CC BY-NC-ND 4.0 · Eur J Dent 2015; 09(04): 508-512
DOI: 10.4103/1305-7456.172634
Original Article
Dental Investigation Society

Dentinal crack formation during root canal preparations by the twisted file adaptive, Reciproc and WaveOne instruments

Richard M. Gergi
1   Department of Endodontics, Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon
,
Nada E. Osta
2   Department of Prosthodontics, Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon
,
Alfred S. Naaman
1   Department of Endodontics, Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon
› Author Affiliations
Further Information

Publication History

Publication Date:
15 October 2019 (online)

ABSTRACT

Objective: This study aimed to compare the frequency of dentinal microcracks after root canal shaping with 2 reciprocating (Reciproc and WaveOne) and 1 combined continuous reciprocating motion twisted files adaptive (TFA) rotary system. Materials and Methods: Ninety molars were chosen and divided into three groups of 30 each. Root canal preparation was achieved by using Reciproc R25, Primary WaveOne and TFA systems. All the roots were horizontally sectioned at 15, 9, and 3 mm from the apex. The slices were then viewed each under a microscope at × 25 magnification to determine the presence of cracks. The absence/presence of cracks was recorded, and the data were analyzed with a Chi-square test. The significance level was set at P < 0.05. Results: Instrumentation with Reciproc produced significantly more complete cracks than WaveOne and TFA (P = 0.032). The TFA system produced significantly less cracks then the Reciproc and WaveOne systems apically (P = 0.004). Conclusions: Within the limits of this study, the TFA system caused less cracks then the full reciprocating system (Reciproc and WaveOne). Single-file reciprocating files produced significantly more incomplete dentinal cracks than full-sequence adaptive rotary motion.

