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383372

Computed Tomographic Evaluation of Shaping Ability of Rotating or Reciprocating files through Modified Contracted Access Cavity

Article

Last updated: 01 Jan 2025

Subjects

-

Tags

Endodontics

Abstract

The Aim of the present study was to compare the effect of reciprocating and rotating enlarging instruments on the shaping geometry of distal canals of mandibular molars when used in a modified contracted access cavity (CECDW). Materials &Methods: Fifty-four mandibular molars with separate mesial and distal roots were accessed based on the CECDW design. The teeth were randomly divided into three groups (n=18) and were assigned for the preparation of distal canals using continuous rotation with OneShape or Reciprocation with Reciproc and WaveOne. Micro Computed Tomography (MCT) was utilized to compare shaping parameters: canals' volume, surface area, and stracture model index (SMI). The percentage change in volume, surface area, and canal transportation between the two groups was compared using an independent t test. The significance level was set at P ≤ 0.05. Results: in all tested instruments, canals' volume and surface areas showed significant increase as compared to the unprepared ones. The highest increase in both parameters was detected in WaveOne P=0.004 and P= 0.043 respectively, followed by Reciproc and OneShape in descending order. All three instruments resulted in a significantly rounder preparation compared to pre-instrumentation SMI <0.001. Conclusions: CECDW and experimented instruments did not show significant improvement in shaping geometry of distal canals in mandibular molars. WaveOne performed significantly better than Reciproc and OneShape in respect to increasing the canals' volume and surface area. All tested instruments working through CECDW resulted in shift of the SMI towards more round preparation geometry. However, OneShape showed the best maintenance of SMI.

DOI

10.21608/edj.2024.301189.3101

Keywords

OneShape, Reciproc, WaveOne , Sructure Model Index

Authors

First Name

Manal

Last Name

Abdelbaky

MiddleName

Mohamed

Affiliation

Lecturer, Conservative Surgery Department, Faculty of Oral and Dental Medicine, Must University, Cairo, Egypt

Email

manalmohamed.a@gmail.com

City

Cairo

Orcid

0000-0002-1728-413X

Volume

70

Article Issue

4

Related Issue

50713

Issue Date

2024-10-01

Receive Date

2024-07-02

Publish Date

2024-10-01

Page Start

3,847

Page End

3,858

Print ISSN

0070-9484

Online ISSN

2090-2360

Link

https://edj.journals.ekb.eg/article_383372.html

Detail API

https://edj.journals.ekb.eg/service?article_code=383372

Order

383,372

Type

Original Article

Type Code

254

Publication Type

Journal

Publication Title

Egyptian Dental Journal

Publication Link

https://edj.journals.ekb.eg/

MainTitle

Computed Tomographic Evaluation of Shaping Ability of Rotating or Reciprocating files through Modified Contracted Access Cavity

Details

Type

Article

Created At

23 Dec 2024