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A study to compare the efficiency of different instrumentation systems for cleaning oval-shaped root canals (An in vitro study)

Authors: Tay H. Kadhom طي كاظم --- Walid N. Al-Hashimi وليد الهاشمي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2013 Volume: 25 Issue: 1 Pages: 49-55
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Proper cleaning and shaping of the whole root canal space have been recognized as a realchallenge, particularly in oval-shaped canals.This in vitro study was conducted to evaluate and compare theefficiency of different instrumentation systems in removing of dentin debris at three thirds of oval-shaped root canalsand to compare the percentage of remaining dentin debris among the three thirds for each instrumentation system.Materials and methods: Fifty freshly extracted human mandibular molars with single straight oval-shaped distal rootcanals were randomly divided into five groups of ten teeth each. Group One: instrumentation with ProTaperUniversal hand instruments, Group Two: instrumentation with ProTaper Universal rotary instruments, Group Three:instrumentation with Revo-Srotary instruments, Group Four: instrumentation withTwisted rotary files and Group Five:instrumentation with Self-Adjusting Files (SAF). Sodium hypochlorite (3%) was used as an irrigant for all groups. Aftercanals preparation, the roots were split longitudinally and photographed with a professional digital camera. Theimages of root sections were then magnified to 100x and the percentage of remaining dentin debris calculated forthe apical, middle and coronal thirds by dividing the pixels occupied by debris at each third by the total pixelsrepresenting the entire area of the canal using Adobe Photoshop CS6. Data were analyzed statistically by ANOVAand LSD at 1% and 5% significant levels.Results: Both ProTaper hand and ProTaper rotary files resulted in significantly cleaner canals than Revo-S and Twistedrotary files at the middle and coronal thirds. The Self-Adjusting Files produced significantly cleaner canals at thethree thirds than all the other groups. The coronal and middle thirds showed a greater amount of remaining dentindebris than the apical third for all groups except a non-significant difference found between the apical and middlethirds in SAF group.Conclusion: The Self-Adjusting Files allowed more efficient cleaning of oval-shaped root canals than hand androtary instruments


Article
An evaluation of canal transportation and centering ability at different levels of root canals prepared by self-adjusting file using computed tomography (A comparative study)

Authors: Farah Salahalden Abbas فرح صلاح الدين عباس --- Hikmet A. Sh. Al-Gharrawi حكمت الغراوي
Journal: Journal of baghdad college of dentistry مجلة كلية طب الاسنان بغداد ISSN: 16800087 Year: 2014 Volume: 26 Issue: 1 Pages: 16-23
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: The new concepts and technologies continue to change the dynamics of endodontic practices in the world. Rapid and significant changes in techniques, instrument design, and the type of metals used to manufacture endodontic instruments which have been made during the last few years in an attempt to overcome canal preparation errors. The purpose of this study is to measure and compare canal transportation and centering ability of Self Adjusting File with two rotary nickel-titanium (Ni-Ti) systems, ProTaper and BioRaCe at different levels.Material and Methods: Forty five distal roots of mandibular first molars with moderate curvature were selected using Schneider method. Roots were divided randomly into 3 groups of 15 each and were scanned using Computed Tomography (Initial scan). After canal preparation with ProTaper (group A), BioRaCe (group B), and Self Adjusting File (group C) the roots were rescanned (Final scan), the degree of canal transportation and centering ability were assessed at apical (4 mm), middle (6 mm), coronal (9 mm) sections using computed tomography. The collected data were statistically analyzed using ANOVA and Least Significant Difference tests.Results: There were no statistically significant differences among the groups at level 4 mm and level 9 mm (P ˃ 0.05). However, at level 6 mm there was a highly significant difference between (A) and (B) groups (P ˂ 0.01) and there was a significant difference between (A) and (C) groups (P ˂ 0.05). There were no statistically significant differences among different levels of (A) and (C) groups (P ˃ 0.05), while (B) group showed a highly significant difference between 4 mm and 9 mm levels and between 6 mm and 9 mm levels (P ˂ 0.01). Regarding canal centering ability, there was no statistically significant difference among the three groups at different levels (P ˃ 0.05)., while (B) group showed a significant difference between 4 mm and 9 mm levels (P ˂ 0.05), and a very highly significant difference between 6 mm and 9 mm levels (P ˂ 0.001).Conclusion: The study demonstrated that canal preparation with the three designs of Ni-Ti instruments produced canal transportation. Self Adjusting File group showed less canal transportation than ProTaper group. There was a comparable value of canal centering ability among different levels in each group except in BioRaCe group

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