Shaping ability of reciprocating single-file systems in severely curved canals: WaveOne and Reciproc versus WaveOne Gold and Reciproc blue

The aim was to compare the canal straightening of M-wire [Reciproc (VDW, Munich, Germany) and WaveOne (Dentsply Maillefer, Ballaigues, Switzerland)] and gold- and blue-wire heat-treated [Reciproc blue (VDW) and WaveOne Gold (Dentsply Maillefer)] instruments in severely curved root canals. A total of 80 root canals in extracted human teeth with angles of curvatures ranging between 25 degrees and 35 degrees and radii ranging between 3.1 and 8.5mm were divided into four groups (n=20). Based on radiographs taken prior to instrumentation, the groups were balanced with respect to the angle and the radius of canal curvature (P=1.0 and P=1.0, respectively). All canals were prepared to an apical size 25 according to the manufacturers' instructions. Pre- and post-instrumentation radiographs were superimposed and canal straightening was analysed using a computer imaging programme. Preparation time and instrument failure were also recorded. Data were analysed statistically using ANOVA and Student-Newman-Keuls test. During preparation no instrument fractured. All instruments maintained the original canal curvature well with no significant differences between the instruments (P=0.278). Regarding preparation time, no significant differences between the four instruments were obtained (P>0.05). Under the conditions of this study, all instruments respected the original canal curvature well. Instruments were safe to use. The use of the gold- and blue-wire heat-treated instruments was not associated with an improved shaping ability.