Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski, Gospodin Iliev
ISSN: 1312 773X (Online)
Issue: 2014, vol. 20, issue 1
Subject Collection: Oral and Dental Medicine
Pages: 494-499
DOI: 10.5272/jimab.2014201.494
Published online: 16 June 2014

J of IMAB 2014 Jan-Jun;20(1):494-499
INSTRUMENT LIFE OF TWO ROTARY NiTi SINGLE-FILE TECHNIQUES WITH RECIPROCATING AND CONTINUOUS ROTATION USED IN CURVED CANALS AFTER A GLIDE PATH CREATION.
Emilia Karova Corresponding Autor, Snezhanka Topalova-Pirinska.
Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University - Sofia, Bulgaria.

ABSTRACT:
Purpose: Manufacturers have introduced instruments made with new alloys and with reciprocating motion trying to improve the fracture resistance of rotary NiTi files. The aim of this study was to compare instrument life of WaveOne and One Shape single-file techniques used for the instrumentation of artificial curved canals after a glide path creation.
Material/methods: Canal preparation was performed on 100 Endo-Training Block simulators divided in two equal groups, depending on the file used. Average lifespan and cumulative survival at the time of WaveOne files (Dentsply Maillefer) with reciprocating rotation and One Shape files (Micro Mega) with continuous rotation, after a glide path creation, were tested. All shaping instruments worked till fracture occurred. During mechanical instrumentation each file was coated with Glyde™ (Dentsply Maillefer) to act as a lubricant, and copious irrigation with 5.25% NaOCl was carried out.
Results: Twelve shaping files were used in canals’ preparation, after their initial enlargement, and ten of them broke: 2 WaveOne files and 8 One Shape files. The average lifespan of one WaveOne file was 17.50±2.12 canals and of one One Shape file–4.63±1.30 canals. The difference was statistically significant (p<0.001). The WaveOne instruments presented a significantly longer survival than the One Shape files (р<0.05).
Conclusions: Within the limits of this study, the WaveOne files showed significantly higher resistance to fracture compared with the One Shape files. Instrumentation with files with reciprocal motion increases significantly instruments life and makes them safer during shaping of  root canals.

Key words: Continuous rotation, Fracture, Nickel-titanium instruments, One Shape, Reciprocating motion, WaveOne,

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Please cite this article as:
Karova E, Topalova-Pirinska S. Instrument life of two rotary NiTi single-file techniques with reciprocating and continuous rotation used in curved canals after a glide path creation. J of IMAB. 2014 Jan-Jun;20(1):494-499. doi: 10.5272/jimab.2014201.494.

Correspondence to: Dr. Emilia Karova, Department of Conservative Dentistry, Faculty of Dental Medicine, Medical University - Sofia; 1, St. George Sofiiski Str., 1431 Sofia, Bulgaria; E-mail: karova_e@yahoo.com

