Dental Tribune Middle East

The influence of Glide Path preparation on the canal shaping times of WaveOne® Gold

By Martin Vorster, Peet J. van der Vyver, Farzan
April 22, 2019

The aim of this study was to compare the glide path preparation times of stainless steel hand files, PathFile® (Dentsply Sirona), and the WaveOne® Gold Glider (Dentsply Sirona).

The preparation times for final root canal shaping with the Primary WaveOne® Gold instrument in extracted human molar teeth with and without prior glide path preparation were also recorded and compared.

Methods
Mesiobuccal canals of 60 extracted human mandibular molars (curvature angles between 25° and 35° and radii <10 mm) were selected and randomly divided into 4 groups with 15 canals each. Canals were negotiated to patency with a #8 K-file. Canal preparations were performed by a single operator using precurved #10-15-20 stainless steel manual K-files (the K-file group), a #10 stainless steel manual K-file followed by PathFile®s #1-3 (the PathFile® group), a #10 stainless steel manual K-file followed by WaveOne® Gold Glider (the WaveOne® Gold Glider group), or no further glide path preparation. Final canal preparation of all 60 canals was performed with the Primary WaveOne® Gold instrument. Glide path and final preparation times were recorded.

Results
Glide path enlargement was statistically significantly fastest in the WaveOne® Gold Glider group (19.7 ± 5.6 seconds) followed by the PathFile® group (41.0 ± 6.8 seconds) and then the K-file group (81.2 ± 26.3 seconds) using analysis of variance (ANOVA) and Kruskal-Wallis tests (P < .0001). No statistically significant difference in the mean final preparation times was found among the WaveOne® Gold Glider (23.1 ± 6.0 seconds), PathFile® (24.4 ± 4.9 seconds), and K-file groups (27.2 ± 9.5 seconds). All 3 groups were statistically significantly faster than the no glide path preparation group (35.4 ± 10.2 seconds) using ANOVA (P = .0004) and Kruskal-Wallis tests (P = .0010).

Conclusions
Preparation time with the Primary WaveOne® Gold file was statistically significantly reduced when the file was used in combination with any of the glide path preparation techniques. The WaveOne® Gold Glider performed statistically significantly faster in glide path preparation time than the other glide path preparation techniques.

Editorial note:
This article was originally published in the Journal of Endodontics, Vol 44, Issue 5, 2018

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