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Preparation of oval-shaped root canals in mandibular molars using nickel-titanium rotary instruments: a micro-computed tomography study.
- Source :
-
Journal of endodontics [J Endod] 2010 Apr; Vol. 36 (4), pp. 703-7. - Publication Year :
- 2010
-
Abstract
- Introduction: This study evaluated the prepared surface areas of oval-shaped canals in distal roots of mandibular molars using four different instrumentation techniques.<br />Methods: Teeth were prescanned and reconstructed using micro-computed tomography (MCT) scans at low resolution (68 microm). Forty-eight molars with ribbon-shaped/oval distal root canals were selected and randomly assigned to four groups. Distal canals (n = 12 each) were prepared by circumferential filing using Hedström files to apical size #40 (group H/CF); with ProTaper nickel-titanium rotaries to finishing file 4 (F4) considering the distal canal as 1 canal (group PT/1); ProTaper to F4 considering buccal and oral aspects of the distal canal as 2 individual canals (group PT/2); ProTaper to F4 in a circumferential filing motion (PT/CF). Before and after shaping, teeth were evaluated using MCT at 34-microm resolution. The percentage of prepared surface was assessed for the full canal length and the apical 4 mm. Statistical analysis was performed using analysis of variance and Bonferroni/Dunn multiple comparisons.<br />Results: Preoperatively, canal anatomy was statistically similar among the groups (p = 0.56). Mean (+/- standard deviation) untreated areas ranged from 59.6% (+/-14.9, group PT/2) to 79.9% (+/-10.3, PT/1) for the total canal length and 65.2% to 74.7% for the apical canal portion, respectively. Canals in group PT/1 had greater untreated surface areas (p < 0.01) than groups PT/2 and PT/CF. Among all groups, amounts of treated surface areas were statistically similar in the apical 4 mm.<br />Conclusions: Preparations of oval-shaped root canals in mandibular molars left a variable portion of surface area unprepared regardless of the instrumentation technique used. However, considering oval canals as two separate entities during preparation appeared to be beneficial in increasing overall prepared surface.<br /> (Copyright (c) 2010 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)
- Subjects :
- Analysis of Variance
Dental Alloys
Dental Pulp Cavity diagnostic imaging
Humans
Mandible
Nickel
Regression Analysis
Statistics, Nonparametric
Titanium
X-Ray Microtomography
Dental Instruments
Dental Pulp Cavity anatomy & histology
Molar anatomy & histology
Root Canal Preparation instrumentation
Root Canal Preparation methods
Subjects
Details
- Language :
- English
- ISSN :
- 1878-3554
- Volume :
- 36
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of endodontics
- Publication Type :
- Academic Journal
- Accession number :
- 20307747
- Full Text :
- https://doi.org/10.1016/j.joen.2009.12.020