Effectiveness of a reciprocating single file, single cone endodontic treatment approach: a randomized controlled pragmatic clinical trial

Figueiredo, Fabrício Eneas Diniz de; Lima, Lucimey; Oliveira, Ludmila Smith de Jesus; Ribeiro, Maria Amália Gonzaga; Corrêa, Marcos Britto; Brito-Júnior, Manoel; Faria-e-Silva, André Luís

doi:10.1007/s00784-019-03077-7

Cited by 21 publications

(42 citation statements)

References 41 publications

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“…This study clearly demonstrates that the first-line treatment option for AP or after failure of initial root canal treatment is NSRCT or NSReTx and these are superior to traditional surgical endodontic treatments due to their high survival rates. The findings regarding this type of approach in treatment of periapical lesion or endodontic failure are in accordance with other studies [ 42 , 43 ].…”

Section: Discussionsupporting

confidence: 91%

“…To the authors’ knowledge this report describes the first clinical trial assessing the outcome of NSRCT or NSReTx using single cone technique with AH Plus sealer after WOG reciprocating instrumentation on healing of AP by CBCT in different tooth types with two different clinical conditions: primary AP without endodontic treatment and post AP with inadequate apical filling. Although two previous retrospective observational studies evaluated the impact of a reciprocating single file and single cone system with AH Plus sealer on healing of AP using periapical radiograph in anterior teeth, the previously treated root canal was excluded from their studies [ 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

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Management of apical periodontitis using WaveOne gold reciprocating files, single-cone endodontic approach: A case series

Talabani

2021

Annals of Medicine &Amp; Surgery

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Introduction The endodontic treatment of apical periodontitis (AP) without surgical intervention presents a unique clinical challenge. This case series aimed to test the changes in size of periapical lesion scale and healing in post-treatment of AP by cone beam computed tomography (CBCT) using Waveobe Gold reciprocating file with single cone treatment approach. Presentation of cases A total of 20 patients with 20 teeth (9 M, six premolars, one canine, and four incisors) with AP underwent CBCT scanning before and after non-surgical root canal treatment (NSRCT) or non-surgical retreatment (NSReTx). Standardized root canal chemo-debridement and instrumentation with WaveOne Gold (WOG) reciprocating files was used. The canals were obturated using epoxy-based sealer (AH Plus) with a single WaveOne Gold conform fit gutta-percha cone technique. After one year, assessment with CBCT images showed that the success and healing rate using (AH Plus) with single cone technique was very high. Discussion Apical periodontitis is an inflammatory disease at the root end of teeth. Following NSRCT or NSReTx, evaluation of lesion size by radiograph has been essential to the evaluation of lesions post-operatively. In addition to the absence of symptoms, complete restitution of the lamina dura and periodontal ligament (PDL) space on post-operative radiograph has been considered the optimal outcome success. Conclusions Within the limitations of this study, NSRCT or NSReTx using reciprocating WaveOne Gold and single cone with AH plus sealer resulted in healing of AP as assessed by CBCT.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 99%

Management of apical periodontitis using WaveOne gold reciprocating files, single-cone endodontic approach: A case series

Talabani

2021

Annals of Medicine &Amp; Surgery

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“…The data on the effects of files with reciprocating movements on the quality of cleaning and removing the smear layer from the canal walls www.srpskiarhiv.rs are relatively scarce and mostly indicate similar findings with NiTi full rotation systems [10,14,15,16].…”

Section: Introductionmentioning

confidence: 90%

“…The research indicates that reciprocating movements do not diminish the cutting efficiency of the files and that the quality of the preparation depends primarily on the design of the working part of the instrument, the crosssection, the material from which it was made, and the special treatment of the alloy and the surface of the working part of the file [2,3,5,10]. Cutting efficiency can be reduced only due to prolonged clinical use [11].…”

Section: Introductionmentioning

confidence: 99%

The efficiency of canal cleaning with reciprocating movements instruments - SEM study

et al. 2020

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Introduction/Objective The application of nickel-titanium (NiTi) instruments in cleaning and shaping of the root canal system is a standard and a precondition for the success of endodontic treatment. The objective of this study was to use scanning electron microscopy (SEM) analysis in order to examine the efficiency of cleaning the apical third of the root canal system using two different NiTi systems with reciprocating movements. Methods The study included 20 single-rooted teeth (premolars) divided into two groups. In group 1, the canal preparation was realized with a single file UNICONE with reciprocating movements (MEDIN, Inc., Nové Město na Moravě, Czech Republic), and in group 2, with а RECIPROC BLUE instrument with reciprocating movements (VDW GmbH, Munich, Germany). The same quantities of 2% NaOCl solution and 17% EDTA solution were used as irrigation solutions. The samples prepared for SEM analysis of the smear layer in the apical third were evaluated on a scale of 1-5 and at a magnification of 1,000×. Results SEM analysis pointed to mostly clean canal walls in the apical segment in both tested groups. Slightly cleaner walls were observed after the application of the UNICONE file (78%) compared to the samples of the second group, where the instrumentation was realized by the RECIPROC BLUE file (76%), but without statistically significant differences. Conclusion Single-file reciprocating systems do not remove the smear layer completely, but provide efficient cleaning of the apical region of the canal.

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“…Root canals were irrigated with 0.5 ml each time, in total 2 ml of 2.5% NaOCl (Neo Dental Chemical Products, Tokyo, Japan) [ 30 ]. The canals were dried with sterilized paper points (VDW, Munich, Germany) and filled with #20 gutta-percha points (SybronEndo, Orange, CA, USA) and root canal sealer (RealSeal SE, SybronEndo) according to the single-cone obturation technique [ 31 ]. After processing with a bonding system (Clearfil Bond SE ONE, Kuraray Noritake Dental, Tokyo, Japan), the pulp chamber was filled with flowable composite resin (MI FLOW, GC, Tokyo, Japan).…”

Section: Methodsmentioning

confidence: 99%

Assessment of the functional efficacy of root canal treatment with high-frequency waves in rats

et al. 2020

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The purpose of this study was to develop a high-frequency wave therapy model in rats and to investigate the influence of high-frequency waves on root canal treatment, which may provide a novel strategy for treating apical periodontitis. Root canal treatments with and without high-frequency wave irradiation were performed on the mandibular first molars of 10-weekold male Wistar rats. The mesial roots were evaluated radiologically, bacteriologically, and immunohistochemically. At 3 weeks after root canal treatment, lesion volume had decreased significantly more in the irradiated group than in the non-irradiated group, indicating successful development of the high-frequency therapy model. The use of high-frequency waves provided no additional bactericidal effect after root canal treatment. However, highfrequency wave irradiation was found to promote healing of periapical lesions on the host side through increased expression of fibroblast growth factor 2 and transforming growth factor-β1 and could therefore be useful as an adjuvant nonsurgical treatment for apical periodontitis.

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Effectiveness of a reciprocating single file, single cone endodontic treatment approach: a randomized controlled pragmatic clinical trial

Cited by 21 publications

References 41 publications

Management of apical periodontitis using WaveOne gold reciprocating files, single-cone endodontic approach: A case series

Management of apical periodontitis using WaveOne gold reciprocating files, single-cone endodontic approach: A case series

The efficiency of canal cleaning with reciprocating movements instruments - SEM study

Assessment of the functional efficacy of root canal treatment with high-frequency waves in rats

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