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Quintessence Int 37 (2006), No. 5     5. Apr. 2006
Quintessence Int 37 (2006), No. 5  (05.04.2006)

Page 369-374, PubMed:16683684


Root canal transportation with a Ni-Ti rotary file system and stainless steel hand files in simulated root canals
Loizides, Alexios/Eliopoulos, Dimitris/Kontakiotis, Evangelos
Objective: The purpose of this study was to compare the root canal transportation of the crown-down technique performed with the Ni-Ti rotary ProFile system (Dentsply/Maillefer), with the step-back technique using stainless steel K-Flexofiles (Dentsply/Maillefer).
Method and Materials: Thirty simulated root canals in resin blocks were equally divided into 2 groups. The first group was instrumented with the ProFile system in a crown-down technique and the second group with hand K-Flexofiles in a step-back technique. After instrumentation, resin blocks of both groups were scanned by a transparency scanner, and the derived images were superimposed with the scanned image of an uninstrumented block. Transportation was digitally calculated by a computer software, and results were statistically evaluated by Student t test.
Results: Statistically significant differences (P < .05) were found among the 2 groups at 1, 2, 4, 5, and 6 mm from the apical foramen. No statistically significant difference was detected at 3 mm from the apical foramen.
Conclusion: ProFile caused less transportation at 1 and 2 mm from the apex, whereas at 3 mm, both instrumentation techniques caused the same transportation. Standard deviation was less in the ProFile group than in the hand file group, indicating a more standardized preparation.

Keywords: crown-down technique, rotary files, shaping ability, simulated root canal, step-back technique, transportation