Effect of foraminal enlargement on microcrack formation and apical transportation: a nano-CT assessment

Abstract The aim of this study was to evaluate the foraminal enlargement and its influence on microcrack formation and apical transportation in root canals with apical curvature. Eighteen maxillary lateral incisors with apical curvature were selected by using micro-CT images. Root canals were random...

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Main Authors: Jader Camilo Pinto, Karla de Faria-Vasconcelos, André Ferreira Leite, Mariano Simón Pedano, Juliane Guerreiro-Tanomaru, Reinhilde Jacobs, Mario Tanomaru-Filho
Format: Article
Language:English
Published: Nature Portfolio 2023-03-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-31595-8
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author Jader Camilo Pinto
Karla de Faria-Vasconcelos
André Ferreira Leite
Mariano Simón Pedano
Juliane Guerreiro-Tanomaru
Reinhilde Jacobs
Mario Tanomaru-Filho
author_facet Jader Camilo Pinto
Karla de Faria-Vasconcelos
André Ferreira Leite
Mariano Simón Pedano
Juliane Guerreiro-Tanomaru
Reinhilde Jacobs
Mario Tanomaru-Filho
author_sort Jader Camilo Pinto
collection DOAJ
description Abstract The aim of this study was to evaluate the foraminal enlargement and its influence on microcrack formation and apical transportation in root canals with apical curvature. Eighteen maxillary lateral incisors with apical curvature were selected by using micro-CT images. Root canals were randomly divided in two groups (n = 9) according to root canal preparation using two working lengths: 1 mm short of the apical foramen (control group) and 1 mm beyond the apical foramen (foraminal enlargement). For both groups Reciproc Blue R40 was used for root canal instrumentation. Specimens were scanned by nano-CT (UniTOM HR) before and after root canal preparation. Percentage, length, and width of microcracks, and apical transportation were assessed. Kappa, chi‐square and McNemar tests were used for qualitative analyses while paired and unpaired t-test were used for quantitative analyses (α = 0.05). For both groups, rather similar and low percentages of microcracks were observed before root canal preparation (P > 0.05). The foraminal enlargement promoted new microcracks, not observed in the control group. An increase in microcrack length was observed when the foraminal enlargement was performed (P < 0.05). Higher apical transportation was observed when foraminal enlargement was performed (P < 0.05). Foraminal enlargement using a heat-treated reciprocating file size 40 promoted microcracks and higher apical transportation than root canal preparation up to 1 mm short of apical foramen.
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spelling doaj.art-bb94ff594f284f2f87e8ead0447b6c9c2023-03-26T11:10:24ZengNature PortfolioScientific Reports2045-23222023-03-011311710.1038/s41598-023-31595-8Effect of foraminal enlargement on microcrack formation and apical transportation: a nano-CT assessmentJader Camilo Pinto0Karla de Faria-Vasconcelos1André Ferreira Leite2Mariano Simón Pedano3Juliane Guerreiro-Tanomaru4Reinhilde Jacobs5Mario Tanomaru-Filho6Department of Restorative Dentistry, Araraquara Dental School, São Paulo State University (UNESP), School of DentistryOMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven and Oral and Maxillofacial Surgery, University Hospitals LeuvenOMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven and Oral and Maxillofacial Surgery, University Hospitals LeuvenDepartment of Oral Health Sciences, Endodontology and BIOMAT-Biomaterials Research Group, KU Leuven (University of Leuven), UZ Leuven (University Hospitals Leuven), DentistryDepartment of Restorative Dentistry, Araraquara Dental School, São Paulo State University (UNESP), School of DentistryOMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, KU Leuven and Oral and Maxillofacial Surgery, University Hospitals LeuvenDepartment of Restorative Dentistry, Araraquara Dental School, São Paulo State University (UNESP), School of DentistryAbstract The aim of this study was to evaluate the foraminal enlargement and its influence on microcrack formation and apical transportation in root canals with apical curvature. Eighteen maxillary lateral incisors with apical curvature were selected by using micro-CT images. Root canals were randomly divided in two groups (n = 9) according to root canal preparation using two working lengths: 1 mm short of the apical foramen (control group) and 1 mm beyond the apical foramen (foraminal enlargement). For both groups Reciproc Blue R40 was used for root canal instrumentation. Specimens were scanned by nano-CT (UniTOM HR) before and after root canal preparation. Percentage, length, and width of microcracks, and apical transportation were assessed. Kappa, chi‐square and McNemar tests were used for qualitative analyses while paired and unpaired t-test were used for quantitative analyses (α = 0.05). For both groups, rather similar and low percentages of microcracks were observed before root canal preparation (P > 0.05). The foraminal enlargement promoted new microcracks, not observed in the control group. An increase in microcrack length was observed when the foraminal enlargement was performed (P < 0.05). Higher apical transportation was observed when foraminal enlargement was performed (P < 0.05). Foraminal enlargement using a heat-treated reciprocating file size 40 promoted microcracks and higher apical transportation than root canal preparation up to 1 mm short of apical foramen.https://doi.org/10.1038/s41598-023-31595-8
spellingShingle Jader Camilo Pinto
Karla de Faria-Vasconcelos
André Ferreira Leite
Mariano Simón Pedano
Juliane Guerreiro-Tanomaru
Reinhilde Jacobs
Mario Tanomaru-Filho
Effect of foraminal enlargement on microcrack formation and apical transportation: a nano-CT assessment
Scientific Reports
title Effect of foraminal enlargement on microcrack formation and apical transportation: a nano-CT assessment
title_full Effect of foraminal enlargement on microcrack formation and apical transportation: a nano-CT assessment
title_fullStr Effect of foraminal enlargement on microcrack formation and apical transportation: a nano-CT assessment
title_full_unstemmed Effect of foraminal enlargement on microcrack formation and apical transportation: a nano-CT assessment
title_short Effect of foraminal enlargement on microcrack formation and apical transportation: a nano-CT assessment
title_sort effect of foraminal enlargement on microcrack formation and apical transportation a nano ct assessment
url https://doi.org/10.1038/s41598-023-31595-8
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