Root canal transportation with ProTaper Next and WaveOne Gold: A systematic review

Neha Urkande; Nikhil Mankar; Aditya Patel; Manoj Chandak

doi:10.31893/multirev.2024239

Keywords:

root canal transportation

Abstract

Root canal transportation is a significant concern in endodontic therapy, impacting treatment outcomes. ProTaper Next (PTN) and WaveOne Gold (WOG) are popular endodontic instrumentation systems used to shape root canals. This systematic review aimed to evaluate the literature on root canal transport with PTN and WOG. Fourteen studies were analyzed, highlighting the overall effectiveness of both systems. The PTN showed potential advantages in minimizing canal transport, while the WOG preserved the original canal shape. Operator experience and canal curvature influence performance. This review provides evidence-based insights to aid endodontic practitioners in making informed decisions for successful root canal treatments. The aim of this systematic review was to evaluate and synthesize the literature on root canal transportation with ProTaper Next (PTN) and WaveOne Gold (WOG) instrumentation systems in endodontic therapy. A comprehensive literature search was conducted using the PubMed Central, Scopus, EBSCO, Embase and Web of Science databases from 2000 to 2022. Studies that met the predefined inclusion and exclusion criteria were selected for analysis. Data on study design, participant characteristics, intervention details, comparison groups, outcomes, and results were extracted from the included studies. The methodological quality of the studies was assessed using appropriate tools, and the findings were synthesized qualitatively. A total of 14 studies were included in the systematic review. The analysis revealed that both the PTN and WOG systems demonstrated overall effectiveness in root canal preparation. PTN rotary files performed adequately with inexperienced operators and showed potential advantages in minimizing canal transportation. On the other hand, WOG files exhibited a conservative approach, preserving the original canal shape. However, variations in performance were observed depending on the instrumentation method, operator experience, and canal curvature. This systematic review provides valuable insights into the ability of the PTN and WOG to manage root canal transport. Both systems demonstrated satisfactory outcomes, with WOG often preserving the natural canal anatomy. The findings suggest that proper operator training and technique play vital roles in achieving optimal results. Clinicians should consider the unique characteristics of each system when selecting instrumentation for root canal treatments. Nonetheless, it is crucial to acknowledge the limitations of the included studies, such as variations in sample sizes and operator experience, which may impact the interpretability of the findings. Future research should address these limitations and further explore the efficacy of these instrumentation systems in various clinical settings. The evidence derived from this systematic review can aid endodontic practitioners in making evidence-based decisions for successful root canal procedures.
References
1. Bürklein, S., & Arias, A. (n.d.). Effectiveness of root canal instrumentation for the treatment of apical periodontitis: A systematic review and meta-analysis. International Endodontic Journal, n/a(n/a). https://doi.org/10.1111/iej.13782
2. Bürklein, S., Mathey, D., & Schäfer, E. (2015). Shaping ability of ProTaper NEXT and BT-RaCe nickel-titanium instruments in severely curved root canals. International Endodontic Journal, 48(8), 774–781. https://doi.org/10.1111/iej.12375
3. Eliasz, W., Kubiak, K., Poncyljusz, W., & Surdacka, A. (2020a). Root Canal Transportation after Root Canal Preparation with ProTaper Next, WaveOne Gold, and Twisted Files. Journal of Clinical Medicine, 9(11), 3661. https://doi.org/10.3390/jcm9113661
4. Eliasz, W., Kubiak, K., Poncyljusz, W., & Surdacka, A. (2020b). Root Canal Transportation after Root Canal Preparation with ProTaper Next, WaveOne Gold, and Twisted Files. Journal of Clinical Medicine, 9(11), 3661. https://doi.org/10.3390/jcm9113661
