Evaluation of the apical adaptation performance of various root canal instruments.

OBJECTIVE: The aim of this study was to evaluate the apical root canal adaptation performance of various root canal instruments. MATERIALS AND METHODS: A total of 40 freshly extracted single-rooted mandibular incisors were used in this study. Coroner parts of all teeth were removed from cemento-enamel junction and root canal of each tooth was explored with a size 8 K-file until the tip of the file was just visible at the apex. Working lengths (WLs) were determined as 1 mm short of these measurements. ProTaper, K-file, profile and hedstroem files were inserted into the root canals of 10 teeth to the WL following the flaring of the coronal and middle thirds. Instruments were fixed in the root canals with acrylic resin. The apical 1 mm of each root tip was ground on wet sandpaper to expose the canal and the instrument at the WL and the apical region of each tooth was examined under stereomicroscope. The stereoscopic images of the teeth were digitized and analyzed with software in order to determine the differences between the areas of root canals and file tips. Result data were analyzed using the one-way analysis of variance test (P = 0.05). RESULTS: There were no significant differences between apical file/root canal areas of the evaluated instruments (P > 0.05). CONCLUSIONS: None of the evaluated instruments performed a perfect adaptation with the apical root canal surface at the WL in mandibular incisors. Therefore, total removal of the debris from the apical canal surface may not be achieved when these filing instruments are used.

Reattachment of endodontically treated lateral incisor with supragingivally complicated crown fracture using fiber-reinforced post.

Re-restoring endodontically treated teeth with complicated crown or crown root fractures is a major challenge for dental practitioners, because they can present difficulties for successful treatment. This report describes the management of supragingivally complicated crown fracture of an endodontically treated maxillary lateral incisor. The involved tooth was restored with the reattachment procedure using light transmitting fiber post. After 11 months, the reattached tooth had a satisfying function, favorable physiological and esthetic outcomes and healthy surrounding periodontal structures.