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Research Articles
Impact of root canal curvature and instrument type on the amount of extruded debris during retreatment
Burcu Serefoglu, Gözde Kandemir Demirci, Seniha Miçooğulları Kurt, İlknur Kaşıkçı Bilgi, Mehmet Kemal Çalışkan
Restor Dent Endod 2021;46(1):e5.   Published online December 17, 2020
DOI: https://doi.org/10.5395/rde.2021.46.e5
AbstractAbstract PDFPubReaderePub
Objectives

The aim of the current study was to assess whether the amount of extruded debris differs for straight and severely curved root canals during retreatment using H-files, R-Endo, Reciproc and ProTaper Universal Retreatment (PTU-R) files. Additionally, the area of residual filling material was evaluated.

Materials and Methods

Severely curved (n = 104) and straight (n = 104) root canals of maxillary molar teeth were prepared with WaveOne Primary file and obturated with gutta-percha and AH Plus sealer. Root canal filling materials were removed with one of the preparation techniques: group 1: H-file; group 2: R-Endo; group 3: Reciproc; group 4: PTU-R (n = 26). The amount of extruded material and the area of the residual filling material was measured. The data were analyzed with 2-way analysis of variance (ANOVA) and 1-way ANOVA at the 0.05 significance level.

Results

Except for Reciproc group (p > 0.05), PTU-R, R-Endo, and H-file systems extruded significantly more debris in severely curved canals (p < 0.05). Each file system caused more residual filling material in severely curved canals than in straight ones (p < 0.05).

Conclusions

All instruments used in this study caused apical debris extrusion. Root canal curvature had an effect on extruded debris, except for Reciproc system. Clinicians should be aware that the difficult morphology of the severely curved root canals is a factor increasing the amount of extruded debris during the retreatment procedure.

