Assessment of the shaping ability of three systems used in long oval canals

Authors

DOI:

https://doi.org/10.33448/rsd-v10i11.19593

Keywords:

Endodontics; Root canal preparation; X-Ray microtomography.

Abstract

The aim of this study was to analyze volume variation, untouched walls, transportation, and centralization in long oval canals prepared with ProTaper Next (PTN), X File (XF) and X Gray (XG) by microcomputed tomography (micro-CT). Forty-five lower incisors were divided into three groups (PTN, XF and XG) with 15 specimens each, according to the micro-CT pre-instrumentation (PI) analysis. After the use of each instrument new exams were performed. Volume variation and untouched walls data were analyzed by two-way ANOVA, and for the first one, Tukey HSD or Games-Howell tests were applied in the sequence; data of transportation and centralization were compared by Kruskal-Wallis and Mann-Whitney test. The statistical significance was set at p < 0.05. Between thirds, higher wear values were found in the cervical (p <0.001). PI and the instrument X3 (30/.07) differed in all systems (p < 0.05). No significant difference concerning the percentage of untouched walls between the systems occurred (p = 0.836), while the degree of transportation and centralization was similar between then, with p values of 0.531 and 0.155, respectively. However, between thirds, significant difference was found (pc = 0.029), with the middle third presenting superior centralization than the apical (p = 0.010). In conclusion, PTN, XF and XG had similar results in the shaping ability, transportation, and centralization of long oval canals.

References

Abou-Rass, M., Frank, A. L., & Glick, D. H. (1980). The anticurvature filing method to prepare the curved root canal. Journal of the American Dental Association, 101(5), 792-794.

Barroso, J. M., Guerisoli, D. M. Z., Capelii, A., Saquy, P. C., & Pécora, J. D. (2005). Influence of cervical preflaring on determination of apical file size in maxillary premolars: SEM analysis. Brazilian Dental Journal, 16(1): 30-34.

Borges, A. H., Damião, M. S., Pereira, T. M., Filho, G. S., Miranda-Pedro, F. L., Luiz de Oliveira da Rosa, W., Piva, E., & Guedes, O. A. (2018). Influence of cervical preflaring on the incidence of root dentin defects. Journal of Endodontics, 44(2), 286-291.

Bürklein, S., Hinschitza, K., Dammaschke, T., & Schäfer, E. (2012). Shaping ability and cleaning effectiveness of two single-file systems in severely curved root canals of extracted teeth: Reciproc and WaveOne versus Mtwo and ProTaper. International Endodontic Journal, 45(5), 449-61.

Candeiro, G., Monteiro Dodt Teixeira, I.M., Olimpio Barbosa, D.A., Vivacqua-Gomes, N., & Alves, F. (2021). Vertucci's root canal configuration of 14,413 mandibular anterior teeth in a Brazilian population: A prevalence study using cone-beam computed tomography. Journal of Endodontics, 47(3), 404-408.

Capar, I. D., Ertas, H., Ok, E., Arslan, H., & Ertas, E. T. (2014). Comparative study of different novel nickel-titanium rotary systems for root canal preparation in severely curved root canals. Journal of Endodontics, 40(6), 852-856.

da Silva, P. B., Duarte, S. F., Alcalde, M. P., Duarte, M., Vivan, R. R., da Rosa, R. A., Só, M., & do Nascimento, A. L. (2020). Influence of cervical preflaring and root canal preparation on the fracture resistance of endodontically treated teeth. BMC Oral Health, 20(1), 111.

De-Deus, G., Belladonna, F. G., Silva, E. J., Marins, J. R., Souza, E. M., Perez, R., Lopes R. T., Versiani, M. A., Paciornik, S., & Neves Ade, A. (2015). Micro-CT Evaluation of non-instrumented canal areas with different enlargements performed by NiTi systems. Brazilian Dental Journal, 26(6), 624-629.

Dowker, S. E. P., Davis, G. R., & Elliott, J. C. (1997). X-ray microtomography: Nondestructive three-dimensional imaging for in vitro endodontic Studies. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics, 83(4), 510-516.

