• The Journal of the Korean dental association
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• v.58 no.5
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• pp.276-283
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• 2020

Objectives: The aim of this study was to evaluate the efficacy of CK files as an ultrasonic instrument, and to determine most efficient file size for smear layer removal. Materials and Methods: Thirty-six extracted human mandibular premolars with single, straight root canals and mature apices were mechanically prepared and randomly divided into three groups. Group 1 (Control) underwent conventional needle irrigation, Group 2 (CKS) underwent passive ultrasonic irrigation with a #20 CK file, and Group 3 (CKL) underwent passive ultrasonic irrigation with a #30 CK file. After preparation and irrigation, all teeth were dried and split with a chisel to obtain the mesial and distal half of their roots. Each sample was evaluated using a scanning electron microscope, and data were analyzed using the Kruskal-Wallis and Mann-Whitney rank sum tests (p<0.05). Results: The CKS group showed less debris in the apical third than the other groups (p<0.05). In this section, no significant difference was observed among the other groups. And, there was no significant difference among any groups for the middle third section. Conclusion: This study showed that PUI with #20 CK file removed more smear layer compared to using #30 CK file at the apical third of the root canal.

• 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.

• Restorative Dentistry and Endodontics
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• v.19 no.1
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• pp.97-105
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• 1994

The purpose of this study was to evaluate the smear layer removing efficiency of two root canal preparation techniques. Twelve single-rooted teeth were used in two groups of six each. Group 1 was biomechanically prepared by hand using a K-file with a high volume of normal saline irrigation. Group 2 was. prepared by using ultrasonically activated K-file with a constant high volume of normal saline irrigation. After the experimental procedures, each root was split saggitally. The removing efficiency of the preparation methods were assessed in terms of surface condition of the canal walls at three levels, those coronal, middle, and apical thirds. On the basis of remaining debris, presence of smear layer, and patency of dentinal tubules, each canal was evaluated according to a scale form 0 to 2. A statistical analysis was used to indicated any significant differences in surface condition between the two methods. There was no statistical significance between hand instrumentation and ultrasonic instrumentation at the cervical third but removing efficiency of ultrasonic instrumentation was superior. No statistically significant differences were obhserved for middle or apical third.

• Restorative Dentistry and Endodontics
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• v.30 no.1
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• pp.31-37
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• 2005

The aim of this study was to evaluate the effectiveness of sealer placement in simulated root canal extensions. Forty resin blocks were attained from the Endo-training Bloc. In each block. The simulated root canal was made with $\#20$, 80taper GT file. After each block was longitudinally split into two halves, a standardized groove was prepared on one canal wall of two halves to simulate the canal extensions with various irregularities. The two halves of each block were assembled and all simulated root canals were obturated by single cone method with AH26 sealer. Four different methods of sealer placement were used: group A, $\#20$ K-file; group B, ultrasonic file; group C, lentulo spiral; group D, EZ-Fill bi-directional spiral. All obturated blocks were stored in $100\%$ humidity at $37^{\circ}C$ for 1 week, Using a low speed saw, each block was sectioned horizontally. Images of the sections were taken using a stereomicroscope at $\times$ 30 magnification and a digital camera. The amount of the sealer in the groove was evaluated using a scoring system, a higher score indicated better sealing effectiveness. The data was statistically analysed by Fisher's Exact Test. The sealing score was the lowest, specially at the middle area of canal extensions in group A, and that was statistically significant difference from other groups. In conclusion, the ultrasonic file, lentulo spiral and EZ-Fill bi-directional spiral were effective methods of sealer placement in simulated canal extensions. The K file was the least effective method, specially at the middle area of canal extensions.

• The Journal of the Korean dental association
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• v.34 no.5 s.324
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• pp.363-372
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• 1996

• Restorative Dentistry and Endodontics
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• v.13 no.1
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• pp.91-101
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• 1988

The purpose of this study was to evaluate Ultrasonic devices in root canal enlargement, about the effects on the canal shape and on the cutting ability beyond the curvature in curved canals. 180 resin blocks with $40^{\circ}$ curvature in apical third and 16mm long canal were made of epoxy resin and smooth broaches. These blocks were devided into six groups. According to the devices (ENAC$^{(R)}$, HARMOSONIC$^{(R)}$, Sonic Air MM 3000$^{(R)}$) and files (Zipperer file, H-file, Flexofile, K-file, Sharper file), five groups were instrumented one minute with # 15 files, then the enlarged size was measured. And # 20 files were used again in the same groups, then the enlarged size was measured. In control group, the time which was taken to enlarge the canal from # 15 to # 20 by hand technique was measured. The data was analyzed statistically. Then the enlarged shapes were evaluated in six groups with the stereomicroscope and recorded in ideal and non-ideal canal shape to compare the effects of ultrasonic devices on the canal shape. Only the ideal shaped canals were used in the study whether the cutting ability beyond the curvature in curved canals was, or not. The files with whole flutes, no flutes, and flutes in apical 5mm only were used. The weight differences of pre-and post-instrumentation by Sonic Air MM 3000$^{(R)}$ for two minutes were compared. The results were as follow: 1. Intracanal instrumentation for 1 minute with ultrasonic devices using # 15 and # 20 file in curved root canal of the epoxy resin block can not reach to the next file size. 2. Sonic Air MM 3000$^{(R)}$ shows higher cutting ability than the other two devices (p=0.001), however the percentage of non-ideal canal shape was the highest. 3. Two ultrasonic devices except Sonic Air MM 3000 considered normal in ideal canal shaping ability. 4. little cutting ability was shown beyond the curvature of curved canals.

