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Dentinal crack formation after root canal preparation: Rotary versus reciprocal instrumentation

Year 2018, Volume: 5 Issue: 2, 111 - 116, 01.08.2018
https://doi.org/10.15311/selcukdentj.337931

Abstract

Background: The aim of this investigation was to compare the
incidence of dentinal crack after preparation with reciprocating (
Reciproc
and WaveOne) and full-sequence rotary (ProTaper Next and ProTaper Universal)
instruments.

 

Methods: Seventy-five mandibular central incisors were
selected and stored in distilled water until use. Fifteen unprepared teeth were
served as a negative control group and the remaining 60 teeth were prepared by
using full-sequence rotary and reciprocating instruments. After preparation,
the teeth were horizontally sectioned at 3, 6 and 9 mm from the apex with a
low-speed saw under water-cooling. All slices were viewed through a
stereomicroscope and pictures were taken. The presence of dentinal crack was
noted and analyzed by used the chi-square test.

 

Results: The control group had no dentinal crack. All root
canal preparation with both rotary and reciprocating instruments resulted in
dentinal crack. In the 3 mm section PU produced significantly more dentinal
crack than the other groups. The PN group produced significantly more dentinal
crack in the 6 mm sections than the other sections.

 













Conclusion: All the instruments used in the study were
related to the formation of cracks in the canal walls.

