Root Canal Shaping Using Nickel Titanium, M-Wire, and Gold Wire: A Micro-computed Tomographic Comparative Study of One Shape, ProTaper Next, and WaveOne Gold Instruments in Maxillary First Molars.

INTRODUCTION: The aim of this study was to evaluate the root canal shaping effect of instruments manufactured from nickel titanium, M-Wire, and Gold wire with different glide path preparation techniques. METHODS: One hundred thirty-five mesiobuccal canals of extracted human maxillary molars were randomly divided into 3 equal groups (N = 45) for glide path preparation with K-files (KF) (Dentsply Sirona, Ballaigues, Switzerland), One G (OG) files (Micro-Mega, Besançon, France), and ProGlider (PG) files (Dentsply Sirona). Specimens of each glide path group were further divided equally into 3 groups for instrumentation with ProTaper Next (PTN, Dentsply Sirona), One Shape (OS, Micro-Mega), and WaveOne Gold (WOG, Dentsply Sirona) systems (n = 15). Micro-computed tomographic imaging was used to scan teeth before instrumentation and after shaping to compare centering ratio and canal transportation values at the apical, midroot, and coronal levels and the overall changes in canal volume. Data sets were statistically analyzed (analysis of variance and Kruskal-Wallis H tests). RESULTS: The centering ratios for all groups were statistically similar at all levels. Apical canal transportation was significantly high for K/OS and K/PTN (P = .003). Midroot canal transportation was significantly high for K/PTN, K/OS, and OG/OS (P = .0003). Coronal canal transportation was significantly high for K/PTN and K/OS (P = .011). The highest change in canal volume was observed with all PTN groups and the lowest with PG/WOG (P = .06). CONCLUSIONS: WOG manufactured from Gold wire combined with PG showed better root canal shaping ability and removed less dentin from the canal walls. The nickel-titanium (OS) and M-Wire (PTN) instruments used in combination with KF significantly transported more canals. PTN removed the most dentin from the canal walls regardless of the GPP technique.

Canal Transportation and Centering Ability of WaveOne Gold in Combination with and without Different Glide Path Techniques.

INTRODUCTION: The aim of this study was to compare centering ability and transportation values of the Primary WaveOne Gold (PWOG; Dentsply Sirona, Ballaigues, Switzerland) instrument with or without different glide path techniques. Centering ability and transportation were also compared between the 3 different glide path preparation groups. METHODS: The mesiobuccal canals of 60 extracted human mandibular molars (curvature angles between 25° and 35° and radii ≤10 mm) were selected and randomly divided into 4 groups with 15 canals each. Canals were negotiated to patency with a #8 K-file. Canal preparations were performed by a single operator using precurved #10, 15, and 20 stainless steel manual K-files (group KF); a #10 stainless steel manual K-file followed by PathFiles #1-3 (Dentsply Sirona) (group PF); a #10 stainless steel manual K-file followed by the WaveOne Gold Glider (Dentsply Sirona) (group WOGG); and no further glide path preparation (group NG). Micro-computed tomographic imaging was used to scan teeth before and after glide path preparation. The final canal preparation was performed with PWOG; after which, all 60 specimens were scanned again using micro-computed tomographic imaging. Canal transportation and centering ratio values were determined over levels 3 mm, 5 mm, and 7 mm from the root apex after glide path preparation and again after final preparation with PWOG. One-way analysis of variance was used to statistically compare groups. The significance level was set at P < .05. RESULTS: No statistically significant difference in the mean centering ratios was found after glide path preparation when the KF, PF, and WOGG groups were compared (P > .05). The mean combined transportation values after glide path preparation were statistically significantly higher in the KF group compared with the PF and WOGG groups (P > .05). There was no statistically significant difference in the mean combined centering ratios or transportation values of the NG and 3 glide path groups in combination with PWOG over the 3 levels (P > .05). CONCLUSION: KF group showed the highest mean transportation values during glide path preparation. However, the PWOG instrument's performance regarding centering ability and transportation was not influenced by the different glide path/no glide path preparation groups.

Influence of Glide Path Preparation on the Canal Shaping Times of WaveOne Gold in Curved Mandibular Molar Canals.

