[Comparative study of shaping efficiency in C-shaped canals of mandibular second molars].
OBJECTIVE
To investigate the shaping efficiency of three instrumentation techniques in the C-shaped canals.


METHODS
Sixty extracted mandibular second molars with C-shaped canals were selected and cross-sectioned at 2, 5, 8 mm from the apex by using a muffle system as described by Bramante. The teeth containing C-shaped canals were randomly divided into three groups, respectively instrumented using stainless steel K-files in step-back and step-down techniques, and ProTaper series in crown-down technique. The digital images of canal cross-sections pre- and post-instrumentation were photographed to evaluate the proportion and position of uninstrumented area Working length loss and perforation were recorded. Data were analyzed using ANOVA.


RESULTS
Step-down technique gained smaller uninstrumented area in the coronal third of the canals, while step-beck technique gained the same results in the apical third (P < 0.05). Uninstrumented proportion in apical part was significantly higher than in the middle and the coronal (P < 0.05). Instrumenting type I canal as 2 or 3 separated canals was likely to reduce the miss. There were three perforations in manual stainless steel K-file groups.


CONCLUSIONS
Early opening the coronal part of C-shaped canal, shaping C-shaped canal as two or three separated canals and instrumenting the apical part with step-back technique, seemed to be the effective methods to avoid miss.
Zhou
Xin
X
Department of Special Dentistry, Peking University School and Hospital of Stomatology, Beijing 100081, China.
Ma
Qi
Q
Yin
Xing-zhe
XZ
Zhang
Cheng-fei
CF
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003786:Dental Pulp Cavity; D006801:Humans; D008875:Middle Aged; D008963:Molar; D018915:Root Canal Preparation / Q000379:methods*