Ex vivo study on root canal instrumentation of two rotary nickel–titanium systems in comparison to stainless steel hand instruments

Abstract

Aim To investigate instrumentation time, working safety and the shaping ability of two rotary nickel–titanium (NiTi) systems (Alpha System and ProTaper Universal) in comparison to stainless steel hand instruments. Methodology A total of 45 mesial root canals of extracted human mandibular molars were selected. On the basis of the degree of curvature the matched teeth were allocated randomly into three groups of 15 teeth each. In group 1 root canals were prepared to size 30 using a standardized manual preparation technique; in group 2 and 3 rotary NiTi instruments were used following the manufacturers’ instructions. Instrumentation time and procedural errors were recorded. With the aid of pre‐ and postoperative radiographs, apical straightening of the canal curvature was determined. Photographs of the coronal, middle and apical cross‐sections of the pre‐ and postoperative canals were taken, and superimposed using a standard software. Based on these composite images the portion of uninstrumented canal walls was evaluated. Results Active instrumentation time of the Alpha System was significantly reduced compared with ProTaper Universal and hand instrumentation (P < 0.05; anova). No instrument fractures occurred in any of the groups. The Alpha System revealed significantly less apical straightening compared with the other instruments (P < 0.05; Mann–Whitney U test). In the apical cross‐sections Alpha System resulted in significantly less uninstrumented canal walls compared with stainless steel files (P < 0.05; chi‐squared test). Conclusion Despite the demonstrated differences between the systems, an apical straightening effect could not be prevented; areas of uninstrumented root canal wall were left in all regions using the various systems.