Chuste-Guillot Marie-Pierre, Badet Cécile, Peli Jean-François, Perez Fabienne
Department of Endodontics, Faculty of Odontology, Université Victor Segalen, Bordeaux, France.
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 Aug;102(2):254-8. doi: 10.1016/j.tripleo.2005.09.013. Epub 2006 Apr 21.
This study compared the bacterial reduction of in vitro infected root canals after instrumentation by 3 nickel-titanium (NiTi) rotary files with different taper and diameter versus manual stainless steel files.
Sixty-four single-rooted human teeth were infected with a suspension of Streptococcus sanguis measured by optical density. Teeth were divided randomly into 4 groups of 16 and prepared with Flexofiles, GT rotary files, HERO 642, and ProFile. Bacterial samplings were performed before (S1), during (S2-S3), and after (S4) instrumentation.
All techniques significantly reduced the number of bacterial cells in the root canals (P < .05). There was no significant difference between NiTi and manual instrumentation at S2, S3, or S4. Concerning bacterial reduction, the results suggest that a manual stainless steel file preparation is as efficient as a NiTi rotary instrumentation.
Regardless of the root canal preparation technique, its taper, and diameter, the root dentin remained infected and was not bacteria-free at the end of the experiment.