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Evaluation of canal preparation for apical sealing with various Ni-Ti rotary instruments
Yooseok Shin, Su-Jung Shin, Minju Song, Euiseong Kim
J Korean Acad Conserv Dent 2011;36(4):300-305.   Published online July 31, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.4.300
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to evaluate the various NiTi rotary instruments regarding their ability to provide a circular apical preparation.

Materials and Methods

50 single canal roots were selected, cut at the cementodentinal junction and the coronal 1/3 of the canals was flared using Gates Glidden burs. Samples were randomly divided into 5 experimental groups of 10 each. In group I, GT files, Profile 04 and Quantec #9 and #10 files were used. In Group II Lightspeed was used instead of Quantec. In Group III, Orifice shaper, Profile .06 series and Lightspeed were used. In Group IV, Quantec #9 and #10 files were used instead of Lightspeed. In Group V, the GT file and the Profile .04 series were used to prepare the entire canal length. All tooth samples were cut at 1 mm, 3 mm and 5 mm from the apex and were examined under the microscope.

Results

Groups II and III (Lightspeed) showed a more circular preparation in the apical 1mm samples than the groups that used Quantec (Group I & IV) or GT files and Profile .04 series.(Group V)(p < 0.05) There was no significant difference statistically among the apical 3, 5 mm samples. In 5 mm samples, most of the samples showed complete circularity and none of them showed irregular shape.

Conclusions

Lightspeed showed circular preparation at apical 1 mm more frequently than other instruments used in this study. However only 35% of samples showed circularity even in the Lightspeed Group which were enlarged 3 ISO size from the initial apical binding file (IAF) size. So it must be considered that enlarging 3 ISO size isn't enough to make round preparation.

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Evaluation of apical canal shapes produced sequentially during instrumentation with stainless steel hand and Ni-Ti rotary instruments using Micro-computed tomography
Woo-Jin Lee, Jeong-Ho Lee, Kyung-A Chun, Min-Seock Seo, Yeon-Jee Yoo, Seung-Ho Baek
J Korean Acad Conserv Dent 2011;36(3):231-237.   Published online May 31, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.3.231
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to determine the optimal master apical file size with minimal transportation and optimal efficiency in removing infected dentin. We evaluated the transportation of the canal center and the change in untouched areas after sequential preparation with a #25 to #40 file using 3 different instruments: stainless steel K-type (SS K-file) hand file, ProFile and LightSpeed using microcomputed tomography (MCT).

Materials and Methods

Thirty extracted human mandibular molars with separated orifices and apical foramens on mesial canals were used. Teeth were randomly divided into three groups: SS K-file, Profile, LightSpeed and the root canals were instrumented using corresponding instruments from #20 to #40. All teeth were scanned with MCT before and after instrumentation. Cross section images were used to evaluate canal transportation and untouched area at 1- , 2- , 3- , and 5- mm level from the apex. Data were statistically analyzed according to' repeated nested design'and Mann-Whitney test (p = 0.05).

Results

In SS K-file group, canal transportation was significantly increased over #30 instrument. In the ProFile group, canal transportation was significantly increased after preparation with the #40 instrument at the 1- and 2- mm levels. LightSpeed group showed better centering ability than ProFile group after preparation with the #40 instrument at the 1 and 2 mm levels.

Conclusions

SS K-file, Profile, and LightSpeed showed differences in the degree of apical transportation depending on the size of the master apical file.

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