Title: State-of-the-art endodontic therapy systems – Dr. Miculescu Vasile-Octavian, Dr. Goia Ioana Andrada 

He is a young doctor passionate about endodontics and restorative dentistry, also part of the organization of the Endo-Resto Summit project. He completed his studies at the “Victor Babeș” University of Medicine and Pharmacy Timișoara, class of 2023. Since January 2025 he has been a Resident in General Dentistry specialization, at the “Vasile Goldiș” Western University in Arad.

Introduction: Proper endodontic treatment depends on several factors and involves meeting multiple requirements simultaneously. These include the correct preparation of root canals, complete antisepsis of the endodontic system, and proper, three-dimensional, and time-stable filling of the root canal. To ensure optimal efficiency of endodontic treatment and a tight root filling, adequate preparation is necessary. This represents the first step in endodontic treatment and has a significant impact on subsequent stages. Endodontics has evolved from laborious manual preparation to modern rotary systems. ProTaper Ultimate is the latest rotary system introduced to the market.

The purpose and objectives were to evaluate the efficiency of the system in preparation and obturation. In the study, the preparation capability of the system and the obturation capacity using the monocon technique of the system along with the AH Plus Bioceramic Sealer were analyzed.

Materials and Method: A total of 22 root canals from recently extracted teeth were prepared using ProTaper Ultimate. They were fixed in a Zeta Plus silicon key. After the preparation and irrigation protocol, the root canals were filled using the monocon technique of the system along with AH Plus Bioceramic Sealer.

The results were evaluated through CBCT investigations and measurements using the OnDemand3D program. Preparation time consistently decreased as clinicians gained experience, indicating a predictable preparation time. A significant widening of the root canals was observed, especially in the ML and DV canals. Regarding obturation, the system provided adequate filling in most cases.

The study’s conclusions indicate that the system can be successfully used, even by less experienced clinicians, offering reduced treatment time and effective endodontic filling. This system represents an important innovation in the field of endodontics, bringing benefits to clinical practice and ensuring high-quality endodontic treatment.