Abstract

This study compared the microscopic features of the fractured endodontic nickel-titanium (NiTi) rotary instruments by two different torsional loadings: repetitive torsional loading (RTL) and single torsional loading (STL) based on the International Organization for Standardization (ISO). ProTaper Next, HyFlex EDM, and V-Taper 2 were compared in this study. In the STL method, the torsional load was applied after fixing the 3 mm tip of the file, by continuous clockwise rotation (2 rpm) until fracture. In the RTL method, a preset rotational loading (0.5 N·cm) was applied and the clockwise loading to the preset torque and counterclockwise unloading to original position were repeated at 50 rpm until the file fractured. Fractured fragments by two methods were compared under a scanning electron microscope (SEM) to examine the topographic features of the fractured surfaces and longitudinal aspects. SEM examinations showed significantly different features according to the loading methods. Specimens from the RTL method showed ruptured aspects on cross sections, with multiple areas of initiated cracks while the STL method showed the typical features of torsional failure, such as circular abrasion marks and fatigue dimples. This study suggested a new repetitive torsional loading method which is much more clinically relevant and may result in a different fracture feature from STL method.

Highlights

  • Root canal shaping using nickel-titanium (NiTi) rotary instruments is easier and faster than preparation with stainless-steel (SS) manual instruments, and causes fewer iatrogenic alterations to the original root canal shape [1]

  • The common method to measure the torsional resistance was conducted under a static rotational condition that is mainly based on International Organization for Standardization (ISO) 3630-1 [5]

  • The repetitive torsional loading (RTL) test showed that the VTP group had the highest number of repetitive load cycles until fracture (NRCF) among the test groups, while the PTN group had the least NRCF (p < 0.05)

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Summary

Introduction

Root canal shaping using nickel-titanium (NiTi) rotary instruments is easier and faster than preparation with stainless-steel (SS) manual instruments, and causes fewer iatrogenic alterations to the original root canal shape [1]. Cyclic fatigue fracture or flexural failure may occur when a file rotates in a curved root canal and is caused by repeated tensile and compressive stresses [2, 4]. Torsional fracture is related to a continuous rotation of the engine when the instrument binds in the root canal [2]. Cyclic fatigue resistance tests for the NiTi rotary instruments have been executed extensively. The common method to measure the torsional resistance was conducted under a static rotational condition that is mainly based on International Organization for Standardization (ISO) 3630-1 [5].

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