Restorative Dentistry & Endodontics

Research Articles

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

Abstract PDF PubReader ePub: 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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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

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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.

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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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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

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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.

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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

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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.

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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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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

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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.

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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
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
Restorative Dentistry & Endodontics.2024;[Epub] CrossRef
A bibliometric analysis of the top 100 most‐cited case reports and case series in Endodontic journals
Venkateshbabu Nagendrababu, Jelena Jacimovic, Aleksandar Jakovljevic, Giampiero Rossi‐Fedele, Paul M. H. Dummer
International Endodontic Journal.2022; 55(3): 185. CrossRef
The Most Highly Cited Publications on Basketball Originate From English-Speaking Countries, Are Published After 2000, Are Focused on Medicine-Related Topics, and Are Level III Evidence
Zachary D. Griffin, Jordan R. Pollock, M. Lane Moore, Kade S. McQuivey, Jaymeson R. Arthur, Anikar Chhabra
Arthroscopy, Sports Medicine, and Rehabilitation.2022; 4(3): e891. CrossRef
Ten years of minimally invasive access cavities in Endodontics: a bibliometric analysis of the 25 most-cited studies
Emmanuel João Nogueira Leal Silva, Karem Paula Pinto, Natasha C. Ajuz, Luciana Moura Sassone
Restorative Dentistry & Endodontics.2021;[Epub] CrossRef
Publication trends in micro‐CT endodontic research: a bibliometric analysis over a 25‐year period
U. Aksoy, M. Küçük, M. A. Versiani, K. Orhan
International Endodontic Journal.2021; 54(3): 343. 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

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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
Heat Treatment and Surface Treatment of Nickel–Titanium Endodontic Instruments
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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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

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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.

