ORIGINAL RESEARCH
Shaping ability of two root canal instrumentation systems in
oval-shaped canals: A microcomputed tomography study
Suelen Recepute Xavier, MSc
1
; Carolina Oliveira de Lima, MSc
2
; Marı ´lia Fagury Videira Marceliano-Alves,
PhD
3
; Mariane Floriano Lopes Santos Lacerda, PhD
4
; Ricardo Tadeu Lopes, PhD
5
; and
Celso Neiva Campos, PhD
1
1
Department of Dental Clinic, Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil
2
Departament of Endodontics, State University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
3
Department of Dentistry Research, Iguac ¸ u University, Nova Iguac ¸ u, RJ, Brazil
4
Department of Dentistry, Federal University of Juiz de Fora, Governador Valadares, MG, Brazil
5
Nuclear Engineering Program, University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil
Keywords
Canine tooth, endodontic instrument,
endodontics, root canal preparation, X-ray
microtomography.
Correspondence
Carolina Oliveira de Lima, Rua Rog ´ erio Karp,
310/104, 22795-216 Recreio dos Bandeirantes,
Rio de Janeiro, RJ, Brazil. email:
c.oliveiradelima@yahoo.com.br
doi: 10.1111/aej.12469
(Accepted for publication 8 November 2020.)
Abstract
The objective was to evaluate the shaping ability of XP-endo Shaper and Mtwo
systems in oval-shaped canals preparation by microcomputed tomography
(micro-CT) along the entire canal. The volume, surface area and percentage of
unprepared area were evaluated by image processing in entire canal and apical
third (5 mm). Apical transportation and centring ability were evaluated at 3, 5
and 7 mm from the apex. Forty single-canal oval canines were paired in two
groups (n = 20) according to the instrumentation system: XP-endo Shaper and
Mtwo. The teeth were scanned by micro-CT before and after instrumentation,
using a thermal vat at 37°C. The XP-endo Shaper system was more effective in
the instrumentation of oval-shaped canals when compared to Mtwo system,
resulting in greater volume increases and lower percentage of unprepared
canals walls in apical region. Regarding apical transportation and centring abil-
ity, no statistical difference was observed.
Introduction
Successful endodontic treatment depends on root canal
system cleaning and shaping (1). However, motor-driven
instruments used during mechanical preparation are not
completely effective in cleaning oval-shaped canals as
they tend to remain in the centre of the canal and ade-
quate buccolingual dimension preparation is not
achieved (2). The presence of such non-instrumented
areas, regardless of instrumentation technique or applied
instrument, allows for the accumulation of pulp rem-
nants and persistent microorganisms, which may lead to
unsuccessful endodontic treatment (1,2).
The root canal morphology of mandibular canines is
complex and displays a highly variable internal canal
configuration (3,4). According to Wu et al. (3), mandibu-
lar canines display a high incidence of oval-shaped canals
and this anatomical configuration posing a significant
challenge for adequate root canal treatment, leaves some
untouched areas in the root canal, favouring the
accumulation of debris and microorganisms (5,6). There-
fore, endodontic instruments have undergone various
modifications in their design and heat treatments of their
alloys trying to allow better root canal preparation and to
maintain the original canal shape.
Mtwo is a well-known rotary system (VDW, Munich,
Germany), which comprises an “S” cross-sectional design
and an inactive safety tip. It is, therefore, characterised
by a positive inclination angle with two cutting edges,
effective in cutting dentin. This favours helical root canal
residue removal, which present sinuous profile walls (7).
XP-endo Shaper (FKG Dentaire, La Chaux-de-Fonds,
Switzerland) is a system made of MaxWire
®
alloy that
improves superelasticity and shape memory, in addition
is able to react to temperature variations and adapt itself
to the canal morphology, due to expansion and contrac-
tion capacity (8,9). This instrument presents a 30/.01
diameter and is able to reach a final preparation compati-
ble with a 30/.04 instrument when in contact with body
temperature (10).
© 2020 Australian Society of Endodontology Inc 1
Aust Endod J 2020