Drukteinis, S., Peciuliene, V., Dummer, P. M. H., & Hupp, J. (2019). Shaping ability of BioRace, ProTaper NEXT and Genius nickel-titanium instruments in curved canals of mandibular molars: A microCT study. International Endodontic Journal, 52(1), 86-93.

Elnaghy, A. M., & Elsaka, S. E. (2014). Evaluation of root canal transportation, centering ratio, and remaining dentin thickness associated with ProTaper Next instruments with and without glide path. Journal of Endodontics, 40(12), 2053-2056.

Elnaghy, A. M., Elsaka, S. E., & Mandorah, A.O. (2020). In vitro comparison of cyclic fatigue resistance of TruNatomy in single and double curvature canals compared with different nickel-titanium rotary instruments. BMC Oral Health, 20(1), 38-45.

Gambill, J. M., Alder, M., & del Rio, C. E. (1996). Comparison of nickel-titanium and stainless steel hand-file instrumentation using computed tomography. Journal of Endodontics, 22(7), 369-375.

Gergi, R., Osta, N., Bourbouze, G., Zgheib, C., Arbab-Chirani, R., & Naaman, A. (2015). Effects of three nickel titanium instrument systems on root canal geometry assessed by micro-computed tomography. International Endodontic Journal, 48(2), 162-170.

Haapasalo, M., Shen, Y., Qian, W., & Gao, Y. (2014). Irrigation in endodontics. Brazilian Dental Journal, 216(6), 299-303.

Jatahy Ferreira do Amaral, R. O., Leonardi, D. P., Gabardo, M. C., Coelho, B. S., Oliveira, K. V., & Baratto Filho, F. (2016). Influence of cervical and apical enlargement associated with the WaveOne system on the transportation and centralization of endodontic preparations. Journal of Endodontics, 42(4), 626-631.

Khademi, A., Yazdizadeh, M., & Feizianfard, M. (2006). Determination of the minimum instrumentation size for penetration of irrigants to the apical third of root canal systems. Journal of Endodontics, 32(5), 417–420.

Lacerda, M. F. L. S., Marceliano-Alves, M. F., Pérez, A. R., Provenzano, J. C., Neves, M. A. S., Pires, F. R., Gonçalves, L. S., Rôças, I. N., & Siqueira, J. F. Jr. (2017). Cleaning and shaping oval canals with 3 instrumentation systems: A correlative micro-computed tomographic and histologic study. Journal of Endodontics, 43(11), 1878-1884.

Mamede-Neto, I., Borges, A. H., Guedes, O. A., de Oliveira, D., Pedro, F. L., & Estrela, C. (2017). Root canal transportation and centering ability of nickel-titanium rotary instruments in mandibular premolars assessed using cone-beam computed tomography. Open Dentistry Journal, 11, 71-78.

Paqué, F., Ganahl, D., & Peters, O. A. (2009). Effects of root canal preparation on apical geometry assessed by micro-computed tomography. Journal of Endodontics, 35(7), 1056-1059.

Pasqualini, D., Alovisi, M., Cemenasco, A., Mancini, L., Paolino, D. S., Bianchi, C. C., Roggia, A., Scotti, N., & Berutti, E. (2015). Micro-computed tomography evaluation of ProTaper Next and BioRace shaping outcomes in maxillary first molar curved canals. Journal of Endodontics, 41(10), 1706-1710.

Pérez, A. R., Alves, F. R. F., & Marceliano-Alves, M. F. (2018). Effects of increased apical enlargement on the amount of unprepared areas and coronal dentine removal: a micro-computed tomography study. International Endodontic Journal, 51(6), 684-690.

Peters, O. A. (2004). Current challenges and concepts in the preparation of root canal systems: a review. Journal of Endodontics, 30(8), 559-567.

Pinheiro, S. R., Alcalde, M. P., Vivacqua-Gomes, N., Bramante, C. M., Vivan, R. R., Duarte, M. A. H., & Vasconcelos, B.C. (2018). Evaluation of apical transportation and centring ability of five thermally treated NiTi rotary systems. International Endodontic Journal, 51(6), 705-713.

