Reciproc R25 Research Articles

Effects of clinical use of NiTi reciprocating instruments on cyclic and torsional resistance, and on roughness.

The aim of the present study was to evaluate the cyclic fatigue, torsional resistance and surface roughness of Reciproc R25 instruments in four different situations, namely as new instruments and as instruments tested after clinical preparation of one, two or three maxillary molars with four root canals. The total time required to perform each root canal preparation was recorded. Cyclic fatigue resistance was determined by the time to fracture using a customized testing device (n = 10 per group). The torsional test evaluated the torque and angle of rotation to failure according to ISO 3630-1 (n = 10 per group). The roughness of the working parts of new and used instruments was evaluated with a profilometer (n = 5 per group). Statistical analysis was performed using one-way ANOVA and Tukey's test. The level of significance was set at 5%. No fractures or deformations were observed after clinical use. Higher preparation time was needed during the third use of the instruments for all root canals (p < 0.05). There were no significant differences among the groups in regard to either cyclic fatigue or torsional resistance (p > 0.05). Regarding the roughness measurements, groove depth was higher on new and one- versus two- or three-maxillary-molar-prepared instruments (p < 0.05). It can be concluded that the clinical use of Reciproc instruments increased preparation time and decreased surface roughness. However, clinical use did not affect the cyclic fatigue or torsional resistance of the Reciproc instruments.

Does the type of endodontic access influence in the cyclic fatigue resistance of reciprocating instruments?

The aim of the present study was to compare the cyclic fatigue resistance of Reciproc R25 (R25) and Reciproc Blue R25 (R25B) instruments, after simulated clinical use in traditional (TradAC) and ultraconservative (UltraAC) endodonticaccess cavities. Forty mandibular molars were randomly assigned into the following groups, according to the type of access and instrument to be used: TradAC and R25, TradAC and R25B, UltraAC and R25, and UltraAC and R25B. Teeth were accessed accordingly, and the root canals were prepared using "RECIPROC ALL" kinematics. The cyclic fatigue resistance of the forty used instruments was obtained measuring the time to fracture in an artificial stainless-steel canal. Ten brand new R25 and R25B were used as control groups. The fracture surfaces and the side cutting edges of the instruments were examined with a scanning electron microscope. Data were statistically analyzed using one-way ANOVA and post hoc Tukey tests with a significance level of P < 0.05. R25B instruments showed significantly higher cyclic fatigue resistance than R25, regardless of the access cavity type (P < 0.05). No differences were observed in the cyclic fatigue resistance between instruments without simulated clinical use and used in TradAC (P > 0.05). R25 and R25B used in UltraAC showed significantly lower cyclic fatigue resistance compared with the instruments used in TradAC and without simulated clinical use (P < 0.05). R25B files showed improved cyclic fatigue resistance than R25. The use of R25B and R25 files in mandibular molars with UltraACs decreased their cyclic fatigue resistance, compared with TradAC. The use of Reciproc and Reciproc Blue files in mandibular molars with ultra-conservative endodontic accesscavities reduced their cyclic fatigue resistance. Clinicians should be aware about the reduced cyclic fatigue resistance of these files when used in mandibular molars with UltraAC, due to the synergistic effect of access angulation and severe curvature induced in the endodontic files.

Cutting efficiency of heat-treated nickel-titanium single-file systems at different incidence angles.

Cutting efficiency of Reciproc R25 (REC) and Reciproc blue R25 (REB) at different inclinations was evaluated. Sixty new files were tested at 90°, 70° and 45° of inclination in relation to the sample (n=10), using a customised machine. All files were activated in reciprocation against standardised gypsum blocks for 120s. Cutting efficiency was determined by measuring the block weight loss with an analytical balance and measuring the length of the block surface cut using a digital calliper. Data were statistically analysed (two-way ANOVA, Bonferroni t-test) with the significance level set at P<0.05. There was no difference for REC among the tested angles. REB had no statistical difference between 90° and 70°; however, its cutting efficiency significantly increased at 45°. There was a significant difference between REC and REB at 45° only. Under these conditions, increased file inclination to 45° and blue heat treatment improved cutting efficiency of reciprocating files.

