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Pattern of endodontic instrument separation and factors affecting its retrieval: a 10-year retrospective observational study in a postgraduate institute
Velmurugan Natanasabapathy, Aswathi Varghese, Paul Kevin Abishek Karthikeyan, Srinivasan Narasimhan
Restor Dent Endod 2025;50(1):e7.   Published online February 19, 2025
DOI: https://doi.org/10.5395/rde.2025.50.e7
AbstractAbstract PDFPubReaderePub
Objectives
This study aimed to assess the pattern of endodontic instrument separation, their retrievability, and factors affecting its retrieval, in a postgraduate institute.
Methods
Cases referred for the management of separated endodontic instruments (SEI) from 2013 to 2023 were considered for this study. Data related to demographics, tooth type, file type, and retrieval were documented in an Excel sheet. Eight prognostic factors assumed to influence the retrieval were analyzed in this study. The secondary aim was to compare the pattern of SEI and retrievability between conventional nickel-titanium files and newer generation heat-treated nickel-titanium files. Retrieval was attempted by a senior endodontist under the dental operating microscope. Various ultrasonic tips and a Broken Tool Removal loop system were used during retrieval. Simple descriptive statistics were performed. Binomial logistic regression was done to identify the effect of the eight prognostic factors on the retrieval outcome.
Results
A total of 190 SEI was reported. SEI occurred more often in posterior teeth than anterior teeth, mandibular arch than maxillary arch, and in larger files than smaller files. Separation occurred more often in the apical third compared to the other levels. Retrieval was attempted in 88 cases and successful in 70 cases (79.5%). The larger taper and apical position of the SEI negatively influenced the retrieval by 1.4 and 8.7 times, respectively.
Conclusions
Retrieval of SEI was successful in the majority of the cases. An increase in taper and apically placed SEI negatively impacted the retrieval. There was no difference in the pattern of separation nor retrievability between conventional nickel-titanium files and newer generation heat-treated nickel-titanium files.
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Shaping ability and cyclic fatigue resistance between Genius ProFlex, ZenFlex, and TruNatomy rotary systems: an experimental study
Raimundo Sales de Oliveira Neto, Murilo Priori Alcalde, Pedro Cesar Gomes Titato, Pedro Henrique Souza Calefi, Carlos Alberto Spironelli Ramos, Guilherme Ferreira da Silva, Rodrigo Ricci Vivan, Marco Antonio Hungaro Duarte
Restor Dent Endod 2025;50(1):e9.   Published online February 13, 2025
DOI: https://doi.org/10.5395/rde.2025.50.e9
AbstractAbstract PDFPubReaderePub
Objectives
The aim of this study was to investigate the efficacy of three newly introduced rotary endodontic systems: Genius ProFlex (Medidenta), TruNatomy (Dentsply Maillefer), and ZenFlex (Kerr).
Methods
Forty-five mandibular molars with root canal curvatures <5° were utilized. Micro-computed tomography scans were performed pre- and post-preparation to assess apical transportation, centralization, percentage of dentin wear, and canal volume alterations. Eight instruments of each diameter underwent cyclic fatigue testing.
Results
The percentage of dentin wear on mesial and distal walls showed no significant differences among ZenFlex, TruNatomy, and Genius ProFlex at 1, 2, 3, and 4 mm from the apical foramen and root canal orifice (p > 0.05). Centering ability varied in the mesiolingual canal (p < 0.05). No notable differences were observed in transportation (p > 0.05). Genius ProFlex demonstrated lower volumetric changes (p < 0.05). There were significant differences in cyclic fatigue, with higher values for Genius ProFlex and lower values for TruNatomy (p < 0.05).
Conclusions
The three nickel-titanium rotary instruments are safe and efficient for root canal preparation, with Genius ProFlex exhibiting superior cyclic fatigue resistance.
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Predictive factors in the retrieval of endodontic instruments: the relationship between the fragment length and location
Ricardo Portigliatti, Eugenia Pilar Consoli Lizzi, Pablo Alejandro Rodríguez
Restor Dent Endod 2024;49(4):e35.   Published online September 9, 2024
DOI: https://doi.org/10.5395/rde.2024.49.e35
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to relate the file fragment length and location in the root canal to the retrieval chances, the clinical time required and the occurrence of secondary fractures.

Materials and Methods

Sixty clinical cases of fractured instruments were included in this study. They were classified according to the instrument length and the location of the root canal. In each group, the success rate in the instrument retrieval, the clinical time required and the occurrence of secondary fractures were evaluated. The collected data were analyzed using the Kruskal-Wallis test on the basis of a 0.05 significance level.

Results

The fragment length showed no significant influence on the assessed variables (p > 0.05). The root third where the instrument was located resulted in an increased clinical time, with statistically significant differences (p < 0.05). However, the procedure success rate and the occurrence of secondary fractures showed no association with these variables.

Conclusions

In accordance with the findings of this study, the fractured fragment length did not influence any of the variables assessed, but it is suggested to focus on the fragment location inside the root canal to decide the retrieval of a fractured instrument.

Citations

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  • 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
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Micro-CT evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by XP-Endo Finisher, the Self-Adjusting File, or Er,Cr:YSGG laser
Gülsen Kiraz, Bulem Üreyen Kaya, Mert Ocak, Muhammet Bora Uzuner, Hakan Hamdi Çelik
Restor Dent Endod 2023;48(4):e36.   Published online October 23, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e36
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to compare the effectiveness of a single-file reciprocating system (WaveOne Gold, WOG) and a multi-file rotary system (ProTaper Universal Retreatment, PTUR) in removing canal filling from severely curved canals and to evaluate the possible adjunctive effects of XP-Endo Finisher (XPF), the Self-Adjusting File (SAF), and an erbium, chromium: yttrium, scandium, gallium garnet (Er,Cr:YSGG) laser using micro-computed tomography (μCT).

Materials and Methods

Sixty-six curved mandibular molars were divided into 2 groups based on the retreatment technique and then into 3 based on the supplementary method. The residual filling volumes and root canals were evaluated with μCT before and after retreatment, and after the supplementary steps. The data were statistically analyzed with the t-test, Mann-Whitney U test, analysis of covariance, and factorial analysis of variance (p < 0.05).

Results

PTUR and WOG showed no significant difference in removing filling materials (p > 0.05). The supplementary techniques were significantly more effective than reciprocating or rotary systems only (p < 0.01). The supplementary steps showed no significant differences in canal filling removal effectiveness (p > 0.05), but XPF showed less dentin reduction than the SAF and Er,Cr:YSGG laser (p < 0.01).

Conclusions

The supplementary methods significantly decreased the volume of residual filling materials. XPF caused minimal changes in root canal volume and might be preferred for retreatment in curved root canals. Supplementary approaches after retreatment procedures may improve root canal cleanliness.

Citations

Citations to this article as recorded by  
  • Trends in dentomaxillofacial radiology
    Kıvanç Kamburoğlu
    World Journal of Radiology.2025;[Epub]     CrossRef
  • Retrieval of AH Plus Bioceramic and Ceraseal Versus AH Plus in Endodontic Retreatment
    Eurok Shim, Jee Woo Son, Jiyoung Kwon, Hyun-Jung Kim, Ji-Hyun Jang, Seok Woo Chang, Soram Oh
    Journal of Clinical Medicine.2025; 14(6): 1826.     CrossRef
  • Characteristics and Effectiveness of XP‐Endo Files and Systems: A Narrative Review
    Sarah M. Alkahtany, Rana Alfadhel, Aseel AlOmair, Sarah Bin Durayhim, Kee Y. Kum
    International Journal of Dentistry.2024;[Epub]     CrossRef
  • Effect of the filling technique on the filling removal from oval-shaped canals
    Lislaine Valerio, Lisa Yurie Oda, Felipe Andretta Copelli, Clarissa Teles Rodrigues, Everdan Carneiro, Marco Antonio Hungaro Duarte, Bruno Cavalini Cavenago
    Clinical Oral Investigations.2024;[Epub]     CrossRef
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Effectiveness and safety of rotary and reciprocating kinematics for retreatment of curved root canals: a systematic review of in vitro studies
Lucas Pinho Simões, Alexandre Henrique dos Reis-Prado, Carlos Roberto Emerenciano Bueno, Ana Cecília Diniz Viana, Marco Antônio Húngaro Duarte, Luciano Tavares Angelo Cintra, Cleidiel Aparecido Araújo Lemos, Francine Benetti
Restor Dent Endod 2022;47(2):e22.   Published online April 6, 2022
DOI: https://doi.org/10.5395/rde.2022.47.e22
AbstractAbstract PDFPubReaderePub
Objectives

This systematic review (register-osf.io/wg7ba) compared the efficacy and safety of rotary and reciprocating kinematics in the removal of filling material from curved root canals.

Materials and Methods

Only in vitro studies evaluating both kinematics during retreatment were included. A systematic search (PubMed/MEDLINE, Scopus, and other databases, until January 2021), data extraction, and risk of bias analysis (Joanna Briggs Institute checklist) were performed. Efficacy in filling removal was the primary outcome.

Results

The search resulted in 2,795 studies, of which 15 were included. Efficacy was measured in terms of the remaining filling material and the time required for this. Nine studies evaluated filling material removal, of which 7 found no significant differences between rotary and reciprocating kinematics. Regarding the time for filling removal, 5 studies showed no difference between both kinematics, 2 studies showed faster results with rotary systems, and other 2 showed the opposite. No significant differences were found in apical transportation, centering ability, instrument failure, dentin removed and extruded debris. A low risk of bias was observed.

Conclusions

This review suggests that the choice of rotary or reciprocating kinematics does not influence the efficacy of filling removal from curved root canals. Further studies are needed to compare the kinematics safety in curved root canals.

Citations

Citations to this article as recorded by  
  • Fifteen years of engine‐driven nickel–titanium reciprocating instruments, what do we know so far? An umbrella review
    Felipe Immich, Lucas Peixoto de Araújo, Rafaella Rodrigues da Gama, Wellington Luiz de Oliveira da Rosa, Evandro Piva, Giampiero Rossi‐Fedele
    Australian Endodontic Journal.2024; 50(2): 409.     CrossRef
  • Efficacy of Various Heat-treated Retreatment File Systems on the Apical Deformity and Canal Centering Ability in a Single-rooted Teeth using Nano CT
    Swathi S, Pradeep Solete, Ganesh Jeevanandan, Delphine Priscilla Antony S, Kavalipurapu Venkata Teja, Dona Sanju
    The Open Dentistry Journal.2024;[Epub]     CrossRef
  • Micro-CT evaluation of the removal of root fillings using rotary and reciprocating systems supplemented by XP-Endo Finisher, the Self-Adjusting File, or Er,Cr:YSGG laser
    Gülsen Kiraz, Bulem Üreyen Kaya, Mert Ocak, Muhammet Bora Uzuner, Hakan Hamdi Çelik
    Restorative Dentistry & Endodontics.2023;[Epub]     CrossRef
  • Influence of sodium hypochlorite on cyclic fatigue resistance of nickel–titanium instruments: A systematic review and meta-analysis of in vitro studies
    Alexandre Henrique dos Reis-Prado, Lucas Guimarães Abreu, Lara Cancella de Arantes, Kiani dos Santos de Paula, Sabrina de Castro Oliveira, Juliana Goto, Ana Cecília Diniz Viana, Francine Benetti
    Clinical Oral Investigations.2023; 27(11): 6291.     CrossRef
  • Retreatment of XP-endo Shaper and R-Endo files in curved root canals
    Hayam Y. Hassan, Fahd M. Hadhoud, Ayman Mandorah
    BMC Oral Health.2023;[Epub]     CrossRef
  • Advancing Endodontics through Kinematics
    Shilpa Bhandi, Dario Di Nardo, Francesco Pagnoni, Rosemary Abbagnale
    World Journal of Dentistry.2023; 14(6): 479.     CrossRef
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Comparison of the cyclic fatigue resistance of One Curve, F6 Skytaper, Protaper Next, and Hyflex CM endodontic files
Charlotte Gouédard, Laurent Pino, Reza Arbab-Chirani, Shabnam Arbab-Chirani, Valérie Chevalier
Restor Dent Endod 2022;47(2):e16.   Published online March 4, 2022
DOI: https://doi.org/10.5395/rde.2022.47.e16
AbstractAbstract PDFPubReaderePub
Objectives

This study compared the cyclic fatigue resistance of One Curve (C wire) and F6 Skytaper (conventional austenite nickel-titanium [NiTi]), and 2 instruments with thermo-mechanically treated NiTi: Protaper Next X2 (M wire) and Hyflex CM (CM wire).

