Quantitative transportation assessment in curved canals prepared with an off-centered rectangular design system.

The purpose of this study was to assess the ability of an off-centered rectangular design system [ProTaper Next (PTN)] to maintain the original profile of the root canal anatomy. To this end, ProTaper Universal (PTU), Reciproc (R) and WaveOne (WO) systems were used as reference techniques for comparison. Forty clear resin blocks with simulated curved root canals were randomly assigned to 4 groups (n = 10) according to the instrumentation system used: PTN, PTU, R and WO. Color stereomicroscopic images of each block were taken before and after instrumentation. All image processing and data analysis were performed with an open source program (Fiji v.1.47n). Evaluation of canal transportation was obtained for two independent regions: straight and curved portions. Univariate analysis of variance and Tukey's Honestly Significant Difference test were performed, and a cut-off for significance was set at α = 5%. Instrumentation systems significantly influenced canal transportation (p = 0.000). Overall, R induced significantly lower canal transportation compared with WO, PTN and PTU (p = 0.000). The curved portion displayed superior canal transportation compared to the straight one (p = 0.000). The significance of the difference among instrumentation systems varied according to the canal level evaluated (p = 0.000). In its straight portion, R and WO exhibited significantly lower transportation than PTN; whereas in the curved portion, R produced the lowest deviation. PTU exhibited the highest canal transportation at both levels. It can be concluded that PTN produced less canal transportation than PTU and WO; however, R exhibited better centering ability than PTN.

Quantitative Transportation Assessment in Simulated Curved Canals Prepared with an Adaptive Movement System.

INTRODUCTION: The aim of this study was to evaluate the ability of the Twisted File Adaptive (TF Adaptive; SybronEndo, Orange, CA) system in maintaining the original profile of root canal anatomy. The ProTaper Universal (Dentsply Maillefer, Ballaigues, Switzerland) and Twisted File (TF) (SybronEndo) systems were used as reference techniques for comparison. METHODS: Thirty simulated curved root canals manufactured in clear resin blocks were randomly assigned to 3 groups (n = 10) according to the instrumentation system: TF in rotary motion, TF in TF Adaptive motion, and ProTaper Universal. 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 2 independent canal regions: straight and curved levels. Univariate analysis of variance and Tukey Honestly Significant Difference were used, and a cutoff for significance was set at alpha = 5%. RESULTS: Instrumentation systems significantly influenced canal transportation (P = .000). A significant interaction between instrumentation system and root canal level (P = .000) was also found as follows: at the straight part, TF and TF Adaptive systems produced similar canal transportation, which was significantly lower than for the ProTaper Universal system; at the curved part, TF resulted in the lowest canal transportation followed by TF Adaptive and ProTaper Universal systems. Canal transportation was higher at the curved canal parts (P = .00). CONCLUSIONS: The TF in rotary motion produced overall less canal transportation in the curved portion when compared with the others tested systems. The ProTaper Universal system showed the highest canal transportation.

Quantitative transportation assessment in curved canals prepared with an off-centered rectangular design system

Abstract The purpose of this study was to assess the ability of an off-centered rectangular design system [ProTaper Next (PTN)] to maintain the original profile of the root canal anatomy. To this end, ProTaper Universal (PTU), Reciproc (R) and WaveOne (WO) systems were used as reference techniques for comparison. Forty clear resin blocks with simulated curved root canals were randomly assigned to 4 groups (n = 10) according to the instrumentation system used: PTN, PTU, R and WO. Color stereomicroscopic images of each block were taken before and after instrumentation. All image processing and data analysis were performed with an open source program (Fiji v.1.47n). Evaluation of canal transportation was obtained for two independent regions: straight and curved portions. Univariate analysis of variance and Tukey's Honestly Significant Difference test were performed, and a cut-off for significance was set at α = 5%. Instrumentation systems significantly influenced canal transportation (p = 0.000). Overall, R induced significantly lower canal transportation compared with WO, PTN and PTU (p = 0.000). The curved portion displayed superior canal transportation compared to the straight one (p = 0.000). The significance of the difference among instrumentation systems varied according to the canal level evaluated (p = 0.000). In its straight portion, R and WO exhibited significantly lower transportation than PTN; whereas in the curved portion, R produced the lowest deviation. PTU exhibited the highest canal transportation at both levels. It can be concluded that PTN produced less canal transportation than PTU and WO; however, R exhibited better centering ability than PTN.