Micro–computed Tomographic Assessment of Supplementary Cleaning Techniques for Removing Bioceramic Sealer and Gutta-percha in Oval Canals

IntroductionThe aim of this study was to conduct a micro–computed tomographic assessment of the effectiveness of 3 supplementary cleaning techniques in reducing the residual volume of gutta-percha and a bioceramic sealer after performing endodontic retreatment procedures in teeth with oval canals. MethodsThirty-six mandibular premolars were instrumented with the ProTaper Next system (instruments X1–X3; Dentsply Maillefer, Ballaigues, Switzerland) and filled with gutta-percha and Bio-C Sealer (Angelus, Londrina, PR, Brazil) using the single-cone technique. The teeth were reinstrumented with the Reciproc R40 instrument (VDW, Munich, Germany) and divided into 3 groups according to the supplementary cleaning technique used (n = 12): ultrasonic-assisted irrigation (UAI), EndoActivator (Dentsply Tulsa Dental Specialties, Tulsa, OK) irrigation (EAI), or the XP-endo Finisher R system (XPR; FKG Dentaire, La Chaux-de-Fonds, Switzerland). Micro–computed tomographic imaging was used to quantify the residual volume of filling material. One-way analysis of variance complemented by the Tukey test was used to perform the statistical analysis (P < .05). ResultsSignificant reductions were obtained in the residual filling material after supplementary cleaning (P < .05). XPR (47.5%) led to significantly greater (P < .05) filling material removal than UAI (16.6%) or EAI (22.6%). The removal values of the 2 latter systems were not significantly different. ConclusionsXPR was more effective than UAI and EAI in removing filling material in mandibular premolars with oval canals. None of the tested supplementary cleaning techniques completely removed the residual filling material.

Can Irrigant Agitation Lead to the Formation of a Smear Layer?

IntroductionThis study aimed to assess whether ultrasonic activation (UA) or the EasyClean (EC; BassiEndo, Belo Horizonte, BH, Brazil) or EDDY (ED; VDW, Munich, Germany) systems used to promote agitation of the irrigating solutions during the final irrigation step can lead to smear layer formation in the apical third of the root canal. MethodsThirteen premolars were instrumented with the Reciproc R40 file (VDW) and embedded in silicone, forming a closed irrigation/aspiration system. The teeth were cleaved, and 4 indentations were made on the inner buccal wall of the canal to standardize the observation sites. All the specimens were cleaned in an ultrasonic bath and evaluated under environmental scanning electron microscopy, thus constituting the control group. The same specimens were reassembled, submitted to final irrigation using UA or the ED or EC systems, and classified using a 4-level scoring system. The data were analyzed using the kappa, Pearson, and Kruskal-Wallis tests (P < .05). ResultsSmear layer formation occurred in all of the experimental groups and at all apical levels. At 3 and 4 mm, all of the experimental groups had significantly higher levels of smear layer formation than the control group. At 2 mm, the level of smear layer formation in the UA group was significantly higher than that of the control group, and there were no significant differences among the EC, ED, and control groups. At 1 mm, there were no significant differences between the ED and control groups, and the levels of smear layer formation in the EC and UA groups were significantly higher than that of the control group. There were no significant differences between the ED and EC groups at any of the apical levels. ConclusionsThe smear layer formation occurred in all of the specimens submitted to final irrigation, irrespective of the technique used.

Micro–computed Tomographic Evaluation of the Shaping Ability of 3 Reciprocating Single-File Nickel-Titanium Systems on Single- and Double-Curved Root Canals

IntroductionWe performed a micro–computed tomographic assessment of the preparation of moderately single- and double-curved root canals using 3 single-file reciprocating nickel-titanium systems: S1 Plus Standard (Sendoline, Täby, Sweden), WaveOne Gold Primary (Dentsply Sirona, Ballaigues, Switzerland), and Reciproc R25 (VDW, Munich, Germany). MethodsSeventy-five moderately curved mandibular molars with 2 separate mesial root canals were assigned to 3 experimental groups (n = 25) (ie, S1 Plus Standard, WaveOne Gold Primary, and Reciproc 25 groups) by forming matched triples according to curvature (15°–40°), radius (≤18 mm), and type of curvature (single or double curved). Teeth were scanned before and after root canal preparation with a resolution of 10.5 μm using micro–computed tomographic imaging (Bruker SkyScan 1272; Bruker microCT, Kontich, Belgium). The following parameters were assessed: changes in root canal volume and surface area, percentage of unshaped canal walls, structure model index, canal transportation, and centering ratio. Data were analyzed using 2- and 3-way analysis of variance with Tukey and Scheffé post hoc tests (significance level of 5%). ResultsNo significant differences among groups were observed concerning all parameters. The type of curvature had no significant effect on all tested parameters. Within all experimental groups, canal transportation increased significantly from the apical to the coronal region, of which the majority was directed toward the furcational area. ConclusionsPreparation with the 3 nickel-titanium systems did not result in significantly different dimensional changes, and there was no significant effect of the type of curvature on all tested parameters.

