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Micro-computed tomographic evaluation of dentinal defects after root canal preparation with hyflex edm and vortex
Jyothi Mandava1, Rajiv-Kumar Yelisela2, Sampath-Kumar Arikatla2
1Professor & Head of the department, MDS in Conservative Dentistry and Endodontics). Gitam Dental College and Hospital; Visakapatnam.
Background:
To evaluate the incidence of dentinal microcracks formation after root canal shaping procedures with HyFlex EDM and Vortex Blue rotary systems comparing with that of hand instrumentation using micro-computed tomography.
Material And Methods:
Mandibular first molar teeth (n=60) having 50 to 200mesial root curvature were scanned using high resolution micro-CT imaging before root canal preparation to identify the presence of dentinal defects. Post-instrumentation cross-sectional images were taken and increased number and type of root defects were assessed and recorded. The data was statistically analysed by using chi-square test and McNemar's test at a significance level of 5%.
Results:
HyFlex EDM has shown greater increase in post instrumentation dentinal defects. Both rotary systems exhibited increased dentinal defects formation at coronal, middle regions which is statistically significant (P=0.042) when compared to apical region.
Conclusions:
HyFlex EDM has shown greater increase in post instrumentation dentinal defects followed by Vortex Blue rotary system and hand instrumentation resulted minimal defects. Key words:Craze lines, dentinal microcracks, micro-computed tomography, nickel-titanium files, root canal preparation.
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