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X smart plus motor

Manufactured by Dentsply
Sourced in Switzerland

The X-Smart Plus motor is a dental endodontic motor designed for canal preparation and shaping. It features electronic torque control and adjustable rotational speeds to assist dental professionals in the treatment of root canals. The device is intended to be used as a part of endodontic procedures.

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7 protocols using x smart plus motor

1

Detailed Root Canal Preparation Protocol

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Fourteen single rooted and six multi rooted tooth samples were included in this group. Root canals were prepared by using the ProTaper Gold (PTG; Dentsply Maillefer, Ballaigues, Switzerland) operated in continuous rotation motion at 300 rpm and a torque of 5.2 Ncm by an electric motor (X-Smart Plus motor, Dentsply Maillefer). Hand instrumentation was done till size of 25 K -type hand file. The root canal preparation was done in presence of NaOCl “Floating” with files ranging from SX to S2. The final root canal preparation was done using finishing file F3(ISO diameter 30) with a brushing action according to canal anatomy.
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2

Rotary Instrumentation Evaluation in Root Canals

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Thirty-six root canals were selected and randomly assigned to 3 groups (n=12). The canals were instrumented using a 0.08, 0.10 K-File (Dentsply Sirona, USA). Working length was controlled and measured with the aid of the dental microscope.
The groups were as follows:
The rotary instrument was controlled with an X-Smart plus motor (Dentsply Sirona, USA) using 2.0 N torque with a speed of 300 rpm. During and after instrumentation, the canals were irrigated using 2.5% sodium hypochlorite.
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3

Retreatment of Obturated Root Canals

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The coronal 2 mm of obturating materials were removed using a size 3 Gates Glidden drill (Dentsply Sirona, Ballaigues, Switzerland). Then, 1–2 drops of chloroform were used to soften the obturating material to facilitate file penetration. WOG Primary file (size 25, 0.07) was operated with reciprocating motion using the “WAVEONE ALL” mode in the X-Smart Plus motor (Dentsply Sirona) to remove the obturating materials. Attempts were made to reach the working length. Then, 10 vertical brushing movements with 3 mm amplitude were performed. Afterward, the canal was dried with paper points and checked for remnants of gutta-percha under the microscope at 8 × magnification. When gutta-percha was found on the canal walls, another 10 vertical strokes were performed. The canals were irrigated using a 27G side-vented irrigating needle with a total of 9 ml volume (5 ml of 2.5% NaOCl throughout the procedure and a final rinse of 2 ml of 17% EDTA was performed before flushing with 2 ml of 0.9% sodium chloride). The total amount of time needed for retreatment by the use of the WOG Primary file inside the canal, including the additional strokes, where applicable, and irrigation was calculated. Regaining the apical patency was inspected using a size 15 K-file.
To mimic the clinical conditions, the procedure was conducted while the sample was surrounded with warm water at 35 ± 1 °C.
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4

Chemo-mechanical Root Canal Preparation and Intracanal Medicaments

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All samples were cleaned with P1 ultrasonic periodontal tips (Woodpecker, Guangxi, China) and prophylaxis brushes to remove hard and/or soft tissue traces. The crowns were sectioned with a 911 HK.104.220 diamond disc (Komet, Lemgo, Germany) to achieve a standardized root length of 14 mm. Root canals were prepared at a working length (WL) of 13 mm with the WaveOne Gold system (Dentsply Sirona, Ballaigues, Switzerland), using an X-SMART Plus motor (Dentsply Sirona) with the reciprocating program for the system. After verifying the patency of the canal with a K #10 instrument, chemo-mechanical preparation began with a Primary file (25/.07), using 3-mm-deep in and out movements. Once WL was reached, the patency of the foramen was checked and the canals were irrigated with copious amounts of 2.5% sodium hypochlorite (NaOCl) using Navitip 30-G irrigation needles (Ultradent, South Jordan, UT, USA). The final shaping of the canals was performed with a Medium file (35/.06). During each canal preparation, 20 mL of 2.5% NaOCl were used. Final irrigation was performed with 5 mL of EDTA 17% for 3 minutes, followed by 5 mL of 2.5% NaOCl. The canals were dried with #35 paper points.
The teeth were randomly divided with an Excel spreadsheet (Microsoft Office, Washington, USA), into 4 groups (n=10): Bio-C Temp; Bio-C Temp+AU; UltraCal XS; UltraCal XS+UA.
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5

Reciproc File Removal Efficacy

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The Reciproc file (VDW, Munich, Germany) of size 25 and taper 0.08 was used in an X-Smart plus Motor (X-mart plus, Dentsply Maillefer, Ballaigues, Switzerland), in a full counterclockwise mode at 300 rpm. It was introduced into the canal using a pecking motion with a 3-mm amplitude and slight apical pressure till the working length. Retreatment was considered complete for all the groups when no residual gutta-percha or sealer could be observed in the instrument's flutes.[6 (link)]
This study assessed three parameters:

Efficacy of motion instrumentation kinematics in the removal of gutta-percha and bioceramic sealer based on volume of gutta-percha removed using CBCT and area of remaining gutta-percha sealer using digital photography

The time taken for gutta-percha and bioceramic sealer removal

Distortion of file during the retreatment procedure using a stereomicroscope.

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6

Root Canal Preparation with ProTaper Next

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Thirteen single rooted and seven multi rooted tooth samples were included in this group. Root canals were prepared by using the ProTaper Next (PTN, Dentsply Maillefer, Ballaigues, Switzerland) operated in continuous rotation motion at 300 rpm and a torque of 5.2 Ncm by an electric motor (X-Smart Plus motor, Dentsply Maillefer). The final preparation was done using master apical file size of X3. Patency of the apical foramen was confirmed with a size of 25 K-type hand file throughout the treatment procedures. Root canal preparation was done with 3% sodium hypochlorite floating in canal.
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7

Root Canal Preparation and Obturation Technique

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Specimens were shaped following the PTG sequence (Dentsply Sirona) up to F2 (25/08) filing with a torque-controlled X-Smart Plus motor (Dentsply Sirona), following manufacturer’s instructions. S1 and S2 files were used with brushing movements to working length. Subsequently, F1 and F2 files were taken to working length with a pecking motion. Between each file change, irrigation was carried out with 1 mL of 2.5% sodium hypochlorite (NaOCl) solution. Each file was employed in five root canals and then discarded. The final irrigation regimen consisted of 2 mL 2.5% NaOCl and 2 mL 17% EDTA for 2 min, followed by a final flush with 2 mL of 2.5% NaOCl. Root canals were dried with paper points (Dentsply Maillefer) and obturated with the continuous wave of condensation technique consisting of an apical plug and backfill using AH Plus as a sealer (Dentsply DeTrey, Konstanz, Germany). To verify root canal obturation quality, a radiograph was taken in the buccolingual direction. If voids were detected, the specimen was discarded and replaced. Access cavities were sealed with CavitTM (ESPE, Seefeld, Germany) and specimens were stored in a 100% humidity atmosphere at 37° for 14 days.
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