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57916

DETECTION OF CRACK FORMATION FOLLOWING CORONAL FLARING WITH THREE DIFFERENT INSTRUMENTS USING TWO EVALUATION METHODS (IN VITRO STUDY)

Article

Last updated: 22 Jan 2023

Subjects

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Tags

Endodontics

Abstract

INTRODUCTION: Coronal flaring is now considered as an essential preparatory step in root canal treatment sequence. OBJECTIVES: To detect crack formation after coronal flaring of root canals with Gates Glidden (GG) drills, ProTaper Universal (PT) SX, and Endoflare (Ef) flaring instruments using cone beam computed tomography (CBCT) and scanning electron microscope (SEM). MATERIALS AND METHODS: Thirty mesiobuccal canals of mandibular first molars were selected. Teeth specimens were classified into three equal groups according to the instrument used for coronal flaring. Group1: Gates Glidden drills, group 2: ProTaper Universal SX and group 3: Endoflare instruments. Preoperative and postoperative (CBCT) imaging was performed and defect formation was detected. All roots were sectioned horizontally at 2,4and 6 mm from the cementoenamel junction. The sections were inspected under SEM, and any defect formations were recorded and compared with CBCT images according to scoring system. Data were collected and then statistically analyzed at an alpha error of 0.05. P≤0.05 were considered significant. RESULTS: The Ef file produced significantly less dentinal defects compared with the GG and PT SX at the three studied sections. Significant differences were found between the 3 groups at 2 and 4 mm with values (P=0.026) & (P=0.050) respectively, while no significant difference was found at 6mm with value of (P=0.217) when using the 2 evaluation methods. There was a significant difference (P=0.049) between the two used evaluation methods. CONCLUSIONS: Although all used coronal flaring instruments caused dentinal defects, Endoflare file showed the least defects. CBCT was not able to detect the smallest defects such as craze lines while SEM showed more capabilities and was considered as a confirmatory method.

DOI

10.21608/adjalexu.2017.57916

Keywords

Coronal flaring, cracks, Cone beam computed tomography, Scanning electron microscope

Authors

First Name

Sally M.

Last Name

Nazir

MiddleName

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Affiliation

B.D. S 2009

Email

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City

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Orcid

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First Name

Amr M.

Last Name

Abdallah

MiddleName

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Affiliation

Professor of Endodontics, Faculty of Dentistry, Alexandria University

Email

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City

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Orcid

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First Name

Nayera A.

Last Name

Mokhless

MiddleName

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Affiliation

Assistant Professor of Endodontics, Faculty of Dentistry, Alexandria University

Email

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City

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Orcid

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Volume

42

Article Issue

2

Related Issue

8733

Issue Date

2017-12-01

Receive Date

2019-11-10

Publish Date

2017-12-01

Page Start

135

Page End

140

Print ISSN

1110-015X

Online ISSN

2536-9156

Link

https://adjalexu.journals.ekb.eg/article_57916.html

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https://adjalexu.journals.ekb.eg/service?article_code=57916

Order

2

Type

Original Article

Type Code

1,057

Publication Type

Journal

Publication Title

Alexandria Dental Journal

Publication Link

https://adjalexu.journals.ekb.eg/

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Details

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Article

Created At

22 Jan 2023