The influence of the addition of surfactants to sodium hypochlorite on the removal of hard tissue debris.

To evaluate the effect of the addition of surfactants to sodium hypochlorite (NaOCl) on the removal of accumulated hard tissue debris (AHTD), before and after final irrigation with 17% EDTA, from mesial canals of mandibular molars through microcomputed tomographic (micro-CT) analysis. Thirty moderately curved mandibular mesial roots with Vertucci type II canal configuration were selected and scanned in a micro-CT device at an isotropic resolution of 22.9μm. The specimens were assigned to three groups (n=10) with respect to the root length, degree of curvature of the mesial root, volume and 3D anatomy of the root canals according to the irrigating solution used during root canal preparation: 2.5% NaOCl and 0.1% Benzalkonium Chloride, 2.5% NaOCl and 0.1% Tween 80 and 2.5% NaOCl without additives. The root canals were instrumented up to Reciproc R25 instrument. Then, the specimens were scanned again after canal preparation and after final irrigation with 17% EDTA, and the registered data sets were examined to evaluate the percentage of AHTD. For comparison between the different groups before and after using 17% EDTA, the Kruskal-Wallis test was used with a significance level of 5%. For comparison between the same groups before and after using 17% EDTA, the Wilcoxon test was used with a significance level of 5%. None of the irrigant solutions tested was able to completely eliminate hard tissue debris from mesial canals of mandibular molars. There were no significant differences in the percentage of AHTD amongst the different irrigation solutions (P>0.05). Final irrigation with 17% EDTA significantly reduced the percentage of AHTD (P<0.05), without differences amongst the groups (P>0.05). The addition of surfactants to NaOCl did not affect the removal of AHTD from mesial canals of extracted mandibular molars. Final irrigation with 17% EDTA significantly improved AHTD removal.

The effect of use different concentrations of sodium hypochlorite on cyclic fatigue in reciproc files (in vitro study)

Background: NiTi instruments have a risk of separation due to torsional or flexural fatigue (cyclic fatigue). Chemo-mechanical preparation and cleaning procedures cause the corrosion of endodontic instruments that may weaken the fracture resistance of the instruments. Aim of the Study: To assess resistance to cyclic fatigue of Reciproc files R25 after immersion in different concentrations of sodium hypochlorite in conditions similar to those used in clinical practice. Materials and Methods: The study sample included 40 new Reciproc R25 files according to the G-power program and divided randomly into four groups according to NaOCl concentration (n=10). Files were immersed in NaOCl for 10 minutes at room temperature and for 16mm length as following: Group A no immersion (control), Group B (1% NaOCl), Group C (2.5% NaOCl) and Group D (5.25% NaOCl). The cyclic fatigue resistance was tested in stainless steel artificial canal manufactured reproducing the instrument size and taper, with 120° angle of curvature and 2.5 radius of curvature. The Time to Fracture (TtF) was statically analyzed. Results: According to statistical data for analytical study, the mean of Time to Fracture (TtF) group A control, B, C and D was170.77,153.10,142.32, and 132.59 respectively. One-way ANOVA test indicated no significant differences in mean of TtF between NaOCl concentration groups. Resistance to cyclic fatigue of R25 was not affected by the concentration of NaOCl used in this study (P>0.05). Conclusions: Using different concentrations of NaOCl for 10 minutes did not reduce the resistance to cyclic fatigue of Reciproc R25 files. Keywords: Cyclic fatigue, NaOCl, Reciproc R25.

