Comparative evaluation of remaining dentin thickness and root canal transportation in curved canals with newer nickel-titanium single and multiple rotary file systems: A cone-beam computed tomography study

J Conserv Dent Endod. 2024 Oct;27(10):1042-1047. doi: 10.4103/JCDE.JCDE_539_24. Epub 2024 Oct 5.

Abstract

Context: The purpose of this study was to evaluate and compare the remaining dentin thickness and root canal transportation of WaveOne GOLD, XP-endo Shaper, and GenEndo file systems to assess their performance in curved canals using cone-beam computed tomography (CBCT) imaging.

Materials and methods: Seventy-five extracted maxillary first molars were selected with a curvature ranging between 15° and 30°. The samples were allocated into three groups (n = 25) and shaped using WaveOne GOLD, XP-endo Shaper, and GenEndo files. CBCT images were captured before and after instrumentation.

Statistical analysis: The remaining dentin thickness and root canal transportation were measured at 3, 5, and 7 mm from the apex in both mesiodistal and buccolingual directions. The data were statistically analyzed using one-way ANOVA followed by Tukey's post hoc test.

Results: GenEndo file system demonstrated greater preservation of remaining dentin thickness and resulted in less root canal transportation compared to the WaveOne GOLD and XP-endo Shaper systems across all three levels.

Conclusions: GenEndo file system which comprises multiple files has removed less amount of dentin and canal transportation when compared to single file systems, i.e., WaveOne GOLD and XP-endo Shaper file systems.

Keywords: Canal curvature; GenEndo file system; XP-endo Shaper file system; cone-beam computed tomography; remaining dentin thickness; root canal transportation; waveOne GOLD file system.