Citations

Citations to this article as recorded by  
  • Comparative Analysis of Root Canal Curvature Measurement Methods for Permanent Mandibular Molars Distal Root: An Observational Study
    Tanu Singh, Saurav Bathla, Anuraag Gurtu, Shubhi Gupta, Sana Saifi, Madhusudan Astekar
    The Journal of Contemporary Dental Practice.2025; 26(10): 945.     CrossRef
  • Do Continuous Rotating Endodontic Instruments Extrude Fewer Apical Debris Than Reciprocating Instruments in Non-Surgical Endodontic Retreatments? A Systematic Review
    Francesco Puleio, Francesco Giordano, Ugo Bellezza, David Rizzo, Valentina Coppini, Roberto Lo Giudice
    Applied Sciences.2024; 14(4): 1621.     CrossRef
  • Intracanal removal and apical extrusion of filling material after retreatment using rotary or reciprocating instruments: A new approach using human cadavers
    Thamyres M. Monteiro, Victor O. Cortes‐Cid, Marilia F. V. Marceliano‐Alves, Andrea F. Campello, Luan F. Bastos, Ricardo T. Lopes, José F. Siqueira, Flávio R. F. Alves
    International Endodontic Journal.2024; 57(1): 100.     CrossRef
  • Comparative analysis of methods for measuring root canal curvature based on periapical radiography: A laboratory study
    Rafael Chies Hartmann, Eduardo Silva Ferraz, Theodoro Weissheimer, Jose Antônio Poli de Figueiredo, Giampiero Rossi‐Fedele, Maximiliano Schünke Gomes
    International Endodontic Journal.2024; 57(12): 1848.     CrossRef
  • Evaluation of apically extruded debris during root canal filling material removal in teeth with external apical root resorption: a comparison of different obturation techniques
    Büşra Melike Çağlar, İsmail Uzun
    BMC Oral Health.2024;[Epub]     CrossRef
  • Evaluation of apically extruded debris using protaper universal, protaper next, one curve, Xp shaper, and edge file: An in vitro study
    Murtada Qadir Muhaibes, Shatha Abdulkareem Alwakeel
    Saudi Endodontic Journal.2024; 14(1): 31.     CrossRef
  • A quantitative comparison of apically extruded debris during root canal preparation using NiTi full-sequence rotary and single-file rotary systems: An in vitro study
    Pallavi Goel, R. Vikram, R. Anithakumari, M. S. Adarsha, M. E. Sudhanva
    Endodontology.2024; 36(3): 235.     CrossRef
  • In vitro evaluation of filling material removal and apical debris extrusion after retreatment using Reciproc blue, Hyflex EDM and ProTaper retreatment files
    Passent Abdelnaby, Mohamed Ibrahim, Rania ElBackly
    BMC Oral Health.2023;[Epub]     CrossRef
  • A Comparative Study on the Shaping Ability and Cleaning Efficiency of Two Different Single-File Systems, Reciprocating Wave One Versus Continuous Rotation F360, Evaluated by Scanning Electron Microscope: An In Vitro Study
    Arunkumar Samudrala, Chandrakanth Majeti, Kommineni Harika Chowdary, Lakshmi Bhavani Potru, Anusha Yaragani, Yata Prashanth Kumar, Gagandeep K Sidhu, Navneet S Kathuria
    Cureus.2023;[Epub]     CrossRef
  • COMPARATIVE EVALUATION OF THE EFFECT OF DIFFERENT ROTARY INSTRUMENT SYSTEMS ON THE AMOUNT OF APICALLY EXTRUDED DEBRIS
    Recai ZAN, Bilge LENGER
    Cumhuriyet Dental Journal.2022; 25(2): 172.     CrossRef
  • A critical analysis of research methods and experimental models to study apical extrusion of debris and irrigants
    Jale Tanalp
    International Endodontic Journal.2022; 55(S1): 153.     CrossRef
  • Critical analysis of research methods and experimental models to study removal of root filling materials
    Mahdi A. Ajina, Pratik K. Shah, Bun San Chong
    International Endodontic Journal.2022; 55(S1): 119.     CrossRef
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In vitro comparison of the cyclic fatigue resistance of HyFlex EDM, One G, and ProGlider nickel titanium glide path instruments in single and double curvature canals
Koray Yılmaz, Gülşah Uslu, Taha Özyürek
Restor Dent Endod 2017;42(4):282-289.   Published online October 30, 2017
DOI: https://doi.org/10.5395/rde.2017.42.4.282
AbstractAbstract PDFPubReaderePub
Objectives

It was aimed to compare the cyclic fatigue resistances of ProGlider (PG), One G (OG), and HyFlex EDM (HEDM) nickel titanium glide path files in single- and double-curved artificial canals.

Materials and Methods

40 PG (16/0.02), 40 OG (14/0.03), and 40 HEDM (10/0.05) single-file glide path files were used in the present study. Sixty files were subjected to cyclic fatigue test by using double-curved canals and 60 files by using single-curved canal (n = 20). The number of cycles to fracture (NCF) was calculated and the length of the fractured fragment (FL) was determined by a digital micro-caliper. Twelve pieces of fractured files were examined with scanning electron microscope to determine fracture types of the files (n = 2). The NCF and the FL data were analyzed using one-way analysis of variance and post hoc Tukey test using SPSS 21 software (p < 0.05).

Results

In all of the groups, NCF values were significantly lower in double-curved canals when compared to single-curved canals (p < 0.05). For both of single- and double-curved canals, NCF values of HEDM group in apical and coronal curvatures were found to be significantly higher than NCF values of PG and OG groups (p < 0.05). In both of single- and double-curved canals, NCF value of PG group was found significantly higher than OG group (p < 0.05).

Conclusions

Within the limitations of this study, HEDM glide path files were found to have the highest cyclic fatigue resistance in both of single- and double-curved canals.