Materials and Methods

Ten new instruments of each group (size: 0.25 mm, 6% taper in the 3 mm tip region) were tested using a rotary bending machine with a 60° curvature angle and a 5 mm curvature radius, at room temperature. The number of cycles until fracture was recorded. The length of the fractured instruments was measured. The fracture surface of each fragment was examined with a scanning electron microscope (SEM). The data were analyzed using one-way analysis of variance and the post hoc Tukey test. The significance level was set at 0.05.

Results

At 60°, One Curve, F6 Skytaper and Hyflex CM had significantly longer fatigue lives than Protaper Next X2 (p < 0.05). No statistically significant differences were found in the cyclic fatigue lives of One Curve, F6 Skytaper, and Hyflex CM (p > 0.05). SEM images of the fracture surfaces of the different instruments showed typical features of fatigue failure.

Conclusions

Within the conditions of this study, at 60° and with a 5 mm curvature radius, the cyclic fatigue life of One Curve was not significantly different from those of F6 Skytaper and Hyflex CM. The cyclic fatigue lives of these 3 instruments were statistically significantly longer than that of Protaper Next.

Citations

Citations to this article as recorded by  
  • Evaluation of cyclic fatigue in three pediatric endodontic rotary file systems in root canals of primary molars: A finite element analysis (FEA)
    Monika sri S.S., K.C. Vignesh, K. Vivek, Kavitha Swaminathan, Selvakumar Haridoss
    Journal of Oral Biology and Craniofacial Research.2025; 15(2): 310.     CrossRef
  • Stress analysis of different experimental finite element models of rotary endodontic instruments
    Manar M. Galal, Amira Galal Ismail, Nada Omar
    Bulletin of the National Research Centre.2025;[Epub]     CrossRef
  • Analyzing Surface Morphology Changes Induced by Cyclic Fatigue in Three Different Nickel–Titanium Rotary Files Using Scanning Electron Microscopy Analysis
    Chintan Joshi, Mahima P Jain, Sweety M Thumar, Jay H Dave, Applu R Bhatt, Juhi I Dholani
    World Journal of Dentistry.2024; 15(7): 579.     CrossRef
  • Nickel ion release and surface analyses on instrument fragments fractured beyond the apex: a laboratory investigation
    Sıdıka Mine Toker, Ekim Onur Orhan, Arzu Beklen
    BMC Oral Health.2023;[Epub]     CrossRef
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Fracture incidence of Reciproc instruments during root canal retreatment performed by postgraduate students: a cross-sectional retrospective clinical study
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
Restor Dent Endod 2021;46(4):e49.   Published online September 9, 2021
DOI: https://doi.org/10.5395/rde.2021.46.e49
AbstractAbstract PDFPubReaderePub
Objectives

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 Methods

From 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).

Results

Seven 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.

Conclusions

The use of Reciproc R25 instruments in root canal retreatments carried out by postgraduate students was associated with a low incidence of fractures.

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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Influence of glide path size and operating kinetics on time to reach working length and fracture resistance of Twisted File adaptive and Endostar E3 nickel-titanium file systems
Tamilkumaran Ramyadharshini, Inbaraj Anand Sherwood, V Shanmugham Vigneshwar, Prakasam Ernest Prince, Murugadoss Vaanjay
Restor Dent Endod 2020;45(2):e22.   Published online March 5, 2020
DOI: https://doi.org/10.5395/rde.2020.45.e22
AbstractAbstract PDFPubReaderePub
Objectives

This study investigated the influence of glide path size and operating kinetics on the time to reach the working length and the fracture resistance of Twisted File (TF) and Endostar E3 files.

Materials and Methods

A total of 120 mandibular single-rooted premolars were selected. Two methods of kinetic motion (TF adaptive and continuous rotary motion) and file systems (TF and Endostar E3) were employed. The files were used in root canals prepared to apical glide path sizes of 15, 20, and 25. The time taken to reach the working length and the number of canals used before the instrument deformed or fractured were noted. Fractured instruments were examined with scanning electron microscopy.

Results

The TF system took significantly more time to reach the working length than the Endostar E3 system. Both systems required significantly more time to reach the working length at the size 15 glide path than at sizes 20 and 25. A greater number of TFs than Endostar E3 files exhibited deformation, and a higher incidence of instrument deformation was observed in adaptive than in continuous rotary motion; more deformation was also observed with the size 15 glide path. One TF was fractured while undergoing adaptive motion.

Conclusions

No significant difference was observed between continuous rotary and adaptive motion. The TF system and adaptive motion were associated with a higher incidence of deformation and fracture. Apical glide path sizes of 20 and 25 required significantly less time to reach the working length than size 15.

Citations

Citations to this article as recorded by  
  • Glide Path in Endodontics: A Literature Review of Current Knowledge
    Vlad Mircea Lup, Giulia Malvicini, Carlo Gaeta, Simone Grandini, Gabriela Ciavoi
    Dentistry Journal.2024; 12(8): 257.     CrossRef
  • Assessment of Different File Systems for Working Time Based on Glide Path, Operating Kinetics, and the Fracture Resistance
    Ruchika Gupta, Divya Batra, Debkant Jena, Nandita Bansal, Alka Arora, Divya Gaurav Dudulwar
    The Journal of Contemporary Dental Practice.2021; 22(1): 69.     CrossRef
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Cyclic fatigue, bending resistance, and surface roughness of ProTaper Gold and EdgeEvolve files in canals with single- and double-curvature
Wafaa A. Khalil, Zuhair S. Natto
Restor Dent Endod 2019;44(2):e19.   Published online April 26, 2019
DOI: https://doi.org/10.5395/rde.2019.44.e19
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the cyclic fatigue, bending resistance, and surface roughness of EdgeEvolve (EdgeEndo) and ProTaper Gold (Dentsply Tulsa Dental Specialties) nickel-titanium (NiTi) rotary files.

Materials and Methods

The instruments (n = 15/each) were tested for cyclic fatigue in single- (60° curvature, 5-mm radius) and double-curved (coronal curvature 60°, 5-mm radius, and apical curvature of 30° and 2-mm radius) artificial canals. The number of cycles to fracture was calculated. The bending resistance of both files were tested using a universal testing machine where the files were bent until reach 45°. Scanning electron microscopy and x-ray energy-dispersive spectrometric analysis were used for imaging the fractured segments, while the atomic force microscope was used to quantify the surface roughness average (Ra).

Results

EdgeEvolve files exhibited higher cyclic fatigue resistance than ProTaper Gold files in single- and double-curved canals (p < 0.05) and both files were more resistant to cyclic fatigue in single-curved canals than double-curved canals (p < 0.05). EdgeEvolve files exhibited significantly more flexibility than did ProTaper Gold files (p < 0.05). Both files had approximately similar Ni and Ti contents (p > 0.05). EdgeEvolve files showed significantly lower Ra values than ProTaper Gold files (p < 0.05).

Conclusions

Within the limitation of this study, EdgeEvolve files exhibited significantly higher cyclic fatigue resistance than ProTaper Gold files in both single- and double-curved canals.

Citations

Citations to this article as recorded by  
  • An in vitro comparison of alterations in surface topographies of three different rotary files after root canal preparation with different irrigating solutions: Atomic force microscopic study
    PremSai Parepalli, TB. V G. Raju, PKrishna Prasad, GowtamDev Dondapati, VenkataSrija Kintada, Alekhya Mediboyina
    Journal of Conservative Dentistry.2023; 26(3): 299.     CrossRef
  • Assessment of surface topographic changes of nickel–titanium rotary endodontic file at repeated usage: An in vitro study
    E. Viswas, VSS Krishna, E. Sridevi, A. J. Sai Sankar, K. Siva Sankar, B. Nagesh
    Endodontology.2023; 35(2): 149.     CrossRef
  • Cyclic Fatigue Resistance and Surface Roughness of Rotary NiTi Instruments after Simulated Clinical Use in Curved Root Canals – An Atomic Force Microscopy Study
    Raksha Bhat, Arjun Kini, Preethesh Shetty, Payalben Kansara, Bapanaiah Penugonda
    Pesquisa Brasileira em Odontopediatria e Clínica Integrada.2022;[Epub]     CrossRef
  • Metallurgical Tests in Endodontics: A Narrative Review
    Alessio Zanza, Marco Seracchiani, Rodolfo Reda, Gabriele Miccoli, Luca Testarelli, Dario Di Nardo
    Bioengineering.2022; 9(1): 30.     CrossRef
  • Influence of nickel-titanium rotary systems with varying cross-sectional, pitch, and rotational speed on deflection and cyclic fatigue: a finite element analysis study
    Wignyo Hadriyanto, Lukita Wardani, Christina Nugrohowati, Ananto Alhasyimi, Rachmat Sriwijaya, Margareta Rinastiti, Widowati Siswomihardjo, Gunadi, T. Yamada, A.A.C. Pramana, Y. Ophinni, A. Gusnanto, W.A. Kusuma, J. Yunus, Afiahayati, R. Dharmastiti, T.
    BIO Web of Conferences.2021; 41: 05005.     CrossRef
  • Can the Separated Instrument be Removed From the Root Canal System out by Magnetism? A Hypothesis
    Mohammad Daryaeian, Sanjay Miglani, AbdolMahmood Davarpanah, Hyeon-Cheol Kim, Mohsen Ramazani
    Dental Hypotheses.2019; 10(4): 108.     CrossRef
  • Resistance to cyclic fatigue of reciprocating instruments determined at body temperature and phase transformation analysis
    Raymond Scott, Ana Arias, José C. Macorra, Sanjay Govindjee, Ove A. Peters
    Australian Endodontic Journal.2019; 45(3): 400.     CrossRef
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The top 10 most-cited articles on the management of fractured instruments: a bibliometric analysis
Lora Mishra, Hyeon-Cheol Kim, Naomi Ranjan Singh, Priti Pragati Rath
Restor Dent Endod 2019;44(1):e2.   Published online December 26, 2018
DOI: https://doi.org/10.5395/rde.2019.44.e2
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this research was to identify the top 10 most-cited articles on the management of fractured or broken instruments and to perform a bibliometric analysis thereof.

Materials and Methods

Published articles related to fractured instruments were screened from online databases, such as Web of Science, Scopus, PubMed, and ScienceDirect, and highly cited papers, with at least 50 citations since publication, were identified. The most-cited articles were selected and analysed with regard to publication title, authorship, the journal of publication, year, institution, country of origin, article type, and number of citations.

Results

The top 10 most-cited articles were from various journals. Most were published in the Journal of Endodontics, followed by the International Endodontic Journal, and Dental Traumatology. The leading countries were Australia, Israel, Switzerland, the USA, and Germany, and the leading institution was the University of Melbourne. The majority of articles among the top 10 articles were clinical research studies (n = 8), followed by a basic research article and a non-systematic review article.

Conclusions

This bibliometric analysis revealed interesting information about scientific progress in endodontics regarding fractured instruments. Overall, clinical research studies and basic research articles published in high-impact endodontic journals had the highest citation rates.

