Evidence map›Paper›PMID 40022083›Full record

ArticleBMC oral health2025

Evaluation of two instrumentation techniques and obturation methods in mandibular first premolar C-shaped canals by Micro-CT.

Yu Zhao, Yimeng Zhang, Jiayi Shi, Gaozhe Zheng, Yiyu Chen, Duohong Zou, Yihuai Pan

Abstract readComparative Study
In one paragraph

Article in BMC oral health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Yu Zhao *Department of Endodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang Province, People's Republic of China.
Yimeng Zhang *Department of Stomatology, The Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, Zhejiang Province, People's Republic of China.
Jiayi ShiSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang Province, People's Republic of China.
Gaozhe ZhengSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang Province, People's Republic of China.
Yiyu ChenSchool and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang Province, People's Republic of China.
Duohong Zou *Department of Endodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang Province, People's Republic of China. Zouduohongyy@163.com.
Yihuai Pan *Department of Endodontics, School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, Zhejiang Province, People's Republic of China. yihuaipan@wmu.edu.cn.

Funding

National Natural Science Foundation of China 80218095
6 · The paper itself

Abstract

objectivesTo investigate the effectiveness of instrumentation using Protaper Next (PN; Dentsply Sirona, Maillefer, Ballaigues, Switzerland) and Waveone Gold (WG; Dentsply Sirona, Maillefer, Ballaigues, Switzerland) systems on the area of untouched surface (US), accumulated hard tissue debris (AHTD), and the filling ability of two obturation techniques on the volume percentage (vol%) of voids within C-shaped root canals of mandibular first premolars.

methodsA total of 64 mandibular first premolars with C-shaped canals were scanned, matched, and subsequently assigned to two shaping groups (n = 32): PN and WG. After instrumentation, the specimens were randomly allocated into two obturation subgroups (n = 16): continuous wave compaction (CWC) and single-cone (SC) techniques. The US% and AHTD% post- instrumentation, as well as the vol% of voids after obturation, were calculated from micro-computed tomography. Data were analyzed using comparisons for two groups (PN vs. WG) or two subgroups (CWC vs. SC) at α = 0.05.

resultsThe untouched canal wall area was 18.75% and 22.69% in the PN and WG groups (p > 0.05), respectively. The apical third had higher US% than the coronal third (p < 0.05) in the two shaping groups. Instrumentation with WG left more debris (26.48%) than PN (8.36%) in the apical 1-3 mm (p < 0.05). In PN and WG group, the vol% of voids had no significant difference between the CWC and SC subgroups (p > 0.05). The apical region had significantly more voids than the coronal region of canal space in the two obturation subgroups regardless of which system was applied (p < 0.05).

conclusionsBoth PN and WG systems showed similar performance on US after instrumenting C-shaped canals of the mandibular first premolar. WG left significantly more AHTD compared with PN in the apical region. In PN or WG group, SC yielded similar obturation quality when compared with CWC. Both CWC and SC obturation techniques provided inferior filling quality in the apical region than that observed in the coronal region.

Indexed as

BicuspidDental Pulp CavityRoot Canal ObturationRoot Canal PreparationX-Ray MicrotomographyHumansMandibleRoot Canal Filling MaterialsRoot Canal Filling MaterialsC-shaped CanalInstrumentationMandibular first premolarmicro-CTObturation

Identifiers

PMID40022083
PMCPMC11869416

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.