Comparative Retreatment Efficacy of Two Multi-File Systems with Different Access Cavity Designs: A Micro-Computed Tomography Study
2024

Comparative Efficacy of Two Multi-File Systems in Root Canal Retreatment

Sample size: 80 publication Evidence: moderate

Author Information

Author(s): Odabaşı Tezer Emine, Kırmızı Dilan, Abduljalil Mohamad, Basmacı Fatma, Buyuksungur Arda, Dartar Öztan Meltem

Primary Institution: Department of Endodontics, Faculty of Dentistry, Ankara University

Hypothesis

Root canal filling material removal will be more efficient when utilizing a traditional access cavity design compared to a conservative access cavity design.

Conclusion

Neither retreatment procedure succeeded in completely removing filling materials, and the impact of access cavity design and ProTaper system on the remaining root canal obturation materials was insignificant.

Supporting Evidence

  • Micro-CT scanning was used to evaluate the amount of residual root filling material.
  • The study found no significant difference in the effectiveness of the ProTaper systems used.
  • Both access cavity designs resulted in similar percentages of remaining filling materials.
  • Statistical analysis showed no significant effects of access cavity design or ProTaper system on retreatment efficacy.

Takeaway

The study looked at two ways to access root canals and how well they removed filling materials. It found that neither method worked perfectly, and the type of access didn't make a big difference.

Methodology

Eighty mandibular premolars were prepared and divided into groups based on access cavity design and retreatment system, followed by micro-CT scans to evaluate remaining filling materials.

Potential Biases

The operator was blinded to the study's objectives to reduce bias.

Limitations

Standardizing conservative access cavity preparation is challenging due to variations in tooth anatomy and operator skill.

Participant Demographics

Eighty extracted mandibular premolars from human subjects.

Statistical Information

P-Value

p=0.500 (access cavity design), p=0.138 (ProTaper system), p=0.513 (interaction)

Statistical Significance

p>0.05

Digital Object Identifier (DOI)

10.3390/medicina60121980

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