Citations

Citations to this article as recorded by  
  • A Bibliometric Analysis of the 100 Top-Cited Articles on Vertical Root Fractures
    Pillai Arun Gopinathan , Ikram UI Haq, Nawaf Alfahad, Saleh Alwatban, Abdullah Alghamdi, Amal Alamri, Kiran Iyer
    Cureus.2024;[Epub]     CrossRef
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    Venkateshbabu Nagendrababu, Jelena Jacimovic, Aleksandar Jakovljevic, Giampiero Rossi‐Fedele, Paul M. H. Dummer
    International Endodontic Journal.2022; 55(3): 185.     CrossRef
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    Arthroscopy, Sports Medicine, and Rehabilitation.2022; 4(3): e891.     CrossRef
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Comparison of the shaping ability of novel thermally treated reciprocating instruments
Cangül Keskin, Murat Demiral, Evren Sarıyılmaz
Restor Dent Endod 2018;43(2):e15.   Published online March 3, 2018
DOI: https://doi.org/10.5395/rde.2018.43.e15
AbstractAbstract PDFPubReaderePub
Objectives

The present study aimed to evaluate the shaping ability of 2 thermally treated nickel-titanium reciprocating systems in simulated curved canals.

Materials and Methods

Forty simulated canals were prepared to apical size 25 using Reciproc Blue R25 (VDW) and WaveOne Gold Primary (Dentsply Sirona) instruments. Standard pre- and post-preparation images were taken and superimposed. The removal of resin material was measured at 5 standard points: the canal orifice, halfway between the canal orifice and the beginning of the curve, the beginning of the curve, the apex of the curve, and the end-point of the simulated canal. The data were analysed using the independent sample t-test with a 5% significance threshold.

Results

The canals in which Reciproc Blue R25 was used showed a significantly greater widening than those in which WaveOne Gold was used at 4 of the 5 measurement points (p < 0.05). The Reciproc Blue R25 instrument removed significantly more resin from the inner aspect of the curve at 2 of the 5 points and similar amounts at the remaining 3 points. At the 2 apical points, there was no significant difference between the Reciproc Blue R25 and WaveOne Gold Primary instruments.

Conclusion

Both instruments respected the original canal anatomy; however, WaveOne Gold resulted in a more conservative shape with less transportation.

Citations

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  • Shaping Ability of the Root Canal System Using Reciproc and Reciproc Blue in Preparation of Artificial Canals
    Hawazin Majdi, Khalid Merdad, Tariq Abuhaimed, Lujain Mirdad, Omar Alkhattab, Abdulaziz Bakhsh
    Pesquisa Brasileira em Odontopediatria e Clínica Integrada.2025;[Epub]     CrossRef
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    Mustafa Alrahhal, Fatma Tunç
    Journal of Oral Science.2024; 66(4): 226.     CrossRef
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    Muhammad Zubair Ahmad, Boonlert Kukiattrakoon
    International Journal of Dentistry.2024;[Epub]     CrossRef
  • Shaping ability of rotary and reciprocating single-file systems in combination with and without different glide path techniques in simulated curved canals
    Lu Shi, Yunfei Yang, Jie Wan, Wen Xie, Ruiming Yang, Ying Yao
    Journal of Dental Sciences.2022; 17(4): 1520.     CrossRef
  • An Investigation of the Accuracy and Reproducibility of 3D Printed Transparent Endodontic Blocks
    Martin Smutný, Martin Kopeček, Aleš Bezrouk
    Acta Medica (Hradec Kralove, Czech Republic).2022; 65(2): 59.     CrossRef
  • Shaping Ability of Reciprocating Single-file Systems in Simulated Canals: Reciproc versus Reciproc Blue
    İrem ÇETİNKAYA, Mukadder İnci BAŞER KOLCU
    SDÜ Tıp Fakültesi Dergisi.2021; 28(1): 145.     CrossRef
  • Combination of a new ultrasonic tip with rotary systems for the preparation of flattened root canals
    Karina Ines Medina Carita Tavares, Jáder Camilo Pinto, Airton Oliveira Santos-Junior, Fernanda Ferrari Esteves Torres, Juliane Maria Guerreiro-Tanomaru, Mario Tanomaru-Filho
    Restorative Dentistry & Endodontics.2021;[Epub]     CrossRef
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    Muhammad Zubair Ahmad, Durre Sadaf, Marcy McCall MacBain, Ahmed Nabil Mohamed
    BMJ Open.2020; 10(9): e038502.     CrossRef
  • Micro-computed tomographic assessment of the shaping ability of the One Curve, One Shape, and ProTaper Next nickel-titanium rotary systems
    Pelin Tufenkci, Kaan Orhan, Berkan Celikten, Burak Bilecenoglu, Gurkan Gur, Semra Sevimay
    Restorative Dentistry & Endodontics.2020;[Epub]     CrossRef
  • Changes in Geometry and Transportation of Root Canals with Severe Curvature Prepared by Different Heat-treated Nickel-titanium Instruments: A Micro–computed Tomographic Study
    Daniel José Filizola de Oliveira, Graziela Bianchi Leoni, Rafael da Silva Goulart, Manoel Damião de Sousa-Neto, Yara Teresinha Correa Silva Sousa, Ricardo Gariba Silva
    Journal of Endodontics.2019; 45(6): 768.     CrossRef
  • Several factors can affect the root canal transportation of MB2 canals in extracted maxillary first molars
    R. R. Vivan, M. P. Alcalde, E. J de Camargo, V. A. S. Marques, M. V. R. Só, J. A. Duque, M. A. H. Duarte
    International Endodontic Journal.2019; 52(4): 551.     CrossRef
  • Effect of larger apical size on the quality of preparation in curved canals using reciprocating instruments with different heat thermal treatments
    J. A. Duque, R. R. Vivan, M. A. H. Duarte, M. P. Alcalde, V. M. Cruz, M. M. B. Borges, C. M. Bramante
    International Endodontic Journal.2019; 52(11): 1652.     CrossRef
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The effect of root canal preparation on the surface roughness of WaveOne and WaveOne Gold files: atomic force microscopy study
Taha Özyürek, Koray Yılmaz, Gülşah Uslu, Gianluca Plotino
Restor Dent Endod 2018;43(1):e10.   Published online February 2, 2018
DOI: https://doi.org/10.5395/rde.2018.43.e10
AbstractAbstract PDFPubReaderePub
Objectives

To examine the surface topography of intact WaveOne (WO; Dentsply Sirona Endodontics) and WaveOne Gold (WOG; Dentsply Sirona Endodontics) nickel-titanium rotary files and to evaluate the presence of alterations to the surface topography after root canal preparations of severely curved root canals in molar teeth.

Materials and Methods

Forty-eight severely curved canals of extracted molar teeth were divided into 2 groups (n = 24/each group). In group 1, the canals were prepared using WO and in group 2, the canals were prepared using WOG files. After the preparation of 3 root canals, instruments were subjected to atomic force microscopy analysis. Average roughness and root mean square values were chosen to investigate the surface features of endodontic files. The data was analyzed using one-way analysis of variance and post hoc Tamhane's tests at 5% significant level.

Results

The surface roughness values of WO and WOG files significantly changed after use in root canals (p < 0.05). The used WOG files exhibited higher surface roughness change when compared with the used WO files (p < 0.05).

Conclusions

Using WO and WOG Primary files in 3 root canals affected the surface topography of the files. After being used in root canals, the WOG files showed a higher level of surface porosity value than the WO files.

Citations

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  • Comparative Analysis of Surface Roughness and Plastic Deformation of Reciprocating Instruments after Clinical Use
    Ángel Herrera, Magdalena Azabal, Jesús R. Jimenez-Octavio, Juan C. del Real-Romero, Sara López de Armentia, Juan M. Asensio-Gil, Ana Arias
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    Angela Alex, Ranjith Kumar Sivarajan, Vijay Venkatesh
    Cureus.2024;[Epub]     CrossRef
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    Tamer M. Hamdy, Yasmine Mohsen Alkabani, Amira Galal Ismail, Manar M. Galal
    BMC Oral Health.2023;[Epub]     CrossRef
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    Alessio Zanza, Marco Seracchiani, Rodolfo Reda, Gabriele Miccoli, Luca Testarelli, Dario Di Nardo
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  • Cyclic Fatigue Resistance and Surface Roughness of Rotary NiTi Instruments after Simulated Clinical Use in Curved Root Canals – An Atomic Force Microscopy Study
    Raksha Bhat, Arjun Kini, Preethesh Shetty, Payalben Kansara, Bapanaiah Penugonda
    Pesquisa Brasileira em Odontopediatria e Clínica Integrada.2022;[Epub]     CrossRef
  • In Vitro Study of Irrigation solution of Chitosan Nanoparticles to Inhibit the Adhesion and Biofilm Formation of Enterococcus faecalis in the Root Canal
    Imelda Darmawi, Trimurni Abidin, Harry Agusnar, Basri A. Gani
    Research Journal of Pharmacy and Technology.2022; : 2691.     CrossRef
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    Khoa Van Pham
    F1000Research.2021; 10: 875.     CrossRef
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    Iandara de Lima Scardini, Denise Maria Zezell, Juliana Lisboa Couto Marques, Laila Gonzales Freire, Marcelo dos Santos
    Brazilian Dental Journal.2021; 32(6): 8.     CrossRef
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    Muhammad Sohail Zafar
    European Journal of Dentistry.2021; 15(02): 273.     CrossRef
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    Khoa Van Pham, Canh Quang Vo
    BMC Oral Health.2020;[Epub]     CrossRef
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    Mario Dioguardi, Vito Crincoli, Luigi Laino, Mario Alovisi, Enrica Laneve, Diego Sovereto, Bruna Raddato, Khrystyna Zhurakivska, Filiberto Mastrangelo, Domenico Ciavarella, Lucio Lo Russo, Lorenzo Lo Muzio
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  • Atomic force microscopy and energy dispersive X‐ray spectrophotometry analysis of reciprocating and continuous rotary nickel‐titanium instruments following root canal retreatment
    Bulem Üreyen Kaya, Cevat Emre Erik, Gülsen Kiraz
    Microscopy Research and Technique.2019; 82(7): 1157.     CrossRef
  • Influence of heat treatment on torsional resistance and surface roughness of nickel‐titanium instruments
    E. J. N. L. Silva, J. F. N. Giraldes, C. O. de Lima, V. T. L. Vieira, C. N. Elias, H. S. Antunes
    International Endodontic Journal.2019; 52(11): 1645.     CrossRef
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Incidence of apical crack formation and propagation during removal of root canal filling materials with different engine driven nickel-titanium instruments
Taha Özyürek, Vildan Tek, Koray Yılmaz, Gülşah Uslu
Restor Dent Endod 2017;42(4):332-341.   Published online November 4, 2017
DOI: https://doi.org/10.5395/rde.2017.42.4.332
AbstractAbstract PDFPubReaderePub
Objectives

To determine the incidence of crack formation and propagation in apical root dentin after retreatment procedures performed using ProTaper Universal Retreatment (PTR), Mtwo-R, ProTaper Next (PTN), and Twisted File Adaptive (TFA) systems.

Materials and Methods

The study consisted of 120 extracted mandibular premolars. One millimeter from the apex of each tooth was ground perpendicular to the long axis of the tooth, and the apical surface was polished. Twenty teeth served as the negative control group. One hundred teeth were prepared, obturated, and then divided into 5 retreatment groups. The retreatment procedures were performed using the following files: PTR, Mtwo-R, PTN, TFA, and hand files. After filling material removal, apical enlargement was done using apical size 0.50 mm ProTaper Universal (PTU), Mtwo, PTN, TFA, and hand files. Digital images of the apical root surfaces were recorded before preparation, after preparation, after obturation, after filling removal, and after apical enlargement using a stereomicroscope. The images were then inspected for the presence of new apical cracks and crack propagation. Data were analyzed with χ2 tests using SPSS 21.0 software.

Results

New cracks and crack propagation occurred in all the experimental groups during the retreatment process. Nickel-titanium rotary file systems caused significantly more apical crack formation and propagation than the hand files. The PTU system caused significantly more apical cracks than the other groups after the apical enlargement stage.

Conclusions

This study showed that retreatment procedures and apical enlargement after the use of retreatment files can cause crack formation and propagation in apical dentin.

