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Micro–Computed Tomography Assessment of Dentinal Micro-cracks after Root Canal Preparation with TRUShape and Self-Adjusting File Systems

M.L. Zuolo, G. De-Deus, F.G. Belladonna, E.J.N.L. da Silva, R.T. Lopes, E.M. Souza, M.A. Versiani, A.A. Zaia

Journal of Endodontics 2017 Apr;43(4):619-622.


INTRODUCTION: The aim of the present study was to evaluate the percentage frequency of dentinal micro-cracks observed after root canal preparation with TRUShape and Self-Adjusting File (SAF) systems by means of micro–computed tomography imaging analysis. A conventional full-sequence rotary system (BioRace) and a single-file reciprocation system (Reciproc) were used as reference techniques for comparison because of their known assertive cutting efficiency.

METHODS: Forty anatomically matched mandibular incisors were selected, scanned at a resolution of 14.25 μm, and assigned to 4 experimental groups (n = 10), according to the preparation protocol: TRUShape, SAF, BioRace, and Reciproc systems. After the experimental procedures, the specimens were scanned again, and the registered preoperative and postoperative cross-section images of the roots (n = 70,030) were screened to identify the presence of dentinal micro-cracks.

RESULTS: Overall, dentinal defects were observed in 28,790 cross-section images (41.11%). In the TRUShape, SAF, BioRace, and Reciproc groups, dentinal micro-cracks were visualized in 56.47% (n = 9842), 42.38% (n = 7450), 32.90% (n = 5826), and 32.77% (n = 5672) of the slices, respectively. All dentinal defects observed in the postoperative data sets were already present in the corresponding preoperative images.

CONCLUSIONS: None of the preparation systems induced the formation of new dentinal micro-cracks.

Zuolo JOE 2017 microcracks


The full article is available on Researchgate

zuolo microcracks


View abstract on PubMed. PMID: 28216274
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