Centering ability of variety of instruments and techniques used to over-instrument simulated tiny curved canals.
DOI:
https://doi.org/10.32828/mdj.v16i1.1020Keywords:
Over instrumentation, ProTaper, Ni-Ti, simulated resin canal, rotary instrumentsAbstract
Aim: To determine centering ability of variety of instruments and techniques used to over-instrument simulated tiny curved canals.
Method: Standardized eighty blocks of clear resin, each had a canal of 20 mm in length, the straight portion was 17 mm in length, while the length of the curved apical portion was 3 mm, with a curvature of 20˚ and a radius of 4 mm, its size was equal to no.8 .02 ISO K-file, the resin blocks were divided into 8 groups, six of them were over instrumented by 1mm using hand SS K-files and Ni-Ti K-files in step back technique, Gates-Glidden drills and hand SS K-files and Ni-Ti K-files in hybrid technique, ProTaper and ProFile rotary file system in crown down technique, while two groups were under instrumented by 1 mm using hand SS K-files in step back technique and ProTaper rotary file system in crown down technique.
Results: Regarding Centering ability for Over-instrumentation techniques, there was a significant difference at p < 0.05 in favor of crown down technique, in favor of Ni-Ti over the SS, and in favor of rotary instruments over the hand instruments. For under-instrumentation groups, there was a significant difference at p < 0.05 with in favor of hand SS instruments in step back technique over the rotary Ni-Ti instruments in crown down technique. Also there was a significant difference between the over and under instrumentation techniques at p < 0.05, with in favor of under instrumentation techniques.
Conclusion: Within the limitations of this in vitro study, crown down technique gave better results than step back and hybrid technique, as well Ni-Ti instruments performed better than SS instruments. Rotary instruments had less deviation than the hand instruments when used inside simulated tiny curved resin canals.
References
- Lam TV, Lewis D, Atkins D, Macfarlane R, Clarkson R, Whitehead M, Brockhurst P, Moule A. Changes in root canal morphology in simulated curved canals over-instrumented with a variety of stainless steel and nickel titanium files. Aust Dent J.1999; 44: 12–19.
- Bartha T., Kalwitzki M., Löst C., Weiger R. Extended apical enlargement with hand files versus rotary Ni-Ti files. Part II. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006; 102: 692-7.
- Webber J, Machtou P. ProTaper: Taking the curves with ease. www.dentsply.co.uk/articles. 2001.
- Calberson FLG, Deroose CAJG, Hommez GMG, De Moor RJG. Shaping ability of ProTaper nickel-titanium files in simulated resin root canals. Int Endod J. 2004; 37: 613–23.
- Ingle I, Bakland L. Endodontics. BC Decker Inc; 5th edition. 2002.
- Garip Y, Günday M. The use of computed tomography when comparing nickel–titanium and stainless steel files during preparation of simulated curved canals. Int Endod J. 2001; 34: 452–57.
- Iqbal MK, Firic S, Tulcan J, Karabucak B, Kim S. Comparison of apical transportation between ProFileTM and ProTaperTM Ni-Ti rotary instruments. Int Endod J.2004; 37: 359–64.
- Schrader C, Ackermann M, and Barbakow F. Step by-step description of a rotary root canal preparation technique. Int Endod J.1999; 32: 312–20.
- Martin G, Blašković-šubat V. Preparation of simulated root canals using the Macfile, Canal Master U and K-Flexofile. Int Endod J.1997; 30: 160–66.
- Miglani S, Gopikrishna V, Parameswaran, Kandaswamy D, Kirithika. Canal centering ability of two nickel-titanium rotary systems compared with SS hand instrumentation in curved canals using Kuttler's endodontic cube - An in vitro study. Endodontology. 2004; 16: 42–9.
- Guelzow A, Stamm O, Martus P, Kielbassa AM. Comparative study of six rotary nickel–titanium systems and hand instrumentation for root canal preparation. Int Endod J. 2005; 38: 743–52.
- Young GR, Parashos P, Messer HH. The principles of techniques for cleaning root canals. Aust Dent J Suppl. 2007; 52:S52–S63.
- Cohen S, Burns R. Pathways of the pulp. Mosby; 8th edition, 2002.
- Buchanan LS. The standardized-taper root canal preparation – Part 3. GT file technique in large root canals with small apical diameters. Int Endod J.2001; 34:149-56.
- Serota K, Nahmias Y, Barnett F, Brock M, Senia S. Predictable endodontic success: The apical control zone. Oral Health. 2003; October: 75–89.
- Hülsmann M, Peters O, Dummer P. Mechanical preparation of root canals: shaping goals, techniques and means. Endodontic Topics. 2005; 10: 30–76.
- Koch K, Brave D. Endodontics: real world endo: design features of rotary files and how they affect clinical performance. 2002. www.oralhealthjournal.com.
- Yared GM, Bou Dagher FE, Machtou P. Cyclic fatigue of ProFile rotary instruments after clinical use. Int Endod J.2000; 33: 204–7.
- Revathi M, Rao CVN, Lakshminarayanan L. Revolutions in endodontic instruments - A review. Endodontology. 2001; 13: 43–50.
- Sharma H, Shivanna V. Smear layer removal using manual instrumentation of ‘K’ file versus LightSpeed, ProFile and Hero 642 instrumentation : A scanning electron microscope study. Endodontology. 2002; 14: 14–18.
- Da Silva FM, Kobayashi C, Suda H. Analysis of forces developed during mechanical preparation of extracted teeth using RaCe rotary instruments and ProFiles. Int Endod J.2005; 38: 17–21.
- Walton R, Torabinejad M. Principles and practice of endodontics. W.B. Saunders Company; 3rd edition. 2002.
- Gordon MPJ, Love RM, Chandler NP. An evaluation of .06 tapered gutta-percha cones for filling of .06 taper prepared curved root canals. Int Endod J.2005; 38: 87–96.
- Yared GM, Kulkarni GK. Failure of ProFile Ni-Ti instruments used by an inexperienced operator under access limitations. Int Endod J.2002; 35: 536–41.
- Ayar LR, Love RM. Shaping ability of ProFile and K3 rotary Ni-Ti instruments when used in a variable tip sequence in simulated curved root canals. Int Endod J.2004; 37: 593–601.
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