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Rotary nickel-titanium GT and ProTaper files for root canal shaping by novice operators: a radiographic and micro-computed tomography evaluation


Gekelman, D; Ramamurthy, R; Mirfarsi, S; Paqué, F; Peters, O A (2009). Rotary nickel-titanium GT and ProTaper files for root canal shaping by novice operators: a radiographic and micro-computed tomography evaluation. Journal of Endodontics, 35(11):1584-1588.

Abstract

INTRODUCTION: The purpose of this study was to assess canal preparation outcomes in vitro by novice clinicians after standardized teaching sessions. METHODS: All students received a training session. In experiment 1, twenty canals of mandibular molars were prepared with GT and ProTaper rotaries by 10 students. Standardized radiographs were exposed before and after canal preparation, and canal curvature was measured; canals were assessed for patency and preparation time. In experiment 2, mandibular molars (20 canals) were submitted to microcomputed tomography before and after canal preparation with ProTaper and GT rotaries by 2 dental students. Canals were metrically assessed for changes (volume, surface, cross-sectional shape, transportation) during canal preparation by using software. RESULTS: In experiment 1, canal curvature decreased by 7.6 degrees and 7.8 degrees for GT and ProTaper preparations; there were no broken instruments, and 2 canals lost patency. The time for GT preparation was longer than for ProTaper (29.7 +/- 6.8 vs 19.4 +/- 8.1 minutes, P <.05). In experiment 2, canal volumes and surface areas increased (P < .001), and prepared canals were rounder in cross-section and more tapered. Mean canal transportation ranged between 0.14 +/- 0.05 mm and 0.23 +/- 0.09 mm for apical and coronal canal thirds. There were no significant differences between the instruments or the operators regarding center of mass shifts; qualitative and quantitative data for canal transportation were similar to earlier studies with experienced operators. CONCLUSIONS: Both rotary instruments performed adequately with inexperienced operators who received a brief structured training session.

INTRODUCTION: The purpose of this study was to assess canal preparation outcomes in vitro by novice clinicians after standardized teaching sessions. METHODS: All students received a training session. In experiment 1, twenty canals of mandibular molars were prepared with GT and ProTaper rotaries by 10 students. Standardized radiographs were exposed before and after canal preparation, and canal curvature was measured; canals were assessed for patency and preparation time. In experiment 2, mandibular molars (20 canals) were submitted to microcomputed tomography before and after canal preparation with ProTaper and GT rotaries by 2 dental students. Canals were metrically assessed for changes (volume, surface, cross-sectional shape, transportation) during canal preparation by using software. RESULTS: In experiment 1, canal curvature decreased by 7.6 degrees and 7.8 degrees for GT and ProTaper preparations; there were no broken instruments, and 2 canals lost patency. The time for GT preparation was longer than for ProTaper (29.7 +/- 6.8 vs 19.4 +/- 8.1 minutes, P <.05). In experiment 2, canal volumes and surface areas increased (P < .001), and prepared canals were rounder in cross-section and more tapered. Mean canal transportation ranged between 0.14 +/- 0.05 mm and 0.23 +/- 0.09 mm for apical and coronal canal thirds. There were no significant differences between the instruments or the operators regarding center of mass shifts; qualitative and quantitative data for canal transportation were similar to earlier studies with experienced operators. CONCLUSIONS: Both rotary instruments performed adequately with inexperienced operators who received a brief structured training session.

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:04 Faculty of Medicine > Center for Dental Medicine > Clinic for Preventive Dentistry, Periodontology and Cariology
Dewey Decimal Classification:610 Medicine & health
Language:English
Date:November 2009
Deposited On:29 Jan 2010 15:06
Last Modified:05 Apr 2016 13:44
Publisher:Elsevier
ISSN:0099-2399
Publisher DOI:10.1016/j.joen.2009.07.018
Related URLs: (Publisher)
PubMed ID:19840653
Permanent URL: http://doi.org/10.5167/uzh-27095

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