• Restorative Dentistry and Endodontics
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• v.45 no.2
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• pp.21.1-21.12
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• 2020

The aim of this article was to review age-dependent clinical recommendations for appropriate root canal instrumentation techniques. A comprehensive narrative review of canal morphology, the structural characteristics of dentin, and endodontic outcomes at different ages was undertaken instead of a systematic review. An electronic literature search was carried out, including the Medline (Ovid), PubMed, and Web of Science databases. The searches used controlled vocabulary and free-text terms, as follows: 'age-related root canal treatment,' 'age-related instrumentation,' 'age-related chemo-mechanical preparation,' 'age-related endodontic clinical recommendations,' 'root canal instrumentation at different ages,' 'geriatric root canal treatment,' and 'pediatric root canal treatment.' Due to the lack of literature with practical age-based clinical recommendations for an appropriate root canal instrumentation technique, a narrative review was conducted to suggest a clinical algorithm for choosing the most appropriate instrumentation technique during root canal treatment. Based on the evidence found through the narrative review, an age-related clinical algorithm for choosing appropriate instrumentation during root canal treatment was proposed. Age affects the morphology of the root canal system and the structural characteristics of dentin. The clinician's awareness of root canal morphology and dentin characteristics can influence the choice of instruments for root canal treatment.

• Proceedings of the KACD Conference
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• 2001.05a
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• pp.259-259
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• 2001

;A new root canal instrument and instrumentation technique: a preliminary report. Cleaning and shaping the root canal system has been and continues to be a challenge for even the most experienced endodontist. Curved. narrow canals. in particular. cause difficulties for the beginner as well as the specialist. A new instrument designed to incorporate new concepts was developed to ameliorate the problems in cleaning and shaping root canal systems. This new instrument has been given the name of SW (Senia and Wildey). The new SW instrument uses controlled right and left rotational forces. This motion was used to clean and shape simulated root canals in plastic blocks and root canals in extracted teeth. Instrumentation appeared to be easier. faster. and more precise than with conventional instruments. especially in curved canals where there was remarkable reduction of canal transportation. A mechanical version of the SW instrument was also developed. It was used to flare the coronal portion of the root canal system. Wildey WL. Senia ES., Oral Surg Oral Med Oral Pathol1989 Feb:67(2):198-207 Another look at root canal instrumentation. Several aspects of root canal instrumentation need additional research. Various factors must be considered in an analysis of instrumentation of the root canal system: the dentin that is cut: the technique used to cut it: the design of the instruments: the material and manufacturing process used to make the instruments: the irrigant used during the procedure: and the anatomic configuration of the root canal system. An analysis of these factors clearly indicates that existing root canal instruments and techniques are less than ideal and. in fact. do not accomplish what is expected of them. Root canals must be properly. but. at the same time. destructive and unnecessary removal of dentin should be kept to a minimum. The Flex-R and Canal Master instruments were developed to address some of the shortcomings of existing instruments and techniques. More scientifically based research is needed to fully evaluate these new instruments and techniques and to develop future instruments. Wildey WL; Senia ES. Montgomery S., Oral Surg Oral Med Oral Pathol1992 Oct:74(4):499-50799-507

• The Journal of the Korean dental association
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• v.45 no.6 s.457
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• pp.362-369
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• 2007

The aim of this study was to investigate the effect of the hybrid instrumentation method with ProTaper and ProFile on the change of root canal area and distance from the canal to the root surface after canal shaping. The mesial canals of twenty extracted mandibular first molars having $10-20^{\circ}\Delta$ curvature were scanned using X-ray microcomputed tomography (XMCT)-scanner before root canals were instrumented. They were divided into four groups (n=10 canals ter group). In Group 1, root canals were instrumented by the step-back technique with stainless steel K-Flexofile after coronal flaring. The remainders were instrumented by the crown-down technique with, ProTaper system (Group 2), ProFile (Group 3) or ProTaper (Group 4). All canals were prepared up to size 25 at the end-point of preparation and scanned again. Pre- and post-operative cross-sectional images of 1, 3, 5, and 7 mm from the apical foramen were compared. For each level, change of cross-sectional canal are and distance to the nearest external root surface was calculated using Adobe Photoshop 6.0 and image software program. In the change of cross-sectional area, Group 4 was less than Group 2 at 3 mm and 5 mm level (p<0.05). In the difference of the distance from the canal to the root surface after canal shaping, Group 4 was least among the other groups at 7 mm level (p<0.05). According to the results, the methods using ProFile or K file only and the hybrid instrumentation technique using ProTaper and ProFile are more appropriate methods of canal preparation than ProTaper system for narrow of curved canals.