Citations

Citations to this article as recorded by  
  • The effect of canal curvature on cyclic fatigue resistance of rotary instruments using different irrigation materials (in vitro study)
    Mohammed Hamoudi Alsunboli, Sally Saad Ali Ihsan, Duha Qais Sabah
    F1000Research.2024; 12: 449.     CrossRef
  • Glide Path in Endodontics: A Literature Review of Current Knowledge
    Vlad Mircea Lup, Giulia Malvicini, Carlo Gaeta, Simone Grandini, Gabriela Ciavoi
    Dentistry Journal.2024; 12(8): 257.     CrossRef
  • Static and Dynamic Cyclic Fatigue Resistance of Nickel-Titanium Rotary Instruments in a Double-Curved Stainless Steel Artificial Canal
    Hoang-Lan-Anh Le, Thuan-Loc Tran, Thu-Thuy Nguyen, Tran-Lan-Khue Pham, Van-Khoa Pham
    Applied Sciences.2023; 13(4): 2687.     CrossRef
  • The effect of canal curvature on cyclic fatigue resistance of rotary instruments using different irrigation materials (in vitro study)
    Mohammed Hamoudi Alsunboli, Sally Saad Ali Ihsan, Duha Qais Sabah
    F1000Research.2023; 12: 449.     CrossRef
  • Comparative analysis of torsional and cyclic fatigue resistance of ProGlider, WaveOne Gold Glider, and TruNatomy Glider in simulated curved canal
    Pedro de Souza Dias, Augusto Shoji Kato, Carlos Eduardo da Silveira Bueno, Rodrigo Ricci Vivan, Marco Antonio Hungaro Duarte, Pedro Henrique Souza Calefi, Rina Andréa Pelegrine
    Restorative Dentistry & Endodontics.2023;[Epub]     CrossRef
  • Investigation of the efficacy of different Ni-Ti systems on acrylic blocks for correcting ledge formation
    Osman Ünlü, Hüseyin Gürkan Güneç, Faruk Haznedaroğlu
    BMC Oral Health.2023;[Epub]     CrossRef
  • Comparison of postoperative pain in single visit endodontics using heat-treated nickel − titanium file systems – A randomized clinical trial
    Priyanka Unnikrishnan, Lalitagauri Mandke, Leena Padhye
    Endodontology.2023; 35(2): 94.     CrossRef
  • Cyclic Fatigue Resistance of Glide Path Rotary Files: A Systematic Review of in Vitro Studies
    Israa Ashkar, José Luis Sanz, Leopoldo Forner
    Materials.2022; 15(19): 6662.     CrossRef
  • Endodontic Management of Dilacerated Maxillary First Molar with Tactile Controlled Activation Technique – A Case Report
    Vijay Yadav, Rega Kumar, Ruchika Roongta Nawal, Sangeeta Talwar
    Journal of Pierre Fauchard Academy (India Section).2022; : 67.     CrossRef
  • Combination of a new ultrasonic tip with rotary systems for the preparation of flattened root canals
    Karina Ines Medina Carita Tavares, Jáder Camilo Pinto, Airton Oliveira Santos-Junior, Fernanda Ferrari Esteves Torres, Juliane Maria Guerreiro-Tanomaru, Mario Tanomaru-Filho
    Restorative Dentistry & Endodontics.2021;[Epub]     CrossRef
  • Cyclic Fatigue of TruNatomy Nickel-Titanium Rotary Instrument in Single and Double Curvature Canals: A Comparative Study
    Sarah A Rashid, Hikmet A AI-Gharrawi
    World Journal of Dentistry.2021; 12(1): 28.     CrossRef
  • Micro-computed tomographic evaluation of a new system for root canal filling using calcium silicate-based root canal sealers
    Mario Tanomaru-Filho, Fernanda Ferrari Esteves Torres, Jader Camilo Pinto, Airton Oliveira Santos-Junior, Karina Ines Medina Carita Tavares, Juliane Maria Guerreiro-Tanomaru
    Restorative Dentistry & Endodontics.2020;[Epub]     CrossRef
  • Comparison of torque, force generation and canal shaping ability between manual and nickel-titanium glide path instruments in rotary and optimum glide path motion
    Pyae Hein Htun, Arata Ebihara, Keiichiro Maki, Shunsuke Kimura, Miki Nishijo, Daisuke Tokita, Takashi Okiji
    Odontology.2020; 108(2): 188.     CrossRef
  • Torsional fatigue strength of reciprocating and rotary pathfinding instruments manufactured from different NiTi alloys
    Rodrigo Ricci VIVAN, Murilo Priori ALCALDE, George CANDEIRO, Giulio GAVINI, Celso Luis CALDEIRA, Marco Antonio Hungaro DUARTE
    Brazilian Oral Research.2019;[Epub]     CrossRef
  • Comparison of postoperative pain intensity after using reciprocating and continuous rotary glide path systems: a randomized clinical trial
    Mehmet Adıgüzel, Koray Yılmaz, Pelin Tüfenkçi
    Restorative Dentistry & Endodontics.2019;[Epub]     CrossRef
  • Cyclic fatigue resistance of the WaveOne Gold Glider, ProGlider, and the One G glide path instruments in double-curvature canals
    Damla Kırıcı, Alper Kuştarcı
    Restorative Dentistry & Endodontics.2019;[Epub]     CrossRef
  • Intraoperative Pain During Glide Path Creation with the Use of a Rotary or Reciprocating System
    Pelin TUFENKCİ, Mehmet ADIGUZEL, Koray YILMAZ
    Cumhuriyet Dental Journal.2019; 22(1): 66.     CrossRef
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An evaluation of canal curvature at the apical one third in type II mesial canals of mandibular molars
Hye-Rim Yun, Dong-Kyun Lee, Ho-Keel Hwang
Restor Dent Endod 2012;37(2):104-109.   Published online May 18, 2012
DOI: https://doi.org/10.5395/rde.2012.37.2.104
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the buccolingual curvature at the apical one third in type II mesial canals of mandibular molars using the radius and angle of curvature.

