Ultrasonic root-end preparation techniques have recently been introduc
ed and revolutionized the field of endodontic surgery. The purpose of
this steady was to compare quantitatively the quality of root-end prep
aration techniques prepared by a specially designed ultrasonic retroti
p with those prepared in a traditional manner by a microhand-piece bur
. Twenty roots with two canals and an isthmus from extracted maxillary
human molars were selected for this study. After instrumentation, obt
uration, and root-end resection, root-end preparations were made using
either an ultrasonic retrotip or a conventional microhandpiece bur. W
ith the aid of the image processing and analysis system, the specimens
were inspected under a stereomicroscope for further evaluation of the
quality of the shape and size of preparation. The results of this inv
estigation showed that the ultrasonic root-end preparations produced m
ore conservative and less perforated cavities than those made with con
ventional microhandpiece bur preparations.