Citations

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    Sarah M. Alkahtany
    The Saudi Dental Journal.2025;[Epub]     CrossRef
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    Swathi Suresh, Pradeep Solete, Delphine Priscilla Antony, Kavalipurapu Venkata Teja, Adimulapu Hima Sandeep, Sruthi Sairaman, Marco Cicciù, Giuseppe Minervini
    Pesquisa Brasileira em Odontopediatria e Clínica Integrada.2024;[Epub]     CrossRef
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    Srivastava Sanjeev, Rita Gupta, Dubey Sandeep, Tewari Tanu, Shukla Namita, Singh Arohan
    Endodontology.2023; 35(2): 155.     CrossRef
  • Comparative evaluation of incidence of dentinal defects after root canal preparation using hand, rotary, and reciprocating files: An ex vivo study
    Debanjan Das, Sudipto Barai, Rohit Kumar, Sourav Bhattacharyya, AsimB Maity, Pushpa Shankarappa
    Journal of International Oral Health.2022; 14(1): 78.     CrossRef
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    Mahdi A. Ajina, Pratik K. Shah, Bun San Chong
    International Endodontic Journal.2022; 55(S1): 119.     CrossRef
  • Evaluation of Dentinal Crack Propagation, Amount of Gutta Percha Remaining and Time Required During Removal of Gutta Percha Using Two Different Rotary Instruments and Hand Instruments - An In vitro Study
    S Tejaswi, A Singh, S Manglekar, UK Ambikathanaya, S Shetty
    Nigerian Journal of Clinical Practice.2022; 25(4): 524.     CrossRef
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    Wojciech Eliasz, Beata Czarnecka, Anna Surdacka
    Machines.2021; 9(12): 332.     CrossRef
  • The potential effect of instrumentation with different nickel titanium rotary systems on dentinal crack formation—An in vitro study
    Márk Fráter, András Jakab, Gábor Braunitzer, Zsolt Tóth, Katalin Nagy, Andrej M. Kielbassa
    PLOS ONE.2020; 15(9): e0238790.     CrossRef
  • Micro–computed Tomographic Assessment of the Residual Filling Volume, Apical Transportation, and Crack Formation after Retreatment with Reciproc and Reciproc Blue Systems in Curved Root Canals
    Damla Kırıcı, Sezer Demirbuga, Ertuğrul Karataş
    Journal of Endodontics.2020; 46(2): 238.     CrossRef
  • Force and vibration generated in apical direction by three endodontic files of different kinematics during simulated canal preparation: An in vitro analytical study
    Ankit Nayak, PK Kankar, Prashant K Jain, Niharika Jain
    Proceedings of the Institution of Mechanical Engineers, Part H: Journal of Engineering in Medicine.2019; 233(8): 839.     CrossRef
  • Effect of Aging on Dentinal Crack Formation after Treatment and Retreatment Procedures: a Micro-CT Study
    Lilian Rachel de Lima Aboud, Bernardo Camargo dos Santos, Ricardo Tadeu Lopes, Leonardo Aboud Costa Viana, Miriam Fátima Zaccaro Scelza
    Brazilian Dental Journal.2018; 29(6): 530.     CrossRef
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The effects of autoclave sterilization on the cyclic fatigue resistance of ProTaper Universal, ProTaper Next, and ProTaper Gold nickel-titanium instruments
Taha Özyürek, Koray Yılmaz, Gülşah Uslu
Restor Dent Endod 2017;42(4):301-308.   Published online November 2, 2017
DOI: https://doi.org/10.5395/rde.2017.42.4.301
AbstractAbstract PDFPubReaderePub
Objectives

It was aimed to compare the cyclic fatigue resistances of ProTaper Universal (PTU), ProTaper Next (PTN), and ProTaper Gold (PTG) and the effects of sterilization by autoclave on the cyclic fatigue life of nickel-titanium (NiTi) instruments.

Materials and Methods

Eighty PTU, 80 PTN, and 80 PTG were included to the present study. Files were tested in a simulated canal. Each brand of the NiTi files were divided into 4 subgroups: group 1, as received condition; group 2, pre-sterilized instruments exposed to 10 times sterilization by autoclave; group 3, instruments tested were sterilized after being exposed to 25%, 50%, and 75% of the mean cycles to failure, then cycled fatigue test was performed; group 4, instruments exposed to the same experiment with group 3 without sterilization. The number of cycles to failure (NCF) was calculated. The data was statistically analyzed by using one-way analysis of variance and post hoc Tukey tests.

Results

PTG showed significantly higher NCF than PTU and PTN in group 1 (p < 0.05). Sterilization significantly increased the NCF of PTN and PTG (p < 0.05) in group 2. PTN in group 3 had significantly higher cyclic fatigue resistance than PTN group 4 (p < 0.05). Also, significantly higher NCF was observed for PTG in group 2 than in groups 3 and 4 (p < 0.05).

Conclusions

PTG instrument made of new gold alloy was more resistant to fatigue failure than PTN and PTU. Autoclaving increased the cyclic fatigue resistances of PTN and PTG.

Citations

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    Raidan Ba-Hattab, Rahaf A. Almohareb, Rana Alkhalaf, Shikhah Binnjefan, Meral Sulayem, Reem M. Barakat, Ismail Demir
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    Zuha Ayad Jaber, Sattar Jabbar Abdul-Zahra Al-Hmedat, Sarmad Adel Hameed, Suhad Jabbar Hamed Al-Nasrawi, Abtesam Imhemed Aljdaimi, Julfikar Haider
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    Myint Thu, Arata Ebihara, Keiichiro Maki, Miki Nishijo, Shunsuke Kimura, Taro Nakatsukasa, Moe Sandar Kyaw, Takashi Okiji
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    SG Kamali, D Turkaydin
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    César F Cayo-Rojas, Estefany Brito-Ávila, Ana S Aliaga-Mariñas, Karen K Hernández-Caba, Emylain D Saenz-Cazorla, Marysela I Ladera-Castañeda, Luis A Cervantes-Ganoza
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Comparison of apical extrusion of intracanal bacteria by various glide-path establishing systems: an in vitro study
Alberto Dagna, Rashid El Abed, Sameeha Hussain, Ibrahim H Abu-Tahun, Livia Visai, Federico Bertoglio, Floriana Bosco, Riccardo Beltrami, Claudio Poggio, Hyeon-Cheol Kim
Restor Dent Endod 2017;42(4):316-323.   Published online October 31, 2017
DOI: https://doi.org/10.5395/rde.2017.42.4.316
AbstractAbstract PDFPubReaderePub
Objectives

This study compared the amount of apically extruded bacteria during the glide-path preparation by using multi-file and single-file glide-path establishing nickel-titanium (NiTi) rotary systems.

Materials and Methods

Sixty mandibular first molar teeth were used to prepare the test apparatus. They were decoronated, blocked into glass vials, sterilized in ethylene oxide gas, infected with a pure culture of Enterococcus faecalis, randomly assigned to 5 experimental groups, and then prepared using manual stainless-steel files (group KF) and glide-path establishing NiTi rotary files (group PF with PathFiles, group GF with G-Files, group PG with ProGlider, and group OG with One G). At the end of canal preparation, 0.01 mL NaCl solution was taken from the experimental vials. The suspension was plated on brain heart infusion agar and colonies of bacteria were counted, and the results were given as number of colony-forming units (CFU).

Results

The manual instrumentation technique tested in group KF extruded the highest number of bacteria compared to the other 4 groups (p < 0.05). The 4 groups using rotary glide-path establishing instruments extruded similar amounts of bacteria.

Conclusions

All glide-path establishment instrument systems tested caused a measurable apical extrusion of bacteria. The manual glide-path preparation showed the highest number of bacteria extruded compared to the other NiTi glide-path establishing instruments.

Citations

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    Vlad Mircea Lup, Giulia Malvicini, Carlo Gaeta, Simone Grandini, Gabriela Ciavoi
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    Murtada Qadir Muhaibes, Shatha Abdulkareem Alwakeel
    Saudi Endodontic Journal.2024; 14(1): 31.     CrossRef
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    Niranjan Desai, Ashish S Bhadane, Nishant K Vyavahare, Dipali Y Shah, Akash S Kale, Simran K Chaudhari
    Journal of Operative Dentistry & Endodontics.2024; 8(1): 1.     CrossRef
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    Zeliha Danaci, Kübra Yeşildal Yeter
    Journal of Endodontics.2024; 50(2): 120.     CrossRef
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    Vlad Mircea Lup, Olivia Andreea Marcu, Carlo Gaeta, Gabriela Ciavoi
    Dentistry Journal.2024; 12(6): 182.     CrossRef
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    KSadia Ada, Shibani Shetty, KB Jayalakshmi, PrasannaLatha Nadig, PG Manje Gowda, ArulK Selvan
    Journal of Conservative Dentistry.2023; 26(1): 31.     CrossRef
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    Farah B. Al-Saffar, Hikmet A. Al-Gharrawi, Luca Testarelli
    International Journal of Dentistry.2023; 2023: 1.     CrossRef
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    Priyanka Soni, Pragya Kumar, Sonali Taneja, Anshi Jain
    Endodontology.2022; 34(3): 168.     CrossRef
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    Larissa B. B. Araújo, Pedro H. S. Calefi, Murilo P. Alcalde, Giulio Gavini, Rodrigo R. Vivan, Marco Antonio Hungaro Duarte
    Clinical Oral Investigations.2022; 27(3): 1153.     CrossRef
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    Mahdi A. Ajina, Pratik K. Shah, Bun San Chong
    International Endodontic Journal.2022; 55(S1): 119.     CrossRef
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    Maha Adnan Habeeb
    Journal of Orofacial Sciences.2022; 14(2): 93.     CrossRef
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    Jale Tanalp
    International Endodontic Journal.2022; 55(S1): 153.     CrossRef
  • Evaluation of type of kinematics on glide path procedures and torsional fatigue resistance after preparation of moderately curved canals
    Murilo Priori Alcalde, Marco Antonio Hungaro Duarte, Pedro Henrique Souza Calefi, Victor de Moraes Cruz, Bruno Carvalho de Vasconcelos, Marcus Vinícius Reis Só, Rodrigo Ricci Vivan
    Brazilian Oral Research.2021;[Epub]     CrossRef
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    Z. S. Khabadze, Yu. A. Generalova
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    Gianluca Plotino, Venkateshbabu Nagendrababu, Frederic Bukiet, Nicola M. Grande, Sajesh K. Veettil, Gustavo De-Deus, Hany Mohamed Aly Ahmed
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  • Mechanical Properties of Various Glide Path Preparation Nickel-titanium Rotary Instruments
    Joo-Yeong Lee, Sang Won Kwak, Jung-Hong Ha, Ibrahim H. Abu-Tahun, Hyeon-Cheol Kim
    Journal of Endodontics.2019; 45(2): 199.     CrossRef
  • Effective Establishment of Glide-Path to Reduce Torsional Stress during Nickel-Titanium Rotary Instrumentation
    Ibrahim H. Abu-Tahun, Sang Won Kwak, Jung-Hong Ha, Asgeir Sigurdsson, Mehmet Baybora Kayahan, Hyeon-Cheol Kim
    Materials.2019; 12(3): 493.     CrossRef
  • Postoperative pain after glide path preparation using manual, reciprocating and continuous rotary instruments: a randomized clinical trial
    C. Keskin, Ö. Sivas Yilmaz, U. Inan, Ö. Özdemir
    International Endodontic Journal.2019; 52(5): 579.     CrossRef
  • Intraoperative Pain During Glide Path Creation with the Use of a Rotary or Reciprocating System
    Pelin TUFENKCİ, Mehmet ADIGUZEL, Koray YILMAZ
    Cumhuriyet Dental Journal.2019; 22(1): 66.     CrossRef
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    Betul Gunes, Kubra Yesildal Yeter
    Journal of Endodontics.2018; 44(7): 1191.     CrossRef
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Effect of surface treatment on the mechanical properties of nickel-titanium files with a similar cross-section
Sang Won Kwak, Joo Yeong Lee, Hye-Jin Goo, Hyeon-Cheol Kim
Restor Dent Endod 2017;42(3):216-223.   Published online June 28, 2017
DOI: https://doi.org/10.5395/rde.2017.42.3.216
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to compare the mechanical properties of various nickel-titanium (NiTi) files with similar tapers and cross-sectional areas depending on whether they were surface-treated.

