Comparison of apical transportation in four Ni-Ti rotary instrumentation techniques

J Endod. 2003 Sep;29(9):587-91. doi: 10.1097/00004770-200309000-00011.

Abstract

A new radiographic technique was used to compare apical transportation in four Ni-Ti rotary instrumentation sequences. Mesiobuccal canals of 60 extracted mandibular molars were randomly divided into four groups. Groups 1 and 3 were instrumented by crown-down and groups 2 and 4 by step-back technique with 0.06 ProFiles series 29 to size 6. In groups 3 and 4 Greater Taper files were first used in a crown-down manner. The central axes of initial and final instruments were radiographically superimposed to measure loss of working length (WL) and transportation at 0, 0.5, 1, 3, and 5 mm from WL. ANOVA test showed no significant differences among groups regarding degree of transportation or loss of WL. Transportation was negatively correlated with radius of curvature at 0.5 and 5 mm from WL. The results indicate that the operational sequence of ProFiles or preinstrumentation with GT files has no effect on degree of transportation and loss of WL.

Publication types

  • Clinical Trial
  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Analysis of Variance
  • Dental Alloys*
  • Dental Pulp Cavity / diagnostic imaging*
  • Dental Pulp Cavity / pathology
  • Equipment Design
  • Humans
  • Image Processing, Computer-Assisted
  • Molar
  • Nickel*
  • Radiography, Dental, Digital
  • Regression Analysis
  • Root Canal Preparation / instrumentation*
  • Root Canal Preparation / methods
  • Titanium*
  • Tooth Apex / diagnostic imaging
  • Tooth Apex / pathology

Substances

  • Dental Alloys
  • titanium nickelide
  • Nickel
  • Titanium