Erratum to: Cutting efficiency of nickel–titanium rotary and reciprocating instruments after prolonged use

Abstract The aim of the present study was to compare the cutting efficiency of Twisted File instruments used in continuous rotation or TF Adaptive motion and evaluate if prolonged use significantly affected their cutting ability. 20 new NiTi instruments were used in the present study (TF tip size 35, 0.06 taper; Sybron-Endo, Orange, CA, USA), divided into 2 subgroups of 10 instruments each, depending on which movement was selected on the endodontic motor. Group 1: TF instruments were activated using the program TF continuous rotation at 500 rpm and torque set at 2 N; Group 2: TF instruments were activated using the reciprocating TF Adaptive motion. Cutting efficiency was tested in a device developed to test the cutting ability of endodontic instruments. Each instrument cut 10 plastic blocks (10 uses) and the length of the surface cut in a plastic block after 1 min was measured in a computerized program with a precision of 0.1 mm. Maximum penetration depth was calculated after 1 use and after 10 uses, and mean and standard deviation (SD) of each group was calculated. Data were statistically analyzed with a one-way ANOVA test (P.05). TF instruments used in continuous rotation (Group 1) cut a mean depth of 10.4 mm (SD = 0.6 mm) after the first use and 10.1 mm (SD 1.1 mm) after 10 uses, while TF instruments used with the Adaptive motion cut a mean depth of 9.9 mm (SD = 0.7 mm) after the first use and 9.6 mm (SD = 0.9 mm) after 10 uses. There was no statistically significant difference between the two groups investigated (P[0.05) nor between instruments after 1 or 10 uses. In conclusion, the TFA motion showed a lateral cutting ability similar to continuous rotation and all tested instruments exhibited the same cutting ability after prolonged use

Cyclic fatigue of NiTi instruments used in complex curvatures with continuous or reciprocating rotation

Aim: The aim of present study was to compare cyclic fatigue resistance of Twisted files (TF, Sybron Endo, Glendora, CA) instrument used with continuous rotation and the new Motion (TFAdaptive rotating reciprocation), to evaluate if the new reciprocating motion could affect the lifespan of tested instruments. Methodology: 30 new TF instruments were submitted to cyclic fatigue tests. Group 1 instruments were tested using a TFA motion (TFA) while group 2 instruments were used in continuous rotation at 500 rpm (CR). The cyclic fatigue testing device used in the present study has been used for studies on cyclic fatigue resistance previously. The artificial canal was manufactured to provide the instrument with a very challenging trajectory 60° curvature, with a 2 mm radius. All instruments were rotated or reciprocated until fracture occurred. The time to fracture was recorded. All data were subjected to statistical evaluation with analysis of variance test. Results: TFA reciprocating motion showed a significant increase (p < 0.05) in the time to failure when compared to continuous rotation. Mean time to failure was 131 s (SD ±25.2) for group 1 (TFA), and was 68 s (SD ±14.8) for continuous rotation group (CR). Conclusions: In accordance with those findings, the results of the present study showed a significant increase of cyclic fatigue resistance of instruments used with the TFA motion. This can be explained by the alternance of engaging/disengaging movements, since the motion can be defined as a non-continuous rotation, while the traditional continuous rotation movement continuously engages and stresses the instruments

Cutting Efficiency of Reciproc and WaveOne Reciprocating Instruments

Introduction: The aim of the present study was to evaluate the cutting efficiency of 2 new reciprocating instruments, Reciproc and WaveOne. Methods: Twenty-four new Reciproc R25 and 24 new WaveOne Primary files were activated by using a torque-controlled motor (Silver Reciproc) and divided into 4 groups (n = 12): group 1, Reciproc activated by Reciproc ALL program; group 2, Reciproc activated by WaveOne ALL program; group 3, WaveOne activated by Reciproc ALL program; and group 4, WaveOne activated by WaveOne ALL program. The device used for the cutting test consisted of a main frame to which a mobile plastic support for the handpiece is connected and a stainless steel block containing a Plexiglas block (inPlexiglass, Rome, Italy) against which the cutting efficiency of the instruments was tested. The length of the block cut in 1 minute was measured in a computerized program with a precision of 0.1 mm. Means and standard deviations of each group were calculated, and data were statistically analyzed with one-way analysis of variance and Bonferroni test (P .05). Conclusions: Reciproc instruments demonstrated statistically higher cutting efficiency than WaveOne instruments. © 2014 American Association of Endodontists

