Clinical Evaluation of Root Canal Shaping Ability of a Stainless-steel File System Compared to Two Nickel-titanium Single-file Systems.

Abstract

Background: Root canal shaping is an important phase in endodontic treatment to preserve the integrity of root structures. This clinical study used cone-beam computed tomography (CBCT) to assess the shaping ability of Tornado compared to WaveOne (WO), and OneShape (OS) rotary systems.

Material and methods: MesioBuccal canals of lower molars with curving angles ranging from 15° to 45° were used in 30 patients to evaluate the apical transportation and centering ability of Tornado, WO, and OS. The canals were divided into 3 groups according to the instrumentation system (n=10), which corresponded to the systems that were employed. Centering ratio and canal transportation were assessed at 2, 5, and 8 mm from the apical foramen using CBCT. Statistical analysis was conducted using the Kruskal-Wallis test and Mann-Whitney test at p-value = 0.05.

Results: All tested levels showed no statistically significant difference in transportation and centering ability (P>0.05). The Tornado file preserved the original canal curvature with no statistical significance compared to WO files and OS.

Conclusions: The tornado file system was proven to provide an accepted quality of root canal shaping compared to WO and OS rotary systems. All systems maintained the original canal anatomy with appropriate centralization and no canal transportation. Key words:Canal Centering Ability, Canal Transportation, Cone-beam Computed Tomography, Nickel-Titanium Files, Tornado Rotary System.