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DOI: 10.1055/s-0041-1735934
Influence of Sodium Hypochlorite and Chlorhexidine on the Dynamic Cyclic Fatigue Resistance of XP Endo Shaper Instruments
Funding None.Abstract
Objective This study evaluated the dynamic cyclic fatigue resistance of the XP-Endo Shaper (XPS), associated with chlorhexidine digluconate (CHX) or sodium hypochlorite (NaOCl) in two different formulations: gel (G) or liquid (L).
Materials and Methods Sixty XPS were used in an artificial stainless-steel canal, and the files were fully immersed in the irrigating solution throughout the experiment until the fracture. The files were divided into six groups (n = 10) based on the irrigation solution used: NaOCl(L), NaOCl(G), CHX(L), CHX(G), natrosol gel (NAT) (control), and lubricating oil (LO) (control). The artificial canal was manufactured 1.5 mm wide, 20 mm long, and, 3.5 mm deep with a straight cervical segment measuring 14.29 mm; an apical segment of 4.71 mm with 3 mm radius; and 90 degrees of curvature apical 1 mm long straight segment. Resistance to cyclic fatigue was determined by recording the number of cycles to fracture (NCF).
Results The CHX(G), CHX(L), and OIL (LO) groups showed no significant difference between them and presented longer time to fracture (p > 0.05). NaOCl(L) shows the lowest NCF without significant differences between NaOCl(G) and NAT. The NCF of the NaOCl(G) was statistically similar to the CHX(L) and statistically lower than the CHX(G) and OIL groups. NAT did not present a statistical difference of the NaOCl(L), NaOCl(G), and presented a significantly lower NCF than the CHX(G) (p < 0.01).
Conclusion The use of CHX(G) resulted in increased cyclic fatigue resistance of the XPS instruments compared to NaOCl or LO.
Publication History
Article published online:
22 December 2021
© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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References
- 1 Ferreira ACG, Frozoni M, Prado M, Gomes B, Signoretti F, De-Jesus-Soares A. Current trends in technological armamentarium and treatment among Brazilian endodontists. Braz J Oral Sci 2017; 16: e17045-e17045
- 2 XP-endo Solutions. Accessed on January 24, 2021 at: https://www.fkg.ch/products/endodontics/canal-shaping-and-cleaning/xp-endo-shaper
- 3 Azim AA, Piasecki L, da Silva Neto UX, Cruz ATG, Azim KA. XP Shaper, a novel adaptive core rotary instrument: microcomputed tomographic analysis of its shaping abilities. J Endod 2017; 43 (09) 1532-1538
- 4 Emara RS, Gawdat SI, El-Far HMM. Effect of XP-endo Shaper versus conventional rotary files on postoperative pain and bacterial reduction in oval canals with necrotic pulps: a randomized clinical study. Int Endod J 2021; 54 (07) 1026-1036
- 5 Alfadley A, Alrajhi A, Alissa H. et al. Shaping ability of XP endo shaper file in curved root canal models. Int J Dent 2020; 2020: 4687045
- 6 Üreyen Kaya B, Erik CE, Sesli Çetin E, Köle M, Maden M. Mechanical reduction in intracanal Enterococcus faecalis when using three different single-file systems: an ex vivo comparative study. Int Endod J 2019; 52 (01) 77-85
- 7 Keles A, Uzunoglu Ozyurek E, Uyanik MO, Nagas E. Effect of temperature of sodium hypochlorite on cyclic fatigue resistance of heat-treated reciprocating files. J Endod 2019; 45 (02) 205-208
- 8 Ruksakiet K, Hanák L, Farkas N. et al. Antimicrobial efficacy of chlorhexidine and sodium hypochlorite in root canal disinfection: a systematic review and meta-analysis of randomized controlled trials. J Endod 2020; 46 (08) 1032-1041
- 9 Dioguardi M, Gioia GD, Illuzzi G, Laneve E, Cocco A, Troiano G. Endodontic irrigants: different methods to improve efficacy and related problems. Eur J Dent 2018; 12 (03) 459-466
- 10 Hülsmann M, Hahn W. Complications during root canal irrigation–literature review and case reports. Int Endod J 2000; 33 (03) 186-193
- 11 Ozlek E, Neelakantan P, Khan K, Cheung GSP, Rossi-Fedele G. Debris extrusion during root canal preparation with nickel-titanium instruments using liquid and gel formulations of sodium hypochlorite in vitro. Aust Endod J 2021; 47 (02) 130-136
- 12 Zand V, Lotfi M, Soroush MH, Abdollahi AA, Sadeghi M, Mojadadi A. Antibacterial efficacy of different concentrations of sodium hypochlorite gel and solution on Enterococcus faecalis biofilm. Iran Endod J 2016; 11 (04) 315-319
- 13 Gomes BP, Vianna ME, Zaia AA, Almeida JF, Souza-Filho FJ, Ferraz CC. Chlorhexidine in endodontics. Braz Dent J 2013; 24 (02) 89-102
- 14 Pinheiro SL, Silva CCD, Silva LAD. et al. Antimicrobial efficacy of 2.5% sodium hypochlorite, 2% chlorhexidine, and ozonated water as irrigants in mesiobuccal root canals with severe curvature of mandibular molars. Eur J Dent 2018; 12 (01) 94-99
- 15 Ferraz CC, Gomes BP, Zaia AA, Teixeira FB, Souza-Filho FJ. In vitro assessment of the antimicrobial action and the mechanical ability of chlorhexidine gel as an endodontic irrigant. J Endod 2001; 27 (07) 452-455
