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Research Articles
Micro-computed tomographic assessment of the shaping ability of the One Curve, One Shape, and ProTaper Next nickel-titanium rotary systems
Pelin Tufenkci, Kaan Orhan, Berkan Celikten, Burak Bilecenoglu, Gurkan Gur, Semra Sevimay
Restor Dent Endod 2020;45(3):e30.   Published online May 22, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e30
AbstractAbstract PDFPubReaderePub
Objectives

This micro-computed tomographic (CT) study aimed to compare the shaping abilities of ProTaper Next (PTN), One Shape (OS), and One Curve (OC) files in 3-dimensionally (3D)-printed mandibular molars.

Materials and Methods

In order to ensure standardization, 3D-printed mandibular molars with a consistent mesiobuccal canal curvature (45°) were used in the present study (n = 18). Specimens were instrumented with the OC, OS, or PTN files. The teeth were scanned pre- and post-instrumentation using micro-CT to detect changes of the canal volume and surface area, as well as to quantify transportation of the canals after instrumentation. Two-way analysis of variance was used for statistical comparisons.

Results

No statistically significant differences were found between the OC and OS groups in the changes of the canal volume and surface area before and after instrumentation (p > 0.05). The OC files showed significantly less transportation than the OS or PTN systems for the apical section (p < 0.05). In a comparison of the systems, similar values were found at the coronal and middle levels, without any significant differences (p > 0.05).

Conclusions

These 3 instrumentation systems showed similar shaping abilities, although the OC file achieved a lesser extent of transportation in the apical zone than the OS and PTN files. All 3 file systems were confirmed to be safe for use in mandibular mesial canals.

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Root canal volume change and transportation by Vortex Blue, ProTaper Next, and ProTaper Universal in curved root canals
Hyun-Jin Park, Min-Seock Seo, Young-Mi Moon
Restor Dent Endod 2018;43(1):e3.   Published online December 24, 2017
DOI: https://doi.org/10.5395/rde.2018.43.e3
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to compare root canal volume change and canal transportation by Vortex Blue (VB; Dentsply Tulsa Dental Specialties), ProTaper Next (PTN; Dentsply Maillefer), and ProTaper Universal (PTU; Dentsply Maillefer) nickel-titanium rotary files in curved root canals.

Materials and Methods

Thirty canals with 20°–45° of curvature from extracted human molars were used. Root canal instrumentation was performed with VB, PTN, and PTU files up to #30.06, X3, and F3, respectively. Changes in root canal volume before and after the instrumentation, and the amount and direction of canal transportation at 1, 3, and 5 mm from the root apex were measured by using micro-computed tomography. Data of canal volume change were statistically analyzed using one-way analysis of variance and Tukey test, while data of amount and direction of transportation were analyzed using Kruskal-Wallis and Mann-Whitney U test.

Results

There were no significant differences among 3 groups in terms of canal volume change (p > 0.05). For the amount of transportation, PTN showed significantly less transportation than PTU at 3 mm level (p = 0.005). VB files showed no significant difference in canal transportation at all 3 levels with either PTN or PTU files. Also, VB files showed unique inward transportation tendency in the apical area.

Conclusions

Other than PTN produced less amount of transportation than PTU at 3 mm level, all 3 file systems showed similar level of canal volume change and transportation, and VB file system could prepare the curved canals without significant shaping errors.

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Comparison of canal transportation in simulated curved canals prepared with ProTaper Universal and ProTaper Gold systems
Emmanuel João Nogueira Leal Silva, Brenda Leite Muniz, Frederico Pires, Felipe Gonçalves Belladonna, Aline Almeida Neves, Erick Miranda Souza, Gustavo De-Deus
Restor Dent Endod 2016;41(1):1-5.   Published online February 4, 2016
DOI: https://doi.org/10.5395/rde.2016.41.1.1
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to assess the ability of ProTaper Gold (PTG, Dentsply Maillefer) in maintaining the original profile of root canal anatomy. For that, ProTaper Universal (PTU, Dentsply Maillefer) was used as reference techniques for comparison.

Materials and Methods

Twenty simulated curved canals manufactured in clear resin blocks were randomly assigned to 2 groups (n = 10) according to the system used for canal instrumentation: PTU and PTG groups, upto F2 files (25/0.08). Color stereomicroscopic images from each block were taken exactly at the same position before and after instrumentation. All image processing and data analysis were performed with an open source program (FIJI). Evaluation of canal transportation was obtained for two independent canal regions: straight and curved levels. Student's t test was used with a cut-off for significance set at α = 5%.