Materials and Methods

Total 100 mandibular molars were selected. Following an endodontic access in the teeth, their distal roots were removed. #15 H- or K-files (Dentsply Maillefer) were inserted into the mesiobuccal and mesiolingual canals of the teeth. Radiographs of the teeth were taken for the proximal view. Among them, type II canals were selected and divided into two subgroups, IIa and IIb. In type IIa, two separate canals merged into one canal before reaching the apex and in type IIb, two separate canals merged into one canal within the apical foramen. The radius and angle of curvature of specimens were examined.

Results

In type II, mean radius of curvature in mesiolingual and mesiobuccal canals were 2.82 mm and 3.58 mm, respectively. The radius of the curvature of mesiolingual canals were significantly smaller than that of mesiobuccal canals in type II, and especially in type IIa. However, there were no statistically significant differences in radius of curvature between mesiobuccal and mesiolingual canals in type IIb and there were no significant differences in angle of curvature between type IIa and IIb.

Conclusion

In this study, type II mesial canals of mandibular molars showed severe curvature in the proximal view. Especially, mesiolingual canals of type IIa had more abrupt curvature than mesiobuccal canals at the apical one third.

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Basic Research
Influence of root canal curvature on the screw-in effect of nickel-titanium rotary files in simulated resin root canal
Ji-Young Son, Jung-Hong Ha, Young-Kyung Kim
J Korean Acad Conserv Dent 2010;35(5):374-379.   Published online September 30, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.5.374
AbstractAbstract PDFPubReaderePub
Objectives

Nickel-titanium (Ni-Ti) rotary instruments have some unexpected disadvantages including the tendency to screw-in to the canal. The purpose of this study was to evaluate the influence of root canal curvatures on the screw-in effect of Ni-Ti rotary files.

Materials and Methods

A total of 80 simulated root canals in clear resin blocks were used in the study. Canals with curvature of 0, 10, 20 and 30 degrees were instrumented with ProTaper instruments SX, S1, S2 and a ProFile of #25/0.06 to 1.0-2.0 mm beyond the initial point of root curvature. The screw-in force was measured with a specially designed device while canal was instrumented with a ProFile of #30/0.06 at a constant speed of 300 rpm. The data were subjected to one-way ANOVA and Scheffe multiple range test for post-hoc test.

