Alkahtany Sarah M, Alfadhel Rana, AlOmair Aseel, Durayhim Sarah Bin
Department of Restorative Dental Sciences, College of Dentistry, King Saud University, P. O. Box 68004, Riyadh 11527, Saudi Arabia.
College of Dentistry, King Saud University, P. O. Box 68004, Riyadh 11527, Saudi Arabia.
Int J Dent. 2024 Dec 17;2024:9412427. doi: 10.1155/ijod/9412427. eCollection 2024.
XP-endo files are composed of Max-Wire alloy, which was developed by FKG Dentaire (La Chaux-de-Fonds, Switzerland). This alloy, known as Martensite-Austenite Electropolish Flex, is the first NiTi alloy used in endodontics to combine the shape memory effect with superelasticity for use in clinical practice. This article aims to provide a comprehensive overview of the existing knowledge and evidence regarding different XP-endo files and systems, XP-endo Finisher (XPEF), XP-endo Shaper (XPES), XP-endo Retreatment (XPER), XP-endo Rise (XPE-Rise), and XPE-Rise Retreatment (XPE-Rise-R), to help clinicians understand their different properties and recommended clinical uses. Moreover, this review aims to identify future research opportunities in this field. A search was performed in the PubMed database using the keywords "XP endo" or "XP-endo". A total of 309 studies were identified during the initial search, and then initial abstract screening was conducted. The inclusion criteria included any study that aimed to evaluate XP endo files and systems on permanent teeth, either in vivo or in vitro. We excluded studies that were unrelated to the subject, literature reviews, case studies, and studies that employed deciduous teeth. Finally, we performed an extensive review of the selected 130 studies, which we assessed, summarized, and classified based on the specific XP-endo file used. Overall, XP-endo files offer significant improvements in endodontic treatment. XPEF excels in irrigation activation and medicament removal, and XPES succeeds in canal cleaning, shaping, and retreatment. The XPER system, which incorporates the XPEF-R file, shows promise in removing root-filling materials, but its performance is inconsistent compared to other retreatment systems. We have found limited information regarding the latest XPE-Rise and XPE-Rise-R systems, additional research is required to fully determine their comparative effectiveness and optimize their clinical application.
XP根管锉由Max-Wire合金制成，该合金由FKG Dentaire（瑞士拉绍德封）研发。这种合金被称为马氏体-奥氏体电解抛光可弯曲合金，是牙髓病学中首个用于临床实践的将形状记忆效应与超弹性相结合的镍钛合金。本文旨在全面概述关于不同XP根管锉及系统、XP根管锉抛光器（XPEF）、XP根管锉成型器（XPES）、XP根管锉再治疗器械（XPER）、XP根管锉提升器械（XPE-Rise）和XPE-Rise再治疗器械（XPE-Rise-R）的现有知识和证据，以帮助临床医生了解它们的不同特性和推荐的临床用途。此外，本综述旨在确定该领域未来的研究机会。使用关键词“XP endo”或“XP-endo”在PubMed数据库中进行了检索。在初始检索中总共识别出309项研究，然后进行了初步摘要筛选。纳入标准包括任何旨在评估XP根管锉及系统在恒牙上的体内或体外研究。我们排除了与该主题无关的研究、文献综述、病例研究以及使用乳牙的研究。最后，我们对选定的130项研究进行了广泛综述，并根据所使用的特定XP根管锉进行了评估、总结和分类。总体而言，XP根管锉在牙髓治疗方面有显著改进。XPEF在冲洗激活和药物去除方面表现出色，XPES在根管清理、成型和再治疗方面取得成功。包含XPEF-R锉的XPER系统在去除根充材料方面显示出前景，但其性能与其他再治疗系统相比并不稳定。我们发现关于最新的XPE-Rise和XPE-Rise-R系统的信息有限，需要进一步研究以充分确定它们的相对有效性并优化其临床应用。
