Research Article
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Quantitative Comparıison of The Preparation Efficiencies of Two Different Rotary File Systems in Permanent Mandibular Molars

Year 2024, Volume: 10 Issue: 1, 12 - 18, 29.04.2024
https://doi.org/10.21306/dishekimligi.1383615

Abstract

Aim: Use of different rotary file systems in permanent teeth, in the preparation phase of root canal treatment, is becoming increasingly common. The amount of dentin remaining after preparation is important for prognosis of treatment. The aim of this study was to evaluate residual dentin weight and preparation efficiency after using of the WaveOne Gold and TruNatomy file systems in root-canal treatment of mandibular molars.
Material and Methods: This study was carried out on 30 permanent mandibular molars, which were extracted for various reasons. Firstly, access cavities of teeth were prepared and weights of them were recorded with precision scales that can show five decimal places before the preparation. Root canals in each group (n=15) were prepared with WaveOne Gold and TruNatomy file systems. After preparation, weights of all teeth were re-measured and recorded.
Results: There was no statistically significant difference between pre- and post-preparation mean weights in both groups. When average weight reductions between the groups were compared, the average weight reduction in WaveOne Gold group was statistically significantly higher than TruNatomy group (p < 0.05).
Conclusion: WaveOne Gold rotary file system can remove a larger amount of dentine and pulp tissue than TruNatomy rotary file system.

