An in vitro comparison of root canal system prepared with either hand or rotary instruments

Introduction: The aim of the present study was to compare hand stainless steel K-files and Nickel-Titanium Profile 0.04 taper 29 series rotary instruments for their efficiency, procedural errors and time consumed in preparation of root canal system. Materials and Methods: A total of 46 maxillary and...

Full description

Bibliographic Details
Main Authors: Azza A Dafalla, Neamat Hassan Abubakr, Yahia E Ibrahim
Format: Article
Language:English
Published: Iranian Association of Endodontists; Iranian Center for Endodontic Research 2010-10-01
Series:Iranian Endodontic Journal
Subjects:
Online Access:http://journals.sbmu.ac.ir/index.php/iej/article/view/1553/1713
_version_ 1811280957249945600
author Azza A Dafalla
Neamat Hassan Abubakr
Yahia E Ibrahim
author_facet Azza A Dafalla
Neamat Hassan Abubakr
Yahia E Ibrahim
author_sort Azza A Dafalla
collection DOAJ
description Introduction: The aim of the present study was to compare hand stainless steel K-files and Nickel-Titanium Profile 0.04 taper 29 series rotary instruments for their efficiency, procedural errors and time consumed in preparation of root canal system. Materials and Methods: A total of 46 maxillary and mandibular first premolars extracted for orthodontic purposes were collected (two contralateral teeth from each individual). The samples were divided into two groups of 34 canals each. Teeth in the first group were prepared with stainless steel hand K-files while the second groups were prepared with profile 0.04 taper series 29 rotary files. Preparation period was recorded for both groups. Impression material was introduced into the prepared canals so that the replica of prepared canals was achieved. These were assessed under stereomicroscope to assess the efficiency in preparing canals in respect to canal smoothness, ability of impression material to flow and quality of taper. Statistical analyses were performed using t-test, Chi-square and Fishers exact tests. Results: Results showed significantly shorter preparation time for Profile than K-file. 8.8% of the canals prepared with K-files showed canal blockage, while all canals prepared with Profile remained patent. Alterations in working length working distance appeared in 23.5% of canals prepared with K-file and 11.7% in canals prepared with Profile. Failed instruments in K-files were significantly higher, mostly deformation (P<0.001). Profiles failed instruments were in the form of fracture and no deformation was detected. Both systems showed unsatisfactory walls smoothness and flow. Conclusion: Within the limitation of this study it was concluded that Profile 0.04 taper series 29 rotary systems prepare canals more rapidly, and have lower incidences of fracture and blockages, and only limited loss of working length. Canal preparation with K-file was time consuming and showed higher incidence of deformed instruments; overall, rotary instruments seem to offer greater advantages.
first_indexed 2024-04-13T01:25:11Z
format Article
id doaj.art-2f634e24c496495bb3015d81fbcbcb19
institution Directory Open Access Journal
issn 1735-7497
2008-2746
language English
last_indexed 2024-04-13T01:25:11Z
publishDate 2010-10-01
publisher Iranian Association of Endodontists; Iranian Center for Endodontic Research
record_format Article
series Iranian Endodontic Journal
spelling doaj.art-2f634e24c496495bb3015d81fbcbcb192022-12-22T03:08:39ZengIranian Association of Endodontists; Iranian Center for Endodontic ResearchIranian Endodontic Journal1735-74972008-27462010-10-0154167173An in vitro comparison of root canal system prepared with either hand or rotary instrumentsAzza A DafallaNeamat Hassan AbubakrYahia E IbrahimIntroduction: The aim of the present study was to compare hand stainless steel K-files and Nickel-Titanium Profile 0.04 taper 29 series rotary instruments for their efficiency, procedural errors and time consumed in preparation of root canal system. Materials and Methods: A total of 46 maxillary and mandibular first premolars extracted for orthodontic purposes were collected (two contralateral teeth from each individual). The samples were divided into two groups of 34 canals each. Teeth in the first group were prepared with stainless steel hand K-files while the second groups were prepared with profile 0.04 taper series 29 rotary files. Preparation period was recorded for both groups. Impression material was introduced into the prepared canals so that the replica of prepared canals was achieved. These were assessed under stereomicroscope to assess the efficiency in preparing canals in respect to canal smoothness, ability of impression material to flow and quality of taper. Statistical analyses were performed using t-test, Chi-square and Fishers exact tests. Results: Results showed significantly shorter preparation time for Profile than K-file. 8.8% of the canals prepared with K-files showed canal blockage, while all canals prepared with Profile remained patent. Alterations in working length working distance appeared in 23.5% of canals prepared with K-file and 11.7% in canals prepared with Profile. Failed instruments in K-files were significantly higher, mostly deformation (P<0.001). Profiles failed instruments were in the form of fracture and no deformation was detected. Both systems showed unsatisfactory walls smoothness and flow. Conclusion: Within the limitation of this study it was concluded that Profile 0.04 taper series 29 rotary systems prepare canals more rapidly, and have lower incidences of fracture and blockages, and only limited loss of working length. Canal preparation with K-file was time consuming and showed higher incidence of deformed instruments; overall, rotary instruments seem to offer greater advantages.http://journals.sbmu.ac.ir/index.php/iej/article/view/1553/1713Root canal preparationK-fileNiTi rotary filespermanent teeth
spellingShingle Azza A Dafalla
Neamat Hassan Abubakr
Yahia E Ibrahim
An in vitro comparison of root canal system prepared with either hand or rotary instruments
Iranian Endodontic Journal
Root canal preparation
K-file
NiTi rotary files
permanent teeth
title An in vitro comparison of root canal system prepared with either hand or rotary instruments
title_full An in vitro comparison of root canal system prepared with either hand or rotary instruments
title_fullStr An in vitro comparison of root canal system prepared with either hand or rotary instruments
title_full_unstemmed An in vitro comparison of root canal system prepared with either hand or rotary instruments
title_short An in vitro comparison of root canal system prepared with either hand or rotary instruments
title_sort in vitro comparison of root canal system prepared with either hand or rotary instruments
topic Root canal preparation
K-file
NiTi rotary files
permanent teeth
url http://journals.sbmu.ac.ir/index.php/iej/article/view/1553/1713
work_keys_str_mv AT azzaadafalla aninvitrocomparisonofrootcanalsystempreparedwitheitherhandorrotaryinstruments
AT neamathassanabubakr aninvitrocomparisonofrootcanalsystempreparedwitheitherhandorrotaryinstruments
AT yahiaeibrahim aninvitrocomparisonofrootcanalsystempreparedwitheitherhandorrotaryinstruments
AT azzaadafalla invitrocomparisonofrootcanalsystempreparedwitheitherhandorrotaryinstruments
AT neamathassanabubakr invitrocomparisonofrootcanalsystempreparedwitheitherhandorrotaryinstruments
AT yahiaeibrahim invitrocomparisonofrootcanalsystempreparedwitheitherhandorrotaryinstruments