REFERENCES:
1. Schilder H. Cleaning and shaping the root canal. Dent Clin North Am. 1974 Apr;18(2): 269-96. [PubMed]
2. Arens FC, Hoen MM, Steiman HR, Dietz GC Jr. Evaluation of single-use rotary nickel-titanium instruments. J Endod. 2003 Oct;29(10):664-6. [PubMed] [CrossRef]
3. Lopes HP, Gambarra-Soares T, Elias CN, Siqueira JF Jr, Inojosa IF, Lopes WS, et al. Comparison of the mechanical properties of rotary instruments made of conventional nickel-titanium wire, M-Wire, or nickel-titanium alloy in R-phase. J Endod. 2013 Apr;39(4):516-520. [PubMed] [CrossRef]
4. Parahos P, Gordon I, Messer HH. Factors influencing defects of rotary nickel-titanium endodontic instruments after clinical use. J Endod. 2004 Oct;30(10):722-5. [PubMed]
5. Parashos P, Messer HH. Rotary NiTi instrument fracture and its consequences. J Endod. 2006 Nov;32(11):1031-43. [PubMed] [CrossRef]
6. Peters OA. Current challenges and concepts in the preparation of root canal systems: a review. J Endod. 2004 Aug;30(8):559-567. [PubMed]
7. Sattapan B, Nervo GJ, Palamara JE, Messer HH. Defects in rotary nickel-titanium files after clinical use. J Endod 2000 Mar;26(3):161-5. [PubMed] [CrossRef]
8. Souza RA. The importance of apical patency and cleaning of the apical foramen on root canal preparation. Braz Dent J. 2006; 17(1):6-9. [PubMed] [CrossRef]
9. Di Fiore PM. A dozen ways to prevent nickel-titanium rotary instrument fracture. J Am Dent Assoc. 2007 Feb;138(2):196-201, quiz 249. [PubMed] [CrossRef]
10. Wu J, Lei G, Yan M, Yu Y, Yu J, Zhang G. Instrument separation analysis of multi-used ProTaper Universal Rotary System during root canal therapy. J Endod. 2011 Jun;37(6):758-763. [PubMed] [CrossRef]
11. Alapati SB, Brantley WA, Svec TA, Powers JM, Nusstein JM, Daehn GS. SEM observations of nickel-titanium rotary endodontic instruments that fractured during clinical use. J Endod. 2005 Jan;31(1):40-43. [PubMed]
12. Berutti E, Cantatore G. Rotary instruments in Nickel Titanium. In: Castellucci A. Endodontics Vol.1. Ed. Il Tridente Florence 2006: 518-547
13. Cheung GS, Peng B, Bian Z, Shen Y, Darvell BW. Defects in ProTaper S1 instruments after clinical use: fractographic examination. Int Endod J. 2005 Nov;38(11):802-809. [PubMed] [CrossRef]
14. Sattapan B, Palamara JE, Messer HH. Torque during canal instrumentation using rotary nickel-titanium files. J Endod. 2000 Mar;26(3):156-60. [PubMed] [CrossRef]
15. Hulsmann M, Schinkel I. Influence of several factors on the success or failure of removal of fractured instruments from the root canal. Endod Dent Traumatol. 1999 Dec;15(6):252-8. [PubMed]
16. Roland DD, Andelin WE, Browning DF, Hsu G-HR, Torabinejad M. The effect of preflaring on the rates of separation for 0.04 taper nickel titanium rotary instruments. J Endod. 2002 Jul;28(7):543-545. [PubMed]
17. Patino PV, Biedma BM, Liebana CR, Cantatore G, Bahillo JG. The Influence of a Manual Glide Path on the Separation Rate of NiTi Rotary Instruments. J Endod. 2005 Feb;31 (2):114-116. [PubMed]
18. Berruti E, Negro AR, Lendini M, Pasqualini D. Influence of manual preflaring and torque on the failure rate of ProTaper rotary instruments. J Endod. 2004 Apr;30(4):228-30. [PubMed] [CrossRef]
19. You SY, Bae KS, Baek SH, Kum KY, Shon WJ, Lee W. Lifespan of one nickel-titanium rotary file with reciprocating motion in curved root canals. J Endod. 2010 Dec;36(12):1991-94. [PubMed] [CrossRef]
20. De-Deus G, Moreira EJ, Lopes HP, Elias CN. Extended cyclic fatigue life of F2 ProTaper instruments used in reciprocating movement. Int Endod J. 2010 Dec;43(12):1063-8. [PubMed] [CrossRef]
21. Pedulla E, Grande NM, Plotino G, Gambarini G, Rapisarda E. Influence of continuous or reciprocating motion on cyclic fatigue resistance  of 4 different nickel-titanium rotary instruments. J Enodod. 2013 Feb;39(2):258-261. [PubMed] [CrossRef]
22. Varela Patino P, Ibanez-Parraga A, Rivas-Mundina B, Cantatore G, Otero XL, Martin-Biedma B. Alternating versus continuous rotation: A comparative study of the effect on instrument life. J Endod. 2010 Jan;36(1):157-9. [PubMed] [CrossRef]
23. Kim HC, Kwak SW, Cheung GS, Ko DH, Chung SM, Lee W. Cyclic fatigue and torsional resistance of two newnickel-titanium instruments used in reciprocation motion: Recoproc versus WaveOne. J Endod. 2012 Apr;38(4):541-4. [PubMed] [CrossRef]
24. Webber J, Machtou P, Pertot W, Kuttler S, Ruddle C, West J. The wave one single-file reciprocating system. Roots. 2011; 1:28-33.
25. Alapati SB, Brantley WA, Iijima M, Clark WA, Kovarik L, Buie C, et al. Metallurgical characterization of a new nickel-titanium wire for rotary endodontic instruments. J Endod. 2009 Nov;35(11):1589-93. [PubMed] [CrossRef]
26. Iqbal MK, Kohli MR, Kim JS. A retrospective clinical study of incidence of root canal instrument separation in an endodontics graduate programme: A PennEndo database study. J Endod. 2006 Nov;32(11):1048-52. [PubMed] [CrossRef]
27. Yao JH, Schwartz SA, Beeson TJ. Cyclic fatigue of three types of rotary nickel-titanium files in a dynamic model. J Endod. 2006 Jan;32(1):55-7. [PubMed] [CrossRef]
28. Pruett JP, Clement DJ, Carnes DL Jr. Cyclic fatigue testing of nickel-titanium endodontic instruments. J Endod. 1997 Feb;23(2):77-85. [PubMed]
29. Galvao Barbosa FO, Ponciano Gomes JA, Pimenta de Araujo MC. Influence of previous angular deformation on flexural fatigue resistance of K3 nickel-titanium rotary instruments. J Endod. 2007 Dec;33(12):1477-80. [PubMed] [CrossRef]
30. Bahia MG, Melo MC, Buono VT. Influence of simulated clinical use on the torsional behaviuor of nickel-titanium rotary endodontic instruments. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2006 May;101(5):675-80. [PubMed] [CrossRef
31. Berutti E, Chiandussi G, Gaviglio I, Ibba A. Comparative analysis of torsional and bending stresses in two mathematical models of nickel titanium rotary instruments: ProTaper versus ProFile. J Endod. 2003 Jan;29(1):15-19. [PubMed] [CrossRef]
32. Yared G. Canal preparation using only one NiTi rotary instrument: preliminary observations. Int Endod J. 2008 Apr;41(4):339-44. [PubMed] [CrossRef]
33. Franco V, Fabiani C, Taschieri S, Malentacca A, Bortolin M, Del Fabbro M. Investigation of the shaping ability of nickel-titanium files when used with a reciprocating motion. J Endod. 2011 Oct;37(10):1398-401. [PubMed] [CrossRef]
34. Gambarini G, Grande NM, Plotino G, Somma F, Garala M, De Luca M, et al. Fatigue resistance of engine-driven rotary nickel-titanium instruments produced by new manufacturing methods. J Endod. 2008 Aug;34(8):1003-5. [PubMed] [CrossRef]
35. Al-Hadlaq SM, Aljarbou FA, Al-Thumairy RI. Evaluation of cyclic fatigue of M-Wire nickel-titanium rotary instruments. J Endod. 2010 Feb;36(2):305-7. [PubMed] [CrossRef]
36. Varela-Patino P, Martin-Biedma B, Rodriguez N, Cantatore G, Malentaca A, Ruiz-Pinon M. Fracture rate of nickel-titanium instruments using continuous versus alternating rotation. ENDO (Lond Engl). 2008 Fall;2(3):193-7

Received: 06 April 2014
Published online: 16 June 2014

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