Abstract

BackgroundThe aim of this study is to compare the torsional resistance of the available ProTaper rotary systems, namely, ProTaper Universal (PTU), ProTaper Next (PTN), and ProTaper Gold (PTG).MethodsA total of 195 files from the three systems distributed into 13 groups (PTU-S1, PTU-S2, PTU-F1, PTU-F2, PTU-F3, PTG-S1, PTG-S2, PTG-F1, PTG-F2, PTG-F3, PTN-X1, PTN-X2 and PTN-X3) were subjected to torsional fatigue until failure. The torsional test was performed according to ISO 3630-1, where each file was placed in a straight position to eliminate the influence of cyclic fatigue. The Kruskal–Wallis test was conducted to compare the mean maximum torques and angular deflections at fracture for the groups, and the Mann–Whitney test was performed for pairwise comparisons. The significance level was set at 0.05 and the fractured surfaces were examined under a scanning electron microscope.ResultAmong the tested files, PTG-S1 had the lowest torsional fatigue resistance, whereas PTU-F2 and PTU-F3 had the highest torsional resistance. The scanning electron microscope showed typical features of torsional failure.ConclusionThe new ProTaper systems (PTG and PTN) did not show improved torsional resistance in comparison with PTU.

Highlights

  • The aim of this study is to compare the torsional resistance of the available ProTaper rotary systems, namely, ProTaper Universal (PTU), ProTaper (PTN), and ProTaper Gold (PTG)

  • The comparison of the PTU and PTG shaping files revealed that the PTU-S1 and PTU-S2 files had significantly higher torsional failure resistance than the PTGS1 and PTG-S2 files, respectively (P < 0.01)

  • The comparison of the PTU-F2, PTG-F2, and ProTaper Next (PTN)-X2 files revealed that the PTN-X2 file had a significantly lower torsional resistance than the PTU-F2 file (P < 0.001)

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Summary

Introduction

The aim of this study is to compare the torsional resistance of the available ProTaper rotary systems, namely, ProTaper Universal (PTU), ProTaper (PTN), and ProTaper Gold (PTG). The mechanical preparation of the root canal system can be performed safely with the use of nickel titanium (NiTi) rotary files. This rotary file’s flexibility showed a huge improvement in endodontic treatment, wherein it can prepare the root canal quickly with less iatrogenic errors while maintaining the original canal anatomy [1, 2]. Despite these benefits, the NiTi file can fracture unexpectedly, which is a complication that adversely affects the prognosis [3].

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