References

  • Referans 1. Ferraz C, Gomes N, Gomes B, Zaia A, Teixeira F, Souza‐Filho F. Apical extrusion of debris and irrigants using two hand and three engine‐driven instrumentation techniques. International Endodontic Journal. 2001;34(5):354-8.
  • Referans 2. Walia H, Brantley WA, Gerstein H. An initial investigation of the bending and torsional properties of Nitinol root canal files. Journal of endodontics. 1988;14(7):346-51.
  • Referans 3. Blum J, Machtou P, Ruddle C, Micallef J. Analysis of mechanical preparations in extracted teeth using ProTaper rotary instruments: value of the safety quotient. Journal of endodontics. 2003;29(9):567-75.
  • Referans 4. Wilcox LR, Roskelley C, Sutton T. The relationship of root canal enlargement to finger-spreader induced vertical root fracture. Journal of Endodontics. 1997;23(8):533-4.
  • Referans 5. Shemesh H, van Soest G, Wu M-K, Wesselink PR. Diagnosis of vertical root fractures with optical coherence tomography. Journal of endodontics. 2008;34(6):739-42.
  • Referans 6. Tamse A, Fuss Z, Lustig J, Kaplavi J. An evaluation of endodontically treated vertically fractured teeth. Journal of endodontics. 1999;25(7):506-8.
  • Referans 7. Wu M-K, Van Der Sluis L, Wesselink P. Comparison of mandibular premolars and canines with respect to their resistance to vertical root fracture. Journal of dentistry. 2004;32(4):265-8.
  • Referans 8. Sim T, Knowles J, Ng YL, Shelton J, Gulabivala K. Effect of sodium hypochlorite on mechanical properties of dentine and tooth surface strain. International Endodontic Journal. 2001;34(2):120-32.
  • Referans 9. Kishen A. Mechanisms and risk factors for fracture predilection in endodontically treated teeth. Endodontic topics. 2006;13(1):57-83.
  • Referans 10. Kishen A, Kumar GV, Chen NN. Stress–strain response in human dentine: rethinking fracture predilection in postcore restored teeth. Dental Traumatology. 2004;20(2):90-100.
  • Referans 11. Onnink PA, Davis RD, Wayman BE. An in vitro comparison of incomplete root fractures associated with three obturation techniques. Journal of Endodontics. 1994;20(1):32-7.
  • Referans 12. Bergmans L, Van Cleynenbreugel J, Beullens M, Wevers M, Van Meerbeek B, Lambrechts P. Smooth flexible versus active tapered shaft design using NiTi rotary instruments. International Endodontic Journal. 2002;35(10):820-8.
  • Referans 13. Bürklein S, Hinschitza K, Dammaschke T, Schäfer E. Shaping ability and cleaning effectiveness of two single‐file systems in severely curved root canals of extracted teeth: Reciproc and WaveOne versus Mtwo and ProTaper. International endodontic journal. 2012;45(5):449-61.
  • Referans 14. Gutmann J, Gao Y. Alteration in the inherent metallic and surface properties of nickel–titanium root canal instruments to enhance performance, durability and safety: a focused review. International Endodontic Journal. 2012;45(2):113-28.
  • Referans 15. Alapati SB, Brantley WA, Iijima M, Clark WA, Kovarik L, Buie C, et al. Metallurgical characterization of a new nickel-titanium wire for rotary endodontic instruments. Journal of Endodontics. 2009;35(11):1589-93.
  • Referans 16. Al-Hadlaq SM, AlJarbou FA, AlThumairy RI. Evaluation of cyclic flexural fatigue of M-wire nickel-titanium rotary instruments. Journal of Endodontics. 2010;36(2):305-7.
  • Referans 17. Üstün Y, Çanakçi B, Dinçer A, Er O, Düzgün S. Evaluation of apically extruded debris associated with several Ni–Ti systems. International endodontic journal. 2015;48(7):701-4.
  • Referans 18. Burklein S, Tsotsis P, Schafer E. Incidence of dentinal defects after root canal preparation: reciprocating versus rotary instrumentation. J Endod. 2013;39(4):501-4.
  • Referans 19. Liu R, Hou BX, Wesselink PR, Wu M-K, Shemesh H. The incidence of root microcracks caused by 3 different single-file systems versus the ProTaper system. Journal of endodontics. 2013;39(8):1054-6.
  • Referans 20. Bier CAS, Shemesh H, Tanomaru-Filho M, Wesselink PR, Wu M-K. The ability of different nickel-titanium rotary instruments to induce dentinal damage during canal preparation. Journal of Endodontics. 2009;35(2):236-8.
  • Referans 21. Ashwinkumar V, Krithikadatta J, Surendran S, Velmurugan N. Effect of reciprocating file motion on microcrack formation in root canals: an SEM study. International endodontic journal. 2014;47(7):622-7.
  • Referans 22. Bürklein S, Tsotsis P, Schäfer E. Incidence of dentinal defects after root canal preparation: reciprocating versus rotary instrumentation. Journal of endodontics. 2013;39(4):501-4.
  • Referans 23. Capar ID, Arslan H, Akcay M, Uysal B. Effects of ProTaper Universal, ProTaper Next, and HyFlex instruments on crack formation in dentin. J Endod. 2014;40(9):1482-4.
  • Referans 24. Ustun Y, Aslan T, Sagsen B, Kesim B. The effects of different nickel-titanium instruments on dentinal microcrack formations during root canal preparation. Eur J Dent. 2015;9(1):41-6.
  • Referans 25. Karataş E, Gündüz HA, Kırıcı DÖ, Arslan H, Topçu MÇ, Yeter KY. Dentinal crack formation during root canal preparations by the twisted file adaptive, ProTaper Next, ProTaper Universal, and WaveOne instruments. Journal of endodontics. 2015;41(2):261-4.
  • Referans 26. Kim H-C, Lee M-H, Yum J, Versluis A, Lee C-J, Kim B-M. Potential relationship between design of nickel-titanium rotary instruments and vertical root fracture. Journal of endodontics. 2010;36(7):1195-9.
  • Referans 27. Ruddle CJ. The ProTaper endodontic system: geometries, features, and guidelines for use. Dentistry today. 2001;20(10):60-7.
  • Referans 28. Southard DW, Oswald RJ, Natkin E. Instrumentation of curved molar root canals with the Roane technique. Journal of Endodontics. 1987;13(10):479-89.
  • Referans 29. Versluis A, Messer H, Pintado M. Changes in compaction stress distributions in roots resulting from canal preparation. International Endodontic Journal. 2006;39(12):931-9.
  • Referans 30. Saw L-H, Messer HH. Root strains associated with different obturation techniques. Journal of Endodontics. 1995;21(6):314-20.
  • Referans 31. Bortoluzzi E, Souza E, Reis JMdSN, Esberard R, Tanomaru‐Filho M. Fracture strength of bovine incisors after intra‐radicular treatment with MTA in an experimental immature tooth model. International Endodontic Journal. 2007;40(9):684-91.
  • Referans 32. Yoldas O, Yilmaz S, Atakan G, Kuden C, Kasan Z. Dentinal microcrack formation during root canal preparations by different NiTi rotary instruments and the self-adjusting file. Journal of endodontics. 2012;38(2):232-5.

Dönme ve resiprokal hareket yapan eğe sistemlerinin kök kanal tedavisi sonrası dentin çatlağı oluşumuna etkisi

Year 2018, Volume: 5 Issue: 2, 111 - 116, 01.08.2018
https://doi.org/10.15311/selcukdentj.337931

Abstract

Amaç: Bu
çalışmanın amacı resiprokal ve dönme hareketi yapan eğe sistemlerinin
preparasyon sonrası dentin çatlağı oluşumuna etkilerinin kıyaslanmasıdır.