References

  • 1. Jensen AL, Abbott PV, Castro Salgado J. Interim and temporary restoration of teeth during endodontic treatment. Aust Dent J. 2007;52:83–99.
  • 2. Amato M, Pantaleo G, Abtellatif D, Blasi A, Gagliani M, Iandolo A. An in vitro evaluation of the degree of pulp tissue dissolution through different root canal irrigation protocols. J Conserv Dent. 2018;21: 175-79.
  • 3. Manchanda S, Sardana D, Yiu CKY A systematic review and meta-analysis of randomized clinical trials compar-ing rotary canal instrumentation techniques with manual instrumentation techniques in primary teeth. Int Endod J. 2020;53:333-53.
  • 4. Adorno CG, Yoshioka T, Jindan P, Kobayashi C, Suda H. The effect of endodontic procedures on apical crack initiation and propagation ex vivo. Int Endod J. 2013;46(8):763-68.
  • 5. Tang W, Wu Y, Smales RJ. Identifying and reducing risks for potential fractures in endodontically treated teeth. J Endod. 2010;36:609-17.
  • 6. Mireku AS, Romberg E, Fouad AF, Arola D. Vertical fracture of root filled teeth restored with posts: the effects of patient age and dentine thickness. Int Endod J. 2010;43(3):218-25.
  • 7. Walia HM, Brantley WA, Gerstein H. An initial investigation of the bending and torsional properties of Nitinol root canal files. J Endod. 1988;14:346-51.
  • 8. Unno H, Ebihara A, Hirano K, Kasuga Y, Omori S, Nakatsukasa T, Kimura S, Maki K, Okiji T. Mechanical Properties and Root Canal Shaping Ability of a Nickel-Titanium Rotary System for Minimally Invasive Endodontic Treatment: A Comparative In Vitro Study. Materials (Basel). 2022;15(22):7929.
  • 9. M. Kuzekanani. Nickel-titanium rotary instruments: development of the single-file systems J Int Soc Prev Community Dent. 2018;8:386-90.
  • 10. Plotino G, Ahmed HM, Grande NM, Cohen S, Bukiet F. Current Assessment of Reciprocation in Endodontic Preparation: A Comprehensive Review-Part II: Properties and Effectiveness. J Endod. 2015;41(12):1939-50.
  • 11. Van der Vyver P, Vorster M, Peters O. Minimally invasive endodontics using a new single‑file rotary system. Int Dent Afr. 2019;9:6‑20.
  • 12. Dentsply Sirona. TruNatomy Brochure. Johnson (TN): Dentsply Sirona; 2019. https://www.dentsplysirona.com/en/explore/endodontics/trunatomy.html. (Erişim Tarihi: 22.01.2024)
  • 13. Peters OA, Arias A, Choi A. Mechanical properties of a novel nickel-titanium root canal instrument: stationary and dynamic tests. J Endod. 2020;46:994-1001.
  • 14. Özyürek T. Cyclic fatigue resistance of reciproc, WaveOne, and WaveOne Gold Nickel‑titanium instruments. J Endod. 2016;42:1536‑39.
  • 15. Thomas J, Lynch M, Paurazas S, Askar M. Micro-computed tomographic evaluation of the shaping ability of Wave One Gold, TRUShape, EdgeCoil and XP-3D Shaper endodontic files in single, oval-shaped canals: an in vitro study. J Endod. 2020;46:244-51.
  • 16. Webber J. Shaping canals with confidence: WaveOne GOLD single‑file reciprocating system. Roots 2015;1:34‑40.
  • 17. Boutsioukis C, Gogos C, Verhaagen B, Versluis M, Kastrinakis E, Van der Sluis LW. The effect of root canal taper on the irrigant flow: evaluation using an unsteady Computational Fluid Dynamics model. Int Endod J. 2010;43(10):909-16.
  • 18. Fornari VJ, Silva-Sousa YT, Vanni JR, Pécora JD, Versiani MA, Sousa-Neto MD. Histological evaluation of the effectiveness of increased apical enlargement for cleaning the apical third of curved canals. Int Endod J. 2010;43(11):988-94.
  • 19. Tang W, Wu Y, Smales R J. Identifying and reducing risks for potential fractures in endodontically treated teeth. J Endod. 2010;36:609-17.
  • 20. Al-Wahadni A, Gutteridge DL. An in vitro investigation into the effects of retained coronal 20. dentine on the strength of a tooth restored with a cemented post and partial core restoration. Int Endod J. 2002;35(11):913-18.
  • 21. HyeWon Kim, Su-Jin Jeon, and Min-Seock Seo. Comparison of the canal transportation of ProTaper GOLD, WaveOne GOLD, and TruNatomy in simulated double-curved canals. BMC Oral Health. 2021;21:533.
  • 22. 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):261-66.
  • 23. Predin Djuric N, Van Der Vyver P, Vorster M, Vally ZI. Comparison of apical debris extrusion using clockwise and counter-clockwise single-file reciprocation of rotary and reciprocating systems. Aust Endod J. 2021;47(3):394-400.
  • 24. Roshdy NN, Hassan R. Quantitative evaluation of apically extruded debris using TRUShape, TruNatomy, and WaveOne Gold in curved canals. BDJ Open. 2022;20;8(1):13.
  • 25. Topçuoğlu HS, Demirbuga S, Topçuoğlu G. Evaluation of apically extruded debris during the removal of canal filling material using three different Ni-Ti systems and hand files in teeth with simulated apical root resorption. Int Endod J. 2020;53(3):403-09.
  • 26. Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod. 1991; 17(6):275-79.
  • 27. Gunes B, Yesildal Yeter K. Effects of Different Glide Path Files on Apical Debris Extrusion in Curved Root Canals. J Endod. 2018;44(7):1191-94.
  • 28. Boijink D, Costa DD, Hoppe CB, Kopper PMP, Grecca FS. Apically Extruded Debris in Curved Root Canals Using the WaveOne Gold Reciprocating and Twisted File Adaptive Systems. J Endod. 2018;44(8):1289-92.
  • 29. Teodorović N, Ivanović V, Filipović V. Kvantitativno odredivanje efikasnosti mehanicke i ultrazvucne obrade korenskog kanala [Quantification of mechanical versus ultrasonic technique in root canal preparation]. Stomatol Glas Srb. 1990;37(3):293-97.
  • 30. Camargo CH, Siviero M, Camargo SE, de Oliveira SH, Carvalho CA, Valera MC. Topographical, diametral, and quantitative analysis of dentin tubules in the root canals of human and bovine teeth. J Endod. 2007;33(4):422-26.
  • 31. D'Ercole S, D'Arcangelo C, Catamo G, Prosperi GD, Tripodi D, Pasquantonio G, Piccolomini R. Microbiological study and scanning electron microscopic analysis of root canal wall dentin following pumped Diodium Nd:YAG laser irradiation. New Microbiol. 2004;27(1):55-63.
  • 32. Nadeau B, Chen Z, Kishen A. Free Water Loss-induced Heterogeneous Residual Strain and Reduced Fatigue Resistance in Root Dentin: A 3-dimensional Digital Image Correlation Analysis. J Endod. 2019;45(6):742-49.
  • 33. Kanter V, Weldon E, Nair U, Varella C, Kanter K, Anusavice K, Pileggi R. A quantitative and qualitative analysis of ultrasonic versus sonic endodontic systems on canal cleanliness and obturation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(6):809-13.
  • 34. Sousa-Neto MD, Silva-Sousa YC, Mazzi-Chaves JF, Carvalho KKT, Barbosa AFS, Versiani MA, Jacobs R, Leoni GB. Root canal preparation using micro-computed tomography analysis: a literature review. Braz Oral Res. 2018;18:32(suppl 1):e66.

