Shaping efficiency as a function of time of a new
heat-treated instrument
G. De-Deus
1
, F. G. Belladonna
1
, M. Sim~ oes-Carvalho
1
, D. M. Cavalcante
1
,
C. N. M. J. Ramalho
1
, E. M. Souza
2
, R. T. Lopes
3
& E. J. N. L. Silva
4
1
Department of Endodontics, Fluminense Federal University, Niter oi, Rio de Janeiro;
2
Department of Dentistry II, Federal
University of Maranh~ ao, S~ ao Lu ıs;
3
Nuclear Engineering Program, Federal University of Rio de Janeiro, Rio de Janeiro; and
4
Department of Endodontics, Grande Rio University, Rio de Janeiro, Brazil
Abstract
De-Deus G, Belladonna FG, Sim~ oes-Carvalho M,
Cavalcante DM, Ramalho CNMJ, Souza EM, Lopes
RT, Silva EJNL. Shaping efficiency as a function of time of
a new heat-treated instrument. International Endodontic
Journal, 52, 337–342, 2019.
Aim To assess the shaping ability of the new XP-
endo Shaper instrument after different working times.
Methodology Ten mesial roots of mandibular
molars were scanned in a micro-computed tomo-
graphic device and prepared using the XP-endo Sha-
per instrument up to the working length (WL)
according to the manufacturer’s recommendation.
Then, each specimen was subjected to an extra 15,
30 and 45 s of active instrumentation at the WL.
Postoperative scans were performed after canal prepa-
ration at each time-point. Then, the registered pre-
and postoperative datasets were examined to evaluate
the percentages of volume and surface area of the
instrumented canal, surface area of noninstrumented
canal areas and the volume of removed dentine.
Repeated measures general linear model was used to
compare the differences in either the increase or the
reduction of the parameters amongst the time-points.
Alpha-error was set at 5%.
Results Extending the period of XP-endo Shaper
active instrumentation at WL significantly influenced
several parameters such as volume (P < 0.001) and
surface area (P < 0.001) of the instrumented canal,
surface area of noninstrumented canal areas
(P < 0.001), and volume of removed dentine
(P < 0.001).
Conclusions Extending the activation time of XP-
endo Shaper instruments at WL resulted in a more
comprehensive root canal preparation, increasing the
volume and surface area of root canal preparation
and the volume of removed dentine.
Keywords: micro-CT, noninstrumented canal areas,
removed dentine, shaping ability, XP-endo Shaper.
Received 11 March 2018; accepted 14 August 2018
Introduction
Micro-computed tomographic technology (micro-CT)
has been used to evaluate the shaping ability of
endodontic instruments during root canal preparation
procedures (Paqu e et al. 2010, Paqu e & Peters 2011,
Versiani et al. 2013, De-Deus et al. 2015). Overall,
use of micro-CT revealed that 59.6%–79.9% of the
dentinal walls remained untouched after preparation
of oval-shaped canals, which is a critical challenge for
any available shaping protocol (Paqu e et al. 2010,
Paqu e & Peters 2011, Versiani et al. 2013, De-Deus
et al. 2015). This considerable body of evidence high-
lights the suboptimal standard of mechanical prepara-
tion performed by the current nickel-titanium (NiTi)
rotary and reciprocating systems. In fact, these sys-
tems are able to mechanically act only on the central
body of the canal lumen, leaving several areas of the
canal walls untouched (Versiani et al. 2013, Zuolo
et al. 2018). Optimal mechanical shaping should be
Correspondence: Gustavo De-Deus, Department of Endodon-
tics, Fluminense Federal University, Av. Henrique Dodsworth
85 Apto 808–Lagoa, Rio de Janeiro, RJ, ZIP CODE:22061-
030, Brazil (e-mail: endogus@gmail.com).
International Endodontic Journal, 52, 337–342, 2019 © 2018 International Endodontic Journal. Published by John Wiley & Sons Ltd
doi:10.1111/iej.13000
337