Skip to main content

Advertisement

Log in

Efficacy of a thermally treated single file compared with rotary systems in endodontic retreatment of curved canals: a micro-CT study

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

This study aimed to compare WaveOne Gold with ProTaper and RaCe systems regarding remaining filling material, apical transportation (AT), and working time (WT) after (i) filling removal and (ii) shaping of curved canals.

Methods

Thirty mesiobuccal canals of maxillary molars were prepared and filled. After 30 days, they were randomly assigned into three groups (n = 10), according to the instruments used for filling removal and shaping, respectively: WOG—WaveOne Gold Primary and Medium; PTG—ProTaper Retreatment and ProTaper Next; RCG—D-RaCe and RaCe. Micro-CT analysis assessed the residual filling material and AT. WT was recorded. Data were statistically analyzed (α = .05).

Results

There was no significant difference between groups in the amount of filling material at any evaluated moment (P > .05). All groups presented low AT values. The WT was similar in all groups in filling removal (P > .05), and in shaping step WOG was faster than PTG and RCG (P < .05).

Conclusions

Neither system could completely remove the filling material. The instruments evaluated were safe and the reciprocating system was faster than the rotary systems in shaping the canals.

Clinical relevance

This study provided consistent information on filling material removal capacity of WaveOne Gold. Considering that all tested systems were safe, WaveOne Gold may be an alternative with cost-effectiveness and shorter learning curve for endodontic retreatment.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Rödig T, Reicherts P, Konietschke F, Dullin C, Hahn W, Hülsmann M (2014) Efficacy of reciprocating and rotary NiTi instruments for retreatment of curved root canals assessed by micro-CT. Int Endod J 47:942–948. https://doi.org/10.1111/iej.12239

    Article  PubMed  Google Scholar 

  2. Rios M de A, Villela AM, Cunha RS, Velasco RC, De Martin AS, Kato AS, Bueno CE (2014) Efficacy of 2 reciprocating systems compared with a rotary retreatment system for gutta-percha removal. J Endod 40:543–546. https://doi.org/10.1016/j.joen.2013.11.013

    Article  Google Scholar 

  3. Só MV, Saran C, Magro ML, Vier-Pelisser FV, Munhoz M (2008) Efficacy of ProTaper retreatment system in root canals filled with gutta-percha and two endodontic sealers. J Endod 34:1223–1225. https://doi.org/10.1016/j.joen.2008.07.020

    Article  PubMed  Google Scholar 

  4. Takahashi CM, Cunha RS, de Martin AS, Fontana CE, Silveira CF, da Silveira Bueno CE (2009) In vitro evaluation of the effectiveness of ProTaper universal rotary retreatment system for gutta-percha removal with or without a solvent. J Endod 35:1580–1583. https://doi.org/10.1016/j.joen.2009.07.015

    Article  PubMed  Google Scholar 

  5. Sağlam BC, Çiçek E, Koçak MM, Koçak S, Kıvanç BH (2016) Apical transportation during removal of root canal filling with different retreatment systems. Int J Artif Organs 30:541–545. https://doi.org/10.5301/ijao.5000535

    Article  Google Scholar 

  6. Fruchi L de C, Ordinola-Zapata R, Cavenago BC, Hungaro Duarte MA, Bueno CE, De Martin AS (2014) Efficacy of reciprocating instruments for removing filling material in curved canals obturated with a single-cone technique: a micro-computed tomographic analysis. J Endod 40:1000–1004. https://doi.org/10.1016/j.joen.2013.12.011

    Article  Google Scholar 

  7. de Souza PF, Oliveira Gonçalves LC, Franco Marques AA, Sponchiado Junior EC, da Roberti Garcia LF, de Carvalho FM (2015) Root canal retreatment using reciprocating and continuous rotary nickel-titanium instruments. Eur J Dent 9:234–239. https://doi.org/10.4103/1305-7456.156834

    Article  PubMed  PubMed Central  Google Scholar 

  8. Monguilhott Crozeta B, Souza Neto DM, Bianchi Leoni G, Mazzi-Chaves JF, Silva-Souza YTC, Baratto-Filho F (2016) A micro-computed tomography assessment of the efficacy of rotary and reciprocating techniques for filling material removal in root canal retreatment. Clin Oral Investig 20:2235–2240. https://doi.org/10.1007/s00784-016-1728-0

    Article  PubMed  Google Scholar 

  9. Kiefner P, Ban M, De-Deus G (2014) Is the reciprocating movement per se able to improve the cyclic fatigue resistance of instruments? Int Endod J 47:430–436. https://doi.org/10.1111/iej.12166

    Article  PubMed  Google Scholar 

  10. Koçak MM, Koçak S, Türker SA, Sağlam BC (2016) Cleaning efficacy of reciprocal and rotary systems in the removal of root canal filling material. J Conserv Dent 19:184–188. https://doi.org/10.4103/0972-0707.178706

    Article  PubMed  PubMed Central  Google Scholar 

  11. Ganesh A, Venkateshbabu N, John A, Deenadhayalan G, Kandaswamy D (2014) A comparative assessment of fracture resistance of endodontically treated and re-treated teeth: an in vitro study. J Conserv Dent 17:61–64. https://doi.org/10.4103/0972-0707.124146

    Article  PubMed  PubMed Central  Google Scholar 

  12. Schneider SW (1971) A comparison of canal preparations in straight and curved root canals. Oral surg Oral med Oral pathol 32:271–275. https://doi.org/10.1016/0030-4220(71)90230-1

