Evaluation of Remaining Dentin Thickness of the Distal Portion of the Mesial Root of Mandibular Molar with Protaper Gold, Neoendo and Stainless Steel (SS) Hand K Files Using Cone Beam Computed Tomography for Analysis.
Abstract
Aim: To evaluate the remaining dentin thickness of the distal portion of the mesial root of mandibular molar with stainless steel (SS) hand K files, ProTaper Gold and NeoEndo using cone beam computed tomography for analysis.
Materials and Methods: Forty-five extracted human mandibular molars were collected. Teeth were randomly assigned to three groups (n=15). Samples were stabilized on blocks of wax. The working length for each sample was determined at 1 mm short from the apical foramen by using a ISO size #15 K file. Preparation was carried out according to the manufacturer’s instructions and canals were instrumented upto apically for each group. After each instrumentation, root canals were irrigated with 5.25% sodium hypochlorite solution followed by 17% EDTA solution. Final irrigation was done with normal saline. Post cleaning and shaping, cone beam computed tomography scans of all samples in the three groups were collected.
Result: Protaper Gold and NeoEndo removed more dentin than SS hand file. As the mean remaining dentin thickness for SS K file, Neoendo and Protaper was 1.30, 1.05 and 0.80mm respectively
Conclusion: Protaper Gold, NeoEndo and SS Hand files showed statistically significant difference in remaining dentin thickness of root canal length. Therefore, it was concluded that Protaper Gold file system showed a greater amount of removal of dentin as compared to NeoEndo file system & SS Hand K files.
References
2. Sauáia, T.S., Gomes, B.P.F.A., Pinheiro, E.T., Zaia, A.A., Ferraz, C.C.R., Souza‐Filho, F.J. and Valdrighi, L. (2010), Thickness of dentine in mesial roots of mandibular molars with different lengths. International Endodontic Journal, 43: 555-559.
3. Koç C, Sönmez G, Yılmaz F, Karahan S, Kamburoğlu. Comparison of the accuracy of periapical radiography with CBCT taken at 3 different voxel sizes in detecting simulated endodontic complications: an ex vivo study. Dentomaxillofacial Radiology (2018) 47
4. Lu, Jiawei et al. Concurrent measurements of danger zone anatomy in mandibular first molars using micro-computed tomography : a pilot study. Int J Clin Exp Med 2018;11(8):7692-7700
5. Tomer AK, Gupta R, Behera A et al. An in-vitro evaluation of remaining dentine thickness through CBCT using Different file. Int J Appl Dent Sci 2018;4(3):09-13
6. Paqué F, Balmer M, Attin T, Peters OA. Preparation of oval shaped root canals in mandibular molars using nickel titanium rotary instruments: A micro computed tomography study. J Endod. 2010; 36:703-7.
7. Khasnis SA, Kar PP, Kamal A, Patil JD. Rotary science and its impact on instrument separation: A focused review. J Conserv Dent. 2018;21(2):116-124. doi:10.4103/JCD.JCD_240_17
8. Mohammadi Z, Asgary S, Shalavi S, V Abbott P. A Clinical Update on the Different Methods to Decrease the Occurrence of Missed Root Canals. Iran Endod J. 2016;11(3):208-213.
9. Deka A, Bhuyan AC, Bhuyan D. A comparative evaluation of root canal area increase using three different nickel-titanium rotary systems: An ex vivo cone-beam computed tomographic analysis. Contemp Clin Dent. 2015;6(1):79-83.
10. Stern S, Patel S, Foschi F, Sherriff M, Mannocci F. Changes in centering and shaping ability using three nickel titanium instrumentation techniques analysed by micro computed tomography. Int Endod J Peters OA, Peters CI. Cleaning and shaping of root canal system. 2012; 45:514-23.
11. Lertchirakarn V, Palamara JE, Messer HH. Patterns of vertical root fracture: factors affecting stress distribution in the root canal. J Endod. 2003;29(8):523–8.
12. Deka A, Bhuyan AC, Bhuyan D. A comparative evaluation of root canal area increase using three different nickel-titanium rotary systems: An ex vivo cone-beam computed tomographic analysis. Contemp Clin Dent. 2015;6(1):79-83.
13. Lertchirakarn V, Palamara JE, Messer HH. Patterns of vertical root fracture: factors affecting stress distribution in the root canal. J Endod. 2003 Aug;29(8):523-8.