Warning: mkdir(): Permission denied in /home/virtual/lib/view_data.php on line 81

Warning: fopen(upload/ip_log/ip_log_2024-12.txt): failed to open stream: No such file or directory in /home/virtual/lib/view_data.php on line 83

Warning: fwrite() expects parameter 1 to be resource, boolean given in /home/virtual/lib/view_data.php on line 84
The change of canal configuration after instrumentation by several nickel-titanium files in the simulated canal with abrupt curvature


Your browser does not support the NLM PubReader view.

Go to this page to see a list of supporting browsers.

The change of canal configuration after instrumentation by several nickel-titanium files in the simulated canal with abrupt curvature

Article information

Restor Dent Endod. 2005;30(4):303-311
Publication date (electronic) : 2005 July 30
doi : https://doi.org/10.5395/JKACD.2005.30.4.303
Jung-Jang Lim, Dong-Jun Kim, Yun-Chan Hwang, In-Nam Hwang, Won-Mann Oh
Department of Conservative Dentistry, School of Dentistry, DSRI, Chonnam National University, Korea.
Corresponding author: Won-Mann Oh. Department of Conservative Dentistry, School of Dentistry, Chonnam National Universtiy, 8 Hak-dong, Dong-gu, Gwangju, Korea, 501-757. Tel: 82-62-220-4431, Fax: 82-62-225-8387, wmoh@chonnam.ac.kr
Received 2004 November 11; Revised 2004 December 29; Accepted 2005 February 15.

Abstract

The purpose of this study was to evaluate which type of Ni-Ti files are able to maintain canal configuration better in the simulated canal with abrupt curvature near it's apex.

Ninety six simulated root canals were made in epoxy resin and #15 finger spreader was used as root canal templates. The simulated root canals were made with radius of curvature of 1.5 mm, 3.0 mm, 4.0 mm, 6.0 mm respectively and the angle of curvature of all simulated canals were adjusted to 90 degree. The simulated canals were instrumented by ProFile, ProTaper, Hero 642, and K3 at a 300 rpm using crown-down pressureless technique. Pre-instrumented and post-instrumented images were taken by digital camera and were superimposed with Adobe Photoshop 6.0 program. Images were compared by image analysis program.

The changes of canal width at the inner and outer side of the canal curvature, canal transportation were measured at 9 measuring point with 1 mm interval. Statistical analysis among the types of Ni-Ti files was performed using Kruskal-Wallis test and Mann-Whitney U-test.

The result was that ProFile maintain original canal configuration better than other engine driven Ni-Ti files in the canals above 3.0 mm radius of curvature, and in the 1.5 mm radius of curvature, most of Ni-Ti flies were deformed or separated during instrumentation.

