•  
  •  
 

Abstract

Objective: This study aimed to examine the effects of three distinct file systems with two motion types—rotary and reciprocation—on the development of dentinal microcracks after root canal preparation using a stereomicroscope. Methods: Sixty mandibular molars with a curvature of 30° were decoronated and divided into three groups (Vortex Blue, Mtwo, and ProTaper Next) and two subgroups (rotary and reciprocating motions). The samples were then instrumented with the files, dyed with 1% methylene blue dye, and sectioned horizontally at 3, 6, and 9 mm from the root apex. The dentinal microcracks were inspected using a stereomicroscope at 40× magnification. One-way analysis of variance and post hoc Tukey tests were used to perform statistical analysis. Results: Crack formation was statistically significant at the 6-mm and 9-mm levels from the root apex in both motions (p < 0.05). Among all the file system, Vortex Blue caused the highest dentinal microcracks in both motions at 6 mm from the root apex. Conclusion: The reciprocating motion resulted in fewer dentinal microcracks than the rotary motion. All file systems caused significant dentinal microcracks at the curvature of the root canal during both motions. Dentinal microcrack formation was not significant at the root apex.

References

1. Rahman H, Chandra A, Khangwal M, Goel A, Shakya VK. Stereomicroscopic evaluation of microcrack formation in dentin by ProTaper Next, Revo S, and WaveOne Gold File System. Contemp Clin Dent. 2021; 12(4):439-43.

2. Chandwani N, Ranka A, Jadhav GR, Jagyasi D, Bopche P, Golchha A. Effect of various single file systems on microcrack formation in root canals: Scanning electron microscope study. Dent Res J (Isfahan). 2021; 18:52.

3. 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(8):1054-6.

4. Hariprasad R, Anoop VN, Raj PR, Obulareddy VT, Kunjumon RM, Sadula KK. Evaluation of crack propagation after root canal preparation with continuous and reciprocating files and final finishing with XP Endo Finisher - An in vitro study. J Pharm Bioallied Sci. 2021; 13(Suppl 2):S1700-4.

5. Das S, Pradhan PK, Lata S, Sinha SP. Comparative evaluation of dentinal crack formation after root canal preparation using ProTaper Next, OneShape, and Hyflex EDM. J Conserv Dent. 2018; 21(2):153- 6.

6. Ashwinkumar V, Krithikadatta J, Surendran S, Velmurugan N. Effect of reciprocating file motion on microcrack formation in root canals: An SEM study. Int Endod J. 2014; 47(7):622-7.

7. Venino PM, Citterio CL, Pellegatta A, Ciccarelli M, Maddalone M. A micro-computed tomography evaluation of the shaping ability of two nickeltitanium instruments, HyFlex EDM and ProTaper Next. J Endod. 2017; 43(4):628-32.

8. Canga M, Malagnino I, Malagnino G, Malagnino V. A Comparison of Mtwo and RaCe Rotary instruments in the preparation of curved canals. J Contemp Dent Pract. 2020; 21(2):124-8.

9. Shen Y, Zhou H, Coil JM, Aljazaeri B, Buttar R, Wang Z, Zheng YF, Haapasalo M. ProFile Vortex and Vortex Blue Nickel-Titanium Rotary instruments after clinical use. J Endod. 2015; 41(6):937-42.

10. Aggarwal A, Nawal RR, Yadav S, Talwar S, Kunnoth S, Mahajan P. Comparative evaluation of dentinal microcrack formation before and after root canal preparation using Rotary, Reciprocating, and Adaptive instruments at different working lengths-A Micro-computed tomographic study. J Endod. 2021; 47(8):1314-20.

11. Langaliya AK, Kothari AK, Surti NR, Patel AR, Doshi PR, Pandya DJ. In vitro comparative evaluation of dentinal microcracks formation during root canal preparation by different nickeltitanium file systems. Saudi Endod J. 2018; 8(3):183-8.

12. Topçuoğlu HS, Demirbuga S, Tuncay Ö, Pala K, Arslan H, Karataş E. The effects of Mtwo, R-Endo, and D-RaCe retreatment instruments on the incidence of dentinal defects during the removal of root canal filling material. J Endod. 2014; 40(2):266-70.

13. Çapar İD, Gök T, Uysal B, Keleş A. Comparison of microcomputed tomography, cone beam tomography, stereomicroscopy, and scanning electron microscopy techniques for detection of microcracks on root dentin and effect of different apical sizes on microcrack formation. Microsc Res Tech. 2019; 82(10):1748-55.

14. Das D, Barai S, Kumar R, Bhattacharyya S, Maity AB, Shankarappa P. Comparative evaluation of incidence of dentinal defects after root canal preparation using hand, rotary, and reciprocating files: An ex vivo study. J Int Oral Health. 2022; 14(1):78-85.

15. Matsushita-Tokugawa M, Miura J, Iwami Y, Sakagami T, Izumi Y, Mori N, Hayashi M, Imazato S, Takeshige F, Ebisu S. Detection of dentinal microcracks using infrared thermography. J Endod. 2013; 39(1):88-91.

16. Lim H , Li FC, Friedman S , Kishen A . Residual microstrain in root dentin after canal instrumentation measured with Digital Moiré Interferometry. J Endod. 2016; 42(9):1397-402.