Results

Larger degree of canal curvature generated significantly lesser screw-in forces in all groups (p < 0.001).

Conclusions

More attention needs to be paid when using rotary instruments in canals with less curvature than canals with more curvatures to prevent or reduce any accidental overinstrumentation.

Citations

Citations to this article as recorded by  
  • Influence of different kinematics on stationary and dynamic torsional behavior of JIZAI nickel-titanium rotary instruments: An in vitro study
    Myint Thu, Arata Ebihara, Moe Sandar Kyaw, Satoshi Omori, Keiichiro Maki, Shunsuke Kimura, Hayate Unno, Takashi Okiji
    Journal of Dental Sciences.2023; 18(3): 1170.     CrossRef
  • Analysis of Torque and Force Induced by Rotary Nickel-Titanium Instruments during Root Canal Preparation: A Systematic Review
    Myint Thu, Arata Ebihara, Sherif Adel, Takashi Okiji
    Applied Sciences.2021; 11(7): 3079.     CrossRef
  • Mechanical and geometric features of endodontic instruments and its clinical effect
    Hyeon-Cheol Kim
    Journal of Korean Academy of Conservative Dentistry.2011; 36(1): 1.     CrossRef
  • 1,226 View
  • 4 Download
  • 3 Crossref
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Original Articles
Effects of anticurvature filing on danger zone width in curved root canals
Eui Seong Kim, Hyun Jung Kim, Deog Gyu Seo, Byoung Duck Roh
J Korean Acad Conserv Dent 2009;34(3):232-239.   Published online May 31, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.3.232
AbstractAbstract PDFPubReaderePub

The aim of this study was to compare the effects of anticurvature filing with stainless steel k-file versus nickel-titanium ProFile in the shaping of mesial root canals of extracted mandibular molars.

A total of 60 canals from 30 mesial roots of mandibular molar teeth were randomly assigned to three groups with n=20 each. They were prepared with different instruments and methods: The first group with stainless steel k-file and circumferential filing, the second with precurved stainless steel k-file and anticurvature filing and the third with ProFile (.06 taper) and anticurvature filing. Using a micro-computed tomography system (skyscan-1076, SKYSCAN, Antwerpen, Belgium), pre-and post-operative specimens were scanned. Subsequently, canal images were superimposed and changes in root dentin thickness were measured at distal side (danger zone) of the canal. The data was analyzed using a one-way ANOVA and the comparison of means was conducted using a post hoc multiple comparison Tukey test.

There were significant differences in the change of root dentin thickness at the 7.5~8.5mm level between group 1 and 2, 3.5~6mm level between group 1 and 3 and 3.5~6mm level between group 2 and 3(n=20, P<0.05).

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Change of working length in curved canals by various instrumentation techniques
Jeong-Im Jo, Myoung-Uk Jin, Young Kyung Kim, Sung Kyo Kim
J Korean Acad Conserv Dent 2006;31(1):30-35.   Published online January 31, 2006
DOI: https://doi.org/10.5395/JKACD.2006.31.1.030
AbstractAbstract PDFPubReaderePub

To evaluate the change of working length with various instrumentation techniques in curved canals, working length and canal curvature were determined before and after canal instrumentation in buccal or mesial canals of extracted human molars. Stainless steel K-files (MANI®, Matsutani Seisakusho Co. Takanezawa, Japan), nickel-titanium K-files (Naviflex NT™, Brassler, Savannah, USA), ProFile®, and ProTaper™ (Dentsply-Maillefer, Ballaigues, Switzerland) were used to prepare the canals with crown-down technique. In two hand instrumentation groups, coronal flaring was made with Gates Glidden burs. Apical canals were instrumented until apical diameter had attained a size of 30. Positional relation between the tooth apex and the #10 K-file tip was examined by using AutoCAD 2000 (Autodesk Corp., San Rafael. CA, USA) under a stereomicroscope before and after coronal flaring, and after apical instrumentation. Degree of canal curvature was also measured with Schneider's method in radiographs. Data of working length and canal curvature changes were statistically analyzed with one-way ANOVA and Tukey's studentized range test.

