The impact of endodontic anatomy on clinical practice: a micro-CT study and tribute to Prof. Francesco Riitano

Abstract

Aim: To evaluate the quality of root canal preparation using two different mechanical NiTi systems. Methodology: 40 maxillary and mandibular molars were selected. Specimens were randomly assigned to two groups and were scanned using a micro-computed tomography scanner before and after root canal preparation that was performed using ProFile instrument sequence and Reciproc single file technique. Each system was used to obtain an optimal apical size for each specimen, following common clinical guidelines. 3D models were reconstructed and evaluated for volume, areas and root canal axis. The total volume of dentine removed and the volume of the coronal, middle and apical thirds of each root canal were calculated, as well as the average deviation of the root canal axis at different levels and the values compared. Student t-test was used to determine the difference between the two experimental groups (P < 0.05). A qualitative evaluation of root canal preparation was also performed. Results: No statistically significant differences were noted between the groups in the volume of dentine removed after root canal preparation, except for the volume of the coronal third (P < 0.05) and the volume of the apical third (P < 0.05) of the disto-buccal canal of maxillary molars and in the mesial canals of mandibular molars, where ProFile instruments produced significantly less enlarged canal volume in the apical third and more enlarged canal volume in the coronal third (P < 0.05). No statistically significant differences were found in the root canal axis deviation. Conclusions: Under the conditions of this study, both the systems analyzed were able to prepare molar teeth with similar amount of dentine removal and a relatively low risk of procedural errors.

Keywords

• NiTi
• Mechanical instrumentation
• Micro-tomographic analysis
• Root canal instrumentation
• Single file techniques