Shaping Ability of XP-Endo Shaper Files With Extended Use Time and R40 Blue in Oval Canals: A Microcomputed Tomography Study in Contralateral Premolars

IF 3.6 2区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of endodontics Pub Date : 2025-06-01 DOI:10.1016/j.joen.2025.01.003
Leonardo Pinto Fontes MSc , Flávia Galvão Cândido PhD , Marília Fagury Videira Marceliano-Alves PhD , Evaldo de Aguiar Braga MSc , Raissa Faria Andrade MSc , Morgana Figueiredo Gonçalves MSc , Élida Boaventura Mendes MSc , Marcos Roberto dos Santos Frozoni PhD
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Abstract

Introduction

This study evaluated the shaping ability of the single-file XP-endo Shaper (XP-S) system, employing an extended working time, and the Reciproc Blue number 40/.06 (REC) instrument during the preparation of oval-shaped canals.

Methods

Eleven pairs of contralateral premolars with a single canal were divided into two groups (n = 11) according to the canal preparation protocol: XP-S (with an additional 45 seconds of instrumentation) and REC. Microcomputed tomography images captured before and after preparation were analyzed to assess morphometric measurements (prepared volume/area and unprepared canal walls at 10 mm and 4 mm from the foramen), centroid deviation (at 10 mm), dentin thickness with mesial or distal deviation, and canal-to-root ratio (at 1, 5, and 10 mm from the foramen).

Results

In both groups, root canal preparation significantly altered all tested parameters across all evaluated cross-sections (PIntra ≤ 0.003). No significant differences were observed between the groups in canal centralization, volume or surface area increase at 10 mm or 4 mm, nor in the number of unprepared canal walls at 10 mm. However, the REC system showed a greater reduction in unprepared walls in the critical apical zone (PInter = 0.047). The XP-S group exhibited greater reductions in mesial (PInter = 0.007) and distal (PInter = 0.028) dentin thickness at 1 mm from the foramen.

Conclusions

The REC instrument prepared more root canal walls than the XP-S system and promoted greater dentin preservation in the apical zone.
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延长使用时间的XP-Endo塑形锉对侧前磨牙椭圆管塑形能力的微计算机断层研究
本研究评估了单锉XP-endo塑形器(XP-S)系统的塑形能力,采用延长的工作时间和Reciproc Blue #40/.06(REC)器械在椭圆管预备过程中。方法:11对对侧单根管前磨牙按根管预备方案分为两组(n = 11):分析制备前后捕获的XP-S(额外45秒的器械)和REC.微计算机断层扫描(micro-CT)图像,以评估形态测量(距孔10 mm和4 mm处制备的体积/面积和未制备的管壁)、质心偏差(距孔10 mm处)、近端或远端偏差的牙本质厚度,以及管根比(距孔1、5和10 mm处)。结果:在两组中,根管准备显著改变了所有评估截面的所有测试参数(PIntra≤0.003)。在10 mm或4 mm时,两组间的根管集中度、体积或表面积增加没有显著差异,在10 mm时,未准备的根管壁数量也没有显著差异。然而,REC系统显示在临界尖顶区有更大的未准备壁减少(PInter = 0.047)。XP-S组在距牙孔1mm处的近中(PInter = 0.007)和远中(PInter = 0.028)牙本质厚度有较大的减少。结论:REC器械比XP-S系统制备了更多的根管壁,并促进了根尖区牙本质的保存。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of endodontics
Journal of endodontics 医学-牙科与口腔外科
CiteScore
8.80
自引率
9.50%
发文量
224
审稿时长
42 days
期刊介绍: The Journal of Endodontics, the official journal of the American Association of Endodontists, publishes scientific articles, case reports and comparison studies evaluating materials and methods of pulp conservation and endodontic treatment. Endodontists and general dentists can learn about new concepts in root canal treatment and the latest advances in techniques and instrumentation in the one journal that helps them keep pace with rapid changes in this field.
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