Working length and canal curvature were decreased significantly in each step in all instrumentation groups. Coronal flaring using Gates Glidden burs in hand instrument groups and whole canal instrumentation using stainless steel hand K-files caused significantly more working length change than in ProFile instrumentation group (p < 0.05).

The result of this study demonstrates that all of the above kinds of instrumentation in curved canals cause reduction of working length and canal curvature at each instrumentation steps, and hand instrumentation causes more working length change than ProFile.

Citations

Citations to this article as recorded by  
  • Evaluation of the Accuracy of an Endomotor-Integrated Apex Locator Versus a Standalone Electronic Apex Locator in Teeth with Simulated Apical Root Resorption: An In Vitro Study
    Yunus Emre Çakmak, Damla Erkal, Hatice Harorlı, Simay Koç
    European Journal of Therapeutics.2025; 31(3): 173.     CrossRef
  • Does Root Canal Shaping Effect the Accuracy of Electronic Apex Locators in Curved and Straight Root Canals?
    Dide Tekinarslan, Damla Erkal, Esen Ercan, Simay Koc, Kürşat Er
    Clinical and Experimental Health Sciences.2024; 14(3): 727.     CrossRef
  • Comparative Study of Four Endodontic File Systems to Assess Changes in Working Length during Root Canal Instrumentation and the Effect of Canal Curvature on Working Length Change
    Michelle Tien, Hermawan Tjoa, Maggie Zhou, Paul V. Abbott
    Journal of Endodontics.2020; 46(1): 110.     CrossRef
  • Study of endodontic working length of Korean posterior teeth
    Jeong-Yeob Kim, Sang-Hoon Lee, Gwang-Hee Lee, Sang-Hyuk Park
    Journal of Korean Academy of Conservative Dentistry.2010; 35(6): 429.     CrossRef
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Effect of anticurvature filing method on preparation of the curved root canal using ProFile
Hyun-Ji Song, Juhea Chang, Kyung-Mo Cho, Jin-Woo Kim
J Korean Acad Conserv Dent 2005;30(4):327-334.   Published online July 30, 2005
DOI: https://doi.org/10.5395/JKACD.2005.30.4.327
AbstractAbstract PDFPubReaderePub

This study investigated the effect of anticurvature filing method on preparation of the curved root canal using ProFile.

Thirty six resin blocks were divided equally into three groups by instrumentation motions: anticurvature filing motion, circumferential filing motion and straight up-and-down motion. Each resin block was sectioned at 8 mm level from the apex and at the greatest curvature of the canal and reassembled in metal mold by a modified Bramante technique. All groups were instrumented with the ProFile system. At each levels, image of sectioned surface were taken using CCD camera under a stereomicroscope at ×40 magnification and stored. Distances of transportation at the inner and outer area of curvature and the centering ratio were determined and compared by statistical analysis, along with the assessment of the increase of root canal cross-sectional area.

The results were as follows;

1. In all groups, there was no statistical difference in the mean increase of root canal cross-sectional area, the centering ratio, and the mean distances of transportation at the inner area of curvature at each level.

2. At 8 mm level from the apex, the mean distances of transportation at the outer area of curvature decreases in following order anticurvature filing motion, circumferential filing motion, straight up-and-down motion but, no significant difference at the greatest curvature of the canal among three groups.

Effect of anticurvature filing motion using ProFile does not seem to be different from other instrumentation motions at the inner area of curvature in curved root canal.

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The change of canal configuration after instrumentation by several nickel-titanium files in the simulated canal with abrupt curvature
Jung-Jang Lim, Dong-Jun Kim, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh
J Korean Acad Conserv Dent 2005;30(4):303-311.   Published online July 30, 2005
DOI: https://doi.org/10.5395/JKACD.2005.30.4.303
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate which type of Ni-Ti files are able to maintain canal configuration better in the simulated canal with abrupt curvature near it's apex.

