Danger zone analysis using cone beam computed tomography after apical enlargement with K3 and K3XF in a manikin model
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Olivieri, Gonzalo; García Font, Marc; González Sánchez, José Antonio; Roig Cayón, Miguel; Duran Sindreu, Fernando
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Aquest document és un/a article, creat/da en: 2016
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Background: The objective of the study was to evaluate and compare how apical enlargement with K3 and K3XF
nickel-titanium (NiTi) rotary instruments reduces the root thickness in the danger zone and affects canal transportation
and centering ability in mandibular molar mesial canals in a manikin extracted tooth model.
Material and Methods: Seventy-two mesial root canals of first mandibular molars were instrumented. Initial and
post-instrumentation Cone Beam Computed Tomography scans were performed after root canal preparation up to
size 25, 30, 35 and 40 files. Canal transportation, canal centering and remaining root dentin thickness toward the
danger zone were calculated in sections 1, 2 and 3 mm under the furcation level. Data were analyzed using nonparametric
Kruskal-Wallis analysis of variance at a significance level of P < 0.05.
Results: K3 instruments removed more dentin toward the danger zone compared with K3XF instruments (P< .05)
and significant differences in dentin thickness were found when canal enlargement was performed to a #35-40 with
both systems (P< 0.05). No significant differences in canal transportation and centering ability were found between
systems, except when canal enlargement was performed to a #40 (P = 0,0136). No differences were observed when
comparing the number of uses in both systems (P> 0.05).
Conclusions: Under the conditions of this study K3 removed a significant amount of dentin at the furcation level
compared with the R-Phase K3XF rotary system in curved root canals. Enlargement to a 35-40/04 file removed
significantly more dentin with both systems.
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