Literature DB >> 23522545

Incidence of dentinal defects after root canal preparation: reciprocating versus rotary instrumentation.

Sebastian Bürklein1, Polymnia Tsotsis, Edgar Schäfer.   

Abstract

INTRODUCTION: The purpose of this study was to evaluate the incidence of dentinal defects after root canal preparation with reciprocating instruments (Reciproc and WaveOne) and rotary instruments.
METHODS: One hundred human central mandibular incisors were randomly assigned to 5 groups (n = 20 teeth per group). The root canals were instrumented by using the reciprocating single-file systems Reciproc and WaveOne and the full-sequence rotary Mtwo and ProTaper instruments. One group was left unprepared as control. Roots were sectioned horizontally at 3, 6, and 9 mm from the apex and evaluated under a microscope by using 25-fold magnification. The presence of dentinal defects (complete/incomplete cracks and craze lines) was noted and analyzed by using the chi-square test.
RESULTS: No defects were observed in the controls. All canal preparation created dentinal defects. Overall, instrumentation with Reciproc was associated with more complete cracks than the full-sequence files (P = .021). Although both reciprocating files produced more incomplete cracks apically (3 mm) compared with the rotary files (P = .001), no statistically significant differences were obtained concerning the summarized values of all cross sections (P > .05).
CONCLUSIONS: Under the conditions of this study, root canal preparation with both rotary and reciprocating instruments resulted in dentinal defects. At the apical level of the canals, reciprocating files produced significantly more incomplete dentinal cracks than full-sequence rotary systems (P < .05).
Copyright © 2013 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

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Year:  2013        PMID: 23522545     DOI: 10.1016/j.joen.2012.11.045

Source DB:  PubMed          Journal:  J Endod        ISSN: 0099-2399            Impact factor:   4.171


  47 in total

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2.  Unprepared surface areas, accumulated hard tissue debris, and dentinal crack formation after preparation using reciprocating or rotary instruments: a study in human cadavers.

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9.  Micro-computed tomography evaluation of dentinal microcracks following canal preparation with thermomechanically heat-treated engine-driven files.

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10.  The effects of different nickel-titanium instruments on dentinal microcrack formations during root canal preparation.

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