INTRODUCTION: The aim of this study was to compare the glide path preparation times of stainless steel hand files, PathFiles (Dentsply Sirona, Ballaigues, Switzerland), and the WaveOne Gold Glider (Dentsply Sirona). The preparation times for final root canal shaping with the Primary WaveOne Gold instrument in extracted human molar teeth with and without prior glide path preparation were also recorded and compared. METHODS: Mesiobuccal canals of 60 extracted human mandibular molars (curvature angles between 25° and 35° and radii <10 mm) were selected and randomly divided into 4 groups with 15 canals each. Canals were negotiated to patency with a #8 K-file. Canal preparations were performed by a single operator using precurved #10-15-20 stainless steel manual K-files (the K-file group), a #10 stainless steel manual K-file followed by PathFiles #1-3 (the PathFile group), a #10 stainless steel manual K-file followed by WaveOne Gold Glider (the WaveOne Gold Glider group), or no further glide path preparation. Final canal preparation of all 60 canals was performed with the Primary WaveOne Gold instrument. Glide path and final preparation times were recorded. RESULTS: Glide path enlargement was statistically significantly fastest in the WaveOne Gold Glider group (19.7 ± 5.6 seconds) followed by the PathFile group (41.0 ± 6.8 seconds) and then the K-file group (81.2 ± 26.3 seconds) using analysis of variance (ANOVA) and Kruskal-Wallis tests (P < .0001). No statistically significant difference in the mean final preparation times was found among the WaveOne Gold Glider (23.1 ± 6.0 seconds), PathFile (24.4 ± 4.9 seconds), and K-file groups (27.2 ± 9.5 seconds). All 3 groups were statistically significantly faster than the no glide path preparation group (35.4 ± 10.2 seconds) using ANOVA (P = .0004) and Kruskal-Wallis tests (P = .0010). CONCLUSIONS: Preparation time with the Primary WaveOne Gold file was statistically significantly reduced when the file was used in combination with any of the glide path preparation techniques. The WaveOne Gold Glider performed statistically significantly faster in glide path preparation time than the other glide path preparation techniques.

Glide Path Enlargement of Mandibular Molar Canals by Using K-files, the ProGlider File, and G-Files: A Comparative Study of the Preparation Times.

INTRODUCTION: The preparation of a glide path before the introduction of rotary nickel-titanium instruments is a standard adjunct to ensure increased safety during root canal preparation. The aim of this study was to compare the mean preparation time of manual instrumentation with K-files, G-Files, and the ProGlider instrument to prepare a glide path in curved root canals. METHODS: The mesial canals of 90 mandibular molars (with curvature angles between 25° and 35°) were selected. The specimens were randomly divided into 3 groups with 30 canals each, and canal preparations were performed by an endodontist who used #10-15-20 stainless steel manual K-files (group KF), #10 stainless steel manual K-file followed by #12-17 G-File instruments (group GF), and #10 stainless steel manual K-file followed by #16 ProGlider instrument (group PG). The total time it took to prepare the glide paths was recorded with an electronic stopwatch. New instruments were used for each canal. RESULTS: Glide path enlargement with the PG group (27.9 ± 8.6 seconds) and GF group (41.9 ± 20.1 seconds) was shown to be statistically significantly faster than stainless steel KF group (74.9 ± 24.1 seconds) by using analysis of variance (P < .05). There was no statistically significant difference observed between the mean preparation times of the PG and GF groups (P < .05). CONCLUSIONS: Glide path preparation times with the rotary instrument groups were significantly faster than with stainless steel manual K-files.

Comparison of Canal Transportation and Centering Ability of K-files, ProGlider File, and G-Files: A Micro-Computed Tomography Study of Curved Root Canals.

INTRODUCTION: The purpose of this study was to compare centering ability and apical canal transportation of K-files (KF), ProGlider (PG), and G-Files (GF) after glide path enlargement in curved canals by using micro-computed tomography. METHODS: Thirty canals each were randomly assigned to KF, GF, and PG. Teeth were scanned before and after glide path enlargement to compare centering ability at 3 levels: 1 mm (D1) and 7 mm (D7) from the apical foramen and at the point of maximum root curvature (Dmc). Transportation was assessed in 8 directions at D1. RESULTS: KF were significantly less centered than both nickel-titanium (NiTi) groups at D1. At Dmc, PG exhibited a significantly more centered enlargement than both GF and KF, which were significantly similar. At D7, PG was significantly more centered than KF, but there were no significant differences between GF and KF or between PG and GF (P < .016). KF exhibited significantly more canal transportation at D1 than the NiTi groups (P < .05). CONCLUSIONS: NiTi files cause less transportation than KF. At D1, KF was less centered than both NiTi files. PG remained more centered at Dmc and D7.