Canal-Centering and Apical Transportation Ability of Similar Cross-Section NiTi Instruments Working with Different Kinematics—Micro-CT-based In Vitro Analysis

Abstract

ObjectiveEvaluating the canal-centering and apical transportation ability of endodontic file systems working with different kinematics but of similar cross section. Materials and MethodsSixty human maxillary first molar mesiobuccal (MB) roots were assigned to three experimental groups based on instrumentation techniques: Reciproc Blue (RB), Mtwo (M2), and OneShape (OS). Pre- and post-instrumentation micro-computed tomographic analysis was performed. Centering ability and apical transportation were analyzed at 3 mm, 6 mm, and 9 mm short of the apex. Statistical analysis was conducted using Mann–Whitney U test and Kruskal–Wallis test. ResultsOS showed better canal-centering ability than RB and M2 at 3 mm, 6 mm, and 9 mm. No significant difference among the tested groups was observed during the assessment of apical transportation (P < 0.05). ConclusionThe systems evaluated safely prepared curved MB canals with minimal canal transportation. OS showed superior canal-centering ability compared to the other two groups.

Keywords

• apical transportation
• canal centering
• micro-computed tomography
• mtwo
• oneshape
• reciproc blue