Quantitative transportation assessment in simulated curved canals after large apical preparations

Aim: To evaluate the ability of rotary (ProTaper Universal [PTU] and ProTaper Next [PTN]), reciprocating (Reciproc [R] and WaveOne [WO]) and adaptive (Twisted File Adaptive [TFA]) systems in maintaining the original canal profile in straight and curved parts after apical preparations up to size 40. Methods: Resin blocks with simulated curved canals were randomly assigned to five groups: PTU, PTN, R, WO and TFA. Images were captured from each block before and after canal preparation (n=10). Assessment of canal transportation was obtained for the straight and curved parts of the canal. ANOVA followed by Tukey's test was used (α = 5%). Results: Transportation values were increased at the curved part (P = .00). For both canal levels, TFA system induced the lowest mean of canal transportation followed by PTN, R, WO and PTU systems. At the straight portion, transportation for R and TFA systems were similar (P > .05), and these values were significantly lower than for WO, PTN and PTU (P = .00). At the curved portion, TFA resulted in less canal transportation, followed by PTN, R, WO and PTU systems (P = .00). Conclusions: TFA system produced less canal transportation than other systems tested during large apical preparations. (AU)

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.