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Fracture incidence of Reciproc instruments during root canal retreatment performed by postgraduate students: a cross-sectional retrospective clinical study
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Liliana Machado Ruivo, Marcos de Azevedo Rios, Alexandre Mascarenhas Villela, Alexandre Sigrist de Martin, Augusto Shoji Kato, Rina Andrea Pelegrine, Ana Flávia Almeida Barbosa, Emmanuel João Nogueira Leal Silva, Carlos Eduardo da Silveira Bueno
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Restor Dent Endod 2021;46(4):e49. Published online September 9, 2021
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DOI: https://doi.org/10.5395/rde.2021.46.e49
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Abstract
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To evaluate the fracture incidence of Reciproc R25 instruments (VDW) used during non-surgical root canal retreatments performed by students in a postgraduate endodontic program. Materials and MethodsFrom the analysis of clinical record cards and periapical radiographs of root canal retreatments performed by postgraduate students using the Reciproc R25, a total of 1,016 teeth (2,544 root canals) were selected. The instruments were discarded after a single use. The general incidence of instrument fractures and its frequency was analyzed considering the group of teeth and the root thirds where the fractures occurred. Statistical analysis was performed using the χ2 test (p < 0.01). ResultsSeven instruments were separated during the procedures. The percentage of fracture in relation to the number of instrumented canals was 0.27% and 0.68% in relation to the number of instrumented teeth. Four fractures occurred in maxillary molars, 1 in a mandibular molar, 1 in a mandibular premolar and 1 in a maxillary incisor. A greater number of fractures was observed in molars when compared with the number of fractures observed in the other dental groups (p < 0.01). Considering all of the instrument fractures, 71.43% were located in the apical third and 28.57% in the middle third (p < 0.01). One instrument fragment was removed, one bypassed, while in 5 cases, the instrument fragment remained inside the root canal. ConclusionsThe use of Reciproc R25 instruments in root canal retreatments carried out by postgraduate students was associated with a low incidence of fractures.
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Citations
Citations to this article as recorded by 
- Reciprocating Torsional Fatigue and Mechanical Tests of Thermal-Treated Nickel Titanium Instruments
Victor Talarico Leal Vieira, Alejandro Jaime, Carlos Garcia Puente, Giuliana Soimu, Emmanuel João Nogueira Leal Silva, Carlos Nelson Elias, Gustavo de Deus Journal of Endodontics.2025; 51(3): 359. CrossRef - Neodymium-Doped Yttrium Aluminum Perovskite (Nd:YAP) Laser in the Elimination of Endodontic Nickel-Titanium Files Fractured in Rooted Canals (Part 2: Teeth With Significant Root Curvature)
Amaury Namour, Marwan El Mobadder, Clément Cerfontaine, Patrick Matamba, Lucia Misoaga, Delphine Magnin , Praveen Arany, Samir Nammour Cureus.2025;[Epub] CrossRef - Temperature-Dependent Effects on Cyclic Fatigue Resistance in Three Reciprocating Endodontic Systems: An In Vitro Study
Marcela Salamanca Ramos, José Aranguren, Giulia Malvicini, Cesar De Gregorio, Carmen Bonilla, Alejandro R. Perez Materials.2025; 18(5): 952. CrossRef - Multimethod analysis of large‐ and low‐tapered single file reciprocating instruments: Design, metallurgy, mechanical performance, and irrigation flow
Emmanuel João Nogueira Leal Silva, Fernando Peña‐Bengoa, Natasha C. Ajuz, Victor T. L. Vieira, Jorge N. R. Martins, Duarte Marques, Ricardo Pinto, Mario Rito Pereira, Francisco Manuel Braz‐Fernandes, Marco A. Versiani International Endodontic Journal.2024; 57(5): 601. CrossRef - Nd: YAP Laser in the Elimination of Endodontic Nickel-Titanium Files Fractured in Rooted Canals (Part 1: Teeth With Minimal Root Curvature)
Amaury Namour, Marwan El Mobadder, Patrick Matamba, Lucia Misoaga, Delphine Magnin , Praveen Arany, Samir Nammour Cureus.2024;[Epub] CrossRef - Cyclic Fatigue of Different Reciprocating Endodontic Instruments Using Matching Artificial Root Canals at Body Temperature In Vitro
Sebastian Bürklein, Paul Maßmann, Edgar Schäfer, David Donnermeyer Materials.2024; 17(4): 827. CrossRef - Endodontic Orthograde Retreatments: Challenges and Solutions
Alessio Zanza, Rodolfo Reda, Luca Testarelli Clinical, Cosmetic and Investigational Dentistry.2023; Volume 15: 245. CrossRef - Design, metallurgy, mechanical properties, and shaping ability of 3 heat-treated reciprocating systems: a multimethod investigation
Emmanuel J. N. L. Silva, Jorge N. R. Martins, Natasha C. Ajuz, Henrique dos Santos Antunes, Victor Talarico Leal Vieira, Francisco Manuel Braz-Fernandes, Felipe Gonçalves Belladonna, Marco Aurélio Versiani Clinical Oral Investigations.2023; 27(5): 2427. CrossRef - Noncontact 3D evaluation of surface topography of reciprocating instruments after retreatment procedures
Miriam Fatima Zaccaro-Scelza, Renato Lenoir Cardoso Henrique Martinez, Sandro Oliveira Tavares, Fabiano Palmeira Gonçalves, Marcelo Montagnana, Emmanuel João Nogueira Leal da Silva, Pantaleo Scelza Brazilian Dental Journal.2022; 33(3): 38. CrossRef