5. Elnaghy, A. M., & Elsaka, S. E. (2014). Evaluation of root canal transportation, centering ratio, and remaining dentin thickness associated with ProTaper Next instruments with and without glide path. Journal of Endodontics, 40(12), 2053–2056. https://doi.org/10.1016/j.joen.2014.09.001
6. Elnaghy, A. M., Al-Dharrab, A. A., Abbas, H. M., & Elsaka, S. E. (2017). Evaluation of root canal transportation, centering ratio, and remaining dentin thickness of TRUShape and ProTaper Next systems in curved root canals using micro-computed tomography. Quintessence International (Berlin, Germany: 1985), 48(1), 27–32. https://doi.org/10.3290/j.qi.a36895
7. Gekelman, D., Ramamurthy, R., Mirfarsi, S., Paqué, F., & Peters, O. A. (2009). Rotary nickel-titanium GT and ProTaper files for root canal shaping by novice operators: A radiographic and micro-computed tomography evaluation. Journal of Endodontics, 35(11), 1584–1588. https://doi.org/10.1016/j.joen.2009.07.018
8. González-Chapela, J., Castelo-Baz, P., Varela-Patiño, P., Martín-Biedma, B., & Ruíz-Piñón, M. (2017). Alternating versus continuous rotation: Root canal transportation and centering ratio with the ProTaper Next. Journal of Conservative Dentistry: JCD, 20(4), 255–259. https://doi.org/10.4103/JCD.JCD_299_16
9. Hartmann, M. S. M., Fontanella, V. R. C., Vanni, J. R., Fornari, V. J., & Barletta, F. B. (2011). CT evaluation of apical canal transportation associated with stainless steel hand files, oscillatory technique and pro taper rotary system. Brazilian Dental Journal, 22(4), 288–293. https://doi.org/10.1590/s0103-64402011000400005
10. Mantri, S. P., Kapur, R., Gupta, N. A., & Kapur, C. A. (2012). Type III apical transportation of root canal. Contemporary Clinical Dentistry, 3(1), 134–136. https://doi.org/10.4103/0976-237X.94565
11. Park, H.-J., Seo, M.-S., & Moon, Y.-M. (2018). Root canal volume change and transportation by Vortex Blue, ProTaper Next, and ProTaper Universal in curved root canals. Restorative Dentistry & Endodontics, 43(1), e3. https://doi.org/10.5395/rde.2018.43.e3
12. Shi, L., Zhou, J., Wan, J., & Yang, Y. (2022a). Shaping ability of ProTaper Gold and WaveOne Gold nickel-titanium rotary instruments in simulated S-shaped root canals. Journal of Dental Sciences, 17(1), 430–437. https://doi.org/10.1016/j.jds.2021.08.008
13. Shi, L., Zhou, J., Wan, J., & Yang, Y. (2022b). Shaping ability of ProTaper Gold and WaveOne Gold nickel-titanium rotary instruments in simulated S-shaped root canals. Journal of Dental Sciences, 17(1), 430–437. https://doi.org/10.1016/j.jds.2021.08.008
14. Shivashankar, M. B., Niranjan, N. T., Jayasheel, A., & Kenchanagoudra, M. G. (2016). Computed Tomography Evaluation of Canal Transportation and Volumetric Changes in Root Canal Dentin of Curved Canals Using Mtwo, ProTaper and ProTaper Next Rotary System-An In-vitro Study. Journal of Clinical and Diagnostic Research: JCDR, 10(11), ZC10–ZC14. https://doi.org/10.7860/JCDR/2016/20373.8788
15. Thomas, J. P., Lynch, M., Paurazas, S., & Askar, M. (2020). Micro–computed Tomographic Evaluation of the Shaping Ability of WaveOne Gold, TRUShape, EdgeCoil, and XP-3D Shaper Endodontic Files in Single, Oval-shaped Canals: An In Vitro Study. Journal of Endodontics, 46(2), 244-251.e1. https://doi.org/10.1016/j.joen.2019.11.001
16. Türker, S.-A., & Uzunoğlu, E. (2015). Apical root canal transportation of different pathfinding systems and their effects on shaping ability of ProTaper Next. Journal of Clinical and Experimental Dentistry, 7(3), e392-395. https://doi.org/10.4317/jced.52309
17. Vallabhaneni, S., Fatima, K., & Kumar, T. H. (2017). Cone-beam computed tomography assessment of root canal transportation using WaveOne Gold and Neoniti single-file systems. Journal of Conservative Dentistry: JCD, 20(6), 434–438. https://doi.org/10.4103/JCD.JCD_206_17
18. Vorster, M., van der Vyver, P. J., & Paleker, F. (2018). Canal Transportation and Centering Ability of WaveOne Gold in Combination with and without Different Glide Path Techniques. Journal of Endodontics, 44(9), 1430–1435. https://doi.org/10.1016/j.joen.2018.06.003
19. Yılmaz, F., Eren, İ., Eren, H., Badi, M. A., Ocak, M., & Çelik, H. H. (2020). Evaluation of the Amount of Root Canal Dentin Removed and Apical Transportation Occurrence after Instrumentation with ProTaper Next, OneShape, and EdgeFile Rotary Systems. Journal of Endodontics, 46(5), 662–667. https://doi.org/10.1016/j.joen.2020.01.022

