Fracture resistance after root canal filling removal using ProTaper Next, ProTaper Universal Retreatment or hybrid instrumentation: an ex vivo study

ObjectivesThis study evaluated the effect of ProTaper Next (PTN), ProTaper Universal Retreatment (PTR) and hybrid instrumentation (HI) for canal filling removal on the fracture resistance (FR), mode of failure (MoF), and filling removal time.Materials and MethodsNinety-six, mandibular premolars were...

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Main Authors: Hadeel Hassan Hanafy, Marwa Mahmoud Bedier, Suzan Abdul Wanees Amin
Format: Article
Language:English
Published: Korean Academy of Conservative Dentistry 2024-11-01
Series:Restorative Dentistry & Endodontics
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Online Access:http://www.rde.ac/upload/pdf/rde-49-e38.pdf
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author Hadeel Hassan Hanafy
Marwa Mahmoud Bedier
Suzan Abdul Wanees Amin
author_facet Hadeel Hassan Hanafy
Marwa Mahmoud Bedier
Suzan Abdul Wanees Amin
author_sort Hadeel Hassan Hanafy
collection DOAJ
description ObjectivesThis study evaluated the effect of ProTaper Next (PTN), ProTaper Universal Retreatment (PTR) and hybrid instrumentation (HI) for canal filling removal on the fracture resistance (FR), mode of failure (MoF), and filling removal time.Materials and MethodsNinety-six, mandibular premolars were decoronated and randomly divided into 6 groups (n = 16), as follows: sound (S), untreated canals; prepared teeth (P), canals only prepared to ProTaper Universal finishing instrument (F4); endodontically-treated (ET), prepared and obturated canals using the single-cone technique; and groups PTN, PTR, and HI where filling was removed using PTN, PTR, or HI respectively. FR under vertical loading; MoF and time were assessed. Data were analyzed (Significance level [α] = 0.05).ResultsThere was a significant difference in FR among all groups (p < 0.001) (HI < P < PTN < S < ET < PTR). HI showed lower FR than S, ET and PTR, and P showed lower FR than PTR (p < 0.05). For experimental groups, there was a significant difference between every group pair (p < 0.05) No significant difference was found regarding MoF distribution (p > 0.05). HI required the highest filling removal time, while PTR required the least (p < 0.05 between every group pair).ConclusionsThe effect of filling removal on FR may depend on the filling removal technique/system used. PTR could be faster and protect against fracture followed by PTN; HI could adversely affect FR. FR may be associated with filling removal time.
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spelling doaj-art-934bd3f4a61549e58f732a770d17101f2025-08-20T03:15:23ZengKorean Academy of Conservative DentistryRestorative Dentistry & Endodontics2234-76582234-76662024-11-01494e3810.5395/rde.2024.49.e381155Fracture resistance after root canal filling removal using ProTaper Next, ProTaper Universal Retreatment or hybrid instrumentation: an ex vivo studyHadeel Hassan HanafyMarwa Mahmoud BedierSuzan Abdul Wanees AminObjectivesThis study evaluated the effect of ProTaper Next (PTN), ProTaper Universal Retreatment (PTR) and hybrid instrumentation (HI) for canal filling removal on the fracture resistance (FR), mode of failure (MoF), and filling removal time.Materials and MethodsNinety-six, mandibular premolars were decoronated and randomly divided into 6 groups (n = 16), as follows: sound (S), untreated canals; prepared teeth (P), canals only prepared to ProTaper Universal finishing instrument (F4); endodontically-treated (ET), prepared and obturated canals using the single-cone technique; and groups PTN, PTR, and HI where filling was removed using PTN, PTR, or HI respectively. FR under vertical loading; MoF and time were assessed. Data were analyzed (Significance level [α] = 0.05).ResultsThere was a significant difference in FR among all groups (p < 0.001) (HI < P < PTN < S < ET < PTR). HI showed lower FR than S, ET and PTR, and P showed lower FR than PTR (p < 0.05). For experimental groups, there was a significant difference between every group pair (p < 0.05) No significant difference was found regarding MoF distribution (p > 0.05). HI required the highest filling removal time, while PTR required the least (p < 0.05 between every group pair).ConclusionsThe effect of filling removal on FR may depend on the filling removal technique/system used. PTR could be faster and protect against fracture followed by PTN; HI could adversely affect FR. FR may be associated with filling removal time.http://www.rde.ac/upload/pdf/rde-49-e38.pdffractureinstrumentationmanualretreatmentroot canal preparation
spellingShingle Hadeel Hassan Hanafy
Marwa Mahmoud Bedier
Suzan Abdul Wanees Amin
Fracture resistance after root canal filling removal using ProTaper Next, ProTaper Universal Retreatment or hybrid instrumentation: an ex vivo study
Restorative Dentistry & Endodontics
fracture
instrumentation
manual
retreatment
root canal preparation
title Fracture resistance after root canal filling removal using ProTaper Next, ProTaper Universal Retreatment or hybrid instrumentation: an ex vivo study
title_full Fracture resistance after root canal filling removal using ProTaper Next, ProTaper Universal Retreatment or hybrid instrumentation: an ex vivo study
title_fullStr Fracture resistance after root canal filling removal using ProTaper Next, ProTaper Universal Retreatment or hybrid instrumentation: an ex vivo study
title_full_unstemmed Fracture resistance after root canal filling removal using ProTaper Next, ProTaper Universal Retreatment or hybrid instrumentation: an ex vivo study
title_short Fracture resistance after root canal filling removal using ProTaper Next, ProTaper Universal Retreatment or hybrid instrumentation: an ex vivo study
title_sort fracture resistance after root canal filling removal using protaper next protaper universal retreatment or hybrid instrumentation an ex vivo study
topic fracture
instrumentation
manual
retreatment
root canal preparation
url http://www.rde.ac/upload/pdf/rde-49-e38.pdf
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AT marwamahmoudbedier fractureresistanceafterrootcanalfillingremovalusingprotapernextprotaperuniversalretreatmentorhybridinstrumentationanexvivostudy
AT suzanabdulwaneesamin fractureresistanceafterrootcanalfillingremovalusingprotapernextprotaperuniversalretreatmentorhybridinstrumentationanexvivostudy