 

Gereç ve Yöntemler: 75
adet mandibular santral kesici diş seçilmiş ve distile su içerisinde çalışmada
kullanılıncaya kadar muhafaza edilmiştir. 15 adet diş preparasyon yapılmaksızın
negatif kontrol grubu olarak ayrılmış, geri kalan 60 diş dönme ve resiprokal
hareketi yapan sistemler kullanılarak prepare edilmiştir. Sonrasında bütün
dişlerden, apekslerinden itibaren 3, 6, 9 mm mesafelerden su soğutması altında
düşük hızlı testere ile yatay olarak kesitler alınmıştır. Bütün kesitler
stereomikroskop yardımı ile incelenmiş ve görüntüler kaydedilmiştir. Üzerinde
çatlak bulunan dişler not edilmiş ve ki-kare testi kullanılarak analiz
edilmiştir.

 

Bulgular: Kontrol
grubundaki örneklerin hiçbirinde çatlak yoktu. Prepare edilen diğer gruplarda
ise çatlak varlığı tespit edildi. 3 mm’lik kesitlerde PU grubunda diğer
gruplara kıyasla daha fazla çatlak tespit edildi. PN grubunun 6 mm’lik
kesitinde diğer kesitlerine kıyasla daha fazla çatlak tespit edildi.

 













Sonuç: Bu
çalışmada kullanılan bütün eğe yöntemlerinin kanal duvarlarında çatlak
oluşturduğu tespit edilmiştir.