Materials and Methods

Three NiTi file systems with a similar convex triangular cross-section and the same ISO #25 tip size were selected for this study: G6 (G6), ProTaper Universal (PTU), and Dia-PT (DPT). To test torsional resistance, 5 mm of the straightened file's tip was fixed between polycarbonate blocks (n = 15/group) and continuous clockwise rotation until fracture was conducted using a customized device. To evaluate cyclic fatigue resistance, files were rotated in an artificial curved canal until fracture in a dynamic mode (n = 15/group). The torsional data were analyzed using 1-way analysis of variance and the Tukey post-hoc comparison test, while the cyclic fatigue data were analyzed using the Mann-Whitney U test at a significance level of 95%.

Results

PTU showed significantly greater toughness, followed by DPT and G6 (p < 0.05). G6 showed the lowest resistance in ultimate torsional strength, while it showed a higher fracture angle than the other files (p < 0.05). In the cyclic fatigue test, DPT showed a significantly higher number of cycles to failure than PTU or G6 (p < 0.05).

Conclusions

Within the limitations of this study, it can be concluded that the torsional resistance of NiTi files was affected by the cross-sectional area, while the cyclic fatigue resistance of NiTi files was influenced by the surface treatment.

Citations

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  • FARKLI YAPISAL ÖZELLİKTEKİ NİKEL-TİTANYUM KÖK KANAL EĞELERİNİN SODYUM HİPOKLORİT VE SERUM FİZYOLOJİK ÇÖZELTİLERİNDEKİ DÖNGÜSEL YORGUNLUK DİRENÇLERİNİN KARŞILAŞTİRİLMASI
    Abdulkadir ÖZŞAHİN, Meltem DARTAR ÖZTAN, Emine ODABAŞI TEZER
    Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi.2021; : 1.     CrossRef
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    Sang Won Kwak, Ya Shen, He Liu, Zhejun Wang, Hyeon-Cheol Kim, Markus Haapasalo
    Frontiers in Dental Medicine.2021;[Epub]     CrossRef
  • Torsional Resistance of Two New Heat Treated Nickel Titanium Rotary Instruments: An in Vitro Evaluation
    Gianluca Gambarini, Gabriele Miccoli, Dario Di Nardo, Andrea Del Giudice, Alessandro Mazzoni, Marco Seracchiani, Luca Testarelli
    Pesquisa Brasileira em Odontopediatria e Clínica Integrada.2020;[Epub]     CrossRef
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Effect of adaptive motion on cyclic fatigue resistance of a nickel titanium instrument designed for retreatment
Taha Özyürek, Koray Yılmaz, Gülşah Uslu
Restor Dent Endod 2017;42(1):34-38.   Published online December 19, 2016
DOI: https://doi.org/10.5395/rde.2017.42.1.34
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to evaluate the cyclic fatigue resistance of the ProTaper Universal D1 file (Dentsply Maillefer) under continuous and adaptive motion.

Materials and Methods

Forty ProTaper Universal D1 files were included in this study. The cyclic fatigue tests were performed using a dynamic cyclic fatigue testing device, which had an artificial stainless steel canal with a 60° angle of curvature and a 5 mm radius of curvature. The files were randomly divided into two groups (Group 1, Rotary motion; Group 2, Adaptive motion). The time to failure of the files were recorded in seconds. The number of cycles to failure (NCF) was calculated for each group. The data were statistically analyzed using Student's t-test. The statistical significant level was set at p < 0.05.

Results

The cyclic fatigue resistance of the adaptive motion group was significantly higher than the rotary motion group (p < 0.05).

Conclusion

Within the limitations of the present study, the ‘Adaptive motion’ significantly increased the resistance of the ProTaper Universal D1 file to cyclic facture.

Citations

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  • The Effect of Different Separated File Retrieval Strategies on the Biomechanical Behavior of a Mandibular Molar: A Finite Element Analysis Study
    Anas Sira, Nawar Naguib Nawar, Shehabeldin Mohamed Saber, Hyeon-Cheol Kim
    Journal of Endodontics.2025; 51(1): 64.     CrossRef
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    Solmaz Araghi, Abbas Delvarani, Faeze dehghan, Parisa Kaghazloo
    journal of research in dental sciences.2024; 21(1): 17.     CrossRef
  • Assessment the impact of operator experience on cyclic fatigue resistance in reciprocating and rotary NiTi files: a comparative study between dental students and pediatric dentistry specialists
    Hande Özyürek, Mesut Elbay, Taha Özyürek
    Frontiers in Materials.2023;[Epub]     CrossRef
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    MukeshKumar Hasija, Babita Meena, Deepti Wadhwa, KulvinderKaur Wadhwani, Virender Yadav
    Journal of the International Clinical Dental Research Organization.2020; 12(1): 27.     CrossRef
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    Divya Meena, Ramyadharshini LNU, V Nivedha, Anand Sherwood
    Journal of Operative Dentistry & Endodontics.2018; 3(2): 71.     CrossRef
  • Comparison of cyclic fatigue life of nickel-titanium files: an examination using high-speed camera
    Taha Özyürek, Neslihan Büşra Keskin, Fatma Furuncuoğlu, Uğur İnan
    Restorative Dentistry & Endodontics.2017; 42(3): 224.     CrossRef
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Screw-in forces during instrumentation by various file systems
Jung-Hong Ha, Sang Won Kwak, Sung-Kyo Kim, Hyeon-Cheol Kim
Restor Dent Endod 2016;41(4):304-309.   Published online November 8, 2016
DOI: https://doi.org/10.5395/rde.2016.41.4.304
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to compare the maximum screw-in forces generated during the movement of various Nickel-Titanium (NiTi) file systems.

Materials and Methods

Forty simulated canals in resin blocks were randomly divided into 4 groups for the following instruments: Mtwo size 25/0.07 (MTW, VDW GmbH), Reciproc R25 (RPR, VDW GmbH), ProTaper Universal F2 (PTU, Dentsply Maillefer), and ProTaper Next X2 (PTN, Dentsply Maillefer, n = 10). All the artificial canals were prepared to obtain a standardized lumen by using ProTaper Universal F1. Screw-in forces were measured using a custom-made experimental device (AEndoS-k, DMJ system) during instrumentation with each NiTi file system using the designated movement. The rotation speed was set at 350 rpm with an automatic 4 mm pecking motion at a speed of 1 mm/sec. The pecking depth was increased by 1 mm for each pecking motion until the file reach the working length. Forces were recorded during file movement, and the maximum force was extracted from the data. Maximum screw-in forces were analyzed by one-way ANOVA and Tukey's post hoc comparison at a significance level of 95%.

Results

Reciproc and ProTaper Universal files generated the highest maximum screw-in forces among all the instruments while M-two and ProTaper Next showed the lowest (p < 0.05).

Conclusions

Geometrical differences rather than shaping motion and alloys may affect the screw-in force during canal instrumentation. To reduce screw-in forces, the use of NiTi files with smaller cross-sectional area for higher flexibility is recommended.

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    Jeyi Song, Ji-Hyun Jang, Seok Woo Chang, Shin Hye Chung, Soram Oh
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    Jee-Yeon Woo, Ji-Hyun Jang, Seok Woo Chang, Soram Oh
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    Rimjhim Singh, Sandeep Dubey, Palak Singh, Praveen Singh Samant, Suparna Ganguly Saha
    Journal of Conservative Dentistry and Endodontics.2024; 27(1): 62.     CrossRef
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    Jung-Hong Ha, Hyo-Jin Jo, Sang Won Kwak, Asgeir Sigurdsson, Hyeon-Cheol Kim
    Journal of Endodontics.2023; 49(1): 77.     CrossRef
  • A Comparative Evaluation of the Apically Extruded Debris from Root Canals Prepared by R-Motion NiTi File System
    Farah B. Al-Saffar, Hikmet A. Al-Gharrawi, Luca Testarelli
    International Journal of Dentistry.2023; 2023: 1.     CrossRef
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    Satoshi Omori, Arata Ebihara, Keiko Hirano, Yuka Kasuga, Hayate Unno, Taro Nakatsukasa, Shunsuke Kimura, Keiichiro Maki, Takao Hanawa, Takashi Okiji
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    Sebastian Bürklein, Lennart Zupanc, David Donnermeyer, Karsten Tegtmeyer, Edgar Schäfer
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    Pyae Hein Htun, Arata Ebihara, Keiichiro Maki, Shunsuke Kimura, Miki Nishijo, Moe Sandar Kyaw, Takashi Okiji
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    Myint Thu, Arata Ebihara, Sherif Adel, Takashi Okiji
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    M. S. Kyaw, A. Ebihara, Y. Kasuga, K. Maki, S. Kimura, P. H. Htun, T. Nakatsukasa, T. Okiji
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    Gustavo de Cristofaro Almeida, Diego Pinheiro Aun, Pedro Damas Resende, Isabella Faria da Cunha Peixoto, Ana Cecília Diniz Viana, Vicente Tadeu Lopes Buono, Maria Guiomar de Azevedo Bahia
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    Manar Galal, Tamer M. Hamdy
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Preference of undergraduate students after first experience on nickel-titanium endodontic instruments
Sang Won Kwak, Gary Shun-Pan Cheung, Jung-Hong Ha, Sung Kyo Kim, Hyojin Lee, Hyeon-Cheol Kim
Restor Dent Endod 2016;41(3):176-181.   Published online June 23, 2016
DOI: https://doi.org/10.5395/rde.2016.41.3.176
AbstractAbstract PDFPubReaderePub
Objectives

This study aimed to compare two nickel-titanium systems (rotary vs. reciprocating) for their acceptance by undergraduate students who experienced nickel-titanium (NiTi) instruments for the first time.

Materials and Methods

Eighty-one sophomore dental students were first taught on manual root canal preparation with stainless-steel files. After that, they were instructed on the use of ProTaper Universal system (PTU, Dentsply Maillefer), then the WaveOne (WO, Dentsply Maillefer). They practiced with each system on 2 extracted molars, before using those files to shape the buccal or mesial canals of additional first molars. A questionnaire was completed after using each file system, seeking students' perception about 'Ease of use', 'Flexibility', 'Cutting-efficiency', 'Screwing-effect', 'Feeling-safety', and 'Instrumentation-time' of the NiTi files, relative to stainless-steel instrumentation, on a 5-point Likert-type scale. They were also requested to indicate their preference between the two systems. Data was compared between groups using t-test, and with Chi-square test for correlation of each perception value with the preferred choice (p = 0.05).

Results

Among the 81 students, 55 indicated their preferred file system as WO and 22 as PTU. All scores were greater than 4 (better) for both systems, compared with stainless-steel files, except for 'Screwing-effect' for PTU. The scores for WO in the categories of 'Flexibility', 'Screwing-effect', and 'Feeling-safety' were significantly higher scores than those of PTU. A significant association between the 'Screwing-effect' and students' preference for WO was observed.

Conclusions

Novice operators preferred nickel-titanium instruments to stainless-steel, and majority of them opted for reciprocating file instead of continuous rotating system.