Keywords: Ni-Ti file; Canal curvature; ProFile; ProTaper; Hero 642; K3

References

1. Mandel E, Yazdi MA, Benhamou LM, Lachkar T, Mesgouez C, Sobel M. Rotary Ni-Ti profile systems for preparing curved canals in resin blocks : influence of operator on instrument breakage. Int Endod J 1999. 32436–443.
2. Bramante CM, Berbert A, Borges RP. A methodology for evaluation of root canal instrument. J Endod 1987. 13243–245.
3. Royal JR, Donnelly JC. A comparison of maintenance of canal curvature using balanced-forced instrumentation with three difference file type. J Endod 1995. 21300–304.
4. Esposito PT, Cunningham CJ. A comparison of canal preparation with nickel-titanium and stainless steel instruments. J Endod 1995. 21173–176.
5. Walia H, Brantley WA, Gerstein H. An initial investigation of the bending and torsional properties of nitinol root canal files. J Endod 1988. 14346–351.
6. Thompson SA, Dummer PMH. Shaping ability of Hero 642 rotary nickel-titanium instruments in simulated root canals: Part 1. Int Endod J 2000. 33248–254.
7. Park HS, Lee MG, Kim JJ, Im YJ, Jang MS, Lee JY. A study on the shape of a canal prepared with 'three-file' technique in a curved canal. J Korean Acad Conserv Dent 2000. 25494–498.
8. Coleman CL, Svec TA. Analysis of Ni-Ti versus stainless steel instrumentation in resin simulated canals. J Endod 1997. 23232–235.
9. Hata GI, Uemura M, Kato AS, Imura N, Novo NF, Toda T. A comparison of shaping ability using ProFile, GT file, and Flex-R endodontic instruments in simulated canals. J Endod 2002. 28316–321.
10. Bishop K, Dummer PMH. A comparison of stainless steel Flexofiles and nickel-titanium NiTiFlex files during the shaping of simulated canals. Int Endod J 1997. 3025–34.
11. Park H. A comparison of Greater Taper files, ProFiles, and stainless steel files to shape curved root canals. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001. 91715–718.
12. Gambill JM, Alder M, del Rio CE. Comparison of nickel-titanium and stainless steel hand-file instrumentation using computed tomography. J Endod 1996. 22369–375.
13. Kim YT, Beak SH, Bae KS, Lim SS, Yoon SH. A Comparison of Three Stainless Steel Instruments in the Preparation of Curved Root Canals in vitro. J Korean Acad Conserv Dent 2001. 269–15.
14. Dummer PMH, Alodeh MHA. A method for the construction of simulated root canals in clear resin blocks. Int Endod J 1991. 2463–66.
15. Kum KY, Spängberg L, Cha BY, Jung IY, Lee SJ, Lee CY. Shaping ability of three ProFile rotary instrumentation techniques in simulated resin root canals. J Endod 2000. 26719–723.
16. Schäfer E. Shaping ability of Hero 642 rotary nickel-titanium instruments and stainless steel hand K-Flexofiles in simulated curved root canals. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2001. 92215–220.
17. Bonetti Filho I, Miranda Esberard R, de Toledo Leonardo R, del Rio CE. Microscopic evaluation of three endodontic files pre- and postinstrumentation. J Endod 1998. 24461–464.
18. Thompson SA, Dummer PMH. Shaping ability of ProFile .04 taper series 29 rotary nickel-titanium instruments in simulated root canals. Part 1. Int Endod J 1997. 301–7.
19. Pruett JP, Clement DJ, Carnes DL. Cyclic fatigue testing of Nickel-Titanium endodontic instruments. J Endod 1997. 2377–85.
20. Schäfer E, Schlingemann R. Efficiency of rotary nickel-titanium K3 instruments compared with stainless steel hand K-Flexofile. Part2. Cleaning effectiveness and shaping ability in severely curved root canals of extracted teeth. Int Endod J 2003. 36208–217.
21. Versumer J, Hülsmann M, Schäfers F. A comparative study of root canal preparation using ProFile .04 and Lightspeed rotary Ni-Ti instruments. Int Endod J 2002. 3537–46.
22. Park HS, Lee MG, Kim JJ, Lee JY. A study on the shape of a canal prepared with profiles in a curved canal. J Korean Acad Conserv Dent 1999. 24633–638.
23. Im GA, Yoon SH. A Comparison of Stainless Steel K-file, Profile .04, and Quantec LX Instruments to Shape Curved Root Canals in vitro. J Korean Acad Conserv Dent 2000. 25133–143.
24. Thompson SA, Dummer PMH. Shaping ability of ProFile .04 taper series 29 rotary nickel-titanium instruments in simulated root canals. Part 2. Int Endod J 1997. 308–15.
25. Lee SJ, Shin YG, Hwang HG. Transportation of curved canal after canal enlargement according to filing instruments. J Korean Acad Conserv Dent 1999. 24503–510.

Article information Continued

Copyright © 2005 Korean Academy of Conservative Dentistry
(open-access) :

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Figure 1

Figure 1

4.0 mm radius of curvature of finger spreader

Figure 2

Figure 2

Pre- and Post-image of root canal and Measuring points were measured with 1 mm interval from 1 mm to 9 mm.

Figure 3

Figure 3

Change of total canal width of the curvature in 3.0 mm radius group (Unit: mm).

*significant difference among Ni-Ti files at each measuring point (p < 0.05).

Figure 4

Figure 4

Change of total canal width of the curvature in 4.0 mm radius group (Unit: mm).

*significant difference among Ni-Ti files at each measuring point (p < 0.05).

**significant difference among Ni-Ti files at each measuring point (p < 0.01).

Figure 5

Figure 5

Change of total canal width of the curvature in 6.0 mm radius group (Unit: mm).

*significant difference among Ni-Ti files at each measuring point (p < 0.05).

**significant difference among Ni-Ti files at each measuring point (p < 0.01).

Figure 6

Figure 6

Canal transportation of 3.0 mm radius group (Unit: mm).

*significant difference among Ni-Ti files at each measuring point (p < 0.05).

**significant difference among Ni-Ti files at each measuring point (p < 0.01).

Negative value means inside transportation from central axis of original root canal.

Figure 7

Figure 7

Canal transportation of 4.0 mm radius group (Unit : mm).

*significant difference among Ni-Ti files at each measuring point (p < 0.05).

**significant difference among Ni-Ti files at each measuring point (p < 0.01).

Negative value means inside transportation from central axis of original root canal.

Figure 8

Figure 8

Canal transportation of 6.0 mm radius group (Unit : mm).

*significant difference among Ni-Ti files at each measuring point (p < 0.05).

**significant difference among Ni-Ti files at each measuring point (p < 0.01).

Negative value means inside transportation from central axis of original root canal.

Table 1

The number of ledge formation and File fracture

Table 1

Table 2

Deformation and separation of Ni-Ti files

Table 2