Time Required for Root Canal Retreatment Using Continuous Rotation, Reciprocation, and Optimum Torque Reverse Motions: An In-Vitro Study.

Abstract

Objective This study aims to evaluate the time required for canal preparation using three different movement kinematics during retreatment: continuous rotational motion, reciprocating motion, and optimum torque reverse (OTR) motion. Materials and methods The sample comprised 45 single-canal mandibular first premolars. The crowns were sectioned to standardize the root length to 16 mm. The root canals were prepared using the AF Gold mechanical preparation system (25/06). The roots were obturated using the lateral condensation technique and kept at 100% humidity at 37°C for seven days. The sample was randomly divided based on the movement pattern used during retreatment into three groups (N = 15): group 1 is continuous rotational motion using the ProTaper Universal Retreatment system; group 2 is reciprocating motion using the WaveOne Gold system; and group 3 is OTR motion using the ProTaper Universal Retreatment system. The retreatment time was measured in seconds by summing two times: T1 (time to reach the apex) and T2 (time to achieve adequate cleaning). The data were statistically analyzed using a one-way ANOVA with a significance level of α = 0.05. Results The results showed that the time required for canal preparation during retreatment with WaveOne Gold files using reciprocating motion was significantly longer than the time needed with ProTaper Universal Retreatment files using continuous rotary motion or OTR motion (P < 0.05). Conclusions The use of OTR motion did not affect the canal preparation time when used with files designed for continuous rotary motion retreatment. The use of WaveOne Gold files for canal preparation during retreatment was associated with a longer working time than ProTaper Universal Retreatment files.