Limpeza e modelagem de canais ovais após preparo químico-mecânico utilizando três sistemas de instrumentação e irrigação com hipoclorito de sódio: estudo correlativo usando microtomografia computadorizada e histologia

Abstract

Purpose: The present study evaluated the cleaning and shaping ability of three instrumentation systems in oval canals of vital teeth using a correlative analytical approach. Materials and methods: Distal roots of oval canals with pulp vitality were scanned by computed microtomography (micro-CT) for sample selection and distribution into three experimental groups according to the instrument to be evaluated: self-adjusting files (SAF), TRUShape and XP-endo Shaper. In all groups, the irrigant was sodium hypochlorite (5.25%) heated at 37°C. After rescanning by micro-CT, the untouched walls were measured and then histologically evaluated for the amount of pulp remaining in the root thirds. Results: SAF was more effective in touching the walls at 4 mm from the apex, presenting a significantly lower value of untouched walls when compared to XPendo Shaper (P <0.049). However, it was not possible to verify significant differences in the full canal length between groups. The amount of pulp remnants also did not differ between instruments in the canal thirds. There was no significant correlation between untouched areas and pulp remnants for any instrument. Conclusion: There was no significant difference in the amount of untouched walls between instruments, except between SAF and XP-endo Shaper in the apical 4 mm. There was no significant difference in the cleaning ability either. The non-correlation between untouched walls and pulp remnants indicates the effectiveness of different instruments and sodium hypochlorite irrigation in the elimination of soft tissue from unprepared walls.