An Evaluation of Biomechanical Preparation of Root Canals Using Protaper Hand File, Mtwo Niti Rotary File and NeoNiti Single File Systems With Cone Beam Computed Tomography - An In Vitro Study https://doi.org/10.60787/NMJ-63-6-175
Main Article Content
Keywords
Cervical Dentinal Thickness, Canal Transportation, Surface Area, Cone Beam Computed Tomography
Abstract
Background: Root canal therapy is the most widely accepted treatment modality for pulpally involved teeth. Rotary NiTi instruments improve the root canal preparation because of the unique properties of the alloy. Cone beam computed tomography (CBCT) permits non-destructive and metrically exact analyses of variables such as volume, surface area, cross-sectional shape, and taper. Thus the present study was conducted to evaluate the effect of biomechanical preparation of root canals using different file systems on cervical dentinal thickness at the coronal level, canal transportation and surface area at coronal, middle and apical levels using CBCT.
Methodology: Forty-five single-rooted premolars were randomly divided into three groups (n=15) (Protaper hand file, MtwoNiTi rotary file and NeoNiTi single file). CBCT scans were taken before and after preparation. Dentinal thickness was measured in all four directions to assess cervical dentin thickness and canal transportation. The surface area was evaluated in Adobe Photoshop both before and after preparation.
Results: The data obtained were subjected to statistical analysis. The total mean change in cervical dentin thickness and total mean canal transportation at coronal and apical was found to be maximum in Group III. The maximum increase of surface area was observed in Group I at the coronal level, whereas in Group III at the middle and apical levels.
Conclusion: It was concluded that the change in cervical dentin thickness was maximum in Group III. The canal transportation at the coronal level and the apical level was found to be maximum in Group III; at the middle level, it was maximum in Group II. The maximum increase of surface area at the coronal level was observed in Group I, and at middle and apical levels, it was seen in Group III.
References
2.European Society of Endodontology. Quality guidelines for endodontic treatment: consensus report of the European Society of Endodontology. Int Endod J 2006; 39:921-30.
3.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.
4.Crumpton BJ, McClanahan S. Endodontic rotary nickel-titanium instrument systems. Clinical Update 2003;25:15-7.
5.Bergmans L, Van Cleynenbreugel J, Wevers M, Lambrechts P. Mechanical root canal preparation with NiTi rotary instruments: rationale, performance and safety. Status report for the American Journal of Dentistry. Am J Dent 2001; 14:324-33.
6.Pathak S. In vitro comparison of K-file, Mtwo, and Wave One in cleaning efficacy and instrumentation time in primary molars. Chris med J Health Res 2016; 3:60-4.
7.Gupta R, Dhingra A, Aggarwal N, Yadav V. A new approach to single file endodontics: NeoNiTi rotary file system. Int J Adv CaseReports 2015; 2:1030-2.
8.NeoNiTi [Package insert]. Chatres la foret, France: Neolix SAS. Available at: www.neolix.eu/en.
9.Deka A, Bhuyan AC, Bhuyan D. A comparative evaluation of root canal area increase using three different nickel-titanium rotary systems: An ex vivo cone-beam computed tomographic analysis. Contemp Clin Dent 2015;6:79-83.
10.Gambill JM, Alder M, del Rio CE. Comparison of Nickel-Titanium and Stainless Steel Hand-File Instrumentation Using Computed Tomography. Am Assoc Endo 1996; 22:369-75.
11.Ruddle CJ. The protaper technique: shaping the future of endodontics. Adv Endon 2005:1-4.
12.Singh A, Arunagiri D, Pushpa S, Sawhny A, Khetan K. Apical extrusion of debris and irrigants using ProTaper hand, M-two rotary and Wave One single file reciprocating system: An ex vivo study. J Conserv Dent2015;18:405-8.
13.Vallabhaneni S, Fatima K, Kumar TH. Cone-beam computed tomography assessment of root canal transportation using Wave One Gold and Neoniti single-file systems. J Conserv Dent 2017;20:434-8.
14.Nagaraja S and Murthy BVS. CT evaluation of canal preparation using rotary and hand Ni-Ti instruments: An in vitro study. J Conserv Dent 2010; 13:16-22.
15.Musale PK, Jain KR, Kothare SS. Comparative assessment of dentin removal following hand and rotary instrumentation in primary molars using cone-beam computed tomography. J Indian Soc Pedod Prev Dent 2019;37:80-6.
16.Shivashankar MB, Niranjan NT, Jayasheel A, Kenchanagoudra MG. Computed tomographyevaluation of canal transportation and volumetric changes in root canal dentin of curved canals using Mtwo, protaper and protaper next rotary system-an in-vitro study. J Clin Diag Res 2016;10:ZC10-4.
17.Waly AS, Yamany I, Abbas HM, A Alsairafi MA, F Bazzaz RM, Bogari DF, et al. Comparison of two pediatric rotary file systems and hand instrumentation in primary molar: An ex vivo cone-beam computed tomographic study. Niger J Clin Pract 2021; 24:1492-8.
18.Plotino G, Grande NM, Falanga A, Di Giuseppe IL, Lamorgese V, Somma F. Dentine removal in the coronal portion of root canals following two preparation techniques. Int Endod J 2007;40:852–8.