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

How to cite

Urkande, N., Mankar, N., Patel, A., & Chandak, M. (2024). Root canal transportation with ProTaper Next and WaveOne Gold: A systematic review. Multidisciplinary Reviews, 7(12), 2024239. https://doi.org/10.31893/multirev.2024239

[1] Bürklein, S., & Arias, A. (n.d.). Effectiveness of root canal instrumentation for the treatment of apical periodontitis: A systematic review and meta-analysis. International Endodontic Journal, n/a(n/a). https://doi.org/10.1111/iej.13782

[2] Bürklein, S., Mathey, D., & Schäfer, E. (2015). Shaping ability of ProTaper NEXT and BT-RaCe nickel-titanium instruments in severely curved root canals. International Endodontic Journal, 48(8), 774–781. https://doi.org/10.1111/iej.12375

[3] Eliasz, W., Kubiak, K., Poncyljusz, W., & Surdacka, A. (2020a). Root Canal Transportation after Root Canal Preparation with ProTaper Next, WaveOne Gold, and Twisted Files. Journal of Clinical Medicine, 9(11), 3661. https://doi.org/10.3390/jcm9113661

[4] Eliasz, W., Kubiak, K., Poncyljusz, W., & Surdacka, A. (2020b). Root Canal Transportation after Root Canal Preparation with ProTaper Next, WaveOne Gold, and Twisted Files. Journal of Clinical Medicine, 9(11), 3661. https://doi.org/10.3390/jcm9113661

[5] Elnaghy, A. M., & Elsaka, S. E. (2014). Evaluation of root canal transportation, centering ratio, and remaining dentin thickness associated with ProTaper Next instruments with and without glide path. Journal of Endodontics, 40(12), 2053–2056. https://doi.org/10.1016/j.joen.2014.09.001

[6] Elnaghy, A. M., Al-Dharrab, A. A., Abbas, H. M., & Elsaka, S. E. (2017). Evaluation of root canal transportation, centering ratio, and remaining dentin thickness of TRUShape and ProTaper Next systems in curved root canals using micro-computed tomography. Quintessence International (Berlin, Germany: 1985), 48(1), 27–32. https://doi.org/10.3290/j.qi.a36895

[7] Gekelman, D., Ramamurthy, R., Mirfarsi, S., Paqué, F., & Peters, O. A. (2009). Rotary nickel-titanium GT and ProTaper files for root canal shaping by novice operators: A radiographic and micro-computed tomography evaluation. Journal of Endodontics, 35(11), 1584–1588. https://doi.org/10.1016/j.joen.2009.07.018

[8] González-Chapela, J., Castelo-Baz, P., Varela-Patiño, P., Martín-Biedma, B., & Ruíz-Piñón, M. (2017). Alternating versus continuous rotation: Root canal transportation and centering ratio with the ProTaper Next. Journal of Conservative Dentistry: JCD, 20(4), 255–259. https://doi.org/10.4103/JCD.JCD_299_16

