World Journal of Dentistry

Register      Login

VOLUME 14 , ISSUE 6 ( June, 2023 ) > List of Articles

ORIGINAL RESEARCH

Comparative Evaluation of Root Canal Centering Ability of Two Heat-treated Single-shaping NiTi Rotary Instruments in Simulated Curved Canals: An In Vitro Study

Athira Shaji, Preethi Varadan, Chakravarthy Arumugam

Keywords : Centering ability, Heat treated files, Severely curved canals, Single shaping files

Citation Information : Shaji A, Varadan P, Arumugam C. Comparative Evaluation of Root Canal Centering Ability of Two Heat-treated Single-shaping NiTi Rotary Instruments in Simulated Curved Canals: An In Vitro Study. World J Dent 2023; 14 (6):535-540.

DOI: 10.5005/jp-journals-10015-2267

License: CC BY-NC 4.0

Published Online: 24-08-2023

Copyright Statement:  Copyright © 2023; The Author(s).


Abstract

Aim: To evaluate the canal centering ability of two heat-treated single-shaping nickel-titanium (NiTi) rotary files in simulated severely curved canals. Materials and methods: Standardized 40 resin blocks with 35° simulated curved canals were randomly divided into two groups according to the instrumentation systems, group I: TruNatomy (n = 20) and group II: XP-endo Shaper (n = 20). Before instrumentation, the resin blocks with an endodontic ruler fixed were photographed in a standardized setup at a magnification ratio (1:4). The simulated canals were instrumented according to the manufacturer's instructions for each system and irrigated in-between with normal saline. After instrumentation, resin blocks were photographed in the same preinstrumentation setup. The pre- and postinstrumentation images stored in JPEG format were sketched with Adobe Photoshop software CS5 using the filter “sketch” (green and red color, respectively). They were superimposed using the same software, and on the canal profile, 5 points of measurement were traced at 1, 2, 3, 5, and 7 mm from the apex representing the apical, middle, and coronal third, respectively. The mean canal centering ratio (CR) was compared for both groups at all the levels of measurement using a nonparametric Mann–Whitney U test. Intergroup and intragroup multiple comparisons of the mean canal CR at each of the measuring points against all the measuring points were conducted using the post hoc Tukey test. Results: The results showed that no significant statistical difference was evident within the same group and between the two groups at all the points of measurement (p > 0.05). Conclusion: TruNatomy and XP-endo Shaper showed comparable canal centering ability in severely curved canals. Clinical significance: These heat-treated single shaping files would thus empower the clinicians to adhere to the ultraconservative access designs, while achieving an adequate and predictable apical preparation within a shorter duration of time.


