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Abstract The aim of this study was to compare the cleaning and shaping ability of the ProTaper and SafeSider systems in terms of remaining of dentin thickness at different root canal levels, root canal volume, and cleanliness of canal walls. The remaining of dentin thickness for mesial and distal side were assessed through comparing pre and post-instrumentation CT scan at different root canal levels (coronal, middle, and apical thirds) by using image analysis software (Syngo CT software VB10B Siemens) The root canal volume was evaluated using CT scan and canal cleanliness was evaluated using the stereomicroscope. A total of thirty extracted human permanent mandibular molars were used in this study. Access cavities were established, the tooth length and the canal curvature of the mesiobuccal root canal were measured using direct digital radiography. Samples were divided into two groups equally; for preparation using ProTaper system and SafeSider system. Evaluation of the remaining dentin thickness Pre instrumentation standardized CT scan was analyzed at different root canal levels (coronal, middle, and apical) for mesial and distal side and dentin thickness was measured. Instrumentation was done according to manufacturer’s instruction for both systems. After instrumentation, standardized CT scan was also analyzed for measurement of remaining dentin thickness after instrumentation. Data were collected and the change in RDT was calculated, then statistical analysis was performed using INSTAT software.106 Concerning the canal volume, statistical analysis showed that there was no statistically significant difference between the two systems. As Regard for canal cleanliness, statistical analysis showed that there was a statistically significant difference in percentage of debris between the two systems at all the three studied levels (coronal, middle, and apical) for both MB and ML canals. Also for ProTaper group there was a statistically significant difference between the three studied levels (coronal, middle, and apical). While for SafeSider group there was no statistically significant difference between the three studied levels. Conclusions Within the limitations of this study the following conclusions can be withdrawn: 1- Instrument design was more influential than its operating mode on the preparation outcomes in terms of both shaping & cleaning capabilities. 2- There was weak correlation apparent between volume & removal of dentin with the two systems. 3- There was a significant difference in removal of dentin between the two systems with less ProTaper values. 4- Apical third has the more debris percentage with the two systems. 5- ProTaper system produced cleaner walls than SafeSiders enlarging instruments. 1-Further studies can be employed for evaluation of the effect of the preparation on apical extrusion of debris. 2-Evaluation of reciprocating systems having other design is recommended for further investigation. |