[9] Hartmann, M. S. M., Fontanella, V. R. C., Vanni, J. R., Fornari, V. J., & Barletta, F. B. (2011). CT evaluation of apical canal transportation associated with stainless steel hand files, oscillatory technique and pro taper rotary system. Brazilian Dental Journal, 22(4), 288–293. https://doi.org/10.1590/s0103-64402011000400005

[10] Mantri, S. P., Kapur, R., Gupta, N. A., & Kapur, C. A. (2012). Type III apical transportation of root canal. Contemporary Clinical Dentistry, 3(1), 134–136. https://doi.org/10.4103/0976-237X.94565

[11] Park, H.-J., Seo, M.-S., & Moon, Y.-M. (2018). Root canal volume change and transportation by Vortex Blue, ProTaper Next, and ProTaper Universal in curved root canals. Restorative Dentistry & Endodontics, 43(1), e3. https://doi.org/10.5395/rde.2018.43.e3

[12] Shi, L., Zhou, J., Wan, J., & Yang, Y. (2022a). Shaping ability of ProTaper Gold and WaveOne Gold nickel-titanium rotary instruments in simulated S-shaped root canals. Journal of Dental Sciences, 17(1), 430–437. https://doi.org/10.1016/j.jds.2021.08.008

[13] Shi, L., Zhou, J., Wan, J., & Yang, Y. (2022b). Shaping ability of ProTaper Gold and WaveOne Gold nickel-titanium rotary instruments in simulated S-shaped root canals. Journal of Dental Sciences, 17(1), 430–437. https://doi.org/10.1016/j.jds.2021.08.008

[14] Shivashankar, M. B., Niranjan, N. T., Jayasheel, A., & Kenchanagoudra, M. G. (2016). Computed Tomography Evaluation of Canal Transportation and Volumetric Changes in Root Canal Dentin of Curved Canals Using Mtwo, ProTaper and ProTaper Next Rotary System-An In-vitro Study. Journal of Clinical and Diagnostic Research: JCDR, 10(11), ZC10–ZC14. https://doi.org/10.7860/JCDR/2016/20373.8788

[15] Thomas, J. P., Lynch, M., Paurazas, S., & Askar, M. (2020). Micro–computed Tomographic Evaluation of the Shaping Ability of WaveOne Gold, TRUShape, EdgeCoil, and XP-3D Shaper Endodontic Files in Single, Oval-shaped Canals: An In Vitro Study. Journal of Endodontics, 46(2), 244-251.e1. https://doi.org/10.1016/j.joen.2019.11.001

[16] Türker, S.-A., & Uzunoğlu, E. (2015). Apical root canal transportation of different pathfinding systems and their effects on shaping ability of ProTaper Next. Journal of Clinical and Experimental Dentistry, 7(3), e392-395. https://doi.org/10.4317/jced.52309

[17] Vallabhaneni, S., Fatima, K., & Kumar, T. H. (2017). Cone-beam computed tomography assessment of root canal transportation using WaveOne Gold and Neoniti single-file systems. Journal of Conservative Dentistry: JCD, 20(6), 434–438. https://doi.org/10.4103/JCD.JCD_206_17

[18] Vorster, M., van der Vyver, P. J., & Paleker, F. (2018). Canal Transportation and Centering Ability of WaveOne Gold in Combination with and without Different Glide Path Techniques. Journal of Endodontics, 44(9), 1430–1435. https://doi.org/10.1016/j.joen.2018.06.003

[19] Yılmaz, F., Eren, İ., Eren, H., Badi, M. A., Ocak, M., & Çelik, H. H. (2020). Evaluation of the Amount of Root Canal Dentin Removed and Apical Transportation Occurrence after Instrumentation with ProTaper Next, OneShape, and EdgeFile Rotary Systems. Journal of Endodontics, 46(5), 662–667. https://doi.org/10.1016/j.joen.2020.01.022

Abstract

References

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