EFFICACY OF PROTAPER NEXT AND PROTAPER UNIVERSAL RETREATMENT SYSTEMS IN REMOVING GUTTA-PERCHA IN CURVED ROOT CANALS DURING ROOT CANAL RETREATMENT

Abstract

Purpose: The aim of this study was to compare the cleanliness of root canal walls after retreatment using ProTaper Next (PTN), ProTaper Universal Retreatment (PTR) nickel-titanium (NiTi) systems and Hedström hand files in curved mesial canals of mandibular molar teeth and the time required for gutta-percha and sealer removal.

Materials and Methods: Ninety mandibular molar teeth with curved mesial roots were instrumented up to #35.04 with Mtwo NiTi rotary instruments and obturated using the continuous wave of condensation technique. Removal of gutta-percha and sealer was performed using one of the following: PTN and PTR NiTi systems and Hedström hand files. Samples were placed on the VistaScan phosphor plates in the mesio-distal direction and the radiographs were taken. The digital radiographs were analyzed using AutoCAD software. Also, the total time required for gutta-percha removal was calculated by a chronometer.

Results: The total retreatment time was significantly shorter in the PTN and PTR groups compared with the manual group (P < 0.05). There was a significant difference between the groups according to the total residual gutta-percha and sealer (P < 0.05). The PTN and PTR groups left significantly less gutta-percha and sealer remnant than the manual group (P < 0.001).

Conclusion: Within the limitations of this study, the PTN and PTR groups showed less residual gutta-percha and sealer than the manual group. The NiTi rotary systems were significantly faster than the manual group in the time required for gutta-percha and sealer removal.

Keywords

• ProTaper Next,ProTaper Universal; retreatment; curved Canals; endodontics

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