İki Farklı Döner Eğe Sisteminin Daimi Mandibuler Molar Dişlerde Preparasyon Etkinliklerinin Kantitatif Olarak Karşılaştırılması

Year 2024, Volume: 10 Issue: 1, 12 - 18, 29.04.2024
https://doi.org/10.21306/dishekimligi.1383615

Abstract

Amaç: Daimi dişlerde, kanal tedavisi preparasyon aşamasında farklı döner eğe sistemlerinin kullanımı giderek yaygınlaşmaktadır. Preparasyon sonrası, kalan dentin miktarı tedavinin prognozu açısından önem taşımaktadır. Bu çalışmanın amacı, resiprokasyon hareketiyle çalışan WaveOne Gold ve rotasyon hareketiyle çalışan TruNatomy eğe sistemlerinin mandibuler molar dişlerin kök-kanal tedavisinde kullanımından sonra kalan dentin ağırlığını ve preparasyon etkinliğini değerlendirmektir.
Gereç ve Yöntemler: Bu araştırma çeşitli nedenlerle çekimi endike olan 30 adet daimi mandibuler molar diş üzerinde gerçekleştirilmiştir. Öncelikle dişlere giriş kaviteleri açılmış ve preparasyon öncesi tüm dişlerin, virgülden sonra 5 basamak gösterebilen hassas terazi ile ağırlıkları kaydedilmiştir. Her gruptaki (n=15) kök kanalları, WaveOne Gold ve TruNatomy eğe sistemleri ile prepare edilmiştir. Preparasyon sonrası tüm dişlerin ağırlıkları yeniden ölçülmüş ve kaydedilmiştir.
Bulgular: Her iki grupta preparasyon öncesi ve preparasyon sonrası ortalama ağırlıklar arasında istatistiksel olarak anlamlı bir farklılık olmadığı görülmüştür. Gruplar arasında ortalama ağırlıklardaki azalma miktarları karşılaştırıldığında ise istatistiksel olarak anlamlı şekilde WaveOne Gold grubundaki ortalama ağırlık azalma miktarının TruNatomy grubuna göre daha fazla olduğu bulunmuştur (p < 0,05).
Sonuç: Bu sonuç WaveOne Gold döner eğe sisteminin TruNatomy döner eğe sistemine göre daha fazla miktarda dentin ve pulpa dokusu uzaklaştırabildiğini göstermektedir.