EFFECTS OF MTAD ON THE BOND STRENGTH OF BIOCERAMIC ROOT CANAL SEALER

Aim: The aim of this in-vitro study was to investigate the effects of MTAD (a mixture of doxycycline, citric acid, and a detergent) on the bond strength of AH Plus (Dentsply DeTrey GmbH, Konstanz, Germany) and EndoSequence BC sealer (Brasseler USA, Savannah, Georgia, USA). Materials &amp; Methods: Eighty-four decoronated single-rooted human incisor teeth were prepared with Reciproc R25 files (VDW, Munich, Germany), and the canal was irrigated with 5 mL 1.3% NaOCl. The roots were randomly assigned to four groups (n = 21), according to the final irrigation protocol and sealer selection: Group 1: distilled water-AH Plus; Group 2: distilled water-EndoSequence BC; Group 3: MTAD-AH Plus; Group 4: MTAD-EndoSequence BC. For the final flush, in Groups 1 and 2, the root canals were irrigated with 5mL of distilled water; in Groups 3 and 4, 5mL of MTAD was used for 1 minute. After root canal obturation, specimens was embedded in an acrylic block and sectioned horizontally at three levels (coronal, middle, apical). Bond strength of sealer to root canal dentin was assessed via push-out test using a universal testing machine. Results: There were no significant differences among the groups in coronal and apical thirds. In the middle root third, Group 4 showed significantly lower push-out bond strength values than Group 2 (p=0.023). No significant difference was found between the two root canal sealers. Conclusions: Overall, MTAD final irrigation caused lower push-out bond strenght values than distilled water with no significancy.

Apical root canal cleaning after preparation with endodontic instruments: a randomized trial in vivo analysis.

ObjectivesThis study aimed to evaluate vital pulp tissue removal from different endodontic instrumentation systems from root canal apical third in vivo.Materials and MethodsThirty mandibular molars were selected and randomly divided into 2 test groups and one control group. Inclusion criteria were a positive response to cold sensibility test, curvature angle between 10 and 20 degrees, and curvature radius lower than 10 mm. Root canals prepared with Hero 642 system (size 45/0.02) (n = 10) and Reciproc R40 (size 40/0.06) (n = 10) and control (n = 10) without instrumentation. Canals were irrigated only with saline solution during root canal preparation. The apical third was evaluated considering the touched/untouched perimeter and area to evaluate the efficacy of root canal wall debridement. Statistical analysis used t-test for comparisons.ResultsUntouched root canal at cross-section perimeter, the Hero 642 system showed 41.44% ± 5.62% and Reciproc R40 58.67% ± 12.39% without contact with instruments. Regarding the untouched area, Hero 642 system showed 22.78% ± 6.42% and Reciproc R40 34.35% ± 8.52%. Neither instrument achieved complete cross-sectional root canal debridement. Hero 642 system rotary taper 0.02 instruments achieved significant greater wall contact perimeter and area compared to reciprocate the Reciproc R40 taper 0.06 instrument.ConclusionsHero 642 achieved higher wall contact perimeter and area but, regardless of instrument size and taper, vital pulp during in vivo instrumentation is not entirely removed.

Shaping Ability of Reciproc R25 File and Mtwo System Used in Continuous and Reciprocating Motion

Nickel-titanium (NiTi) instruments were designed to be used in continuous rotation mode with controlled speed and torque and a sequence of different sizes. The reciprocating motion was purposed to improve cyclic fatigue of rotary instruments if compared to the conventional rotation. The purpose of this work was to compare the shaping ability of Reciproc R25, Mtwo #25/0.06 used as a single file, and Mtwo sequence used in reciprocating motion and in continuous rotation. Forty-eight endodontic training resin blocks ISO 15, 2% taper, 7 mm radius, and a 60° angle of curvature were shaped with four different protocols. Group I (Rrsf) was shaped with Reciproc R25 used as a single file in a reciprocating motion. Group II (Mrsf) was shaped with Mtwo #25/0.06 used as a single file in a reciprocating motion. Group III (MSrec) was shaped with Mtwo sequence in reciprocating motion, and finally, group IV (MSrot) was shaped with the Mtwo sequence used in continuous rotation. Preoperative and postoperative images of the simulated canals were taken under standardized conditions and combined exactly. The amount of resin removed was determined at both the inner and outer sides of the canal curvature. The ability of the instruments to remain centered in the canal was determined by calculating a centering ratio. These data were analyzed statistically using two factors analysis of variance (ANOVA) with Bonferroni correction (Bonferroni post-hoc test). Group Rrsf produced a greater enlargement of the canal, especially on the outer side, in the apical and middle third (p < 0.05). Group MSrot produced a lower enlargement in the middle third (p < 0.05). Group Rrsf displayed a lower centering ratio in the apical third (p < 0.05). Group MSrot displayed a lower centering ratio in the coronal third (p < 0.05). The shaping of simulated canals using a sequence of instruments in continuous rotation resulted in a more centered preparation of the apical third. The reciprocating motion for all tested instruments produced a bigger enlargement of the canals. Reciprocating movement results in a more pronounced canal enlargement but appears to be less respectful of the original canal curvature and produces more apical transportation than a sequence of rotary NiTi files with the same ending apical size.