 
  • REFERENCES

  • 1 Tamse A, Fuss Z, Lustig J, Kaplavi J. An evaluation of endodontically treated vertically fractured teeth. J Endod 1999; 25: 506-8
  • 2 Bier CA, Shemesh H, Tanomaru-Filho M, Wesselink PR, Wu MK. The ability of different nickel-titanium rotary instruments to induce dentinal damage during canal preparation. J Endod 2009; 35: 236-8
  • 3 Shemesh H, Roeleveld AC, Wesselink PR, Wu MK. Damage to root dentin during retreatment procedures. J Endod 2011; 37: 63-6
  • 4 Abou El NasrHM, Abd El KaderKG. Dentinal damage and fracture resistance of oval roots prepared with single-file systems using different kinematics. J Endod 2014; 40: 849-51
  • 5 You SY, Kim HC, Bae KS, Baek SH, Kum KY, Lee W. Shaping ability of reciprocating motion in curved root canals: A comparative study with micro-computed tomography. J Endod 2011; 37: 1296-300
  • 6 Berutti E, Chiandussi G, Paolino DS, Scotti N, Cantatore G, Castellucci A. et al. Canal shaping with WaveOne Primary reciprocating files and ProTaper system: A comparative study. J Endod 2012; 38: 505-9
  • 7 De-Deus G, Leal VieiraVT, Nogueira da SilvaEJ, Lopes H, Elias CN, Moreira EJ. Bending resistance and dynamic and static cyclic fatigue life of Reciproc and WaveOne large instruments. J Endod 2014; 40: 575-9
  • 8 Carvalho MdeS, Junior EC, Bitencourt GarridoAD, Roberti GarciaLda F, Franco MarquesAA. Histological evaluation of the cleaning effectiveness of two reciprocating single-file systems in severely curved root canals: Reciproc versus WaveOne. Eur J Dent 2015; 9: 80-6
  • 9 Gergi R, Rjeily JA, Sader J, Naaman A. Comparison of canal transportation and centering ability of twisted files, Pathfile-ProTaper system, and stainless steel hand K-files by using computed tomography. J Endod 2010; 36: 904-7
  • 10 Gambarini G, Gergi R, Naaman A, Osta N, Al Sudani D. Cyclic fatigue analysis of twisted file rotary NiTi instruments used in reciprocating motion. Int Endod J 2012; 45: 802-6
  • 11 Adorno CG, Yoshioka T, Jindan P, Kobayashi C, Suda H. The effect of endodontic procedures on apical crack initiation and propagation ex vivo . Int Endod J 2013; 46: 763-8
  • 12 Adorno CG, Yoshioka T, Suda H. The effect of working length and root canal preparation technique on crack development in the apical root canal wall. Int Endod J 2010; 43: 321-7
  • 13 Adorno CG, Yoshioka T, Suda H. Crack initiation on the apical root surface caused by three different nickel-titanium rotary files at different working lengths. J Endod 2011; 37: 522-5
  • 14 Bürklein S, Tsotsis P, Schäfer E. Incidence of dentinal defects after root canal preparation: Reciprocating versus rotary instrumentation. J Endod 2013; 39: 501-4
  • 15 Liu R, Hou BX, Wesselink PR, Wu MK, Shemesh H. The incidence of root microcracks caused by 3 different single-file systems versus the ProTaper system. J Endod 2013; 39: 1054-6
  • 16 Schneider SW. A comparison of canal preparations in straight and curved root canals. Oral Surg Oral Med Oral Pathol 1971; 32: 271-5
  • 17 Karatas E, Arslan H, Alsancak M, Kirici DÖ, Ersoy I. Incidence of Dentinal Cracks after Root Canal Preparation with Twisted File Adaptive Instruments Using Different Kinematics. J Endod 2015; 41: 1130-3
  • 18 Kansal R, Rajput A, Talwar S, Roongta R, Verma M. Assessment of dentinal damage during canal preparation using reciprocating and rotary files. J Endod 2014; 40: 1443-6
  • 19 Karatas E, Gündüz HA, Kirici DÖ, Arslan H, Topçu MÇ, Yeter KY. Dentinal crack formation during root canal preparations by the twisted file adaptive, ProTaper Next, ProTaper Universal, and WaveOne instruments. J Endod 2015; 41: 261-4
  • 20 Bürklein S, Tsotsis P, Schäfer E. Incidence of dentinal defects after root canal preparation: Reciprocating versus rotary instrumentation. J Endod 2013; 39: 501-4
  • 21 Topcu KM, Karatas E, Ozsu D, Ersoy I. Efficiency of the Self Adjusting File, WaveOne, Reciproc, ProTaper and hand files in root canal debridement. Eur J Dent 2014; 8: 326-9
  • 22 Capar ID, Ertas H, Ok E, Arslan H, Ertas ET. Comparative study of different novel nickel-titanium rotary systems for root canal preparation in severely curved root canals. J Endod 2014; 40: 852-6
  • 23 Lam PP, Palamara JE, Messer HH. Fracture strength of tooth roots following canal preparation by hand and rotary instrumentation. J Endod 2005; 31: 529-32
  • 24 Lertchirakarn V, Palamara JE, Messer HH. Load and strain during lateral condensation and vertical root fracture. J Endod 1999; 25: 99-104
  • 25 Ustun Y, Aslan T, Sagsen B, Kesim B. The effects of different nickel-titanium instruments on dentinal microcrack formations during root canal preparation. Eur J Dent 2015; 9: 41-6
  • 26 Obermayr G, Walton RE, Leary JM, Krell KV. Vertical root fracture and relative deformation during obturation and post cementation. J Prosthet Dent 1991; 66: 181-7
  • 27 Saw LH, Messer HH. Root strains associated with different obturation techniques. J Endod 1995; 21: 314-20
  • 28 Ribeiro FC, Souza-Gabriel AE, Marchesan MA, Alfredo E, Silva-Sousa YT, Sousa-Neto MD. Influence of different endodontic filling materials on root fracture susceptibility. J Dent 2008; 36: 69-73