References

  • Referans 1. Ferraz C, Gomes N, Gomes B, Zaia A, Teixeira F, Souza‐Filho F. Apical extrusion of debris and irrigants using two hand and three engine‐driven instrumentation techniques. International Endodontic Journal. 2001;34(5):354-8.
  • Referans 2. Walia H, Brantley WA, Gerstein H. An initial investigation of the bending and torsional properties of Nitinol root canal files. Journal of endodontics. 1988;14(7):346-51.
  • Referans 3. Blum J, Machtou P, Ruddle C, Micallef J. Analysis of mechanical preparations in extracted teeth using ProTaper rotary instruments: value of the safety quotient. Journal of endodontics. 2003;29(9):567-75.
  • Referans 4. Wilcox LR, Roskelley C, Sutton T. The relationship of root canal enlargement to finger-spreader induced vertical root fracture. Journal of Endodontics. 1997;23(8):533-4.
  • Referans 5. Shemesh H, van Soest G, Wu M-K, Wesselink PR. Diagnosis of vertical root fractures with optical coherence tomography. Journal of endodontics. 2008;34(6):739-42.
  • Referans 6. Tamse A, Fuss Z, Lustig J, Kaplavi J. An evaluation of endodontically treated vertically fractured teeth. Journal of endodontics. 1999;25(7):506-8.
  • Referans 7. Wu M-K, Van Der Sluis L, Wesselink P. Comparison of mandibular premolars and canines with respect to their resistance to vertical root fracture. Journal of dentistry. 2004;32(4):265-8.
  • Referans 8. Sim T, Knowles J, Ng YL, Shelton J, Gulabivala K. Effect of sodium hypochlorite on mechanical properties of dentine and tooth surface strain. International Endodontic Journal. 2001;34(2):120-32.
  • Referans 9. Kishen A. Mechanisms and risk factors for fracture predilection in endodontically treated teeth. Endodontic topics. 2006;13(1):57-83.
  • Referans 10. Kishen A, Kumar GV, Chen NN. Stress–strain response in human dentine: rethinking fracture predilection in postcore restored teeth. Dental Traumatology. 2004;20(2):90-100.
  • Referans 11. Onnink PA, Davis RD, Wayman BE. An in vitro comparison of incomplete root fractures associated with three obturation techniques. Journal of Endodontics. 1994;20(1):32-7.
  • Referans 12. Bergmans L, Van Cleynenbreugel J, Beullens M, Wevers M, Van Meerbeek B, Lambrechts P. Smooth flexible versus active tapered shaft design using NiTi rotary instruments. International Endodontic Journal. 2002;35(10):820-8.
  • Referans 13. Bürklein S, Hinschitza K, Dammaschke T, Schäfer E. Shaping ability and cleaning effectiveness of two single‐file systems in severely curved root canals of extracted teeth: Reciproc and WaveOne versus Mtwo and ProTaper. International endodontic journal. 2012;45(5):449-61.
  • Referans 14. Gutmann J, Gao Y. Alteration in the inherent metallic and surface properties of nickel–titanium root canal instruments to enhance performance, durability and safety: a focused review. International Endodontic Journal. 2012;45(2):113-28.
  • Referans 15. Alapati SB, Brantley WA, Iijima M, Clark WA, Kovarik L, Buie C, et al. Metallurgical characterization of a new nickel-titanium wire for rotary endodontic instruments. Journal of Endodontics. 2009;35(11):1589-93.
  • Referans 16. Al-Hadlaq SM, AlJarbou FA, AlThumairy RI. Evaluation of cyclic flexural fatigue of M-wire nickel-titanium rotary instruments. Journal of Endodontics. 2010;36(2):305-7.
  • Referans 17. Üstün Y, Çanakçi B, Dinçer A, Er O, Düzgün S. Evaluation of apically extruded debris associated with several Ni–Ti systems. International endodontic journal. 2015;48(7):701-4.
  • Referans 18. Burklein S, Tsotsis P, Schafer E. Incidence of dentinal defects after root canal preparation: reciprocating versus rotary instrumentation. J Endod. 2013;39(4):501-4.
  • Referans 19. Liu R, Hou BX, Wesselink PR, Wu M-K, Shemesh H. The incidence of root microcracks caused by 3 different single-file systems versus the ProTaper system. Journal of endodontics. 2013;39(8):1054-6.
  • Referans 20. Bier CAS, Shemesh H, Tanomaru-Filho M, Wesselink PR, Wu M-K. The ability of different nickel-titanium rotary instruments to induce dentinal damage during canal preparation. Journal of Endodontics. 2009;35(2):236-8.
  • Referans 21. Ashwinkumar V, Krithikadatta J, Surendran S, Velmurugan N. Effect of reciprocating file motion on microcrack formation in root canals: an SEM study. International endodontic journal. 2014;47(7):622-7.
  • Referans 22. Bürklein S, Tsotsis P, Schäfer E. Incidence of dentinal defects after root canal preparation: reciprocating versus rotary instrumentation. Journal of endodontics. 2013;39(4):501-4.
  • Referans 23. Capar ID, Arslan H, Akcay M, Uysal B. Effects of ProTaper Universal, ProTaper Next, and HyFlex instruments on crack formation in dentin. J Endod. 2014;40(9):1482-4.
  • Referans 24. Ustun Y, Aslan T, Sagsen B, Kesim B. The effects of different nickel-titanium instruments on dentinal microcrack formations during root canal preparation. Eur J Dent. 2015;9(1):41-6.
  • Referans 25. Karataş E, Gündüz HA, Kırıcı DÖ, Arslan H, Topçu MÇ, Yeter KY. Dentinal crack formation during root canal preparations by the twisted file adaptive, ProTaper Next, ProTaper Universal, and WaveOne instruments. Journal of endodontics. 2015;41(2):261-4.
  • Referans 26. Kim H-C, Lee M-H, Yum J, Versluis A, Lee C-J, Kim B-M. Potential relationship between design of nickel-titanium rotary instruments and vertical root fracture. Journal of endodontics. 2010;36(7):1195-9.
  • Referans 27. Ruddle CJ. The ProTaper endodontic system: geometries, features, and guidelines for use. Dentistry today. 2001;20(10):60-7.
  • Referans 28. Southard DW, Oswald RJ, Natkin E. Instrumentation of curved molar root canals with the Roane technique. Journal of Endodontics. 1987;13(10):479-89.
  • Referans 29. Versluis A, Messer H, Pintado M. Changes in compaction stress distributions in roots resulting from canal preparation. International Endodontic Journal. 2006;39(12):931-9.
  • Referans 30. Saw L-H, Messer HH. Root strains associated with different obturation techniques. Journal of Endodontics. 1995;21(6):314-20.
  • Referans 31. Bortoluzzi E, Souza E, Reis JMdSN, Esberard R, Tanomaru‐Filho M. Fracture strength of bovine incisors after intra‐radicular treatment with MTA in an experimental immature tooth model. International Endodontic Journal. 2007;40(9):684-91.
  • Referans 32. Yoldas O, Yilmaz S, Atakan G, Kuden C, Kasan Z. Dentinal microcrack formation during root canal preparations by different NiTi rotary instruments and the self-adjusting file. Journal of endodontics. 2012;38(2):232-5.
There are 32 citations in total.

Details

Primary Language Turkish
Subjects Dentistry
Journal Section Research
Authors

Hale Arı Aydınbelge

Mine Özçelik Yılmaz

Publication Date August 1, 2018
Submission Date September 12, 2017
Published in Issue Year 2018 Volume: 5 Issue: 2

Cite

Vancouver Arı Aydınbelge H, Özçelik Yılmaz M. Dönme ve resiprokal hareket yapan eğe sistemlerinin kök kanal tedavisi sonrası dentin çatlağı oluşumuna etkisi. Selcuk Dent J. 2018;5(2):111-6.