Reciproc x biorace

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DOS SANTOS, M; BUSQUIM, SSK; CUNHA, RS; FREIRE, LG. Micro-Computed Tomography Evaluation of the Preparation of Long-Oval Root Canals Comparing the Reciproc and BioRace Systems Root canals that have a longoval crosssec0on hinder the ac0on of rota0ng instruments, which cannot adapt to all extensions of the root canal walls. Newly developed singlefile systems claim to prepare any type of root canal with only one instrument. The purpose of the present study was to compare the prepara0on of longoval root canals with a single reciproca0ng system and a mul0plefile rotary system using microcomputed tomography. Distal canals of thirty mandibular molars were selected and assigned into two groups (n=15): Reciproc 40 (VDW, Munich, Germany) and BioRace System (FKG Dentaire, La ChauxdeFonds, Switzerland). Teeth were scanned before and aTer prepara0on of the root canals by a SkyScan 1172 microcomputed tomography scanner at 11µm resolu0on. Morphometric varia0ons were measured by volume increases and by the remaining untreated canal surface area in the en0re canal and each third. Data was compared using the MannWhitney test. The Reciproc system was found to have the highest increase in volume when analyzing both the en0re canal and the apical third (p<0.5). In spite of that, it leT more untouched areas (p<0.001) in the cervical and middle thirds (18,14% and 21.82%) as compared to BioRace (8.14% and 11.35%). In conclusion, neither technique was able to completely prepare the longoval outline of root canals. The Reciproc system removed more tooth structure while Bio R ace leT fewer untouched den0n walls in the more oval thirds of the canal. PR 74 University of Sao Paulo/Brazil School of Den0stry Den0stry Science Postgraduate Program Area of Concentra0on: Endodon0cs 5mm CTAn: Region of Interest (A); Image Binarisa0on (B); Custom Processing Tool (C) Volume Increases Untreated Canal Surface Area Reciproc BioRace Root Canal Prepara0on Reciproc R40 BioRace BR0 a BR4 1 st Scan 2 n d S c a n Assessment of Morphometric VariaMons Volume Increases (CTAn) Untreated Surface Area (MatLab) Longoval Root Canal msantos@usp.br Supported by FAPESP – Process 11/509960

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Transcript of Reciproc x biorace

Page 1: Reciproc x biorace

DOS  SANTOS,  M;  BUSQUIM,  SSK;  CUNHA,  RS;  FREIRE,  LG.  

Micro-Computed Tomography Evaluation of the Preparation of Long-Oval Root Canals Comparing the Reciproc and BioRace Systems

Root  canals  that  have  a  long-­‐oval  cross-­‐sec0on  hinder  the  ac0on  of  rota0ng  instruments,  which  cannot  adapt  to  all   extensions   of   the   root   canal  walls.  Newly   developed   single-­‐file   systems   claim   to   prepare   any   type  of   root  canal  with  only  one  instrument.  The  purpose  of  the  present  study  was  to  compare  the  prepara0on  of  long-­‐oval  root   canals   with   a   single   reciproca0ng   system   and   a   mul0ple-­‐file   rotary   system   using   micro-­‐computed  tomography.   Distal   canals   of   thirty   mandibular   molars   were   selected   and   assigned   into   two   groups   (n=15):  Reciproc   40   (VDW,   Munich,   Germany)   and   BioRace   System   (FKG   Dentaire,   La   Chaux-­‐de-­‐Fonds,   Switzerland).  Teeth   were   scanned   before   and   aTer   prepara0on   of   the   root   canals   by   a   SkyScan   1172   micro-­‐computed  tomography  scanner  at  11µm  resolu0on.  Morphometric  varia0ons  were  measured  by  volume  increases  and  by  the   remaining  untreated   canal   surface  area   in   the  en0re   canal   and  each   third.  Data  was   compared  using   the  Mann-­‐Whitney  test.  The  Reciproc  system  was  found  to  have  the  highest  increase  in  volume  when  analyzing  both  the   en0re   canal   and   the   apical   third   (p<0.5).   In   spite   of   that,   it   leT  more   untouched   areas   (p<0.001)   in   the  cervical  and  middle   thirds   (18,14%  and  21.82%)  as  compared  to  BioRace   (8.14%  and  11.35%).   In  conclusion,  neither   technique  was   able   to   completely   prepare   the   long-­‐oval   outline   of   root   canals.   The   Reciproc  system  removed  more  tooth  structure  while  BioRace  leT  fewer  untouched  den0n  walls  in  the  more  oval  thirds  of  the  canal.  

PR  74  

University  of  Sao  Paulo/Brazil  -­‐    School  of  Den0stry  -­‐  Den0stry  Science  Postgraduate  Program  Area  of  Concentra0on:  Endodon0cs  

5mm  

CTAn:  Region  of  Interest  (A);  Image  Binarisa0on  (B);    Custom  Processing  Tool  (C)  

Volume  Increases   Untreated  Canal  Surface  Area   Reciproc   BioRace  

Root  Canal  Prepara0on  

Reciproc  R40  BioRace  BR0  a  BR4  

1st    Scan  

2nd Scan!

Assessment  of  Morphometric  VariaMons    

Volume  Increases  (CTAn)  

Untreated  Surface  Area  (MatLab)  

Long-­‐oval  Root  Canal  

[email protected]  

Supported  by  FAPESP  –  Process  11/50996-­‐0