Cutting Efficiency of Instruments with Different Movements: a Comparative Study

Objectives: The aim of the present study was to evaluate the cutting efficiency of two new reciprocating instruments, Twisted File Adaptive and WaveOne Primary. Material and Methods: 10 new Twisted File Adaptive (TF Adaptive) (SybronEndo, Glendora, CA, USA) and 10 new WaveOne Primary files (Dentsply Maillefer, Ballaigues, Switzerland) were activated using a torque-controlled motor, respectively TFA motor (SybronEndo, Glendora, CA, USA) and Silver motor (VDW, Munich, Germany). The device used for the cutting test consisted on a mainframe to which a mobile plastic support for the hand-piece is connected and a stainless-steel block containing a Plexiglas block against which the cutting efficiency of the instruments was tested. The length of the block cut in 1 minute was measured in a computerized program with a precision of 0.1 mm. Mean and standard deviations of each group were calculated and data were statistically analyzed with one-way ANOVA and Bonferroni t test (P < 0.05). Results: TF Adaptive displayed significantly greater maximum penetration depth than WaveOne Primary (P < 0.05). In fact, TF Adaptive instruments (Group 1) cut the Plexiglas block to a mean depth of 8.7 (SD 0.5) mm, while WaveOne Primary instruments cut the Plexiglas block to a mean depth of 6.4 (SD 0.3) mm. Conclusions: Twisted File Adaptive instruments demonstrated statistically higher cutting efficiency than WaveOne instruments

A new device to test cutting efficiency of mechanical endodontic instruments

Background: The purpose of the present study was to introduce a new device specifically designed to evaluate the cutting efficiency of mechanically driven endodontic instruments. Material/Methods: Twenty new Reciproc R25 (VDW, Munich, Germany) files were used to be investigated in the new device developed to test the cutting ability of endodontic instruments. The device consists of a main frame to which a mobile plastic support for the hand-piece is connected and a stainless-steel block containing a Plexiglas block against which the cutting efficiency of the instruments was tested. The length of the block cut in 1 minute was measured in a computerized program with a precision of 0.1mm. The instruments were activated by using a torque-controlled motor (Silver Reciproc; VDW, Munich, Germany) in a reciprocating movement by the "Reciproc ALL" program (Group 1) and in counter-clockwise rotation at 300 rpm (Group 2). Mean and standard deviations of each group were calculated and data were statistically analyzed with a one-way ANOVA test (P0.05). Conclusions: The cutting testing device evaluated in the present study was reliable and easy to use and may be effectively used to test cutting efficiency of both rotary and reciprocating mechanical endodontic instruments. © Med Sci Monit

Influence of Different Angles of Reciprocation on the Cyclic Fatigue of Nickel-Titanium Endodontic Instruments

Introduction: The purpose of this study was to evaluate cyclic fatigue fracture resistance of engine-driven nickel-titanium (K3XF) instruments under reciprocating movement in various angles. Methods: Fifty K3XF size 40 taper 0.06 nickel-titanium instruments were divided randomly into 5 groups of 10 each. All instruments were subjected to cyclic fatigue tests. Instruments in groups 1-4 were tested by using different reciprocating motions, whereas instruments of group 5 (control group) were used in continuous rotation. All instruments were rotated or reciprocated until fracture occurred. Time to fracture was recorded, and data were statistically analyzed by using one-way analysis of variance, followed by Tukey honestly significant difference test for comparison between different groups. Results: All reciprocating groups (groups 1-4) showed a significant increase in time to failure when compared with group 5 (continuous rotation) (P < .05). Mean time was significantly higher in group 1, followed by group 2. No significant difference was found between groups 3 and 4 (P = .251). Increasing the clockwise angle of reciprocation and consequently increasing the angle of progression for each reciprocation cycle reduced the resistance to cyclic fatigue. Conclusions: Movement kinematics (reciprocating movements in various angles) had a significant influence on the cyclic fatigue life of the tested nickel-titanium instruments. (J Endod 2012;38:1408-1411

Mechanical resistance of carbon and stainless steel hand instruments used in a reciprocating handpiece

The manual files are still widely used for initial canal negotiation prior the use of nickel-titani-um shaping instruments, to determine working length and to verify patency. A mechanical glide path can be performed using manual files with handpieces, such as M4 Handpiece (SybronEndo, USA) that allows a 30°/30° reciprocating motion. The Pathfinders (SybronEndo, USA) are hand files designed to negotiate complex canals, made from stainless steel (SS) or carbon steel (CS) alloys. The aim of this in vitro study was to compare cyclic fatigue resistance of these two different types of manual Pathfinder instruments used in a M4 reciprocating handpiece in double curved artificial canals. Manual instruments designed for glide path (size #9 ISO .02 taper) made from different alloys were selected: Group SS - stainless steel Pathfinders (Sybron Endo) and Group CS - carbon steel Pathfinders size K2 (Sybron Endo). Ten instruments of each group were tested for resistance to cyclic fatigue with a reciprocating M4 handpiece inside an artificial S-shaped canal; the time to fracture was recorded for each file and data were statistically analyzed (ANOVA). Mean values (and SD) were 527 (± 89) seconds for the CS instruments and 548 (± 104) seconds for the SS files. No significant differences were observed between groups (p=0,062). According to the results, both carbon and stainless steel instruments presented similar fatigue resistance when used with M4 reciprocating handpiece in double curved canals