• Restorative Dentistry and Endodontics
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• v.13 no.2
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• pp.253-263
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• 1988

In order to study the cleansing effect of air-driven sonic system, the author prepared root canals on 48 extracted human permanent single rooted teeth using hand instrumentation and aforementioned method, half and half of the cases. In order for comparison of the degree of remnant debris and cleanliness, the cross sections at 3mm and 7mm levels from the apex were stereomicroscopically observed and scored in accordance with predetermined degree. The obtained results were as follows: 1. Air-driven sonic system was more effective in cleansing root canal than hand instrumentation at apical 3mm level. (p < 0.01) 2. Air-driven sonic system was more effective in cleansing root canal than hand instrumentation at apical 7mm level. (p < 0.01) 3. In hand instrumentation, Helisonic file was more effective in cleansing root canal than Rispisonic file. (p < 0.05) In air-driven sonic system, on the other hand, there were no significant difference between the two files.

• The Journal of the Korean dental association
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• v.55 no.1
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• pp.42-52
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• 2017

The purpose of this study is to evaluate the preferred method of root canal length determination and the apical limit for canal instrumentation among endodontic teachers of dental school. A questionnaire on the preferred method of root canal length determination and the apical limit for canal instrumentation was designed and distributed to endodontic teachers of various dental schools. The response rate was 90%. The most preferred method of root canal length determination was Electronic apex locator (EAL)(89%). The most favoured apical limit for canal instrumentation was 0.5 to 1.0 mm short of the radiographic apex(78%). The most preferred method of using EAL was that the working length is taken at 'APEX' mark and then distracted 0.5mm from that length.(41%). When there is no agreement between radiographic measurement and EAL measurement, 74% of respondents chose the length of EAL measurement. The majority of endodontic teachers from Korean dental schools preferred EAL to radiograph method in determining root canal length.

• Restorative Dentistry and Endodontics
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• v.41 no.1
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• pp.1-5
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• 2016

Objectives: The purpose of this study was to assess the ability of ProTaper Gold (PTG, Dentsply Maillefer) in maintaining the original profile of root canal anatomy. For that, ProTaper Universal (PTU, Dentsply Maillefer) was used as reference techniques for comparison. Materials and Methods: Twenty simulated curved canals manufactured in clear resin blocks were randomly assigned to 2 groups (n = 10) according to the system used for canal instrumentation: PTU and PTG groups, upto F2 files (25/0.08). Color stereomicroscopic images from each block were taken exactly at the same position before and after instrumentation. All image processing and data analysis were performed with an open source program (FIJI). Evaluation of canal transportation was obtained for two independent canal regions: straight and curved levels. Student's t test was used with a cut-off for significance set at ${\alpha}=5%$. Results: Instrumentation systems significantly influenced canal transportation (p < 0.0001). A significant interaction between instrumentation system and root canal level (p < 0.0001) was found. PTU and PTG systems produced similar canal transportation at the straight part, while PTG system resulted in lower canal transportation than PTU system at the curved part. Canal transportation was higher at the curved canal portion (p < 0.0001). Conclusions: PTG system produced overall less canal transportation in the curved portion when compared to PTU system.

• Restorative Dentistry and Endodontics
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• v.22 no.2
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• pp.659-669
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• 1997