17. Bürklein S, Tsotsis P, Schäfer E. Incidence of dentinal defects after root canal preparation: Reciprocating versus rotary instrumentation. J Endod. 2013; 39(4):501-4.

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(9):1443-6.

19. Li SH, Lu Y, Song D, Zhou X, Zheng QH, Gao Y, Huang DM. Occurrence of dentinal microcracks in severely curved root canals with ProTaper Universal, WaveOne, and ProTaper Next File Systems. J Endod. 2015; 41(11):1875-9.

20. Miguéns-Vila R, Martín-Biedma B, De-Deus G, Belladonna FG, Peña-López A, Castelo-Baz P. Micro-computed tomographic evaluation of dentinal microcracks after preparation of curved root canals with ProTaper Gold, WaveOne Gold, and ProTaper Next Instruments. J Endod. 2021; 47(2):309-14.

21. Aksoy Ç, Keriş EY, Yaman SD, Ocak M, Geneci F, Çelik HH. Evaluation of XP-endo Shaper, Reciproc Blue, and ProTaper Universal NiTi Systems on dentinal microcrack formation using micro-computed tomography. J Endod. 2019; 45(3):338-42.

22. Alkahtany SM, Al-Madi EM. Dentinal microcrack formation after root canal instrumentation by XP-Endo Shaper and ProTaper Universal: A microcomputed tomography evaluation. Int J Dent. 2020; 2020:4030194.

23. Kim HC, Sung SY, Ha JH, Solomonov M, Lee JM, Lee CJ, Kim BM. Stress generation during self-adjusting file movement: Minimally invasive instrumentation. J Endod. 2013; 39(12):1572-5.

24. Kim HC, Lee MH, Yum J, Versluis A, Lee CJ, Kim BM. Potential relationship between design of nickel-titanium rotary instruments and vertical root fracture. J Endod. 2010; 36(7):1195-9.

25. Versluis A, Messer HH, Pintado MR. Changes in compaction stress distributions in roots resulting from canal preparation. Int Endod J. 2006; 39(12):931-9.

26. Priya NT, Chandrasekhar V, Anita S, Tummala M, Raj TB, Badami V, Kumar P, Soujanya E. “Dentinal microcracks after root canal preparation” A comparative evaluation with hand, rotary and reciprocating instrumentation. J Clin Diagn Res. 2014; 8(12):ZC70-2.

27. Arslan H, Alsancak M, Doğanay E, Karataş E, Davut Çapar İ, Ertas H. Cyclic fatigue analysis of Reciproc R25® instruments with different kinematics. Aust Endod J. 2016; 42(1):22-4.

28. Aracena D, Borie E, Betancourt P, Aracena A, Guzmán M. Wear of the Primary WaveOne single file when shaping vestibular root canals of first maxillary molar. J Clin Exp Dent. 2017; 9(3):e368-71.

29. Capar ID, Arslan H, Akcay M, Uysal B. Effects of ProTaper Universal, ProTaper Next, and HyFlex instruments on crack formation in dentin. J Endod. 2014; 40(9):1482-4.

30. Sharma G, Kakkar P, Vats A. A comparative SEM investigation of smear layer remaining on dentinal walls by Three Rotary NiTi Files with different cross sectional designs in moderately curved canals. J Clin Diagn Res. 2015; 9(3):ZC43-7.

31. Foschi F, Nucci C, Montebugnoli L, Marchionni S, Breschi L, Malagnino VA, Prati C. SEM evaluation of canal wall dentine following use of Mtwo and ProTaper NiTi rotary instruments. Int Endod J. 2004; 37(12):832-9.

32. Heberer MT, Roggendor f HC, Faber FJ, Lawrenz NA, Frankenberger R, Roggendorf MJ. Longitudinal craze line propagation in human root dentin after instrumentation with NiTi rotary files of different instrument tapers after long-term chewing simulation. Clin Oral Investig. 2022; 26(3):2671-9.

33. Bürklein S, Stüber JP, Schäfer E. Real-time dynamic torque values and axial forces during preparation of straight root canals using three different endodontic motors and hand preparation. Int Endod J. 2019; 52(1):94-104.

34. Zupanc J, Vahdat-Pajouh N, Schäfer E. New thermomechanically treated NiTi alloys - A review. Int Endod J. 2018; 51(10):1088-103.

35. Hashem AA, Ghoneim AG, Lutfy RA, Foda MY, Omar GA. Geometric analysis of root canals prepared by four rotary NiTi shaping systems. J Endod. 2012; 38(7):996-1000.

36. Karataş E, Gündüz HA, Kırıcı DÖ, Arslan H. Incidence of dentinal cracks after root canal preparation with ProTaper Gold, Profile Vortex, F360, Reciproc and ProTaper Universal instruments. Int Endod J. 2016; 49(9):905-10.

37. Monga P, Bajaj N, Mahajan P, Garg S. Comparison of incidence of dentinal defects after root canal preparation with continuous rotation and reciprocating instrumentation. Singapore Dent J. 2015; 36:29-33.

38. 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(1):41-6.

39. Zhou X, Jiang S, Wang X, Wang S, Zhu X, Zhang C. Comparison of dentinal and apical crack formation caused by four different nickel-titanium rotary and reciprocating systems in large and small canals. Dent Mater J. 2015; 34(6):903-9.

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.