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    Vivek Padmanabhan, Md Sofiqul Islam, Mohamed A Elsayed, Duaa R Saleh, Amal M Alnahdi
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    Ana Rita Arede, Inês Ferreira, Ana Cristina Braga, Irene Pina-Vaz
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    Ana Belén Dablanca‐Blanco, Ana Arias, María José Ginzo‐Villamayor, María Consuelo Pérez, Pablo Castelo‐Baz, Benjamín Martín‐Biedma
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    Seniha Miçooğulları Kurt, Gözde Kandemir Demirci, Burcu Serefoglu, Mehmet Emin Kaval, Pelin Güneri, Mehmet Kemal Çalışkan
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    Manal Matoug-Elwerfelli, Ahmed Abdou, Wejdan Almutairi, Malak Alhuthayli, Shaikhah Aloyaynaa, Rahaf Almohareb
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    Mary S. H. Lam, Jeffrey W. W. Chang, Gary S. P. Cheung
    Clinical Oral Investigations.2021; 25(5): 2791.     CrossRef
  • Body temperature fatigue behaviour of reciprocating and rotary glide path instruments in sodium hypochlorite solutions alone or combined with etidronate
    Dario Perez‐Villalba, José C. Macorra, Juan J. Perez‐Higueras, Ove A. Peters, Ana Arias
    Australian Endodontic Journal.2021; 47(3): 450.     CrossRef
  • Undergraduate Students’ Acceptance of a Reciprocating One-File System for Endodontic Treatment
    Benjamin Mahmoodi, Adriano Azaripour, Kawe Sagheb, Keyvan Sagheb, Brita Willershausen, Jens Weusmann
    European Journal of Dentistry.2020; 14(03): 393.     CrossRef
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    Maheshan Pillay, Martin Vorster, Peet J Van der Vyver
    South African Dental Journal.2020; 75(10): 553.     CrossRef
  • A comparative study of root canal shaping using protaper universal and protaper next rotary files in preclinical dental education
    Gül Çelik, Feyza Özdemir Kısacık, Emir Faruk Yılmaz, Arife Mersinlioğlu, İhsan Furkan Ertuğrul, Hikmet Orhan
    PeerJ.2019; 7: e7419.     CrossRef
  • Undergraduate dentistry students’ perception of difficulties regarding endodontic treatment
    Lorrane G. Tavares, Stella M. F. Lima, Miriane G. Lima, Marcos P. Arruda, Thiago C. Menegazzi, Taia M. B. Rezende
    Australian Endodontic Journal.2019; 45(1): 98.     CrossRef
  • First Experience of Rotary Nickel Titanium Root Canal Instrumentation Performed by Undergraduate Students and General Dentists
    marwa sharaan, Noreen Kamel, Dimitrios Tziafas
    Journal of Dentistry and Oral Care.2017; 3(2): 1.     CrossRef
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Close layer
Effect of repetitive pecking at working length for glide path preparation using G-file
Jung-Hong Ha, Hyo-Jin Jeon, Rashid El Abed, Seok-Woo Chang, Sung-Kyo Kim, Hyeon-Cheol Kim
Restor Dent Endod 2015;40(2):123-127.   Published online January 7, 2015
DOI: https://doi.org/10.5395/rde.2015.40.2.123
AbstractAbstract PDFPubReaderePub
Objectives

Glide path preparation is recommended to reduce torsional failure of nickel-titanium (NiTi) rotary instruments and to prevent root canal transportation. This study evaluated whether the repetitive insertions of G-files to the working length maintain the apical size as well as provide sufficient lumen as a glide path for subsequent instrumentation.

Materials and Methods

The G-file system (Micro-Mega) composed of G1 and G2 files for glide path preparation was used with the J-shaped, simulated resin canals. After inserting a G1 file twice, a G2 file was inserted to the working length 1, 4, 7, or 10 times for four each experimental group, respectively (n = 10). Then the canals were cleaned by copious irrigation, and lubricated with a separating gel medium. Canal replicas were made using silicone impression material, and the diameter of the replicas was measured at working length (D0) and 1 mm level (D1) under a scanning electron microscope. Data was analysed by one-way ANOVA and post-hoc tests (p = 0.05).

Results

The diameter at D0 level did not show any significant difference between the 1, 2, 4, and 10 times of repetitive pecking insertions of G2 files at working length. However, 10 times of pecking motion with G2 file resulted in significantly larger canal diameter at D1 (p < 0.05).

Conclusions

Under the limitations of this study, the repetitive insertion of a G2 file up to 10 times at working length created an adequate lumen for subsequent apical shaping with other rotary files bigger than International Organization for Standardization (ISO) size 20, without apical transportation at D0 level.

Citations

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  • Glide Path – An Ineluctable Route for Successful Endodontic Mechanics: A Literature Review
    Mahima Bharat Mehta, Anupam Sharma, Aniket Jadhav, Aishwarya Handa, Abhijit Bajirao Jadhav, Ashwini A. Narayanan
    Journal of the International Clinical Dental Research Organization.2024; 16(2): 101.     CrossRef
  • Effect of repetitive up-and-down movements on torque/force generation, surface defects and shaping ability of nickel-titanium rotary instruments: an ex vivo study
    Moe Sandar Kyaw, Arata Ebihara, Yoshiko Iino, Myint Thu, Keiichiro Maki, Shunsuke Kimura, Pyae Hein Htun, Takashi Okiji
    BMC Oral Health.2024;[Epub]     CrossRef
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    Lixiao Wang, Ruitian Lin, Hui Chen, Zihan Li, Franklin R. Tay, Lisha Gu
    Journal of Endodontics.2022; 48(4): 548.     CrossRef
  • Influence of pecking frequency at working length on the volume of apically extruded debris: A micro-computed tomography analysis
    Li-Xiao Wang, Hui Chen, Rui-Tian Lin, Li-Sha Gu
    Journal of Dental Sciences.2022; 17(3): 1274.     CrossRef
  • Comparison of the effects from coronal pre‐flaring and glide‐path preparation on torque generation during root canal shaping procedure
    Sang Won Kwak, Jung‐Hong Ha, Ya Shen, Markus Haapasalo, Hyeon‐Cheol Kim
    Australian Endodontic Journal.2022; 48(1): 131.     CrossRef
  • Effective Establishment of Glide-Path to Reduce Torsional Stress during Nickel-Titanium Rotary Instrumentation
    Ibrahim H. Abu-Tahun, Sang Won Kwak, Jung-Hong Ha, Asgeir Sigurdsson, Mehmet Baybora Kayahan, Hyeon-Cheol Kim
    Materials.2019; 12(3): 493.     CrossRef
  • Stress Generation during Pecking Motion of Rotary Nickel-titanium Instruments with Different Pecking Depth
    Jung-Hong Ha, Sang Won Kwak, Asgeir Sigurdsson, Seok Woo Chang, Sung Kyo Kim, Hyeon-Cheol Kim
    Journal of Endodontics.2017; 43(10): 1688.     CrossRef
  • Debris extrusion by glide-path establishing endodontic instruments with different geometries
    Jung-Hong Ha, Sung Kyo Kim, Sang Won Kwak, Rashid El Abed, Yong Chul Bae, Hyeon-Cheol Kim
    Journal of Dental Sciences.2016; 11(2): 136.     CrossRef
  • Effects of Pitch Length and Heat Treatment on the Mechanical Properties of the Glide Path Preparation Instruments
    Sang Won Kwak, Jung-Hong Ha, Chan-Joo Lee, Rashid El Abed, Ibrahim H. Abu-Tahun, Hyeon-Cheol Kim
    Journal of Endodontics.2016; 42(5): 788.     CrossRef
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  • 9 Crossref
Close layer
Buckling resistance, bending stiffness, and torsional resistance of various instruments for canal exploration and glide path preparation
Sang-Won Kwak, Jung-Hong Ha, WooCheol Lee, Sung-Kyo Kim, Hyeon-Cheol Kim
Restor Dent Endod 2014;39(4):270-275.   Published online July 16, 2014
DOI: https://doi.org/10.5395/rde.2014.39.4.270
AbstractAbstract PDFPubReaderePub
Objectives

This study compared the mechanical properties of various instruments for canal exploration and glide-path preparations.

Materials and Methods

The buckling resistance, bending stiffness, ultimate torsional strength, and fracture angle under torsional load were compared for C+ file (CP, Dentsply Maillefer), M access K-file (MA, Dentsply Maillefer), Mani K-file (MN, Mani), and NiTiFlex K-file (NT, Dentsply Maillefer). The files of ISO size #15 and a shaft length of 25 mm were selected. For measuring buckling resistance (n = 10), the files were loaded in the axial direction of the shaft, and the maximum load was measured during the files' deflection. The files (n = 10) were fixed at 3-mm from the tip and then bent 45° with respect to their long axis, while the bending force was recorded by a load cell. For measuring the torsional properties, the files (n = 10) were also fixed at 3-mm, and clockwise rotations (2-rpm) were applied to the files in a straight state. The torsional load and the distortion angle were recorded until the files succumbed to the torque.

Results

The CP was shown to require the highest load to buckle and bend the files, and the NT showed the least. While MA and MN showed similar buckling resistances, MN showed higher bending stiffness than MA. The NT had the lowest bending stiffness and ultimate torsional strength (p < 0.05).

Conclusions

The tested instruments showed different mechanical properties depending on the evaluated parameters. CP and NT files were revealed to be the stiffest and the most flexible instruments, respectively.

Citations

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    Ujjwal Das, Rajesh Kumar Das, Kallol Kumar Saha, Lugu Buru Murmu, Srimanta Banerjee, Rishila Nag
    Journal of Conservative Dentistry and Endodontics.2025; 28(4): 384.     CrossRef
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    Feyyaz Çeliker, İrem Çetinkaya
    Matéria (Rio de Janeiro).2024;[Epub]     CrossRef
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    Abayomi Omokeji Baruwa, Filipa Chasqueira, Sofia Arantes-Oliveira, João Caramês, Duarte Marques, Jaime Portugal, Jorge N. R. Martins
    Dentistry Journal.2024; 12(2): 29.     CrossRef
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    Abayomi Omokeji Baruwa, Filipa Chasqueira, Sofia Arantes-Oliveira, João Caramês, Duarte Marques, Jaime Portugal, Jorge N. R. Martins
    Dentistry Journal.2024; 12(4): 98.     CrossRef
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    Vlad Mircea Lup, Giulia Malvicini, Carlo Gaeta, Simone Grandini, Gabriela Ciavoi
    Dentistry Journal.2024; 12(8): 257.     CrossRef
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    Neveen Ali Shaheen, Nahla Gamal Eldin Elhelbawy
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    Endodontology.2021; 33(2): 102.     CrossRef
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    Jung-Hong Ha, Sang Won Kwak, Antheunis Versluis, Hyeon-Cheol Kim
    Journal of Endodontics.2020; 46(8): 1125.     CrossRef
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    Bernardo Corrêa de ALMEIDA, Carlos Nelson ELIAS
    RGO - Revista Gaúcha de Odontologia.2020;[Epub]     CrossRef
  • Influence of Negotiation, Glide Path, and Preflaring Procedures on Root Canal Shaping—Terminology, Basic Concepts, and a Systematic Review
    Gianluca Plotino, Venkateshbabu Nagendrababu, Frederic Bukiet, Nicola M. Grande, Sajesh K. Veettil, Gustavo De-Deus, Hany Mohamed Aly Ahmed
    Journal of Endodontics.2020; 46(6): 707.     CrossRef
  • Mechanical Properties of Various Heat-treated Nickel-titanium Rotary Instruments
    Hye-Jin Goo, Sang Won Kwak, Jung-Hong Ha, Eugenio Pedullà, Hyeon-Cheol Kim
    Journal of Endodontics.2017; 43(11): 1872.     CrossRef
  • Debris extrusion by glide-path establishing endodontic instruments with different geometries
    Jung-Hong Ha, Sung Kyo Kim, Sang Won Kwak, Rashid El Abed, Yong Chul Bae, Hyeon-Cheol Kim
    Journal of Dental Sciences.2016; 11(2): 136.     CrossRef
  • 318 View
  • 9 Download
  • 12 Crossref
Close layer
Cyclic fatigue resistance tests of Nickel-Titanium rotary files using simulated canal and weight loading conditions
Ok-In Cho, Antheunis Versluis, Gary SP Cheung, Jung-Hong Ha, Bock Hur, Hyeon-Cheol Kim
Restor Dent Endod 2013;38(1):31-35.   Published online February 26, 2013
DOI: https://doi.org/10.5395/rde.2013.38.1.31
AbstractAbstract PDFPubReaderePub
Objectives

This study compared the cyclic fatigue resistance of nickel-titanium (NiTi) files obtained in a conventional test using a simulated canal with a newly developed method that allows the application of constant fatigue load conditions.

Materials and Methods

ProFile and K3 files of #25/.06, #30/.06, and #40/.04 were selected. Two types of testing devices were built to test their fatigue performance. The first (conventional) device prescribed curvature inside a simulated canal (C-test), the second new device exerted a constant load (L-test) whilst allowing any resulting curvature. Ten new instruments of each size and brand were tested with each device. The files were rotated until fracture and the number of cycles to failure (NCF) was determined. The NCF were subjected to one-way ANOVA and Duncan's post-hoc test for each method. Spearman's rank correlation coefficient was computed to examine any association between methods.

