Evaluation of Apical Transportation and Curve Straightening of Curved Root Canals after Preparation with Different Nickel - Titanium Rotary Systems (Comparative in Vitro Study)

Abstract

The goals of endodontic preparation were to shape and clean the space of the root canal and remove microorganisms, affected dentin and pulp, the apical foramen and the canal curve should be protected from being transported during endodontic canal preparation. The aim of this study was to evaluate the curve straightening of curved root canals and apical transportation after preparation with four rotary systems. Forty mesial roots of the lower 1st molars teeth only the mesiobuccal canals were used, these roots were immersed into cold clear acrylic , the teeth roots divided into four groups according to rotary system used for preparation of the canals (ten roots for each group):. group I: ProTaper Next rotary system, group II: IRaCe Plus rotary system, group III: HeroShaper rotary system, group IV: ProTaper rotary system, instrumentation were done to size 30 master apical file and with copious irrigation, total amount of 10 ml of 2.5% of sodium hypochlorite (NaOCl) then rinsed the canals with distilled water 5 ml. radiograph was taken for all roots before and after instrumentation in one direction buccolingual using digital radiograph system. The degree of curve straightening of the root canal and the apical transportation were measured using Image J software and Adobe photoshop CS6 software. Statistical analysis was done and the result showed that group IV had the highest mean values in curve straightening and apical transportation, there were significant difference between group IV and all of the other groups and there were non- significant difference between group I , group II and group . All the four used rotary systems produced adequate geometry during canal preparations. However, some apical transportation in ProTaper group was seen, which might need a caution when used protaper in instrumentation of curved canal.