Comparison of the Cleaning Efficacy of Self-Adjusting File and Rotary Systems in the Apical Third of Oval-shaped Canals

Abstract Introduction Cleaning and shaping of root canals are essential steps for the success of endodontic therapy. The purpose of this study was to evaluate the tissue debridement efficacy of the self-adjusting file (SAF) protocol in the apical third of oval-shaped canals of mandibular incisors in...

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Veröffentlicht in:Journal of endodontics 2013-03, Vol.39 (3), p.398-401
Hauptverfasser: Melo Ribeiro, Marcus Vinícius de, MS, Silva-Sousa, Yara Terezinha, PhD, Versiani, Marco Aurélio, PhD, Lamira, Alessandro, Dr med dent, Steier, Liviu, Dr med dent, Pécora, Jesus Djalma, PhD, Sousa-Neto, Manoel Damião de, PhD
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container_end_page 401
container_issue 3
container_start_page 398
container_title Journal of endodontics
container_volume 39
creator Melo Ribeiro, Marcus Vinícius de, MS
Silva-Sousa, Yara Terezinha, PhD
Versiani, Marco Aurélio, PhD
Lamira, Alessandro, Dr med dent
Steier, Liviu, Dr med dent
Pécora, Jesus Djalma, PhD
Sousa-Neto, Manoel Damião de, PhD
description Abstract Introduction Cleaning and shaping of root canals are essential steps for the success of endodontic therapy. The purpose of this study was to evaluate the tissue debridement efficacy of the self-adjusting file (SAF) protocol in the apical third of oval-shaped canals of mandibular incisors in comparison with a nickel-titanium rotary system preparation. Methods Twenty-six single-rooted human mandibular incisor teeth were selected and assigned to a control (n = 4) and 2 experimental groups (n = 11) according to 1 of 2 instrumentation techniques, SAF and nickel-titanium rotary systems. After root canal preparation, the apical thirds of the specimens were submitted to histologic processing and analyzed by optical microscopy regarding the percentage of debris and uninstrumented root canal walls. The data were statistically compared by using unpaired t test with Welch's correction, and the level of significance was set at 5%. Results The percentage of remaining debris and uninstrumented canal perimeter was significantly lower in SAF group (2.18 ± 2.71 and 12.33 ± 7.85, respectively) than in rotary group (13.11 ± 12.98 and 53.54 ± 15.95, respectively) ( P  
doi_str_mv 10.1016/j.joen.2012.11.016
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The purpose of this study was to evaluate the tissue debridement efficacy of the self-adjusting file (SAF) protocol in the apical third of oval-shaped canals of mandibular incisors in comparison with a nickel-titanium rotary system preparation. Methods Twenty-six single-rooted human mandibular incisor teeth were selected and assigned to a control (n = 4) and 2 experimental groups (n = 11) according to 1 of 2 instrumentation techniques, SAF and nickel-titanium rotary systems. After root canal preparation, the apical thirds of the specimens were submitted to histologic processing and analyzed by optical microscopy regarding the percentage of debris and uninstrumented root canal walls. The data were statistically compared by using unpaired t test with Welch's correction, and the level of significance was set at 5%. Results The percentage of remaining debris and uninstrumented canal perimeter was significantly lower in SAF group (2.18 ± 2.71 and 12.33 ± 7.85, respectively) than in rotary group (13.11 ± 12.98 and 53.54 ± 15.95, respectively) ( P  &lt; .05). In the SAF group most of specimens were completely free of debris, whereas in the rotary group 53% of the canals presented debris. Conclusions SAF had significantly more contact to the dentin walls and removed more debris than rotary instrumentation in the apical third of mandibular incisors.</description><identifier>ISSN: 0099-2399</identifier><identifier>EISSN: 1878-3554</identifier><identifier>DOI: 10.1016/j.joen.2012.11.016</identifier><identifier>PMID: 23402515</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Canal cleaning ; Dental Pulp Cavity - anatomy &amp; histology ; Dentistry ; Endocrinology &amp; Metabolism ; Humans ; Incisor ; Mandible ; Nickel ; nickel-titanium ; oval-shaped canals ; root canal preparation ; Root Canal Preparation - instrumentation ; self-adjusting file ; Titanium</subject><ispartof>Journal of endodontics, 2013-03, Vol.39 (3), p.398-401</ispartof><rights>American Association of Endodontists</rights><rights>2013 American Association of Endodontists</rights><rights>Copyright © 2013 American Association of Endodontists. 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The purpose of this study was to evaluate the tissue debridement efficacy of the self-adjusting file (SAF) protocol in the apical third of oval-shaped canals of mandibular incisors in comparison with a nickel-titanium rotary system preparation. Methods Twenty-six single-rooted human mandibular incisor teeth were selected and assigned to a control (n = 4) and 2 experimental groups (n = 11) according to 1 of 2 instrumentation techniques, SAF and nickel-titanium rotary systems. After root canal preparation, the apical thirds of the specimens were submitted to histologic processing and analyzed by optical microscopy regarding the percentage of debris and uninstrumented root canal walls. The data were statistically compared by using unpaired t test with Welch's correction, and the level of significance was set at 5%. Results The percentage of remaining debris and uninstrumented canal perimeter was significantly lower in SAF group (2.18 ± 2.71 and 12.33 ± 7.85, respectively) than in rotary group (13.11 ± 12.98 and 53.54 ± 15.95, respectively) ( P  &lt; .05). In the SAF group most of specimens were completely free of debris, whereas in the rotary group 53% of the canals presented debris. 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Results The percentage of remaining debris and uninstrumented canal perimeter was significantly lower in SAF group (2.18 ± 2.71 and 12.33 ± 7.85, respectively) than in rotary group (13.11 ± 12.98 and 53.54 ± 15.95, respectively) ( P  &lt; .05). In the SAF group most of specimens were completely free of debris, whereas in the rotary group 53% of the canals presented debris. Conclusions SAF had significantly more contact to the dentin walls and removed more debris than rotary instrumentation in the apical third of mandibular incisors.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>23402515</pmid><doi>10.1016/j.joen.2012.11.016</doi><tpages>4</tpages></addata></record>
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source MEDLINE; ScienceDirect Journals (5 years ago - present)
subjects Canal cleaning
Dental Pulp Cavity - anatomy & histology
Dentistry
Endocrinology & Metabolism
Humans
Incisor
Mandible
Nickel
nickel-titanium
oval-shaped canals
root canal preparation
Root Canal Preparation - instrumentation
self-adjusting file
Titanium
title Comparison of the Cleaning Efficacy of Self-Adjusting File and Rotary Systems in the Apical Third of Oval-shaped Canals
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