[Comparative study of two novel nickel-titanium instruments for root canal preparation in curved canals on shaping...

To evaluate the shaping ability and microcrack formation of ProTaper Next (PTN) and XP-endo Shaper (XPS) systems in the mesial curved root canals of mandibular molars by using micro-CT scans.

Sixteen mandibular molars with two independent mesial root canals and curvature ranging from 25° to 35° were randomly divided into two groups. The preparation time was recorded. Pre-and-postoperative images were scanned by micro-CT. The following parameters were evaluated: canal transportation, centering ratio, changes in canal volume, canal/root width ratio and microcrack formation. SPSS 22.0 software package was used to analyze the data.

Significant difference (P＜0.05) was found for canal transportation at the section of 1, 3, 5, 7 mm from the apical foramen and centering ratio at the section of 1, 3, 7 mm from the apical foramen, where XPS files were superior. There was no significant difference for centering ratio at the section of 5 mm from the apical foramen(P＞0.05). XPS groups significantly consumed less time during the preparation(P＜0.05). There was no significant difference between the two groups for the increase amount of volume, and canal/root width ratio(P＞0.05). Both instruments did not induce new microcrack after preparation.

PTN and XPS can both shape curved canals effectively and safely. XPS showed better centering ability and reduced preparation time during preparation.