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Comparison of apical transportation and change of working length in K3, NRT AND PROFILE rotary instruments using transparent resin block

Comparison of apical transportation and change of working length in K3, NRT AND PROFILE rotary instruments using transparent resin block

Article information

Restor Dent Endod. 2011;36(1):59-65
Publication date (electronic) : 2011 January 31
doi : https://doi.org/10.5395/JKACD.2011.36.1.59
1Department of Conservative Dentistry, Yonsei University College of Dentistry, Seoul, Korea.
2Department of Conservative Dentistry, Gangnam Severance Hospital, Yonsei University College of Dentistry, Seoul, Korea.
Correspondence to Euiseong Kim, DDS, MSD, PhD. Associate Professor, Department of Conservative Dentistry, Yonsei University College of Dentistry, 250 Seongsanno, Seodaemun-gu, Seoul, Korea 120-752. TEL,+82-2-2228-8701; FAX,+82-2-313-7575; andyendo@yuhs.ac
Received 2010 November 24; Revised 2011 January 05; Accepted 2011 January 07.

Abstract

Objectives

The purpose of this study is to compare the apical transportation and working length change in curved root canals created in resin blocks, using 3 geometrically different types of Ni-Ti files, K3, NRT, and Profile.

Materials and Methods

The curvature of 30 resin blocks was measured by Schneider technique and each groups of Ni-Ti files were allocated with 10 resin blocks at random. The canals were shaped with Ni-Ti files by Crown-down technique. It was analyzed by Double radiograph superimposition method (Backman CA 1992), and for the accuracy and consistency, specially designed jig, digital X-ray, and CAD/CAM software for measurement of apical transportation were used. The amount of apical transportation was measured at 0, 1, 3, 5 mm from 'apical foramen - 0.5 mm' area, and the alteration of the working length before and after canal shaping was also measured. For statistics, Kruskal-Wallis One Way Analysis was used.

Results

There was no significant difference between the groups in the amount of working length change and apical transportation at 0, 1, and 3 mm area (p = 0.027), however, the amount of apical transportation at 5 mm area showed significant difference between K3 and Profile system (p = 0.924).

Conclusions

As a result of this study, the 3 geometrically different Ni-Ti files showed no significant difference in apical transportation and working length change and maintained the original root canal shape.

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Article information Continued

Figure 1

Photograph of a jig that maintains a constant distance between a X-ray tube and a resin block.

Figure 2

Photograph of a resin block and a digital sensor. (a) Holding part of digital radiographic sensor. (b) Cartesian system. (c) Table for constant position of resin block.

Figure 3

(a) Initial X-ray. (b) X-ray after canal enlargement. (c) Image of the x-ray after canal enlargement processed by Adobe photoshop.

Figure 4

(a) Image of central axis. (b) Measurement of apical transportation using AuotCAD 2000.

Table 1

Mean curvature and working length in three groups

Table 1

W.L, working length; n, sample size.

Table 2

Change of working length (mm) in three groups

Table 2

SD, standard deviation; n, sample size.

Table 3

Mean and SD of transportation (mm) at different apical level

Table 3

a,b, Groups with statistically significant differences (p < 0.05); SD, standard deviation.