Restorative Dentistry & Endodontics

Root canal volume change and transportation by Vortex Blue, ProTaper Next, and ProTaper Universal in curved root canals: Hyun-Jin Park, Min-Seock Seo, Young-Mi Moon; Restor Dent Endod 2018;43(1):e3. Published online December 24, 2017; DOI: https://doi.org/10.5395/rde.2018.43.e3

Abstract PDF PubReader ePub: Objectives
The aim of this study was to compare root canal volume change and canal transportation by Vortex Blue (VB; Dentsply Tulsa Dental Specialties), ProTaper Next (PTN; Dentsply Maillefer), and ProTaper Universal (PTU; Dentsply Maillefer) nickel-titanium rotary files in curved root canals.
Materials and Methods
Thirty canals with 20°–45° of curvature from extracted human molars were used. Root canal instrumentation was performed with VB, PTN, and PTU files up to #30.06, X3, and F3, respectively. Changes in root canal volume before and after the instrumentation, and the amount and direction of canal transportation at 1, 3, and 5 mm from the root apex were measured by using micro-computed tomography. Data of canal volume change were statistically analyzed using one-way analysis of variance and Tukey test, while data of amount and direction of transportation were analyzed using Kruskal-Wallis and Mann-Whitney U test.
Results
There were no significant differences among 3 groups in terms of canal volume change (p > 0.05). For the amount of transportation, PTN showed significantly less transportation than PTU at 3 mm level (p = 0.005). VB files showed no significant difference in canal transportation at all 3 levels with either PTN or PTU files. Also, VB files showed unique inward transportation tendency in the apical area.
Conclusions
Other than PTN produced less amount of transportation than PTU at 3 mm level, all 3 file systems showed similar level of canal volume change and transportation, and VB file system could prepare the curved canals without significant shaping errors.

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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

Abstract PDF PubReader ePub: 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.

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Comparison of shaping ability using various Nickel-Titanium rotary files and hybrid technique: Jung-Won Kim, Jeong-Kil Park, Bock Hur, Hyeon-Cheol Kim; J Korean Acad Conserv Dent 2007;32(6):530-541. Published online November 30, 2007; DOI: https://doi.org/10.5395/JKACD.2007.32.6.530

Abstract PDF PubReader ePub

Currently, various Nickel-Titanium rotary files are used in endodontic treatment, but there is no one perfect system that can be applied to any clinical situation. Therefore, the combined uses of various file systems which can emphasize the advantages of each system are introduced as hybrid instrumentation.

The ProTaper system is efficient in body shaping and apical pre-enlargement but is reported to have more possibility of transportation and produce more aberrations and deformation in more or less severe curved canals. Recently, new ProTaper system (ProTaper Universal) with different configuration and cross-sectional design to overcome the week points of ProTaper have been marketed.

The purpose of this study was to compare and evaluate the shaping abilities of ProTaper, ProTaper Universal system, and two hybrid methods using S-series of ProTaper Universal and Hero Shaper or ProFile.

The time lapses for instrumentation were measured and the used files were inspected for distortion. The pre- and post-instrumented root canals were scanned and superimposed to evaluate the aberrations and reduction of root canal curvature and change of radius of canal curvature. The increased canal width and apical centering ratio were calculated at 1, 2, 3, 4 and 5 mm levels from apical foramen.

Under the conditions of this study, the ProTaper Universal seems to have better shaping ability than ProTaper in terms of instrumented width and instrumentation time. It may be suggested that the ProTaper Universal system is efficient as much as hybrid instrumentation using ProTaper and other constant-tapered NiTi file systems in highly experienced operators.

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