The Effect of Glide Path Preparation on Root Canal Shaping Procedures and Outcomes

Overview

Journal Eur Endod J

Publisher Kare Publishing

Specialty Dentistry

Date 2022 Jul 5

PMID 35786583

Authors

Mahdi Ajina

Georgios Billis

Bun San Chong

Affiliations

Soon will be listed here.

Abstract

The 'glide path' in non-surgical root canal treatment refers to a smooth radicular tunnel from the root canal orifice to its terminus. Its establishment is aimed at creating sufficient space to facilitate the subsequent and safer use of engine-driven nickel titanium (NiTi) shaping files. Glide paths were originally prepared using stainless steel hand files to, at least, a loose International Organisation for Standardisation (ISO) size 10 or larger. However, the advent of engine-driven NiTi instrumentation has led to the availability of many engine-driven NiTi glide path files. The aims of this review were to assess the effects of engine-driven and manual glide path preparation (GPP) on root canal shaping procedures and outcomes. An online search of the PubMed, Embase, Scopus and ScienceDirect databases was conducted and 32 studies were identified. The published literature suggests the use of engine-driven glide path files to be beneficial in maintaining the original root canal anatomy, reducing preparation time, decreasing apical extrusion of debris and causing less postoperative pain. However, there was no difference between engine-driven and manual GPP with regards to the physical strain exerted on the shaping files. Future research focused on clinical outcomes is needed to help ascertain the clinical benefits for patients.

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