- 16 Vianna ME, Gomes BP, Berber VB, Zaia AA, Ferraz CC, de Souza-Filho FJ. In vitro evaluation of the antimicrobial activity of chlorhexidine and sodium hypochlorite. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97 (01) 79-84
- 17 Jain K, Agarwal P, Jain S, Seal M, Adlakha T. Alexidine versus chlorhexidine for endodontic irrigation with sodium hypochlorite. Eur J Dent 2018; 12 (03) 398-402
- 18 Sattapan B, Nervo GJ, Palamara JE, Messer HH. Defects in rotary nickel-titanium files after clinical use. J Endod 2000; 26 (03) 161-165
- 19 Medeiros Jr E, Limoeiro AG, Tanomaro A. et al. Influence of sodium hypochlorite and chlorexidine on the dynamic cyclic fatigue resistance of XP-Endo Finisher instruments. G Ital Endod 2021; 35 (01) 13-19
- 20 Yao JH, Schwartz SA, Beeson TJ. Cyclic fatigue of three types of rotary nickel-titanium files in a dynamic model. J Endod 2006; 32 (01) 55-57
- 21 Adiguzel M, Isken I, Pamukcu II. Comparison of cyclic fatigue resistance of XP-endo Shaper, HyFlex CM, FlexMaster and Race instruments. J Dent Res Dent Clin Dent Prospect 2018; 12 (03) 208-212
- 22 Palma PJ, Messias A, Cerqueira AR. et al. Cyclic fatigue resistance of three rotary file systems in a dynamic model after immersion in sodium hypochlorite. Odontology 2019; 107 (03) 324-332
- 23 Dederich DN, Zakariasen KL. The effects of cyclical axial motion on rotary endodontic instrument fatigue. Oral Surg Oral Med Oral Pathol 1986; 61 (02) 192-196
- 24 Rodrigues RC, Lopes HP, Elias CN, Amaral G, Vieira VT, De Martin AS. Influence of different manufacturing methods on the cyclic fatigue of rotary nickel-titanium endodontic instruments. J Endod 2011; 37 (11) 1553-1557
- 25 Gambarini G, Galli M, Di Nardo D, Seracchiani M, Donfrancesco O, Testarelli L. Differences in cyclic fatigue lifespan between two different heat treated NiTi endodontic rotary instruments: WaveOne Gold vs EdgeOne Fire. J Clin Exp Dent 2019; 11 (07) e609-e613
- 26 Serafin M, De Biasi M, Franco V, Angerame D. In vitro comparison of cyclic fatigue resistance of two rotary single-file endodontic systems: OneCurve versus OneShape. Odontology 2019; 107 (02) 196-201
- 27 Miyamoto T, Takahashi S, Ito H, Inagaki H, Noishiki Y. Tissue biocompatibility of cellulose and its derivatives. J Biomed Mater Res 1989; 23 (01) 125-133
- 28 Pérez-Higueras JJ, Arias A, de la Macorra JC, Peters OA. Differences in cyclic fatigue resistance between ProTaper Next and ProTaper Universal instruments at different levels. J Endod 2014; 40 (09) 1477-1481
- 29 Plotino G, Grande NM, Cotti E, Testarelli L, Gambarini G. Blue treatment enhances cyclic fatigue resistance of vortex nickel-titanium rotary files. J Endod 2014; 40 (09) 1451-1453
- 30 Zehnder M. Root canal irrigants. J Endod 2006; 32 (05) 389-398
- 31 Elnaghy A, Elsaka S. Cyclic fatigue resistance of XP-endo Shaper compared with different nickel-titanium alloy instruments. Clin Oral Investig 2018; 22 (03) 1433-1437
- 32 Rôças IN, Siqueira Jr JF. Comparison of the in vivo antimicrobial effectiveness of sodium hypochlorite and chlorhexidine used as root canal irrigants: a molecular microbiology study. J Endod 2011; 37 (02) 143-150
- 33 Sarkar NK, Redmond W, Schwaninger B, Goldberg AJ. The chloride corrosion behaviour of four orthodontic wires. J Oral Rehabil 1983; 10 (02) 121-128
- 34 Berutti E, Angelini E, Rigolone M, Migliaretti G, Pasqualini D. Influence of sodium hypochlorite on fracture properties and corrosion of ProTaper Rotary instruments. Int Endod J 2006; 39 (09) 693-699
- 35 Shen Y, Qian W, Abtin H, Gao Y, Haapasalo M. Effect of environment on fatigue failure of controlled memory wire nickel-titanium rotary instruments. J Endod 2012; 38 (03) 376-380
- 36 Suresh S. Fatigue of Materials. 2nd ed.. Cambridge, UK: Cambridge University Press; 1998
- 37 Pedullà E, Benites A, La Rosa GM. et al. Cyclic fatigue resistance of heat-treated nickel-titanium instruments after immersion in sodium hypochlorite and/or sterilization. J Endod 2018; 44 (04) 648-653
- 38 Alfawaz H, Alqedairi A, Alsharekh H, Almuzaini E, Alzahrani S, Jamleh A. Effects of sodium hypochlorite concentration and temperature on the cyclic fatigue resistance of heat-treated nickel-titanium rotary instruments. J Endod 2018; 44 (10) 1563-1566
- 39 Huang X, Shen Y, Wei X, Haapasalo M. Fatigue resistance of nickel-titanium instruments exposed to high-concentration hypochlorite. J Endod 2017; 43 (11) 1847-1851
- 40 Satoh H, Shimogori K, Kamikubo F. The crevice corrosion resistance of some titanium materials. Platin Met Rev 1987; 31: 115-121
- 41 Darabara M, Bourithis L, Zinelis S, Papadimitriou GD. Susceptibility to localized corrosion of stainless steel and NiTi endodontic instruments in irrigating solutions. Int Endod J 2004; 37 (10) 705-710