HTML PDF Share
  1. Kandaswamy D, Venkateshbabu N, Porkodi I, et al. Canal-centering ability: An endodontic challenge. J Conserv Dent 2009;12(1):3–9. DOI: 10.4103/0972-0707.53334
  2. Nagendrababu V, Ahmed HMA. Shaping properties and outcomes of nickel-titanium rotary and reciprocation systems using micro-computed tomography: a systematic review. Quintessence Int 2019;50(3):186–195. DOI: 10.3290/j.qi.a41977
  3. Gundappa M, Bansal R, Khoriya S, et al. Root canal centering ability of rotary cutting nickel titanium instruments: a meta-analysis. J Conserv Dent 2014;17(6):504–9. DOI: 10.4103/0972-0707.144567
  4. Stavileci M, Hoxha V, Görduysus Ö, et al. Effects of preparation techniques on root canal shaping assessed by micro-computed tomography. Med Sci Monit Basic Res 2013;19:163–8. DOI: 10.12659/MSMBR.889350
  5. Haapasalo M, Shen Y. Evolution of nickel-titanium instruments: from past to future. Endodont Topics 2013;29(1):3–17. DOI: 10.1111/etp.12049
  6. Srivastava S, Alghadouni MA, Alotheem HS. Current strategies in metallurgical advances of rotary NiTi instruments: a review. J Dent Health Oral Disord Ther 2018;9(3):00333. DOI: 10.15406/jdhodt.2018.09.00333
  7. The TruNatomy Brochure, Ballaigues, Switzerland, Dentsply Sirona. Available from: https://www.dentsplysirona.com/en/explore/endodontics/TruNatomy.html
  8. The XP-endo Shaper brochure, FKG Dentaire. Available at: https://www.fkg.ch/sites/default/files/201612_fkg_XPS_brochure_v3_en_web.pdf
  9. Muñoz E, Forner L, Garcet S, et al. Canal shaping with a reciprocating system is easy to learn. Int Endod J 2019;52(8):1244–1249. DOI: 10.1111/iej.13111
  10. Goldberg M, Dahan S, Machtou P. Centering ability and influence of experience when using waveone single-file technique in simulated canals. Int J Dent 2012;2012:206321. DOI: 10.1155/2012/206321
  11. Forghani M, Hezarjaribi M, Teimouri H. Comparison of the shaping characteristics of Neolix and Protaper universal systems in preparation of severely-curved simulated canals. J Clin Exp Dent 2017;9(4):e556–e559. DOI: 10.4317/jced.53476
  12. Alfadley A, Alrajhi A, Alissa H, et al. Shaping ability of XP-endo Shaper file in curved root canal models. Int J Dent 2020;2020:4687045. DOI: 10.1155/2020/4687045
  13. Elnaghy AM, Elsaka SE. Evaluation of root canal transportation, centering ratio, and remaining dentin thickness associated with ProTaper Next instruments with and without glide path. J Endod 2014;40(12):2053–6. DOI: 10.1016/j.joen.2014.09.001
  14. Hargreaves KM, Berman LH. Cohen's Pathways of Pulp First South Asian edition. Elsevier.
  15. Zupanc J, Vahdat-Pajouh N, Schäfer E. New thermo-mechanically treated NiTi alloys - a review. Int Endod J 2018;51(10):1088–1103. DOI: 10.1111/iej.12924
  16. Chasseb Al Khazali YH, Shukri B. A comparative study to evaluate canal transportation and centering ability of simulated curved canals prepared by XP-Shaper, WaveOne Gold and ProTaper NEXT files. Mustansiria Dent J 2018;15(1):18–24.
  17. Hasheminia SM, Farhad A, Sheikhi M, et al. Cone-beam computed tomographic analysis of canal transportation and centering ability of single-file systems. J Endod 2018;44(12):1788–1791. DOI: 10.1016/j.joen.2018.09.011
  18. Wei Z, Cui Z, Yan P, et al. A comparison of the shaping ability of three nickel-titanium rotary instruments: a micro-computed tomography study via a contrast radiopaque technique in vitro. BMC Oral Health 2017;17(1):39. DOI: 10.1186/s12903-016-0326-5
  19. Di Nardo D, Miccoli G, Mazzoni A, et al. Centering ability of a new nickel-titanium rotary instruments with a peculiar flat-side design: an in vitro study. J Contemp Dent Pract 2020;21(5):539–542.
  20. Vyver P, Vorster M, Peters O. Minimally invasive endodontics using a new single-file rotary system. Int Dent 2020;9(4):6–20.
  21. Ruddle CJ, Machtou P, West JD. The shaping movement: fifth-generation technology. Dent Today 2013;32(4):96–9.
  22. Troiano G, Dioguardi M, Cocco A, et al. Centering ability of ProTaper Next and WaveOne Classic in J-shape simulated root canals. Scientific World Journal 2016;2016:1606013. DOI: 10.1155/2016/1606013
  23. Silva EJ, Muniz BL, Pires F, et al. Comparison of canal transportation in simulated curved canals prepared with ProTaper Universal and ProTaper Gold systems. Restor Dent Endod 2016;41(1):1–5. DOI: 10.5395/rde.2016.41.1.1
  24. Park HJ, Seo MS, Moon YM. Root canal volume change and transportation by Vortex Blue, ProTaper Next, and ProTaper Universal in curved root canals. Restor Dent Endod 2017;43(1):e3. DOI: 10.5395/rde.2018.43.e3
  25. Shaheen NA, Elhelbawy NGE. Shaping ability and buckling resistance of TruNatomy, WaveOne gold, and XP-endo Shaper single-file systems. Contemp Clin Dent 2022;13(3):261–266. DOI: 10.4103/ccd.ccd_1048_20
  26. Pérez Morales MLN, González Sánchez JA, Olivieri JG, et al. Micro-computed tomographic assessment and comparative study of the shaping ability of 6 nickel-titanium files: an in vitro study. J Endod 2021;47(5):812–819. DOI: 10.1016/j.joen.2020.12.021
  27. Arıcan Öztürk B, Atav Ateş A, Fişekçioğlu E. Cone-beam computed tomographic analysis of shaping ability of xp-endo shaper and protaper next in large root canals. J Endod 2020;46(3):437–443. DOI: 10.1016/j.joen.2019.11.014
  28. Majumdar TK, Chowdhury M, Mukherjee S, et al. Cone-beam computed tomography assessment of root canal transportation and evaluation of canal centering using Protaper Gold, XP Endoshaper, and Edgefile X7. Endodontology 2022;34(2):121–126. DOI: 10.4103/endo.endo_146_21
  29. Werdina VB, Bahnam IN. Evaluation of centering ability of XP-endo Shaper, Edge Evolve and Hyflex CM in simulated curved canals (a comparative study). EDJ 2019;2(1):130–4. DOI: 10.15218/edj.2019.02
  30. Berutti E, Moccia E, Lavino S, et al. Micro-computed tomography evaluation of minimally invasive shaping systems in mandibular first molars. J Clin Med 2022;11(15): DOI: 10.3390/jcm11154607
  31. Kim H, Jeon SJ, Seo MS. Comparison of the canal transportation of ProTaper GOLD, WaveOne GOLD, and TruNatomy in simulated double-curved canals. BMC Oral Health 2021;21(1):533. DOI: 10.1186/s12903-021-01854-z
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.