Antibacterial Efficacy of the Grape Seed Extract as an Irrigant for Root Canal Preparation.

Objective:The purpose of this research was to compare relative effectiveness of sodium hypochlorite 5.25% (NaOCl), 2% chlorhexidine gel (CHX) and 6.5 % grape seed extract (GSE) against Enterococcus faecalis using instrument Reciproc R25 in root canal preparation.Methods:Forty-five mesiobuccal root canals from extracted human maxillary molars were collected and infected with Enterococcus faecalis. The samples were divided into five groups according to the different types of irrigants: saline (positive control) (n=5); in the other groups were used 10 root canals for each group: NaOCl+EDTA; CHX gel+EDTA; GSE solution+EDTA; GSE gel+EDTA. All the groups were prepared with reciprocating instruments Reciproc R25. Bacterial reduction was measured by two-way ANOVA (P<0.001) followed by Tukey HSD post-hoc tests, from the counting of colony forming units (CFUs) from samples collected before instrumentation and after. The significance level established at 5% (P<0.05).Results:The group prepared with the NaOCl resulted in highest antimicrobial capacity among of all (P>0.05), followed by CHX and GSE gel (P<0.05). Control and GSE solution showed similar results (P<0.05) and resulted in the lowest percentage of the reduction of the microorganism into the root canals.Conclusion:NaOCl had the higher elimination capacity of Enterococcus faecalis than GSE and CHX.

Micro-computed tomographic evaluation of smear layer and accumulated hard tissue debris removal.

Background:The isthmus and irregularities present in the root canal system are potential areas for debris accumulation areas and therefore the seach for devices and solutions to improve cleaning of these areas is of utmust importance. This study evaluated, by micro–computed tomography, the efficiency of 37% phosphoric acid solution with that of 17% EDTA in the removal of smear layer and accumulated hard tissue debris (AHTD) after canal preparation.Methods and Materials:Twenty-six mesial roots of mandibular molars were subjected to microtomographic scanning using the SkyScan 1173 X-ray microtomograph at a resolution of 14,97 µm. The canals were prepared using Reciproc R40 instruments, 6% NaOCl and EndoVac System® to irrigation/aspiration. After instrumentation, the specimens were divided into two groups: 37% phosphoric acid solution or 17% EDTA.Results:The results demonstrated that 37% phosphoric acid was significantly more effective in removing smear layer and AHTD than 17% EDTA (Mann-Whitney, P <0.05). It was shown that both 37% phosphoric acid and 17% EDTA are effective agents in the removal of smear layer and debris, but better results were obtained with the use of 37% phosphoric acid.Conclusion:The results suggest that this solution can be a potential alternative to remove smear layer after root canal preparation.

Arrowhead design ultrasonic tip as a supplementary tool for canal debridement.

To investigate the shaping and cleaning performance of the Clearsonic ultrasonic tip as a supplementary tool during the preparation of long oval-shaped root canals through micro-computed tomographic (micro-CT) imaging technology. TheReciproc M-Wire R40 instrument was used as a reference instrumentation technique for comparison. Twenty mandibular incisors with single, straight and long oval-shaped canals were selected and pair-matched by micro-CT scanning. The root canals were prepared with Reciproc R25 and R40 instruments, scanned again in a micro-CT device and randomly allocated into one of the two experimental groups (n=10), according to the supplementary debridement protocol used: Clearsonic or Reciproc R40 used in abrushing motion against buccal and lingual walls. Noninstrumented canal areas, accumulation of hard-tissue debris (AHTD) and volume of removed dentine were assessed using micro-CT imaging following the supplementary debridement protocols. Data were analysed statistically in two phases using a t-test with a significance level of 5%. In phase-1, there was asignificant similarity between the samples regarding the evaluated micro-CT baseline parameters (P>0.05), validating the anatomical similarity between the toothpairs. In phase-2, there was asignificant difference between the groups for canal volume, surface area, noninstrumented root canal walls and the amount of removed dentine for both absolute and percentage values (P<0.05), but not for AHTD (P=0.759). The Clearsonic tip outperformed the Reciproc R40 instrument as a supplementary debridement protocol as it was associated with significantly greater reduction of noninstrumented root canals walls and consequently a larger amount of removed dentine. Both groups performed similarly regarding the AHTD.

