Ta. Svec et Mm. Wang, THE EFFECT OF INSTRUMENT PRECURVING ON TRANSPORTATION IN SIMULATED CURVED CANALS, Journal of endodontics, 24(2), 1998, pp. 122-124
The results of instrumentation studies in small curved canals using va
rious instruments and techniques are not consistent. The amount of ins
trument precurving and a gradual or abrupt curve of the canal may have
influenced the results of these studies. One hundred sixty resin bloc
ks with simulated canals were used. Eighty blocks had gradual (GC) 30
degree curves, the remainder had abrupt (AC) 30 degree curves. Ten blo
cks for each curvature and for each degree of precurving amount (0, 15
, 20, 25, 30, 35, 40, or 45 degrees) were instrumented with a machine
that imparted only an in and out motion. The simulated canals were siz
e 30 at the apex, and size 30 stainless steel K-files were used to ins
trument the canals. A transportation (''t'') index was determined at t
wo levels: T1 (1 mm from the apex) and TB (a line bisecting the curve
of the canal). For GC at T1 and TB, 40- and 20-degree curved instrumen
ts respectively produced significantly less transportation than all ot
her curvatures (p < 0.0001). For AC at T1 and TB, 35 and 25 degree ins
truments respectively produced significantly less transportation than
all other curvatures (p < 0.0001). Comparing GC and AC, the transporta
tion for AC was significantly less (p < 0.0015).