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Shaping ability and apical debris extrusion after root canal preparation with rotary or reciprocating instruments: a micro-CT study
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Emmanuel João Nogueira Leal da Silva, Sara Gomes de Moura, Carolina Oliveira de Lima, Ana Flávia Almeida Barbosa, Waleska Florentino Misael, Mariane Floriano Lopes Santos Lacerda, Luciana Moura Sassone
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Restor Dent Endod 2021;46(2):e16. Published online February 25, 2021
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DOI: https://doi.org/10.5395/rde.2021.46.e16
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Abstract
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The aim of this study was to evaluate the shaping ability of the TruShape and Reciproc Blue systems and the apical extrusion of debris after root canal instrumentation. The ProTaper Universal system was used as a reference for comparison. Materials and MethodsThirty-three mandibular premolars with a single canal were scanned using micro-computed tomography and were matched into 3 groups (n = 11) according to the instrumentation system: TruShape, Reciproc Blue and ProTaper Universal. The teeth were accessed and mounted in an apparatus with agarose gel, which simulated apical resistance provided by the periapical tissue and enabled the collection of apically extruded debris. During root canal preparation, 2.5% sodium hypochlorite was used as an irrigant. The samples were scanned again after instrumentation. The percentage of unprepared area, removed dentin, and volume of apically extruded debris were analyzed. The data were analyzed using 1-way analysis of variance and the Tukey test for multiple comparisons at a 5% significance level. ResultsNo significant differences in the percentage of unprepared area were observed among the systems (p > 0.05). ProTaper Universal presented a higher percentage of dentin removal than the TruShape and Reciproc Blue systems (p < 0.05). The systems produced similar volumes of apically extruded debris (p > 0.05). ConclusionsAll systems caused apically extruded debris, without any significant differences among them. TruShape, Reciproc Blue, and ProTaper Universal presented similar percentages of unprepared area after root canal instrumentation; however, ProTaper Universal was associated with higher dentin removal than the other systems.
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Citations
Citations to this article as recorded by 
- A quantitative comparison of apically extruded debris during root canal preparation using NiTi full-sequence rotary and single-file rotary systems: An in vitro study
Pallavi Goel, R. Vikram, R. Anithakumari, M. S. Adarsha, M. E. Sudhanva Endodontology.2024; 36(3): 235. CrossRef - Extrusion of Sodium Hypochlorite in Oval-Shaped Canals: A Comparative Study of the Potential of Four Final Agitation Approaches Employing Agarose-Embedded Mandibular First Premolars
Aalisha Parkar, Kulvinder Singh Banga, Ajinkya M. Pawar, Alexander Maniangat Luke Journal of Clinical Medicine.2024; 13(10): 2748. CrossRef - Shaping Efficiency of Rotary and Reciprocating Kinematics of Engine-driven Nickel-Titanium Instruments in Moderate and Severely curved Root Canals Using Microcomputed Tomography: A Systematic Review of Ex Vivo Studies
Claudiu Călin, Ana-Maria Focșăneanu, Friedrich Paulsen, Andreea C. Didilescu, Tiberiu Niță Journal of Endodontics.2024; 50(7): 907. CrossRef - Intracanal removal and apical extrusion of filling material after retreatment using rotary or reciprocating instruments: A new approach using human cadavers
Thamyres M. Monteiro, Victor O. Cortes‐Cid, Marilia F. V. Marceliano‐Alves, Andrea F. Campello, Luan F. Bastos, Ricardo T. Lopes, José F. Siqueira, Flávio R. F. Alves International Endodontic Journal.2024; 57(1): 100. CrossRef - Assessment of debris extrusion on using automated irrigation device with conventional needle irrigation – An ex vivo study
Sahil Choudhari, Kavalipurapu Venkata Teja, Raja Kumar, Sindhu Ramesh Saudi Endodontic Journal.2023; 13(3): 263. CrossRef - Postoperative pain perception and associated risk factors in children after continuous rotation versus reciprocating kinematics: A randomised prospective clinical trial
Ahmad Abdel Hamid Elheeny, Dania Ibrahem Sermani, Mahmoud Ahmed Abdelmotelb Australian Endodontic Journal.2023; 49(S1): 345. CrossRef - A critical analysis of research methods and experimental models to study apical extrusion of debris and irrigants
Jale Tanalp International Endodontic Journal.2022; 55(S1): 153. CrossRef - Quantitative evaluation of apically extruded debris using TRUShape, TruNatomy, and WaveOne Gold in curved canals
Nehal Nabil Roshdy, Reham Hassan BDJ Open.2022;[Epub] CrossRef - Shaping ability of new reciprocating or rotary instruments with two cross‐sectional designs: An ex vivo study
Isabela G. Guedes, Renata C. V. Rodrigues, Marília F. Marceliano‐Alves, Flávio R. F. Alves, Isabela N. Rôças, José F. Siqueira International Endodontic Journal.2022; 55(12): 1385. CrossRef
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