Glide Path Preparation in S-shaped Canals with Rotary Pathfinding Nickel-Titanium Instruments

Introduction: This study compared the incidence of deviation along S-shaped (double-curved) canals after glide path preparation with 2 nickel-titanium (NiTi) rotary pathfinding instruments and hand K-files. Methods: S-shaped canals from 60 training blocks were filled with ink, and preinstrumentation images were obtained by using a stereomicroscope. Glide path preparation was performed by an endodontist who used hand stainless steel K-files (up to size 20), rotary NiTi Path File instruments (up to size 19), or rotary NiTi Scout RaCe instruments (up to size 20). Post-instrumentation images were taken by using exactly the same conditions as for the preinstrumentation images, and both pictures were superimposed. Differences along the S-shaped canal for the mesial and distal aspects were measured to evaluate the occurrence of deviation. Results: Intragroup analysis showed that all instruments promoted some deviation in virtually all levels. Overall, regardless of the group, deviations were observed in the mesial wall at the canal terminus and at levels 4, 5, 6 and 7 mm and in the distal wall at levels 1, 2, and 3 mm. These levels corresponded to the inner walls of each curvature. Both rotary NiTi instruments performed significantly better than hand K-files at all levels (P < .05), except for PathFiles at the 0-mm level. ScoutRaCe instruments showed significantly better results than PathFiles at levels 0, 2, 3, 5, and 6 mm (P < .05). Conclusions: Findings suggest that rotary Will instruments are suitable for adequate glide path preparation because they promoted less deviation from the original canal anatomy when compared with hand-operated instruments. Of the 2 rotary pathfinding instruments, Scout RaCe showed an overall significantly better performance.