Mechanical properties and metallurgical features of new and ex vivo used Reciproc Blue and Reciproc.

To compare the mechanical properties and metallurgic features of new and used Reciproc Blue and Reciproc instruments. A total of 120 R25 Reciproc Blue and R25 Reciproc instruments were used. The morphological, chemical, mechanical, thermal and phase composition characteristics of new and ex vivo used files were investigated by scanning electron microscopy (FEG-SEM) with energy dispersive X-ray spectroscopy (EDS), focused ion beam analysis (FIB), micro-Raman spectroscopy, FEG-SEM metallography, X-ray diffraction (XRD), differential scanning calorimetry (DSC) and indentation tests. Usage-induce degradation was evaluated. Ten new and ten used instruments per type were run until fracture occurred in a stainless steel artificial canal (60° angle of curvature, 4-mm radius). Time to fracture and the length of the fractured fragment were recorded. Torque and angle of rotation at failure of ten new and ten used instruments for each type were measured according to ISO 3630-1. The fracture surface of each fragment was examined. Two-wayanalyses of variance wasused to analyse the data statistically (α-level 0.05). SEM analysis revealed microcracks near the tip on both files after ex vivo usage tests. FIB imaging and micro-Raman spectroscopy confirmed the presence of an oxide layer on the Reciproc Blue surface. There was no thinning of the coating after use. XRD revealed a reduction of martensite and R-phase in Reciproc Blue after use. DSC analysis revealed different transformation temperatures for the instruments analysed. Reciproc Blue was significantly more flexible than Reciproc for both new and used samples (P<0.05), and they were significantly more resistant to cyclic fatigue than Reciproc (P<0.05). Ex vivo usage reduced the fatigue resistance of both files. Torsional resistance of Reciproc and Reciproc Blue was not reduced by simulated use (P>0.05). The thermal treatment of Reciproc Blue was associated with a finer structure with smaller grains than Reciproc, which increased its fracture resistance and was also responsible for its reduced hardness and lower elastic modulus. Both files were safe during ex vivo usage in severely curved canals.

Evaluación de la extrusión de residuos apicales y permeabilidad apical en sistemas endodónticos rotativos continuos y recíprocos

The aim of the study was to quantify and compare apical debris extrusion in two systems of continuous and reciprocating rotary instrumentation with, and without, the use of a patency file. An experimental study was carried out in 120 mesial roots of lower first molars, which were randomized in the following 4 groups: Group A. Reciproc (VDW) R25 without a patency file, Group B Mtwo (VDW) without a patency file, Group C Reciproc (VDW) R25 with a patency file and Group D Mtwo with a patency file. Groups A, B and C presented statistically significant differences in comparison to group D, Mtwo with the use of a patency file (p&lt;0.008 to 95% reliability). In conclusion, the greater amount of debris extruded through the apex occurred in roots instrumented with the reciprocating rotary system; this difference was statistically significant in relation to teeth treated with the Mtwo continuous rotary system with the use of a patency file.

Torsional behaviour of Reciproc and Reciproc blue instruments associated with their martensitic transformation temperatures.

To compare the martensitic transformation temperatures and torsional resistance behaviour of classic M-Wire Reciproc and Reciproc blue files (VDW, Munich, Germany). M-Wire classic Reciproc R25 and Reciproc blue R25 instruments were used. Transformation temperatures were determined by differential scanning calorimetry (DSC-DSC 60, Shimadzu, Kyoto, Japan). Three samples with approximately 20mg of each system were cooled to -120°C and then heated to 100°C and then cooled to -100°C at a rate of 10°Cmin-1 . The maximum torque values and angular deflection until fracture of new instruments (n=10) were measured according to ISO 3630-1. Results were analysed statistically using the Student's t-test at a significance level of P<0.05. DSC results revealed the absence of martensitic transformation for Reciproc instruments in the temperature range analysed. In both systems, the instruments were composed of a mixture of R-phase and austenite at room temperature. After torsional tests, Reciproc blue had significantly lower values for mean maximum torque at rupture (P<0.05), although the angular deflection values were significantly higher than the Reciproc classic group (P<0.05). Both Reciproc and Reciproc blue instruments were composed of a mixture of R-phase and austenite. Reciproc Blue instruments had a greater angle of rotation to fracture but a lower torque to failure than M-Wire Reciproc instruments.

