Cone-beam computed tomography analysis of canal transportation and centering ratio of fifth-generation nickel-titanium rotary file systems in curved root canals

Abstract

Aim: The aim of this study is to compare canal transportation and centering ratio using of Protaper Next (PTN) (Dentsply Maillefer, Ballaigues, Switzerland) and Revo-S (RS) (MicroMega, Besancon Cedex, France) compared to Protaper Universal (PTU) (Dentsply Maillefer, Ballaigues, Switzerland) nickel-titanium rotary file systems in curved root canals using cone-beam computed tomography. Materials and Methods: Ninety maxillary mesiobuccal first molar uncalcified canals with mature apex, curvature of 20°–45° (the Estrela method) and minimum 20-mm length were selected. The samples were randomly divided into three groups of 30 teeth each, respectively, Group I PTU, Group II PTN, and Group III RS Rotary systems and Instrumented according to the manufacturers' instructions. Pre- and post-instrumentation cone-beam tomographic scan was performed in same position to calculate canal transportation and centering ability at 2 mm, 5 mm, and 8 mm from the root apex. Statistical analysis was performed with ANOVA and Post-hoc Tukey test. Results: PTU had maximum mean canal transportation and minimum mean centering ratio at all levels, whereas PTN showed minimum mean canal transportation and maximum mean centering ratio. The results were statistically significant. Conclusions: In terms of canal transportation and centering ratio in the middle and coronal third of the root, PTN and RS performed better than PTU. However, in apical third, PTN performed best among all other groups.