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      Influence of Operator's Experience on the Shaping Ability of Protaper Universal and Waveone Systems: A Comparative Study on Simulated Root Canals

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          Abstract

          Objective:

          To assess the influence of operator experience on: shaping and centering ability, mean preparation time and presence of canal aberrations of ProTaper Universal and WaveOne systems on simulated root canals.

          Materials and Methods:

          Sixty S-shaped canals in resin blocks were assigned to four groups (n=15 for each group). Group1 (Experienced operator, ProTaper), Group2 (Experienced operator, WaveOne), Group3 (Inexperienced operator, ProTaper), Group4 (Inexperienced operator, WaveOne). Photographic method was used to record pre- and post-instrumentations images. After superimposition, it has been evaluated presence of canal aberrations and differences in shaping and centering ability between groups.

          Results:

          WaveOne system produced a lower amount of canal aberrations both in the hand of expert than inexpert operators. However, a WaveOne instrument breakage occurred in the hands of an inexperienced operator. No differences have been found in the evaluation of shaping ability with both systematics. Operator’s experience doesn't influence the shaping ability of ProTaper and WaveOne systems.

          Conclusion:

          Experience factor could influence the centering ability in the use of both the systematics. However, WaveOne Primary reduce the mean preparation time and the presence of canal aberrations.

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          Most cited references22

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          Current challenges and concepts in the preparation of root canal systems: a review.

          Nickel-titanium rotary instruments are important adjuncts in endodontic therapy. This review attempts to identify factors that influence shaping outcomes with these files, such as preoperative root-canal anatomy and instrument tip design. Other, less significant factors include operator experience, rotational speed, and specific instrument sequence. Implications of various working length definitions and desired apical widths are correlated with clinical results. Despite the existence of one ever-present risk factor, dental anatomy, shaping outcomes with nickel-titanium rotary instruments are mostly predictable. Current evidence indicates that wider apical preparations are feasible. Nickel-titanium rotary instruments require a preclinical training period to minimize separation risks and should be used to case-related working lengths and apical widths. However, and despite superior in vitro results, randomized, clinical trials are required to evaluate outcomes when using nickel-titanium instruments.
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            Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems.

            The purpose of this in vitro study was to assess the amount of apically extruded debris using rotary and reciprocating nickel-titanium instrumentation systems. Eighty human mandibular central incisors were randomly assigned to 4 groups (n = 20 teeth per group). The root canals were instrumented according to the manufacturers' instructions using the 2 reciprocating single-file systems Reciproc (VDW, Munich, Germany) and WaveOne (Dentsply Maillefer, Ballaigues, Switzerland) and the 2 full-sequence rotary Mtwo (VDW, Munich, Germany) and ProTaper (Dentsply Maillefer, Ballaigues, Switzerland) instruments. Bidistilled water was used as irrigant. The apically extruded debris was collected in preweighted glass vials using the Myers and Montgomery method. After drying, the mean weight of debris was assessed with a microbalance and statistically analyzed using analysis of variance and the post hoc Student-Newman-Keuls test. The time required to prepare the canals with the different instruments was also recorded. The reciprocating files produced significantly more debris compared with both rotary systems (P .05), the reciprocating single-file system Reciproc produced significantly more debris compared with all other instruments (P < .05). Instrumentation was significantly faster using Reciproc than with all other instrument (P < .05). Under the condition of this study, all systems caused apical debris extrusion. Full-sequence rotary instrumentation was associated with less debris extrusion compared with the use of reciprocating single-file systems. Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.
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              Root canal anatomy preservation of WaveOne reciprocating files with or without glide path.

              This study evaluated the influence of glide path on canal curvature and axis modification after instrumentation with WaveOne Primary reciprocating files. Thirty ISO 15, 0.02 taper Endo Training Blocks were used. In group 1, glide path was created with PathFile 1, 2, and 3 at working length, whereas in group 2, glide path was not performed. In both groups, canals were shaped with WaveOne Primary reciprocating files at working length. Preinstrumentation and postinstrumentation digital images were superimposed and processed with Matlab r2010b software to analyze the curvature radius ratio (CRr) and the relative axis error (rAe), representing canal curvature modification. Data were analyzed with 1-way balanced analyses of variance at 2 levels (P < .05). Glide path was found to be extremely significant for both CRr parameter (F = 9.59; df = 1; P = .004) and rAe parameter (F = 13.55; df = 1; P = .001). Canal modifications seem to be significantly reduced when previous glide path is performed by using the new WaveOne nickel-titanium single-file system. Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.
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                Author and article information

                Journal
                Open Dent J
                Open Dent J
                TODENTJ
                The Open Dentistry Journal
                Bentham Open
                1874-2106
                07 October 2016
                2016
                : 10
                : 546-552
                Affiliations
                [1 ]Department of Clinical and Experimental Medicine, University of Foggia, Foggia, Italy
                [2 ]Department of Endodontics, University of Turin Dental School, Turin, Italy
                Author notes
                [* ] Address correspondence to this author at the Department of Clinical and Experimental Medicine, University of Foggia Via Rovelli, 50, 71122 Foggia, Italy; Tel: +0039 0881 588090; Fax: +0039 0881 588081; E-mail: giutroiano@ 123456gmail.com
                Article
                TODENTJ-10-546
                10.2174/1874210601610010546
                5074003
                27843508
                e00e7c65-37b6-43b3-a5ce-b39701789bed
                © Troiano et al.; Licensee Bentham Open

                This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.

                History
                : 24 February 2016
                : 20 July 2016
                : 02 September 2016
                Categories
                Article

                Dentistry
                centering ability,endodontic,protaper,reciprocating,shaping ability,waveone
                Dentistry
                centering ability, endodontic, protaper, reciprocating, shaping ability, waveone

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