Ethical Statement

Bu in vitro çalışma Çanakkale Onsekiz Mart Üniversitesi Klinik Araştırmalar Etik Kurulu tarafından onaylanmıştır (onay numarası 2023/08-02).

References

  • 1. Jensen AL, Abbott PV, Castro Salgado J. Interim and temporary restoration of teeth during endodontic treatment. Aust Dent J. 2007;52:83–99.
  • 2. Amato M, Pantaleo G, Abtellatif D, Blasi A, Gagliani M, Iandolo A. An in vitro evaluation of the degree of pulp tissue dissolution through different root canal irrigation protocols. J Conserv Dent. 2018;21: 175-79.
  • 3. Manchanda S, Sardana D, Yiu CKY A systematic review and meta-analysis of randomized clinical trials compar-ing rotary canal instrumentation techniques with manual instrumentation techniques in primary teeth. Int Endod J. 2020;53:333-53.
  • 4. Adorno CG, Yoshioka T, Jindan P, Kobayashi C, Suda H. The effect of endodontic procedures on apical crack initiation and propagation ex vivo. Int Endod J. 2013;46(8):763-68.
  • 5. Tang W, Wu Y, Smales RJ. Identifying and reducing risks for potential fractures in endodontically treated teeth. J Endod. 2010;36:609-17.
  • 6. Mireku AS, Romberg E, Fouad AF, Arola D. Vertical fracture of root filled teeth restored with posts: the effects of patient age and dentine thickness. Int Endod J. 2010;43(3):218-25.
  • 7. Walia HM, Brantley WA, Gerstein H. An initial investigation of the bending and torsional properties of Nitinol root canal files. J Endod. 1988;14:346-51.
  • 8. Unno H, Ebihara A, Hirano K, Kasuga Y, Omori S, Nakatsukasa T, Kimura S, Maki K, Okiji T. Mechanical Properties and Root Canal Shaping Ability of a Nickel-Titanium Rotary System for Minimally Invasive Endodontic Treatment: A Comparative In Vitro Study. Materials (Basel). 2022;15(22):7929.
  • 9. M. Kuzekanani. Nickel-titanium rotary instruments: development of the single-file systems J Int Soc Prev Community Dent. 2018;8:386-90.
  • 10. Plotino G, Ahmed HM, Grande NM, Cohen S, Bukiet F. Current Assessment of Reciprocation in Endodontic Preparation: A Comprehensive Review-Part II: Properties and Effectiveness. J Endod. 2015;41(12):1939-50.
  • 11. Van der Vyver P, Vorster M, Peters O. Minimally invasive endodontics using a new single‑file rotary system. Int Dent Afr. 2019;9:6‑20.
  • 12. Dentsply Sirona. TruNatomy Brochure. Johnson (TN): Dentsply Sirona; 2019. https://www.dentsplysirona.com/en/explore/endodontics/trunatomy.html. (Erişim Tarihi: 22.01.2024)
  • 13. Peters OA, Arias A, Choi A. Mechanical properties of a novel nickel-titanium root canal instrument: stationary and dynamic tests. J Endod. 2020;46:994-1001.
  • 14. Özyürek T. Cyclic fatigue resistance of reciproc, WaveOne, and WaveOne Gold Nickel‑titanium instruments. J Endod. 2016;42:1536‑39.
  • 15. Thomas J, Lynch M, Paurazas S, Askar M. Micro-computed tomographic evaluation of the shaping ability of Wave One Gold, TRUShape, EdgeCoil and XP-3D Shaper endodontic files in single, oval-shaped canals: an in vitro study. J Endod. 2020;46:244-51.
  • 16. Webber J. Shaping canals with confidence: WaveOne GOLD single‑file reciprocating system. Roots 2015;1:34‑40.
  • 17. Boutsioukis C, Gogos C, Verhaagen B, Versluis M, Kastrinakis E, Van der Sluis LW. The effect of root canal taper on the irrigant flow: evaluation using an unsteady Computational Fluid Dynamics model. Int Endod J. 2010;43(10):909-16.