Results

Spearman's rank correlation coefficient (ρ = -0.905) showed a significant negative correlation between methods. Groups with significant difference after the L-test divided into 4 clusters, whilst the C-test gave just 2 clusters. From the L-test, considering the negative correlation of NCF, K3 gave a significantly lower fatigue resistance than ProFile as in the C-test. K3 #30/.06 showed a lower fatigue resistance than K3 #25/.06, which was not found by the C-test. Variation in fatigue test methodology resulted in different cyclic fatigue resistance rankings for various NiTi files.

Conclusions

The new methodology standardized the load during fatigue testing, allowing determination fatigue behavior under constant load conditions.

Citations

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    ArkanH Al-Amidi, HikmetAbdul-Rahim Al-Gharrawi
    Journal of Conservative Dentistry.2023; 26(1): 26.     CrossRef
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    Z. S. Khabadze, F. R. Ismailov
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    Hyo Jin Jo, Sang Won Kwak, Hyeon-Cheol Kim, Sung Kyo Kim, Jung-Hong Ha
    Materials.2021; 14(18): 5295.     CrossRef
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    Sang Won Kwak, Joo Yeong Lee, Hye-Jin Goo, Hyeon-Cheol Kim
    Restorative Dentistry & Endodontics.2017; 42(3): 216.     CrossRef
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    Jung-Hong Ha, Sang Won Kwak, Sung Kyo Kim, Asgeir Sigurdsson, Hyeon-Cheol Kim
    Journal of Endodontics.2017; 43(3): 443.     CrossRef
  • Mechanical Properties of Various Heat-treated Nickel-titanium Rotary Instruments
    Hye-Jin Goo, Sang Won Kwak, Jung-Hong Ha, Eugenio Pedullà, Hyeon-Cheol Kim
    Journal of Endodontics.2017; 43(11): 1872.     CrossRef
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    Zhuyu Wang, Wen Zhang, Xiaolei Zhang, Luigi F. Rodella
    PLOS ONE.2016; 11(8): e0160815.     CrossRef
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    Italo Di Giuseppe, Davide Di Giuseppe, Vito Antonio Malagnino, Enrico Paolo Silla, Francesco Somma
    Giornale Italiano di Endodonzia.2015; 29(2): 58.     CrossRef
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    Bo Hoon Kim, Jung‐Hong Ha, Woo Cheol Lee, Sang‐Won Kwak, Hyeon‐Cheol Kim
    Scanning.2015; 37(1): 82.     CrossRef
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    Jung‐Hong Ha, Sung Kyo Kim, Gary Shun‐Pan Cheung, Seong Hwa Jeong, Yong Chul Bae, Hyeon‐Cheol Kim
    Scanning.2015; 37(3): 172.     CrossRef
  • ‘Screw‐in’ tendency of rotary nickel–titanium files due to design geometry
    J. H. Ha, G. S. P. Cheung, A. Versluis, C. J. Lee, S. W. Kwak, H. C. Kim
    International Endodontic Journal.2015; 48(7): 666.     CrossRef
  • Elastic Limits in Torsion of Reciprocating Nickel-Titanium Instruments
    Jung-Hong Ha, Seo-Ryeong Kim, Antheunis Versluis, Gary Shun-Pan Cheung, Jin-Woon Kim, Hyeon-Cheol Kim
    Journal of Endodontics.2015; 41(5): 715.     CrossRef
  • Buckling resistance, bending stiffness, and torsional resistance of various instruments for canal exploration and glide path preparation
    Sang-Won Kwak, Jung-Hong Ha, WooCheol Lee, Sung-Kyo Kim, Hyeon-Cheol Kim
    Restorative Dentistry & Endodontics.2014; 39(4): 270.     CrossRef
  • Safety of the Factory Preset Rotation Angle of Reciprocating Instruments
    Jin-Woon Kim, Jung-Hong Ha, Gary Shun-Pan Cheung, Antheunis Versluis, Sang-Won Kwak, Hyeon-Cheol Kim
    Journal of Endodontics.2014; 40(10): 1671.     CrossRef
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    Oscar Faciola Pessoa, Juliana Melo da Silva, Giulio Gavini
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    Ya Shen, Gary S.P. Cheung
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    Huimin Zhou, Bin Peng, Yu‐Feng Zheng
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Close layer
Comparison of the centering ability of Wave·One and Reciproc nickel-titanium instruments in simulated curved canals
Young-Jun Lim, Su-Jung Park, Hyeon-Cheol Kim, Kyung-San Min
Restor Dent Endod 2013;38(1):21-25.   Published online February 26, 2013
DOI: https://doi.org/10.5395/rde.2013.38.1.21
AbstractAbstract PDFPubReaderePub
Objectives

The aim of this study was to evaluate the shaping ability of newly marketed single-file instruments, Wave·One (Dentsply-Maillefer) and Reciproc (VDW GmbH), in terms of maintaining the original root canal configuration and curvature, with or without a glide-path.

Materials and Methods

According to the instruments used, the blocks were divided into 4 groups (n = 10): Group 1, no glide-path / Wave·One; Group 2, no glide-path / Reciproc; Group 3, #15 K-file / Wave·One; Group 4, #15 K-file / Reciproc. Pre- and post-instrumented images were scanned and the canal deviation was assessed. The cyclic fatigue stress was loaded to examine the cross-sectional shape of the fractured surface. The broken fragments were evaluated under the scanning electron microscope (SEM) for topographic features of the cross-section. Statistically analysis of the data was performed using one-way analysis of variance followed by Tukey's test (α = 0.05).

Results

The ability of instruments to remain centered in prepared canals at 1 and 2 mm levels was significantly lower in Group 1 (p < 0.05). The centering ratio at 3, 5, and 7 mm level were not significantly different.

Conclusions

The Wave·One file should be used following establishment of a glide-path larger than #15.

Citations

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    Nupur R Vasava, Shreya H Modi, Chintan Joshi, Mona C Somani, Sweety J Thumar, Aashray A Patel, Anisha D Parmar, Kruti M Jadawala
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    Jing-Yi Liu, Zhi-Xiong Zhou, Wei-Ju Tseng, Bekir Karabucak
    BMC Oral Health.2021;[Epub]     CrossRef
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    Hyun-Jin Park, Min-Seock Seo, Young-Mi Moon
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    Lu Shi, Shova Wagle
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    Sageena George, S. Anandaraj, Jyoti S. Issac, Sheen A. John, Anoop Harris
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    Emmanuel João Nogueira Leal Silva, Brenda Leite Muniz, Frederico Pires, Felipe Gonçalves Belladonna, Aline Almeida Neves, Erick Miranda Souza, Gustavo De-Deus
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Influence of glide path on the screw-in effect and torque of nickel-titanium rotary files in simulated resin root canals
Jung-Hong Ha, Sang-Shin Park
Restor Dent Endod 2012;37(4):215-219.   Published online November 21, 2012
DOI: https://doi.org/10.5395/rde.2012.37.4.215
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to investigate the screw-in effect and torque generation depending on the size of glide path during root canal preparation.

Materials and Methods

Forty Endo-Training Blocks (REF A 0177, Dentsply Maillefer) were used. They were divided into 4 groups. For groups 1, 2, 3, and 4, the glide path was established with ISO #13 Path File (Dentsply Maillefer), #15 NiTi K-file NITIFLEX (Dentsply Maillefer), modified #16 Path File (equivalent to #18), and #20 NiTi K-file NITIFLEX, respectively. The screw-in force and resultant torque were measured using a custom-made experimental apparatus while canals were instrumented with ProTaper S1 (Dentsply Maillefer) at a constant speed of 300 rpm with an automated pecking motion. A statistical analysis was performed using one-way analysis of variance and the Duncan post hoc comparison test.

Results

Group 4 showed lowest screw-in effect (2.796 ± 0.134) among the groups (p < 0.05). Torque was inversely proportional to the glide path of each group. In #20 glide path group, the screw-in effect and torque decreased at the last 1 mm from the apical terminus. However, in the other groups, the decrease of the screw-in effect and torque did not occur in the last 1 mm from the apical terminus.

Conclusions

The establishment of a larger glide path before NiTi rotary instrumentation appears to be appropriate for safely shaping the canal. It is recommended to establish #20 glide path with NiTi file when using ProTaper NiTi rotary instruments system safely.

Citations

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A survey of experience-based preference of Nickel-Titanium rotary files and incidence of fracture among general dentists
WooCheol Lee, Minju Song, Euiseong Kim, Hyojin Lee, Hyeon-Cheol Kim
Restor Dent Endod 2012;37(4):201-206.   Published online November 21, 2012
DOI: https://doi.org/10.5395/rde.2012.37.4.201
AbstractAbstract PDFPubReaderePub
Objectives

The purpose was to investigate the preference and usage technique of NiTi rotary instruments and to retrieve data on the frequency of re-use and the estimated incidence of file separation in the clinical practice among general dentists.

Materials and Methods

A survey was disseminated via e-mail and on-site to 673 general dentists. The correlation between the operator's experience or preferred technique and frequency of re-use or incidence of file fracture was assessed.

Results

A total of 348 dentists (51.7%) responded. The most frequently used NiTi instruments was ProFile (39.8%) followed by ProTaper. The most preferred preparation technique was crown-down (44.6%). 54.3% of the respondents re-used NiTi files more than 10 times. There was a significant correlation between experience with NiTi files and the number of reuses (p = 0.0025). 54.6% of the respondents estimated experiencing file separation less than 5 times per year. The frequency of separation was significantly correlated with the instrumentation technique (p = 0.0003).

Conclusions

A large number of general dentists in Korea prefer to re-use NiTi rotary files. As their experience with NiTi files increased, the number of re-uses increased, while the frequency of breakage decreased. Operators who adopt the hybrid technique showed less tendency of separation even with the increased number of re-use.

Citations

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    Badi B. Alotaibi
    Saudi Endodontic Journal.2024; 14(2): 181.     CrossRef
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    International Journal of Clinical Practice.2023; 2023: 1.     CrossRef
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    Lakshimi Lakshmanan, Ganesh Jeevanandan, Prabhadevi C Maganur, Satish Vishwanathaiah
    European Journal of Dentistry.2022; 16(03): 594.     CrossRef
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    Wei-Rong Tang
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    Abdulrahman Mohammed Saleh, Saeid Tavanafar, Pouyan Vakili-Gilani, Noor Jamal Al Sammerraie, Faahim Rashid
    Restorative Dentistry & Endodontics.2013; 38(4): 222.     CrossRef
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Basic Researchs
Influence of taper on the screw-in effect of nickel-titanium rotary files in simulated resin root canal
Hye-Jin Sung, Jung-Hong Ha, Sung-Kyo Kim
J Korean Acad Conserv Dent 2010;35(5):380-386.   Published online September 30, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.5.380
AbstractAbstract PDFPubReaderePub
Objectives

The introduction of nickel-titanium alloy endodontic instruments has greatly simplified shaping the root canal systems. However, these new instruments have several unexpected disadvantages. One of these is tendency to screw into the canal. In this study, the influence of taper on the screw-in effect of the Ni-Ti rotary instrument were evaluated.

Materials and Methods

A total of 20 simulated root canals with an S-shaped curvature in clear resin blocks were divided into two groups. ProFile .02, .04, .06 (Dentsply-Maillefer) and GT rotary files .08, .10, .12 (Dentsply) were used in Profile group, and K3 .04, .06, .08, .10, and .12 (SybronEndo, Glendora) were used in K3 group. Files were used with a single pecking motion at a constant speed of 300 rpm. A special device was made to measure the force of screw-in effect. A dynamometer of the device recorded the screw-in force during simulated canal preparation and the recorded data was stored in computer with designed software. The data were subjected to one-way ANOVA and Tukey's multiple range test for post-hoc test. p value of less than 0.05 was regarded significant.