Plotino, G., Nagendrababu, V., Bukiet, F., Grande, N. M., Veettil, S. K., De-Deus, G., & Aly Ahmed, H. M. (2020). Influence of negotiation, glide path, and preflaring procedures on root canal shaping-terminology, basic concepts, and a systematic review. Journal of Endodontics, 46(6), 707-729.

Ribeiro, E. M., Silva-Sousa, Y. T., Souza-Gabriel, A. E., Sousa-Neto, M. D., Lorencetti, K. T., & Silva, S. R. (2012). Debris and smear removal in flattened root canals after use of different irrigant agitation protocols. Microscopy Research and Technique, 75(6), 781-790.

Schneider, S. W. (1971). A comparison of canal preparations in straight and curved root canals. Oral Surgery, Oral Medicine and Oral Pathology, 32(2), 271-275.

Silva, E. J. N. L., Muniz, B. L., Pires, F., Pires, F., Belladonna, F. G., Neves, A. A., Souza, E.M., & De-Deus, G. (2016). Comparison of canal transportation in simulated curved canals prepared with ProTaper Universal and ProTaper Gold systems. Restorative Dentistry & Endodontics, 41(1), 1-5.

Sousa-Neto, M. D., Silva-Sousa, Y. C., Mazzi-Chaves, J. F., Carvalho, K. K. T., Barbosa, A. F. S., Versiani, M. A., , Jacobs, R., & Leoni, G.B. (2018). Root canal preparation using micro-computed tomography analysis: a literature review. Brazilian Oral Research, 32(suppl.1), 20-43.

Thomas, J. P., Lynch, M., Paurazas, S., & Askar, M. (2020). Micro-computed tomographic evaluation of the shaping ability of WaveOne Gold, TRUShape, EdgeCoil, and XP-3D shaper endodontic files in single, oval-shaped canals: An in vitro study. Journal of Endodontics, 46(2), 244-251.

Versiani, M. A., Carvalho, K. K. T., Mazzi-Chaves, J. F., & Sousa-Neto, M. D. (2018). Micro-computed tomographic evaluation of the shaping ability of XP-endo Shaper, iRaCe, and EdgeFile systems in long oval-shaped canals. Journal of Endodontics, 44(3), 489-495.

Vertucci, F. J. (1984). Root canal anatomy of the human permanent teeth. Oral Surgery, Oral Medicine and Oral Pathology, 58(5), 589-599.

Vertucci, F. J. (2005). Root canal morphology and its relationship to endodontic procedures. Endodontic Topics, 10(1), 3-29.

Wu, M. K., R’oris, A., Barkis, D., & Wesselink, P. R. (2000). Prevalence and extent of long oval canals in the apical third. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology and Endodontics, 89(6), 739-743.

Zhao, D., Shen, Y., Peng, B., & Haapasalo, M. (2014). Root canal preparation of mandibular molars with 3 nickel-titanium rotary instruments: A micro-computed tomographic study. Journal of Endodontics, 40(11), 1860-1864.

Zuolo, M. L., Zaia, A. A., Belladonna, F. G., Silva, E. J. N. L., Souza, E. M., Versiani, M. A., Lopes, R. T., De-Deus, G. (2018). Micro-CT assessment of the shaping ability of four root canal instrumentation systems in oval-shaped canals. International Endodontic Journal, 51(5), 564-571.

Downloads

Published

03/09/2021

How to Cite

OLIVEIRA, K. V. de; TOMAZINHO, F. S. F.; SANTOS, V. R. dos; SILVA, W. J. da; KUBLITSKI, P. M. de O. .; GABARDO, M. C. L.; MATTOS, N. H. R. .; BARATTO-FILHO, F. Assessment of the shaping ability of three systems used in long oval canals. Research, Society and Development, [S. l.], v. 10, n. 11, p. e349101119593, 2021. DOI: 10.33448/rsd-v10i11.19593. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/19593. Acesso em: 26 apr. 2024.

Issue

Section

Health Sciences