الفهرس | Only 14 pages are availabe for public view |
Abstract Root canal cleaning and shaping are important phases in endodontic therapy. The objectives of instrumentation include; debriding the root canal system, continuously tapering in a conical form and maintain the original shape and position of the apical foramen. To overcome the inconveniences of manual filing systems, nickel-titanium (NiTi) rotary shaping techniques were developed. This study was conducted to compare two types of rotary systems of different microstructure (Conventional NiTi file & Heat treated file with electric discharge machining) through the following: 1) Instrument cyclic fatigue: Fifteen files of each system were used. Cyclic fatigue testing of new instruments was performed with a specific device which allowed the instruments to rotate freely inside a Stainless steel artificial canal. The number of cycles to failure (NCF) was calculated by the following equation: NCF= speed (r.p.m) X time SEM of the fractured part: Representative samples from both groups were prepared for SEM examination to evaluate the presence of any change after the usage and fracture. 2) Mesio-distal transportation: A total of thirty human mandibular first molar with mature apices, type III canal configuration and moderate canal curvature of the mesiabuccal root (25o-45o according to Schneider) were used in this study. Samples were divided into two groups (fifteen each), according to the rotary file system used for instrumentation. Teeth were accessed using an Endo-Access bur. Distal roots with the respective part of the crown of all samples were sectioned at the furcation level using stainless steel disc under coolant and discarded. Determination of the working length was performed by inserting #10 K-file to the mesio-buccal root canal terminus and subtracting 1 mm from the tooth length. Specimens were mounted in cold cure acrylic material in six plastic holder for preoperative cone beam computerized tomography scanning (CBCT), each holder containing 7-8 specimens Post-operative (CBCT) scan for all specimens were obtained. Images obtained compared with pre-operative images for each specimen to evaluate canal transportation. ~ 101 ~ Summary & Conclusions The results showed that the Neolix system showed less mesio-distal transportation compared to the One Shape system. The Neolix system showed significantly higher cyclic fatigure resistance values compared to One Shape system. By analyzing the ability of different files in preserving canal curvature, there were statistically significant differences between the two different rotary systems. The one shape file system was the least in preserving canal curvature. |