• Restorative Dentistry and Endodontics
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• v.31 no.3
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• pp.161-168
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• 2006

During root canal preparation procedures, the potential for instrument separation is always present. Files, a lentulo, a Gates-Glidden (GG) bur or any manufactured obstruction can be left behind in the canal Nickel-titanium (NiTi) rotary files are in common usage in these days. Despite their undeniable advantages, there is a potential risk of separation within the canals. It is very rapid, unpredictable, and creates a great deal of stress for the practitioner. When an endodontic instrument separates, the best option is to remove it. Ultrasonic instruments and microscopes have improved the success rate for removing separated instruments. But It is difficult and not always possible. Therefore prevention is the key. In this case report, several management methods of separated file in the canal are presented.

• Restorative Dentistry and Endodontics
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• v.45 no.2
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• pp.14.1-14.7
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• 2020

Objective: The aim of this study was to perform a comparative evaluation of the effectiveness of ultrasonic tips versus the Terauchi file retrieval kit (TFRK) for the removal of broken endodontic instruments. Materials and Methods: A total of 80 extracted human first mandibular molars with moderate root canal curvature were selected. Following access cavity preparation canal patency was established with a size 10/15 K-file in the mesiobuccal canals of all teeth. The teeth were divided into 2 groups of 40 teeth each: the P group (ProUltra tips) and the T group (TFRK). Each group was further subdivided into 2 smaller groups of 20 teeth each according to whether ProTaper F1 rotary instruments were fractured in either the coronal third (C constituting the PC and TC groups) or the middle third (M constituting the PM and TM groups). Instrument retrieval was performed using either ProUltra tips or the TFRK. Results: The overall success rate at removing the separated instrument was 90% in group P and 95% in group T (p > 0.05) The mean time for instrument removal was higher with the ultrasonic tips than with the TFRK (p > 0.05). Conclusion: Both systems are acceptable clinical tools for instrument retrieval but the loop device in the TFRK requires slightly more dexterity than is needed for the ProUltra tips.

• Restorative Dentistry and Endodontics
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• v.16 no.2
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• pp.143-154
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• 1991

The purpose of this study was to evaluate the sealing ability of five obturation methods in conjunction with sealer. Fifty extracted upper and lower anterior teeth were selected and the access cavities were prepared lingually with a round bur. The working length was determined with a #15K file, and the root canals were instrumented with a #40K file 1mm short of the apical foramen. The apical third of root canal was flared by step-back technique and the coronal two thirds of root canal using #2 - 3 Gates Glidden drills. And then, the teeth were randomly assigned to five groups of 10 teeth each. A thin coat of Tubliseal was placed into the canal into the canal using the # 35 reamer and the canals were filled by lateral condensation, vertical condensation, ultrasonic activated lateral condensation, ULTRAFIL injecting, and McSpadden compaction methods. All teeth were stored in 100 % relative humidity at 31c for 48 hours. The roots were suspended in 2 % methylene blue solution for 48 hours, left to dry for 24 hours and then, half side of root was removed longitudinally using the fissure bur. A Boley gauge wes used to measure the distance, to the nearest 0.1mm, from the apical foramen to the most coronal level of dye penetration. The measurement of dye penetration was statistically compared by Duncan's multiple range test The results were as follows 1. Ultrasonic group showed the best sealing ability among the all experimental groups, but there were statistically no significant difference in the sealing ability between ultrasonic group and vertical condensation group. 2. There were no statistically significant difference in the sealing ability among the lateral, vertical, and ultrasonic groups. 3. McSpadden group showed the worst sealing ability among the all exprimental groups.

• Proceedings of the KACD Conference
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• 2003.11a
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• pp.579-579
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• 2003

I. Objectives The aim of this study was to evaluate and compare the effectiveness of sealer placement in simulated root canal extensions using the K file, ultrasonic file, lentulo spiral and EZ-Fill. II. Materials and Methods Forty resin blocks were attained from cutting Endo-training Bloc with diamond saw. In each parallelepiped block, the simulated root canal was made with ＃20, 08taper GT file. After each block was longitudinally split into two halves using mallet and chisel, a standardized groove of 4mm in length, located 2mmapart from the root apex, was prepared on one wall of two halves using the custom-made knife to simulate the canal extensions with various irregularities.(omitted)