Dametto, Fábio RobertoCarvalho, Lilian Karine Cardoso Guimarães de2020-04-162020-04-162019-12-13CARVALHO, Lilian Karine Cardoso Guimarães de. Análise de sistemas reciprocantes quanto a produção de desvios e remoção de material obturador em canais radiculares: estudo in vitro. 2019. 104f. Tese (Doutorado em Ciências Odontológicas) - Centro de Ciências da Saúde, Universidade Federal do Rio Grande do Norte, Natal, 2019.https://repositorio.ufrn.br/jspui/handle/123456789/28802Endodontic retreatment is a procedure performed when the previous treatment is unsuccessful and aims to reverse infectious processes, completely removing the shutter material allowing a new cleaning, modeling and reobturation of root canals. With a view to improving success rates and retreatment efficiency, several nickel-titanium (NiTi) systems have been developed with the use of only one instrument through a reciprocal movement, raising new perspectives for biomechanical preparation of the root canal, as well as retreatment. Therefore, this study aimed to analyze the production of deviation and cleaning capacity during retreatment of the mesiaal channels of lower molars with severe curvatures (30° and 70°), obtained with BioC Sealer after using reciprocating systems. A sample of sixty lower molars was divided into four experimental groups, thus distributed: G1- X1-Blue (25.06); G2- WaveOne Gold Primary (25.07); G3- Reciproc Blue (25.08); G4- WA1 (25.07). Each group contained 15 molars, totaling 120 mesiaal channels, which passed through the acquisition and processing of the initial images in the Microtomográfo, so that later, the pairing of the groups was performed. All groups have been instrumented with the continuous Rotation System Pro Taper Next. After instrumentation, they were filled with protaper universal percha gutcone, sealed and placed in a greenhouse at 37 °C, 100% humidity for 72 hours. For analysis of deviation and removal of the filling of the channels, the samples were scanned by microtomography (Micro-CT). Finally, apical deviation was evaluated and measured by comparing the images of the channels obtained by micro-CT after retreatment, as well as removal of the shutter material, for further statistical analysis. The results regarding the production of deviation after removal of the shutter material between groups, showed no statistically significant difference both for vestibular mesium root canals and for lingual mesio channels (p > 0.05). In the intra-group analysis, there was no difference in relation to groups G1(X1 Blue), G2 (Wave one Gold) and G3 (Reciproc Blue) (p > 0.05), but group G4 (WA1) showed a significant difference, showing a higher degree of deviation in the lingual mesium channel than in the vestibular mesium (p < 0.05). Regarding the removal of the obtained material, in the analysis between group, for the vestibular Mesio canal, it can be observed that in all groups there was a decrease in the cervical direction to apical, however, in group G4 (WA1) there was a greater removal in both the middle and apical third. In the cervical third the highest removal of the shutter material occurred in group G2 (Wave one Gold), followed by G4 (WA1), G3 (Reciproc Blue) and G1 (X1 Blue). For the lingual mesio channel, group G4 (WA1) demonstrated greater shutter material removal stability across all thirds. In the cervical third, there was a higher removal of the shutter material in group G2, followed by G4, G3 and G1, already in the middle third it was in group G2, followed by G1, G4 and G3. In the apical third, group G4 promoted higher shutter material removal capacity, followed by G1, G2 and G3. For comparison between intragroup means, there was no statistically significant difference when comparing the cervical/middle thirds for Groups G1 and G4 (both in the vestibular mesio channel and in the lingual mesium) and middle/apical thirds (only in the lingual Mesio canal), however, the apical third was observed a greater difficulty in removing the shutter material. It was concluded that most of the reciprocal systems tested in the retreatment promoted apical deviation, but the WA1 system was able to produce less deviation in the vestibular Mesio canal. The reciprocal systems used were able to remove much of the shutter material, but not in its entirety, the apical third was the one that most difficult to remove the shutter material, however, the WA1 system was the one that performed higher in this third.Acesso AbertoSistemas reciprocantesBiocerâmicosMicro-CTDesvio apicalRetratamentoAnálise de sistemas reciprocantes quanto a produção de desvios e remoção de material obturador em canais radiculares: estudo in vitrodoctoralThesisCNPQ::CIENCIAS DA SAUDE::ODONTOLOGIA