3-dimensional Ability Assessment in Removing Root Filling Material from Pair-matched Oval-shaped Canals Using Thermal-treated Instruments

IntroductionThe purpose of this study was to evaluate the ability of the XP-endo Shaper instrument (FKG Dentaire, La Chaux-de-Fonds, Switzerland) during the removal of root fillings from oval-shaped canals. M-Wire Reciproc and Reciproc Blue systems (VDW, Munich, Germany) were used as reference instruments for comparison, and micro–computed technology was used as an analytical tool. MethodsThirty mandibular incisors with oval-shaped canals were matched based on similar anatomic features of the canal (eg, volume, aspect ratio, and 3-dimensional configuration) after scanning procedures. The canals were prepared with M-Wire Reciproc R25 instruments and filled with gutta-percha and AH Plus sealer (Dentsply DeTrey, Konstanz, Germany) using the continuous wave of condensation technique. Then, the sample was allocated into 3 experimental groups (n = 10) according to the retreatment protocol used: M-Wire Reciproc, Reciproc Blue, and XP-endo Shaper. M-Wire Reciproc R25, Reciproc Blue R25, and XP-endo Shaper instruments were used to remove the root fillings. Apical enlargement was performed with M-Wire Reciproc R40, Reciproc Blue R40, and BioRace BR5 (FKG Dentaire) instruments. Each sample was scanned after each endodontic procedure. The volume of remaining root filling material was quantified before and after apical enlargement. The percentage volumes of root filling reduction in relation to the instrumented canals at both time points (before and after apical enlargement) were calculated and considered for statistical analysis. Data were analyzed statistically with a significance level of 5%. ResultsReciproc Blue presented significantly lower removal of filling material compared with the XP-endo Shaper (Tukey test, P < .05). No difference was detected either between M-Wire Reciproc and Reciproc Blue (Tukey test, P > .05) or M-Wire Reciproc and XP-endo Shaper (Tukey, P > .05). The increase of apical enlargement significantly improved the removal of root fillings from the root canals (P < .05); this effect was similar for all systems (time point × file system, P > .05). ConclusionsThe XP-endo Shaper instrument showed a higher percentage of root filling removal, but no differences were observed comparing M-Wire Reciproc with the XP-endo Shaper or Reciproc Blue. The increase of apical enlargement improved the removal of root fillings in all groups. None of them was able to render root canals completely free from root fillings.

Assessment of mechanical properties of WaveOne Gold Primary reciprocating instruments.

This study aimed to evaluate cyclic fatigue resistance and bending properties and torque/force generation of WaveOne Gold (WOG) Primary in comparison with WaveOne (WO) Primary and Reciproc (RE) R25. A cyclic fatigue test revealed that the WOG Primary took significantly longer time to fracture compared with the WO Primary (p<0.05). The WOG Primary had the smallest load values at a deflection of 0.5 and 2 mm (p<0.05), as measured with a cantilever bending test. Torque/force measurement demonstrated that maximum upward force and maximum counterclockwise torque values in the WOG Primary were significantly lower than those in the RE R25 (p<0.05). Under the present experimental condition, the WOG Primary showed a higher cyclic fatigue resistance compared with the WO Primary, a higher flexibility compared with the WO Primary and RE R25, and generated a significantly lower maximum torque compared with the RE R25.

Influence of proper or reciprocating optimum torque reverse kinematics on cyclic fatigue of four single files.

The aim of the present study was to evaluate the resistance to cyclic fatigue of heat-treated single files used in proper or in reciprocating optimum torque reverse motions. Ninety-six HyFlex electrical discharge machining (EDM), Reciproc R25 (Rec), WaveOne Primary (WO), and WaveOne Gold (WOG) Primary were used. Resistance to cyclic fatigue was determined by recording time to fracture in a stainless steel artificial canal. Differential scanning calorimetric analysis was performed. Data were analyzed by two-way analysis of variance and Bonferroni post-hoc tests at 0.05. In both movements, HyFlex EDM showed higher time to fracture than other files (P<0.0001). Rec showed higher time to fracture than WO (P<0.0001), while WOG showed higher cyclic fatigue resistance than Rec and WO with both movements (P<0.005). Reciprocating optimum torque reverse motion improved significantly cyclic fatigue resistance of gold and controlled memory wire single files.