    Article  PubMed  Google Scholar 

  13. Schäfer E, Diez C, Hoppe W, Tepel J (2002) Roentgenographic investigation of frequency and degree of canal curvatures in human permanent teeth. J Endod 28:211–216. https://doi.org/10.1097/00004770-200203000-00017

    Article  PubMed  Google Scholar 

  14. Keleş A, Arslan H, Kamalak A, Akçay M, Souza-Neto MD, Versiani MA (2015) Removal of filling materials from oval-shaped canals using laser irradiation: a micro-computed tomographic study. J Endod 41:219–924. https://doi.org/10.1016/j.joen.2014.09.026

    Article  PubMed  Google Scholar 

  15. Orstavik D, Nordahl I, Tibballs JE (2001) Dimensional change following setting of root canal sealer materials. Dent Mater 17:512–519. https://doi.org/10.1016/S0109-5641(01)00011-2

    Article  PubMed  Google Scholar 

  16. Gambill JM, Alder M, del Rio CE (1996) Comparison of nickel-titanium and stainless steel hand-file instrumentation using computed tomography. J Endod 22:369–375. https://doi.org/10.1016/S0099-2399(96)80221-4

    Article  PubMed  Google Scholar 

  17. Monsarrat P, Arcaute B, Peters AO, Maury E, Telmon N, Georgelin-Gurgel M, Maret D (2016) Interrelationships in the variability of root canal anatomy among the permanente teeth: a full-mouth approach by cone-beam CT. PLoS One 11:e0165329. https://doi.org/10.1371/journal.pone.0165329

    Article  PubMed  PubMed Central  Google Scholar 

  18. Hashem AA, Ghoneim AG, Lutfy RA, Foda MY, Omar GA (2012) Geometric analysis of root canals prepared by four rotary NiTi shaping systems. J Endod 38:996–1000. https://doi.org/10.1016/j.joen.2012.03.018

    Article  PubMed  Google Scholar 

  19. Rossi-Fedele G, Ahmed HM (2017) Assessment of root canal filling removal effectiveness using micro-computed tomography: a systematic review. J Endod 43:520–526. https://doi.org/10.1016/j.joen.2016.12.008

    Article  PubMed  Google Scholar 

  20. Gutmann JL, Dumsha TC, Lovdahl PE. Problem solving in endodontics, 4th ed. St Louis, MO: Elsevier; 2006

  21. Zuolo AS, Mello JE Jr, Cunha RS, Zuolo ML, Bueno CE (2013) Efficacy of reciprocating and rotary techniques for removing filling material during root canal retreatment. Int Endod J 46:947–953. https://doi.org/10.1111/iej.12085

    Article  PubMed  Google Scholar 

  22. Nevares G, de Albuquerque DS, Freire LG, Romeiro K, Fogel HM, Dos Santos M, Cunha RS (2016) Efficacy of ProTaper NEXT compared with reciproc in removing obturation material from severely curved root canals: a micro-computed tomography study. J Endod 42:803–808. https://doi.org/10.1016/j.joen.2016.02.010

    Article  PubMed  Google Scholar 

  23. Alves FR, Marceliano-Alves MF, Sousa JC, Silveira SB, Provenzano JC, Siqueira JF Jr (2016) Removal of root canal fillings in curved canals using either reciprocating single or rotary multi-instrument systems and a supplementary step with the XP-endo finisher. J Endod 42:1114–1119. https://doi.org/10.1016/j.joen.2016.04.007

    Article  PubMed  Google Scholar 

  24. Bernardes RA, Duarte MA, Vivan RR, Alcalde MP, Vasconcelos BC, Bramante CM (2016) Comparison of three retreatment techniques with ultrasonic activation in flattened canals using micro-computed tomography and scanning electron microscopy. Int Endod J 49:890–897. https://doi.org/10.1111/iej.12522

    Article  PubMed  Google Scholar 

  25. Wu M-K, Fan B, Wesselink P (2000) Leakage along apical root fillings in curved root canals. Part I: effects of apical transportation on seal of root fillings. J Endod 26:210–216. https://doi.org/10.1097/00004770-200004000-00003

    Article  PubMed  Google Scholar 

  26. Webber J (2015) Shaping canals with confidence: WaveOne gold single-file reciprocating system. Int Dent African Edition 1:34–40

    Google Scholar 

Download references

Acknowledgments

The authors would like to thank Dr. Thiago Gomes da Silva and Laboratório de Análise de Minerais e Rochas (LAMIR) of the Federal University of Paraná for granting permission for micro-CT analysis. The authors deny any conflict of interest.

Funding

This study was conducted at the School of Dentistry, Federal University of Rio Grande do Sul, and at the Laboratório de Análise de Minerais e Rochas (LAMIR), Federal University of Paraná. The authors (Débora Delai, Alexander Pompermayer Jardine, Letícia Boldrin Mestieri, and Daiana Boijink) received funding from Coordenação de Aperfeiçoamento de Pessoal de Ensino Superior (CAPES) agency, Brazil.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Patrícia Maria Poli Kopper.

Ethics declarations

This study was approved by the Institutional Review Board of the Federal University of Rio Grande do Sul (CAAE 51687215.3.0000.5347).

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the Institutional Review Board and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Delai, D., Jardine, A.P., Mestieri, L.B. et al. Efficacy of a thermally treated single file compared with rotary systems in endodontic retreatment of curved canals: a micro-CT study. Clin Oral Invest 23, 1837–1844 (2019). https://doi.org/10.1007/s00784-018-2624-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-018-2624-6

Keywords

Navigation