TY - JOUR
T1 - Influence of the Number of Pecking Motions at Working Length on the Shaping Ability of Single-file Systems in Long Oval-shaped Curved Canals
AU - Wang, Lixiao
AU - Lin, Ruitian
AU - Chen, Hui
AU - Li, Zihan
AU - Tay, Franklin R.
AU - Gu, Lisha
N1 - Funding Information:
Supported by the National Natural Science Foundation of China, China (grant no. 81873712 ) and the Science and Technology Program of Guangzhou (grant no. 201904010057 ).
Publisher Copyright:
© 2022 American Association of Endodontists
PY - 2022/4
Y1 - 2022/4
N2 - Introduction: The present study compared the effect of the number of pecking motions at the working length (WL) on the shaping ability of single-file systems in long oval-shaped curved root canals. Methods: Single-rooted mandibular premolars with long oval-shaped curved canals (25°–35°) were prescanned using micro–computed tomographic imaging, anatomically paired, and randomly divided into 3 groups (n = 15): XP-endo Shaper (XPS; FKG Dentaire, La Chaux-de-Fonds, Switzerland), Reciproc Blue (RB; VDW, Munich, Germany), and WaveOne Gold (WOG; Dentsply Sirona, Ballaigues, Switzerland). After preparation to the WL, each specimen underwent 1, 2, 4, 10, or 20 pecking motions to the WL and was rescanned. Morphologic parameters were measured and analyzed using a 2-factor repeated measures analysis of variance and the Scheirer-Ray-Hare test. Results: The minor apical diameter and percentage increase in canal volume increased with the number of pecking motions, whereas the percentage of unprepared canal surface area decreased (P < .05). The mean minor diameters (in mm) at D0 varied between 0.29 and 0.35 after 4 pecking motions with the RB and WOG systems and between 0.35 and 0.36 after 10 pecking motions with the XPS system. No significant differences in canal transportation or centering ratio were observed among the groups at the levels of canal curvature and canal thirds (P > .05). Conclusions: Increasing the number of pecking motions improves the cutting efficacy of single-file systems without adversely altering the anatomic characteristics of oval-shaped curved canals. No more than 4 pecking motions for the RB and WOG systems and 10 pecking motions for the XPS system appear to be acceptable for the shaping of these difficult to clean root canals.
AB - Introduction: The present study compared the effect of the number of pecking motions at the working length (WL) on the shaping ability of single-file systems in long oval-shaped curved root canals. Methods: Single-rooted mandibular premolars with long oval-shaped curved canals (25°–35°) were prescanned using micro–computed tomographic imaging, anatomically paired, and randomly divided into 3 groups (n = 15): XP-endo Shaper (XPS; FKG Dentaire, La Chaux-de-Fonds, Switzerland), Reciproc Blue (RB; VDW, Munich, Germany), and WaveOne Gold (WOG; Dentsply Sirona, Ballaigues, Switzerland). After preparation to the WL, each specimen underwent 1, 2, 4, 10, or 20 pecking motions to the WL and was rescanned. Morphologic parameters were measured and analyzed using a 2-factor repeated measures analysis of variance and the Scheirer-Ray-Hare test. Results: The minor apical diameter and percentage increase in canal volume increased with the number of pecking motions, whereas the percentage of unprepared canal surface area decreased (P < .05). The mean minor diameters (in mm) at D0 varied between 0.29 and 0.35 after 4 pecking motions with the RB and WOG systems and between 0.35 and 0.36 after 10 pecking motions with the XPS system. No significant differences in canal transportation or centering ratio were observed among the groups at the levels of canal curvature and canal thirds (P > .05). Conclusions: Increasing the number of pecking motions improves the cutting efficacy of single-file systems without adversely altering the anatomic characteristics of oval-shaped curved canals. No more than 4 pecking motions for the RB and WOG systems and 10 pecking motions for the XPS system appear to be acceptable for the shaping of these difficult to clean root canals.
KW - Apical preparation size
KW - curved canals
KW - oval-shaped canals
KW - pecking motion
KW - root canal preparation
KW - single-file system
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U2 - 10.1016/j.joen.2022.01.009
DO - 10.1016/j.joen.2022.01.009
M3 - Article
C2 - 35081440
AN - SCOPUS:85125447726
SN - 0099-2399
VL - 48
SP - 548
EP - 554
JO - Journal of Endodontics
JF - Journal of Endodontics
IS - 4
ER -