Cleaning and Shaping Oval Canals with 3 Instrumentation Systems: A Correlative Micro-computed Tomographic and Histologic Study

Autor: Mônica A.S. Neves, Mariane F.L.S. Lacerda, Lucio Souza Gonçalves, Isabela N. Rôças, Fábio Ramôa Pires, José C. Provenzano, Marília F. Marceliano-Alves, Alejandro Perez, José F. Siqueira
Rok vydání: 2017
Předmět:
Zdroj: Journal of endodontics. 43(11)
ISSN: 1878-3554
Popis: The present study evaluated the cleaning and shaping ability of 3 instrumentation systems in oval canals of extracted vital teeth using a correlative analytic approach.Oval distal canals from 33 freshly extracted mandibular molars with pulp vitality were scanned by micro-computed tomographic (micro-CT) imaging for sample selection. Specimens matched by anatomic similarities were distributed into 3 experimental groups according to the instrument system to be evaluated: the Self-Adjusting File (SAF; ReDentNOVA, Ra'anana, Israel), TRUShape (Dentsply Sirona, Tulsa, OK), and XP-endo Shaper (FKG Dentaire, La Chaux-de-Fonds, Switzerland). The irrigant was 5.25% sodium hypochlorite heated at 37°C. After rescanning with micro-CT imaging, the unprepared surface areas were identified, measured, and then histologically evaluated for the amount of pulp remnants in each root third.When the apical 4-mm canal segment was evaluated, the SAF exhibited significantly less unprepared areas than the XP-endo Shaper (P .05), and there were no significant differences for the other comparisons (P .05). Analysis of the full canal length showed no statistically significant differences between the 3 tested systems (P .05). Likewise, the tested systems did not differ significantly in cleaning the unprepared walls (P .05).There was no significant difference in the amount of unprepared surface areas between the 3 instrument systems, except for the comparison between the SAF and XP-endo Shaper in the apical 4-mm segment. None of them prepared 100% of the root canal walls. The cleaning ability of the 3 systems was similar.
Databáze: OpenAIRE