40 freshly extracted teeth (18 maxillary and 22 mandibular) which were randomly divided in two groups (n=20); group A (decalcification done in 5% nitric acid) and group B (decalcification done in 10% trichloroacetic acid). Then, the teeth were dehydrated in isopropyl alcohol. Each group was subdivided in two subgroups depending on the clearing agent used (methyl salicylate or eugenol). Afterwards they were graded for transparency and haziness criteria, and data analysis was done using chi-square test, value of significance at p<0.05. Results: The results showed that nitric acid took lesser time for decalcification than trichloroacetic acid. The subgroup 1 (NA/MS) showed better transparency level in 90% of the samples when compared with other subgroups; however the results were not significant with p-value 0.121. Haziness was present in all samples. The subgroup 4 (TCA/E) showed 100% haziness which was statistically significant among all the subgroups with p-value 0.002. Methyl salicylate showed better transparency, less haziness and good root canal morphology when compared with eugenol. Conclusion: Nitric acid when used in combination with methyl salicylate prepared the best transparent tooth model. Trichloroacetic acid showed average transparency and haziness was present in almost all the samples irrespective of the clearing agents used.

A detailed acquaintance of root canal anatomy is essential for the endodontic root canal therapy. Aberrations or unusual variations in the root canal morphology, mainly in multirooted teeth, can cause a substantial challenge to the endodontist during endodontic management. Knowledge of these variations, mostly concerning the position and treatment of all canals, is very essential for the successful outcomes of endodontic therapy; the failure to find and properly treat the root canals may cause treatment failure because it is important to assess individual case for variations. Endodontist should be suspicious while treating maxillary first molars because of its root curvatures, additional canals and variations in internal morphology.