Results

Instrumentation systems significantly influenced canal transportation (p < 0.0001). A significant interaction between instrumentation system and root canal level (p < 0.0001) was found. PTU and PTG systems produced similar canal transportation at the straight part, while PTG system resulted in lower canal transportation than PTU system at the curved part. Canal transportation was higher at the curved canal portion (p < 0.0001).

Conclusions

PTG system produced overall less canal transportation in the curved portion when compared to PTU system.

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Effect of repetitive pecking at working length for glide path preparation using G-file
Jung-Hong Ha, Hyo-Jin Jeon, Rashid El Abed, Seok-Woo Chang, Sung-Kyo Kim, Hyeon-Cheol Kim
Restor Dent Endod 2015;40(2):123-127.   Published online January 7, 2015
DOI: https://doi.org/10.5395/rde.2015.40.2.123
AbstractAbstract PDFPubReaderePub
Objectives

Glide path preparation is recommended to reduce torsional failure of nickel-titanium (NiTi) rotary instruments and to prevent root canal transportation. This study evaluated whether the repetitive insertions of G-files to the working length maintain the apical size as well as provide sufficient lumen as a glide path for subsequent instrumentation.

Materials and Methods

The G-file system (Micro-Mega) composed of G1 and G2 files for glide path preparation was used with the J-shaped, simulated resin canals. After inserting a G1 file twice, a G2 file was inserted to the working length 1, 4, 7, or 10 times for four each experimental group, respectively (n = 10). Then the canals were cleaned by copious irrigation, and lubricated with a separating gel medium. Canal replicas were made using silicone impression material, and the diameter of the replicas was measured at working length (D0) and 1 mm level (D1) under a scanning electron microscope. Data was analysed by one-way ANOVA and post-hoc tests (p = 0.05).

Results

The diameter at D0 level did not show any significant difference between the 1, 2, 4, and 10 times of repetitive pecking insertions of G2 files at working length. However, 10 times of pecking motion with G2 file resulted in significantly larger canal diameter at D1 (p < 0.05).

Conclusions

Under the limitations of this study, the repetitive insertion of a G2 file up to 10 times at working length created an adequate lumen for subsequent apical shaping with other rotary files bigger than International Organization for Standardization (ISO) size 20, without apical transportation at D0 level.

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Basic Researchs
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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Comparison of apical transportation and change of working length in K3, NRT AND PROFILE rotary instruments using transparent resin block
Min-Jung Yoon, Min-Ju Song, Su-Jung Shin, Euiseong Kim
J Korean Acad Conserv Dent 2011;36(1):59-65.   Published online January 31, 2011
DOI: https://doi.org/10.5395/JKACD.2011.36.1.59
AbstractAbstract PDFPubReaderePub
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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Original Articles
Step by step analysis of root canal instrumentation with ProTaper®
Mi-Hee Kim, Bock Huh, Hyeon-Cheol Kim, Jeong-Kil Park
J Korean Acad Conserv Dent 2006;31(1):50-57.   Published online January 31, 2006
DOI: https://doi.org/10.5395/JKACD.2006.31.1.050
AbstractAbstract PDFPubReaderePub

The purpose of this study was to investigate influence of each file step of ProTaper® system on canal transportation.

Twenty simulated canals were prepared with either engine-driven ProTaper® or manual ProTaper®. Group R-resin blocks were instrumented with rotary ProTaper® and group M-resin blocks were instrumented with manual ProTaper®. Pre-operative resin blocks and post-operative resin blocks after each file step preparation were scanned. Original canal image and the image after using each file step were superimposed for calculation of centering ratio. The image after using each file step and image after using previous file step were superimposed for calculation of the amount of deviation. Measurements were taken horizontally at five different levels (1, 2, 3, 4 and 5 mm) from the level of apical foramen.

In rotary ProTaper® instrumentation group, centering ratio and the amount of deviation of each step at all levels were not significantly different (p > 0.05). In manual ProTaper® instrumentation group, centering ratio and the amount of deviation of each step at all levels except of 1 mm were not significantly different (p > 0.05). At the level of 1 mm, F2 file step had significantly large centering ratio and the amount of deviation (p < 0.05).

Under the condition of this study, F2 file step of manual ProTaper® tended to transport the apical part of the canals than that of rotary ProTaper®.

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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.

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