Ninety six simulated root canals were made in epoxy resin and #15 finger spreader was used as root canal templates. The simulated root canals were made with radius of curvature of 1.5 mm, 3.0 mm, 4.0 mm, 6.0 mm respectively and the angle of curvature of all simulated canals were adjusted to 90 degree. The simulated canals were instrumented by ProFile, ProTaper, Hero 642, and K3 at a 300 rpm using crown-down pressureless technique. Pre-instrumented and post-instrumented images were taken by digital camera and were superimposed with Adobe Photoshop 6.0 program. Images were compared by image analysis program.

The changes of canal width at the inner and outer side of the canal curvature, canal transportation were measured at 9 measuring point with 1 mm interval. Statistical analysis among the types of Ni-Ti files was performed using Kruskal-Wallis test and Mann-Whitney U-test.

The result was that ProFile maintain original canal configuration better than other engine driven Ni-Ti files in the canals above 3.0 mm radius of curvature, and in the 1.5 mm radius of curvature, most of Ni-Ti flies were deformed or separated during instrumentation.

Citations

Citations to this article as recorded by  
  • A study on transportation of apical foramen after overinstrumentation by ProFile®, ProTaper™ and K3TMin simulated canals with different curvatures
    Hyun Yang, In-Seok Yang, Yun-Chann Hwang, In-Nam Hwang, Suk-Ja Yoon, Won-Jae Kim, Won-Mann Oh
    Journal of Korean Academy of Conservative Dentistry.2007; 32(2): 87.     CrossRef
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A comparative study on the canal configuration after shaping by ProFile, ProTaper™ and K-Flexofile in simulated canals with different angles of curvature
Bo-Kum Lee, Dong-Jun Kim, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh
J Korean Acad Conserv Dent 2005;30(4):294-302.   Published online July 30, 2005
DOI: https://doi.org/10.5395/JKACD.2005.30.4.294
AbstractAbstract PDFPubReaderePub

The purpose of this study was to evaluate the canal configuration after shaping by ProFile, ProTaper and K-Flexofile in simulated resin canals with different angles of curvature.

Three types of instruments were used : ProFile, ProTaper, K-Flexofile. Simulated root canals, which were made of epoxy resin, were prepared by ProFile, ProTaper with rotary instrument using a crown-down pressureless technique, and hand instrumentation was performed by K-Flexofile using a step-back technique. All simulated canals were prepared up to size 25 file at end-point of preparation. Pre and post instrumentation images were recorded with Scanner. Assessment of canal shape was completed with Image Analysis program. Measurements were made at 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 mm from the apex. At each level, outer canal width, inner canal width, total canal width, and amount of transportation from original axis were recorded. Instrument deformation and fracture were recorded. Data were analyzed by means of one-way ANOVA analysis of variance and the Sheffe's test.

The result was that ProFile and ProTaper maintain original canal shape regardless of the increase of angle of curvature than K-Flexofile. ProFile show significantly less canal transportation and maintained original canal shape better than ProTaper.

Citations

Citations to this article as recorded by  
  • A study on transportation of apical foramen after overinstrumentation by ProFile®, ProTaper™ and K3TMin simulated canals with different curvatures
    Hyun Yang, In-Seok Yang, Yun-Chann Hwang, In-Nam Hwang, Suk-Ja Yoon, Won-Jae Kim, Won-Mann Oh
    Journal of Korean Academy of Conservative Dentistry.2007; 32(2): 87.     CrossRef
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Shaping ability of four rotary nickel-titanium instruments to prepare root canal at danger zone
Seok-Dong Choi, Myoung-Uk Jin, Ki-Ok Kim, Sung-Kyo Kim
J Korean Acad Conserv Dent 2004;29(5):446-453.   Published online September 30, 2004
DOI: https://doi.org/10.5395/JKACD.2004.29.5.446
AbstractAbstract PDFPubReaderePub

The aim of this study was to evaluate the shaping abilities of four different rotary nickel-titanium instruments with anticurvature motion to prepare root canal at danger zone by measuring the change of dentin thickness in order to have techniques of safe preparation of canals with nickel-titanium files.

