Micro-CT evaluation of rotary and reciprocating glide path and shaping systems outcomes in maxillary molar curved canals

Abstract

The shaping outcomes after instrumentation with rotary and reciprocating glide path and shaping systems were evaluated through micro-computed tomography (Micro-CT). Thirty extracted maxillary first molars were selected. Mesio-buccal canals were randomized into two groups (n = 15): rotary system ProGlider and ProTaper Next X1, X2 (PG-PTN) and reciprocating system WaveOne Gold Glider and WaveOne Gold Primary (WOGG-WOG). Specimens were micro-CT scanned before, after glide path and after shaping. Increase in canal volume and surface area, percentage of removed dentin from the inner curvature, centroid shift and canal geometry variation through ratio of diameter ratios (RDR) and ratio of cross-sectional areas (RA) were measured in the apical and coronal levels and at the point of maximum curvature. The number of pecking motions needed to reach the working length (WL) was recorded. One-way ANOVA and post hoc Turkey-Kramer tests were used (p < 0.05). Post-glide path analysis revealed that in the coronal third, RDR was more favorable to PG and centroid shift was lower for WOGG in the apical third. Post-shaping analysis showed a reduced removal of dentin and a more favorable RA for PTN at point of maximum curvature. The number of pecking motions up to WL resulted in different between groups both for glide path and shaping phases. Despite a higher dentin removal for reciprocating instruments at the point of maximum curvature, both systems seemed to produce well-centered glide path and shaping outcomes. Rotary and reciprocating systems seemed able to respect the original canal anatomy.

Keywords: Glide path; Micro-CT; Reciprocating system; Rotary system; Shaping outcomes.

Fig. 1

Image matching of pre-instrumentation, post-glide path and post-shaping sections according to the previously selected cutting planes. Note the difference between pre-treatment (green) post-glide path (red) and post-shaping (blue) specimens. a) ProGlider and ProTaper Next rotary shaping system group (PG-PTN) at the apical level of analysis (A). b) WaveOne Gold Glider and WaveOne Gold reciprocating shaping system group (WOGG-WOG) at A. c) PG-PTN at the maximum curvature level of analysis (M). d) WOGG-WOG at M. e) PG-PTN at the coronal level of analysis (C). f) WOGG-WOG at C