The goals of root canal instrumentation are complete debridement of pulp tissue, removal of microbes and affected dentin, and proper cleaning and shaping of the root canal space before obturation. Instrumentation with stainless steel files has been shown to produce undesirable results in canals, regardless of the improved technique or modified file type used. Nickel-Titanium(Ni-Ti) alloy has been shown to be exceptionally elastic, having a lower bending moment and lower permanent set after torsion, compared with similar gauge stainless steel. The purpose of this study was to evaluate the change of root canal prepared by Ni-Ti rotary and stainless steel instruments. Thirty-four single rooted teeth of similar shape and canal size were divided into three groups. The teeth were scanned by computed tomography before instrumentation. In group 1, canals were instrumented using a step-back technique with K-file. In group 2, canals were prepared with K-flex file using the same technique as group 1. Group 3 was prepared with nickel-titanium(Ni-Ti) rotary instrument using a manufacture's instruction. Instrumented teeth were again scanned using computed tomography, and reformated images of the uninstrumented canals were compared with images of the instrumented canals. K-flex file and Ni-Ti file caused significantly less canal transportation than K-file in the 8mm root canal section from the apex(p<0.05). K-flex file and Ni-Ti file produced more centered canal preparation than K-file in the 2mm section(p<0.05). Ni-Ti file maintained more precisely the center of the canal than K-flex file in the 10mm section (p<0.05). There was no difference in the removed volume of canals among each groups.

• Restorative Dentistry and Endodontics
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• v.17 no.2
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• pp.399-412
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• 1992

The purpose of this study was to evaluate the root canal transportation and remaining dentin / cementum thickness after using hand and ultrasonic instrumentation in the curved mesial root canals of extracted human mandibular molars. Fourty - six clear polyether blocks were made and randomly divided into two groups: hand instrumentation group with K - Flex files and ultrasonic instrumentation group with Suprasson SP unit. All root canals were instrumented to a size corresponding to a # 30 K - Flex file 1mm short from the radiographic apex. The roots were then sectioned perpendicular to the long axis so the apical and middle third could be evaluated with the Zoom stereomicroscope. The results were as follows : 1. In the total amount of removed dentin at middle third level, there was not significant difference between the hand instrumentation and ultrasonic instrumentation (P>0.05). 2. In the total amount of removed dentin at apical third level, there was more removed by the ultrasonic instrumentation than hand instrumentation(P<0.005). 3. In the transportation width, there was not significant difference between the two groups at both sectioned levels(P>0.05). 4. It was suggested that the canal was transported distally at middle third level and mesially at apical third level by booth techniques.

• Restorative Dentistry and Endodontics
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• v.7 no.1
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• pp.17-24
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• 1981

The purpose of this study is to compare the shape of the apical regions of root canals after instrumentation by various enlarging instruments. 120 extracted, single-rooted human teeth were seperated into 4 experimental groups. Each group provided 30 teeth for experimental use. Group 1 root canals instrumented by the hand-operated Reamer. Group 2 root canals instrumented by the hand-operated H-file. Group 3 root canals instrumented by the hand-operated K-file. Group 4 root canals instrumented by the automated Giromatic file. The results were as follows: 1. The degree of the roundness of the apical regions of root canal walls: 1) Hand-operated instruments were superior to the automated Giromatic file. 2) The Reamer was the most effective instrument among hand-operated instruments 3) There was little difference between the H-file and the K-file. 2. The degree of the smoothness of the apical regions of root canal walls: 1) Root canal walls instrumented by the hand-operated Reamer, H-file and, K-file were generally smooth, and there was little difference among them. 2) Root canal walls instrumented by the automated Giromatic file showed many irregular canal walls. 3. The existance of organic debris in the apical regions of root canals: All organic debris is not removed from root canals, and there was little difference between hand-operated instruments and the automated Giromatic instrument in removing organic debris.

• Restorative Dentistry and Endodontics
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• v.17 no.2
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• pp.413-420
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• 1992

The purpose of this study was to compare the effectiveness of hand instrumentation with K - file and ultrasonic instrumentation and irrigation system in removing pulpal debris and canal wall planing. 20 mandibular molar teeth were instrumented to size 30 K - file and 20 teeth were instrumented with ultrasonic Suprasson. And Normal Saline and 2.5% NaOCl were used as irrigation solution. All specimens were viewed at the coronal, middle, and apical third of the root canals for the evaluation of the cleaning effect under the multiview microscope. The result were as follows : 1. All of the technique and irrigation solution was effecient in the debris removal and canal wall planing at the cervical and middle thirds of the root canal. 2. All of the techniques and irrigation solutions was less efficient in the debris removal and canal planing at the apical third of the root canal. 3. The debris removal and canal wall planing was depended more on the anatomical variations of the root canal than on the techniques and irrigation solutions.