Mesiobuccal and mesiolingual canals of forty mesial roots of extracted human lower molars were instrumented using the crown-down technique with ProFile, GT™ Rotary file, Quantec file and ProTaper™. In each root, one canal was prepared with a straight up-and-down motion and the other canal was with an anticurvature motion. Canals were instrumented until apical foramens were up to size of 30 by one operator. The muffle system was used to evaluate the root canal preparation. After superimposing the pre- and post-instrumentation canal, change in root dentin thickness was measured at the inner and outer sides of the canal at 1, 3, and 5 mm levels from the furcation. Data were analyzed using two-way ANOVA.

Root dentin thickness at danger zone was significantly thinner than that at safe zone at all levels (p < 0.05).

There was no significant difference in the change of root dentin thickness between the straight up-and-down and the anticurvature motions at both danger and safe zones in all groups (p > 0.05).

ProTaper removed significantly more dentin than other files especially at furcal 3 mm level of danger and safe zones (p < 0.05)

Therefore, it was concluded that anticurvature motion with nickel-titanium rotary instruments does not seem to be effective in danger zone of lower molars.

Citations

Citations to this article as recorded by  
  • Conservation of dentin thickness in the root canals orifice following two preparation techniques
    Ranjdar Talabani, Shawbo Ahmad, Arass Noori
    Sulaimani Dental Journal.2014; 1(2): 6.     CrossRef
  • Change of working length in curved canals by various instrumentation techniques
    Jeong-Im Jo, Myoung-Uk Jin, Young Kyung Kim, Sung Kyo Kim
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Effect of various canal preparation techniques using rotary nickel-titanium files on the maintenance of canal curvature
Cheol-Hwan Lee, Kyung-Mo Cho, Chan-Ui Hong
J Korean Acad Conserv Dent 2003;28(1):41-49.   Published online January 31, 2003
DOI: https://doi.org/10.5395/JKACD.2003.28.1.041
AbstractAbstract PDFPubReaderePub

There are increasing usage of Nickel-Titanium rotary files in modern clinical endodontic treatment because it is effective and faster than hand filing due to reduced step.

This study was conducted to evaluate the effect of canal preparations using 3 different rotary Nickel-Titanium files that has different cross sectional shape and taper on the maintenance of canal curvature. Simulated resin block were instrumented with Profile(Dentsply, USA), GT rotary files(Dentsply, USA), Hero 642(Micro-Mega, France), and Pro-Taper(Dentsply, USA).

The image of Pre-instrumentation and Post-instrumentation were acquired using digital camera and overspreaded in the computer. Then the total differences of canal diameter, deviation at the outer portion of curvature, deviation at the inner portion of curvature, movement of center of the canal and the centering ratio at the pre-determined level from the apex were measured.

Results were statistically analyzed by means of ANOVA, followed by Scheffe test at a significance level of 0.05.

The results were as follows;

1. Deviation at the outer portion of curvature, deviation at the inner portion of curvature were showed largest in Pro-Taper, so also did in the total differences of canal diameter(p<0.05).

2. All the groups showed movements of center. Profile combined with GT rotary files and Hero 642 has no difference but Pro-Taper showed the most deviation(p<0.05).

3. At the 1, 2, 3mm level from the apex movements of center directed toward the outer portion of curvature, but in 4, 5 mm level directed toward the inner portion of curvature(p<0.05).

As a results of this study, it could be concluded that combined use of other Nickel-Titanium rotary files is strongly recommended when use Pro-Taper file because it could be remove too much canal structure and also made more deviation of canal curvature than others.

Citations

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  • Effect of anticurvature filing method on preparation of the curved root canal using ProFile
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    Journal of Korean Academy of Conservative Dentistry.2005; 30(4): 327.     CrossRef
  • A comparison of shaping ability of the three ProTaper® instrumentation techniques in simulated canals
    So-Youn Kim, Jeong-Kil Park, Bock Hur, Hyeon-Cheol Kim
    Journal of Korean Academy of Conservative Dentistry.2005; 30(1): 58.     CrossRef
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