Micro-CT evaluation of ProTaper Next and WaveOne Gold shaping in maxillary first molars curved canals: an in vitro study

Introduction: The aim of this micro-CT study was to analyze the geometrical shaping outcomes after instrumentation with rotary and reciprocating glide path and shaping systems.

Materials and Methods: The mesio-buccal canals of thirty extracted maxillary first permanent molars were randomized into two groups (n=15): rotary system ProGlider and ProTaper Next X1, X2 (PG-PTN) was compared with reciprocating system WaveOne Gold Glider and WaveOne Gold Primary (WOGGWOG). Irrigation was performed with EDTA 10% and NaOCl 5%. Specimens were micro-CT scanned before instrumentation and after glide path and shaping. The measured parameters were the increase in canal volume and surface area, the centroid shift and the canal geometry variation through RDR and RA. These parameters were measured in the apical and coronal levels and at the point of maximum curvature. One-way ANOVA and post hoc Turkey- Kramer tests were used to describe the impact of the instrumentation on the selected parameters (P<0.05).

Results: Post glide path analysis revealed that increase in canal surface area was slightly greater in WOGG group (P=0.051). Centroid shift was not significant even if the trend seemed more favorable to PG group, except for the apical third. Centroid shift reported no significant differences.

Conclusions: Both rotary and reciprocating systems seemed to create a homogeneous and well-centered glide path and shaping.