Comparative evaluation of the shaping ability of single-file system versus multi-file system in severely curved root canals

Abstract

Background/purpose: Reciprocating single-file systems are the latest nickel-titanium instruments and little information is available concerning the shaping ability of these new systems. Comparison of these single-file systems with well-known rotary multi-file systems is necessary. The purpose of this study was to compare the shaping ability of single-file system (WaveOne, WO) versus multiple-file system (ProTaper Next, PTN) in severely curved canals. Materials and methods: A total of 20 severely curved canals were prepared with WO or PTN. Micro-computed tomography was used to scan the specimens before and after instrumentation. Differences between two groups in canal surface area, volume, Structure Model Index (SMI), thickness, straightening, the ratio of uninstrumented surface area and canal transportation were evaluated. Results: The outline of the canals after preparation showed smooth taper in both groups. Canal surface area, volume, SMI, Thickness and canal curvature were significantly increased after preparation in both groups, and no significant difference was found between groups. At apical third, canals prepared with WO showed larger values of transportation compared with those in PTN group in the direction of main curvature. Approximately 29–34% of the root canal surface remained uninstrumented after preparation and no significant difference was noticed between groups. Conclusion: Both of the two instrument systems maintained the original outline of the canals well. The canals prepared with PTN had less transportation and were better centered in the apical region. Keywords: Canal shaping, μCT, Nickeltitanium, ProTaper next, WaveOne