M. Hulsmann et al., ROOT-CANAL CLEANLINESS AFTER PREPARATION WITH DIFFERENT ENDODONTIC HANDPIECES AND HAND INSTRUMENTS - A COMPARATIVE SEM INVESTIGATION, Journal of endodontics, 23(5), 1997, pp. 301-306
The root canals of 150 extracted mandibular incisors were prepared to
ISO 30 using eight different automated devices and hand instruments, T
he automated devices investigated were: Endoplaner, Excalibur, Ultraso
nics (Piezon Master 400) with H2O2 (5%), or NaOCl (1%) as irrigants, G
iromatic, Intra-Endo 3-LDSY, Canal Finder System, Canal Leader 2000, a
nd Endolift, Hand instrumentation was performed using reamers and Heds
troem files, Fifteen teeth were instrumented with each device, cracked
longitudinally, and investigated under the scanning electron microsco
pe using five category scoring systems based on reference photographs
for debris and smear layer, No preparation system or technique resulte
d in complete removal of smear layer and debris, The ultrasonic unit p
erformed best followed by the Canal Leader 2000 and hand instrumentati
on, whereas the use of the Giromatic, the Endolift, the Canal Finder S
ystem, and the Intra-Endo-3-LDSY-handpiece resulted in insufficiently
cleaned root canal walls.