  • 18. Fornari VJ, Silva-Sousa YT, Vanni JR, Pécora JD, Versiani MA, Sousa-Neto MD. Histological evaluation of the effectiveness of increased apical enlargement for cleaning the apical third of curved canals. Int Endod J. 2010;43(11):988-94.
  • 19. Tang W, Wu Y, Smales R J. Identifying and reducing risks for potential fractures in endodontically treated teeth. J Endod. 2010;36:609-17.
  • 20. Al-Wahadni A, Gutteridge DL. An in vitro investigation into the effects of retained coronal 20. dentine on the strength of a tooth restored with a cemented post and partial core restoration. Int Endod J. 2002;35(11):913-18.
  • 21. HyeWon Kim, Su-Jin Jeon, and Min-Seock Seo. Comparison of the canal transportation of ProTaper GOLD, WaveOne GOLD, and TruNatomy in simulated double-curved canals. BMC Oral Health. 2021;21:533.
  • 22. 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):261-66.
  • 23. Predin Djuric N, Van Der Vyver P, Vorster M, Vally ZI. Comparison of apical debris extrusion using clockwise and counter-clockwise single-file reciprocation of rotary and reciprocating systems. Aust Endod J. 2021;47(3):394-400.
  • 24. Roshdy NN, Hassan R. Quantitative evaluation of apically extruded debris using TRUShape, TruNatomy, and WaveOne Gold in curved canals. BDJ Open. 2022;20;8(1):13.
  • 25. Topçuoğlu HS, Demirbuga S, Topçuoğlu G. Evaluation of apically extruded debris during the removal of canal filling material using three different Ni-Ti systems and hand files in teeth with simulated apical root resorption. Int Endod J. 2020;53(3):403-09.
  • 26. Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and Canal Master techniques. J Endod. 1991; 17(6):275-79.
  • 27. Gunes B, Yesildal Yeter K. Effects of Different Glide Path Files on Apical Debris Extrusion in Curved Root Canals. J Endod. 2018;44(7):1191-94.
  • 28. Boijink D, Costa DD, Hoppe CB, Kopper PMP, Grecca FS. Apically Extruded Debris in Curved Root Canals Using the WaveOne Gold Reciprocating and Twisted File Adaptive Systems. J Endod. 2018;44(8):1289-92.
  • 29. Teodorović N, Ivanović V, Filipović V. Kvantitativno odredivanje efikasnosti mehanicke i ultrazvucne obrade korenskog kanala [Quantification of mechanical versus ultrasonic technique in root canal preparation]. Stomatol Glas Srb. 1990;37(3):293-97.
  • 30. Camargo CH, Siviero M, Camargo SE, de Oliveira SH, Carvalho CA, Valera MC. Topographical, diametral, and quantitative analysis of dentin tubules in the root canals of human and bovine teeth. J Endod. 2007;33(4):422-26.
  • 31. D'Ercole S, D'Arcangelo C, Catamo G, Prosperi GD, Tripodi D, Pasquantonio G, Piccolomini R. Microbiological study and scanning electron microscopic analysis of root canal wall dentin following pumped Diodium Nd:YAG laser irradiation. New Microbiol. 2004;27(1):55-63.
  • 32. Nadeau B, Chen Z, Kishen A. Free Water Loss-induced Heterogeneous Residual Strain and Reduced Fatigue Resistance in Root Dentin: A 3-dimensional Digital Image Correlation Analysis. J Endod. 2019;45(6):742-49.
  • 33. Kanter V, Weldon E, Nair U, Varella C, Kanter K, Anusavice K, Pileggi R. A quantitative and qualitative analysis of ultrasonic versus sonic endodontic systems on canal cleanliness and obturation. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;112(6):809-13.
  • 34. Sousa-Neto MD, Silva-Sousa YC, Mazzi-Chaves JF, Carvalho KKT, Barbosa AFS, Versiani MA, Jacobs R, Leoni GB. Root canal preparation using micro-computed tomography analysis: a literature review. Braz Oral Res. 2018;18:32(suppl 1):e66.
There are 34 citations in total.