Citations

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Comparison of mechanical properties and shaping performance of ProGlider and ProTaper ultimate slider
Jeyi Song, Ji-Hyun Jang, Seok Woo Chang, Shin Hye Chung, Soram Oh
BMC Oral Health.2025;[Epub] CrossRef
Screw-in force, torque generation, and performance of glide-path files with three rotation kinetics
Jee-Yeon Woo, Ji-Hyun Jang, Seok Woo Chang, Soram Oh
Odontology.2024; 112(3): 761. CrossRef
Comparative evaluation of stress distribution against the root canal wall at three different levels using novel NiTi rotary files – A finite element analysis
Rimjhim Singh, Sandeep Dubey, Palak Singh, Praveen Singh Samant, Suparna Ganguly Saha
Journal of Conservative Dentistry and Endodontics.2024; 27(1): 62. CrossRef
Restoration of teeth lacking complete ferrules using cast precious metal alloy post-and-cores and knife-edged crowns: A retrospective clinical study
Fangyue Xiang, Keying Shi, Haoyang Hua, Jing Zhao, Yuanna Zheng
The Journal of Prosthetic Dentistry.2024;[Epub] CrossRef
Effect of Periodic Changes in Rotation Speed on Torsional Stress and Screw-in Force by Alternative Rotation Technique
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
Effect of Rotational Modes on Torque/Force Generation and Canal Centering Ability during Rotary Root Canal Instrumentation with Differently Heat-Treated Nickel–Titanium Instruments
Satoshi Omori, Arata Ebihara, Keiko Hirano, Yuka Kasuga, Hayate Unno, Taro Nakatsukasa, Shunsuke Kimura, Keiichiro Maki, Takao Hanawa, Takashi Okiji
Materials.2022; 15(19): 6850. CrossRef
Effect of Core Mass and Alloy on Cyclic Fatigue Resistance of Different Nickel-Titanium Endodontic Instruments in Matching Artificial Canals
Sebastian Bürklein, Lennart Zupanc, David Donnermeyer, Karsten Tegtmeyer, Edgar Schäfer
Materials.2021; 14(19): 5734. CrossRef
Comparison of Torque, Screw-in Force, and Shaping Ability of Glide Path Instruments in Continuous Rotation and Optimum Glide Path Motion
Pyae Hein Htun, Arata Ebihara, Keiichiro Maki, Shunsuke Kimura, Miki Nishijo, Moe Sandar Kyaw, Takashi Okiji
Journal of Endodontics.2021; 47(1): 94. 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
Effect of Optimum Torque Reverse Motion on Torque and Force Generation during Root Canal Instrumentation with Crown-down and Single-length Techniques
Shunsuke Kimura, Arata Ebihara, Keiichiro Maki, Miki Nishijo, Daisuke Tokita, Takashi Okiji
Journal of Endodontics.2020; 46(2): 232. CrossRef
Comparative analysis of torque and apical force to assess the cutting behaviour of ProTaper Next and ProTaper Universal endodontic instruments
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
Australian Endodontic Journal.2020; 46(1): 52. CrossRef
Enhanced root canal-centering ability and reduced screw-in force generation of reciprocating nickel-titanium instruments with a post-machining thermal treatment
Keiichiro MAKI, Arata EBIHARA, Shunsuke KIMURA, Miki NISHIJO, Daisuke TOKITA, Kana MIYARA, Takashi OKIJI
Dental Materials Journal.2020; 39(2): 251. CrossRef
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
Evaluation of stress distribution in nickel-titanium rotary instruments with different geometrical designs subjected to bending and torsional load: a finite element study
Manar Galal, Tamer M. Hamdy
Bulletin of the National Research Centre.2020;[Epub] CrossRef
Assessment of mechanical properties of WaveOne Gold Primary reciprocating instruments
Tong FANGLI, Keiichiro MAKI, Shunsuke KIMURA, Miki NISHIJO, Daisuke TOKITA, Arata EBIHARA, Takashi OKIJI
Dental Materials Journal.2019; 38(3): 490. CrossRef
Comparison of Screw-In Forces during Movement of Endodontic Files with Different Geometries, Alloys, and Kinetics
Sang Won Kwak, Chan-Joo Lee, Sung Kyo Kim, Hyeon-Cheol Kim, Jung-Hong Ha
Materials.2019; 12(9): 1506. CrossRef
Gripping the Gripped: Removal of Foreign Bodies from Root Canal System
Shweta Jain, Sachin Jain, Shikha Jain, Sophia Thakur
Dental Research and Management.2019; : 13. CrossRef
Mechanical Properties of Orifice Preflaring Nickel-titanium Rotary Instrument Heat Treated Using T-Wire Technology
Maamoun Ataya, Jung-Hong Ha, Sang Won Kwak, Ibrahim H. Abu-Tahun, Rashid El Abed, Hyeon-Cheol Kim
Journal of Endodontics.2018; 44(12): 1867. CrossRef
How biomechanics can affect the endodontic treated teeth and their restorative procedures?
Carlos José Soares, Monise de Paula Rodrigues, André Luis Faria-e-Silva, Paulo Cesar Freitas Santos-Filho, Crisnicaw Veríssimo, Hyeon-Cheol Kim, Antheunis Versluis
Brazilian Oral Research.2018;[Epub] CrossRef
Evaluation of selected mechanical properties of NiTi rotary glide path files manufactured from controlled memory wires
Miki NISHIJO, Arata EBIHARA, Daisuke TOKITA, Hisashi DOI, Takao HANAWA, Takashi OKIJI
Dental Materials Journal.2018; 37(4): 549. CrossRef
Nickel–titanium instruments in endodontics: a concise review of the state of the art
Giulio Gavini, Marcelo dos Santos, Celso Luis Caldeira, Manoel Eduardo de Lima Machado, Laila Gonzales Freire, Elaine Faga Iglecias, Ove Andrea Peters, George Táccio de Miranda Candeiro
Brazilian Oral Research.2018;[Epub] CrossRef
Dynamic Torque and Vertical Force Analysis during Nickel-titanium Rotary Root Canal Preparation with Different Modes of Reciprocal Rotation
Daisuke Tokita, Arata Ebihara, Miki Nishijo, Kana Miyara, Takashi Okiji
Journal of Endodontics.2017; 43(10): 1706. CrossRef

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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

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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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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

Abstract PDF PubReader ePub

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.

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Original Article

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

Abstract PDF PubReader ePub

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

Citations to this article as recorded by

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