Results

The more tapered instruments generated more screw-in forces in Profile group (p < 0.05). In K3 group, 0.08, 0.10. and 0.12 tapered instruments showed more screw-in force than 0.04 tapered one, and 0.08 and 0.12 tapered instruments showed more screw-in force than 0.06 tapered one (p < 0.05).

Conclusions

The more tapered instruments seems to produce more screw-in force. To avoid this screw-in force during instrumentation, more attention may be needed when using more tapered instruments.

Citations

Citations to this article as recorded by  
  • Analysis of Torque and Force Induced by Rotary Nickel-Titanium Instruments during Root Canal Preparation: A Systematic Review
    Myint Thu, Arata Ebihara, Sherif Adel, Takashi Okiji
    Applied Sciences.2021; 11(7): 3079.     CrossRef
  • Comparative analysis of mechanical properties of differently tapered nickeltitanium endodontic rotary instruments
    Yohei FUKUMORI, Miki NISHIJYO, Daisuke TOKITA, Kana MIYARA, Arata EBIHARA, Takashi OKIJI
    Dental Materials Journal.2018; 37(4): 667.     CrossRef
  • Influence of glide path on the screw-in effect and torque of nickel-titanium rotary files in simulated resin root canals
    Jung-Hong Ha, Sang-Shin Park
    Restorative Dentistry & Endodontics.2012; 37(4): 215.     CrossRef
  • Mechanical and geometric features of endodontic instruments and its clinical effect
    Hyeon-Cheol Kim
    Journal of Korean Academy of Conservative Dentistry.2011; 36(1): 1.     CrossRef
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  • 4 Crossref
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Influence of root canal curvature on the screw-in effect of nickel-titanium rotary files in simulated resin root canal
Ji-Young Son, Jung-Hong Ha, Young-Kyung Kim
J Korean Acad Conserv Dent 2010;35(5):374-379.   Published online September 30, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.5.374
AbstractAbstract PDFPubReaderePub
Objectives

Nickel-titanium (Ni-Ti) rotary instruments have some unexpected disadvantages including the tendency to screw-in to the canal. The purpose of this study was to evaluate the influence of root canal curvatures on the screw-in effect of Ni-Ti rotary files.

Materials and Methods

A total of 80 simulated root canals in clear resin blocks were used in the study. Canals with curvature of 0, 10, 20 and 30 degrees were instrumented with ProTaper instruments SX, S1, S2 and a ProFile of #25/0.06 to 1.0-2.0 mm beyond the initial point of root curvature. The screw-in force was measured with a specially designed device while canal was instrumented with a ProFile of #30/0.06 at a constant speed of 300 rpm. The data were subjected to one-way ANOVA and Scheffe multiple range test for post-hoc test.

Results

Larger degree of canal curvature generated significantly lesser screw-in forces in all groups (p < 0.001).

Conclusions

More attention needs to be paid when using rotary instruments in canals with less curvature than canals with more curvatures to prevent or reduce any accidental overinstrumentation.

Citations

Citations to this article as recorded by  
  • Influence of different kinematics on stationary and dynamic torsional behavior of JIZAI nickel-titanium rotary instruments: An in vitro study
    Myint Thu, Arata Ebihara, Moe Sandar Kyaw, Satoshi Omori, Keiichiro Maki, Shunsuke Kimura, Hayate Unno, Takashi Okiji
    Journal of Dental Sciences.2023; 18(3): 1170.     CrossRef
  • Analysis of Torque and Force Induced by Rotary Nickel-Titanium Instruments during Root Canal Preparation: A Systematic Review
    Myint Thu, Arata Ebihara, Sherif Adel, Takashi Okiji
    Applied Sciences.2021; 11(7): 3079.     CrossRef
  • Mechanical and geometric features of endodontic instruments and its clinical effect
    Hyeon-Cheol Kim
    Journal of Korean Academy of Conservative Dentistry.2011; 36(1): 1.     CrossRef
  • 151 View
  • 1 Download
  • 3 Crossref
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Comparison of screw-in effect for several nickel-titanium rotary instruments in simulated resin root canal
Jung-Hong Ha, Myoung-Uk Jin, Young-Kyung Kim, Sung-Kyo Kim
J Korean Acad Conserv Dent 2010;35(4):267-272.   Published online July 31, 2010
DOI: https://doi.org/10.5395/JKACD.2010.35.4.267
AbstractAbstract PDFPubReaderePub

Screw-in effect is one of the unintended phenomena that occurs during the root canal preparation with nickel-titanium rotary files. The aim of this study was to compare the screw-in effect among various nickel-titanium rotary file systems.

Six different nickel-titanium rotary instruments (ISO 20/.06 taper) were used: K3™ (SybronEndo, Glendora, CA, USA), Mtwo (VDW GmbH, München, Germany), NRT with safe-tip and with active tip (Mani Inc., Shioya-gun, Japan), ProFile® (Dentsply-Maillefer, Ballaigues, Switzerland) and ProTaper® (Dentsply-Maillefer, Ballaigues, Switzerland). For ProTaper®, S2 was selected because it has size 20. Root canal instrumentations were done in sixty simulated single-curved resin root canals with a rotational speed of 300 rpm and single pecking motion. A special device was designed to measure the force of screw-in effect. A dynamometer of the device recorded the screw-in force during simulated canal preparation and the recorded data was stored in a computer with designed software (LCV-USE-VS, Lorenz Messtechnik GmbH, Alfdorf, Germany). The data were subjected to one-way ANOVA and Tukey's multiple range test for post-hoc test. P value of less than 0.05 was regarded significant.

ProTaper® produced significantly more screw-in effects than any other instruments in the study (p < 0.001). K3™ produced significantly more screw-in effects than Mtwo, and ProFile® (p < 0.001). There was no significant difference among Mtwo, NRT, and ProFile® (p > 0.05), and between NRT with active tip and NRT with safe one neither (p > 0.05).

From the result of the present study, it was concluded, therefore, that there seems significant differences of screw-in effect among the tested nickel-titanium rotary instruments. The radial lands and rake angle of nickel-titanium rotary instrument might be the cause of the difference.

Citations

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  • Impact of Radial Lands on the Reduction of Torque/Force Generation of a Heat-Treated Nickel-Titanium Rotary Instrument
    Taro Nakatsukasa, Arata Ebihara, Moe Sandar Kyaw, Satoshi Omori, Hayate Unno, Shunsuke Kimura, Keiichiro Maki, Takashi Okiji
    Applied Sciences.2022; 12(5): 2620.     CrossRef
  • Comparative evaluation of mechanical properties and shaping performance of heat-treated nickel titanium rotary instruments used in the single-length technique
    Taro NAKATSUKASA, Arata EBIHARA, Shunsuke KIMURA, Keiichiro MAKI, Miki NISHIJO, Daisuke TOKITA, Takashi OKIJI
    Dental Materials Journal.2021; 40(3): 743.     CrossRef
  • Analysis of Torque and Force Induced by Rotary Nickel-Titanium Instruments during Root Canal Preparation: A Systematic Review
    Myint Thu, Arata Ebihara, Sherif Adel, Takashi Okiji
    Applied Sciences.2021; 11(7): 3079.     CrossRef
  • Influence of rotational speed on torque/force generation and shaping ability during root canal instrumentation of extracted teeth with continuous rotation and optimum torque reverse motion
    M. S. Kyaw, A. Ebihara, Y. Kasuga, K. Maki, S. Kimura, P. H. Htun, T. Nakatsukasa, T. Okiji
    International Endodontic Journal.2021; 54(9): 1614.     CrossRef
  • Influence of glide path on the screw-in effect and torque of nickel-titanium rotary files in simulated resin root canals
    Jung-Hong Ha, Sang-Shin Park
    Restorative Dentistry & Endodontics.2012; 37(4): 215.     CrossRef
  • Influence of root canal curvature on the screw-in effect of nickel-titanium rotary files in simulated resin root canal
    Ji-Young Son, Jung-Hong Ha, Young-Kyung Kim
    Journal of Korean Academy of Conservative Dentistry.2010; 35(5): 374.     CrossRef
  • Influence of taper on the screw-in effect of nickel-titanium rotary files in simulated resin root canal
    Hye-Jin Sung, Jung-Hong Ha, Sung-Kyo Kim
    Journal of Korean Academy of Conservative Dentistry.2010; 35(5): 380.     CrossRef
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  • 7 Crossref
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Original Articles
Effects of anticurvature filing on danger zone width in curved root canals
Eui Seong Kim, Hyun Jung Kim, Deog Gyu Seo, Byoung Duck Roh
J Korean Acad Conserv Dent 2009;34(3):232-239.   Published online May 31, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.3.232
AbstractAbstract PDFPubReaderePub

The aim of this study was to compare the effects of anticurvature filing with stainless steel k-file versus nickel-titanium ProFile in the shaping of mesial root canals of extracted mandibular molars.

A total of 60 canals from 30 mesial roots of mandibular molar teeth were randomly assigned to three groups with n=20 each. They were prepared with different instruments and methods: The first group with stainless steel k-file and circumferential filing, the second with precurved stainless steel k-file and anticurvature filing and the third with ProFile (.06 taper) and anticurvature filing. Using a micro-computed tomography system (skyscan-1076, SKYSCAN, Antwerpen, Belgium), pre-and post-operative specimens were scanned. Subsequently, canal images were superimposed and changes in root dentin thickness were measured at distal side (danger zone) of the canal. The data was analyzed using a one-way ANOVA and the comparison of means was conducted using a post hoc multiple comparison Tukey test.

There were significant differences in the change of root dentin thickness at the 7.5~8.5mm level between group 1 and 2, 3.5~6mm level between group 1 and 3 and 3.5~6mm level between group 2 and 3(n=20, P<0.05).

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Stress distribution for NiTi files of triangular based and rectangular based cross-sections using 3-dimensional finite element analysis
Hyun-Ju Kim, Chan-Joo Lee, Byung-Min Kim, Jeong-Kil Park, Bock Hur, Hyeon-Cheol Kim
J Korean Acad Conserv Dent 2009;34(1):1-7.   Published online January 31, 2009
DOI: https://doi.org/10.5395/JKACD.2009.34.1.001
AbstractAbstract PDFPubReaderePub

The purpose of this study was to compare the stress distributions of NiTi rotary instruments based on their cross-sectional geometries of triangular shape-based cross-sectional design, S-shaped cross-sectional design and modified rectangular shape-based one using 3D FE models.

NiTi rotary files of S-shaped and modified rectangular design of cross-section such as Mtwo or NRT showed larger stress change while file rotation during simulated shaping.

The stress of files with rectangular cross-section design such as Mtwo, NRT was distributed as an intermittent pattern along the long axis of file. On the other hand, the stress of files with triangular cross-section design was distributed continuously.

When the residual stresses which could increase the risk of file fatigue fracture were analyzed after their withdrawal, the NRT and Mtwo model also presented higher residual stresses.

From this result, it can be inferred that S-shaped and modified rectangular shape-based files were more susceptible to file fracture than the files having triangular shape-based one.

Citations

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  • Ex-Vivo Comparison of Torsional Stress on Nickel–Titanium Instruments Activated by Continuous Rotation or Adaptive Motion
    Joo Yeong Lee, Sang Won Kwak, Jung-Hong Ha, Hyeon-Cheol Kim
    Materials.2020; 13(8): 1900.     CrossRef
  • Autogenous teeth used for bone grafting: a comparison with traditional grafting materials
    Young-Kyun Kim, Su-Gwan Kim, Pil-Young Yun, In-Sung Yeo, Seung-Chan Jin, Ji-Su Oh, Heung-Joong Kim, Sun-Kyoung Yu, Sook-Young Lee, Jae-Sung Kim, In-Woong Um, Mi-Ae Jeong, Gyung-Wook Kim
    Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology.2014; 117(1): e39.     CrossRef
  • Analysis of crystalline structure of autogenous tooth bone graft material: X-Ray diffraction analysis
    Gyung-Wook Kim, In-Sung Yeo, Su-Gwan Kim, In-Woong Um, Young-Kyun Kim
    Journal of the Korean Association of Oral and Maxillofacial Surgeons.2011; 37(3): 225.     CrossRef
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