Saudi Journal of Oral and Dental Research (SJODR)
Volume-3 | Issue-10 | 335-339
Original Research Article
Comparative Evaluation of Canal Transportation, Centering Ratio and Volumetric Changes Associated with Two Rotary Systems -ProTaper Next and HyFlex EDM- A CBCT Study
Ramesh Bharti, Pragya Pandey, Aseem P Tikku, Anil Chandra
Published : Oct. 30, 2018
Abstract
The endodontic preparation of curved and narrow root canals is challenging.
Aggressive preparation of the root canal with rotary file systems may result in canal
transportation and excess removal of dentine, a major reason for poor prognosis of root
canal treated tooth. The purpose of the present study was to compare the canal
transportation and centering ability of Rotary ProTaper Next (PTN) and HyFlex EDM
file systems using cone beam computed tomography (CBCT) in curved root canals.
Forty extracted human mandibular first molars were mounted on acrylic blocks.
Specimens were divided into two groups: Group PTN (ProTaper Next) and Group HF
(HyFlex EDM). Mesiobuccal canals were instrumented with ProTaper Next and HyFlex
EDM rotary files. Pre-instrumentation and Post-instrumentation scans were performed
using CBCT under similar conditions. Canal transportation, centering ratio and volume
of the dentine removed were evaluated at 3 cross-section levels; 3-mm, 6-mm and 9-
mm from the root apex. The data were statistically analyzed and the level of
significance was set at p ≤ 0.05.Canal transportation was seen minimal with HyFlex
EDM (0.021±0.009) at 3mm from the apex and maximum with ProTaper Next
(0.028±0.021) at 9mm from the apex. Mean centering ratio was lower for HyFlex EDM
to ProTaper Next at all levels. Both Pro Taper Next and HyFlex EDM systems shaped
the canals with adequate centering ability and minimal canal transportation. Hyflex
EDM better maintained canal centricity but the difference was not statistically
significant.