Details

Primary Language Turkish
Subjects Endodontics
Journal Section Research Articles
Authors

İrem Eren 0000-0001-5347-8137

Berkant Sezer 0000-0001-9731-6156

Publication Date April 29, 2024
Submission Date October 31, 2023
Acceptance Date February 28, 2024
Published in Issue Year 2024 Volume: 10 Issue: 1

Cite

APA Eren, İ., & Sezer, B. (2024). İki Farklı Döner Eğe Sisteminin Daimi Mandibuler Molar Dişlerde Preparasyon Etkinliklerinin Kantitatif Olarak Karşılaştırılması. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), 10(1), 12-18. https://doi.org/10.21306/dishekimligi.1383615
AMA Eren İ, Sezer B. İki Farklı Döner Eğe Sisteminin Daimi Mandibuler Molar Dişlerde Preparasyon Etkinliklerinin Kantitatif Olarak Karşılaştırılması. J Int Dent Sci. April 2024;10(1):12-18. doi:10.21306/dishekimligi.1383615
Chicago Eren, İrem, and Berkant Sezer. “İki Farklı Döner Eğe Sisteminin Daimi Mandibuler Molar Dişlerde Preparasyon Etkinliklerinin Kantitatif Olarak Karşılaştırılması”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 10, no. 1 (April 2024): 12-18. https://doi.org/10.21306/dishekimligi.1383615.
EndNote Eren İ, Sezer B (April 1, 2024) İki Farklı Döner Eğe Sisteminin Daimi Mandibuler Molar Dişlerde Preparasyon Etkinliklerinin Kantitatif Olarak Karşılaştırılması. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 10 1 12–18.
IEEE İ. Eren and B. Sezer, “İki Farklı Döner Eğe Sisteminin Daimi Mandibuler Molar Dişlerde Preparasyon Etkinliklerinin Kantitatif Olarak Karşılaştırılması”, J Int Dent Sci, vol. 10, no. 1, pp. 12–18, 2024, doi: 10.21306/dishekimligi.1383615.
ISNAD Eren, İrem - Sezer, Berkant. “İki Farklı Döner Eğe Sisteminin Daimi Mandibuler Molar Dişlerde Preparasyon Etkinliklerinin Kantitatif Olarak Karşılaştırılması”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi) 10/1 (April 2024), 12-18. https://doi.org/10.21306/dishekimligi.1383615.
JAMA Eren İ, Sezer B. İki Farklı Döner Eğe Sisteminin Daimi Mandibuler Molar Dişlerde Preparasyon Etkinliklerinin Kantitatif Olarak Karşılaştırılması. J Int Dent Sci. 2024;10:12–18.
MLA Eren, İrem and Berkant Sezer. “İki Farklı Döner Eğe Sisteminin Daimi Mandibuler Molar Dişlerde Preparasyon Etkinliklerinin Kantitatif Olarak Karşılaştırılması”. Journal of International Dental Sciences (Uluslararası Diş Hekimliği Bilimleri Dergisi), vol. 10, no. 1, 2024, pp. 12-18, doi:10.21306/dishekimligi.1383615.
Vancouver Eren İ, Sezer B. İki Farklı Döner Eğe Sisteminin Daimi Mandibuler Molar Dişlerde Preparasyon Etkinliklerinin Kantitatif Olarak Karşılaştırılması. J Int Dent Sci. 2024;10(1):12-8.

It is aimed that the Journal of International Dentistry Sciences be included in the Ulakbim TR Dizin. Necessary preparations are continuing for the issues to be published in 2020 in the TR Dizin.