Effect of hand files, rotary protaper universal and protaper retreatment files on crack formation in dentin

An in vitro study

https://doi.org/10.53730/ijhs.v6nS1.5831

Authors

  • Monika Sharma Senior Resident, Ananta Institute of Medical Science and Research Institute, Udaipur, Rajasthan
  • Dinesh Chand Sharma Senior Resident, Ananta Institute of Medical Science and Research Institute, Udaipur, Rajasthan
  • Adyanthaya B R Principal & Head, Department of Conservative and Endodontics, Rajasthan Dental College & Hospital, Jaipur, Rajasthan
  • Meenu Bala Reader, Department of Conservative and Endodontics, Surendra Dental College and Research Institute, Sri Ganganagar, Rajasthan
  • Rajeev Soangra Senior Demonstrator, Department of Periodontics & Implantology, RUHS College of Dental Sciences, Jaipur, Rajasthan
  • Khushboo Kachhwaha Senior resident, Department of Dentistry, RUHS College of Medical Sciences, Jaipur, Rajasthan

Keywords:

Crack, Protaper Universal, Retreatment, Stereomicroscope

Abstract

Background: The aim of the study was to compare the effect of hand files, rotary protaper universal files and protaper retreatment files on crack formation in dentin. Methods: Eighty mandibular premolar teeth with single canals are selected and mounted on resin blocks with simulated periodontal ligaments. The teeth were divided into four groups of twenty samples in each group. Un-instrumented group serves as control group while group two and three consists of hand file and rotary protaper universal file system respectively. Group 4 consists of retreatment group consisting of two sub groups of ten samples in each group. Subgroup 4a consist of samples prepared with hand file while subgroup 4b consist of samples prepared with rotary protaper universal system. Thereafter, retreatment is performed with protaper retreatment file system in both the sub groups. All the roots were sectioned perpendicular to the long axis at 4mm from apex using a low speed saw (Isomet) under water cooling. Digital images of each sections were captured at 25X magnification using a digital camera attached to a stereomicroscope and cracks were noted. Results: Although the result is statistically non significant, hand files show less number of cracks as compared to rotary protaper universal file.

Downloads

Download data is not yet available.

References

Kansal R, Rajput A, Talwar S, Roongta R, Verma M. Assessment of dentinal damage during canal preparation using reciprocating and rotary files. Journal of endodontics. 2014 Sep 30;40(9):1443-6.

Coelho MS, Card SJ, Tawil PZ. Visualization Enhancement of Dentinal Defects by Using Light-Emitting Diode Transillumination. Journal of endodontics. 2016 Jul 31;42(7):1110- 3.

Mayhew JT, Eleazer PD, Hnat WP. Stress analysis of human tooth root using various root canal instruments. Journal of endodontics. 2000 Sep 30;26(9): 523-4

Bier CA, Shemesh H, Tanomaru-Filho M, Wesselink PR, Wu MK. The ability of different nickel-titanium rotary instruments to induce dentinal damage during canal preparation. Journal of Endodontics. 2009 Feb 28;35(2):236-8.

Hin ES, Wu MK, Wesselink PR, Shemesh H. Effects of self-adjusting file, Mtwo, and ProTaper on the root canal wall. Journal of endodontics. 2013 Feb 28;39(2):262-4

Mavani P, Pujar M, Vagarali H, Patil C, Yalagi V. Comparative Evaluation of root micro cracks by different rotary and reciprocating endodontic file systems. IOSR Journal of Dental and Medical Sciences (IOSR-JDMS). 2015;1(14):18-22.

Ruddle CJ. The protaper technique. Endodontic Topics. 2005 Mar 1;10(1): 187-90.

Topçuoğlu HS, Düzgün S, Kesim B, Tuncay Ö. Incidence of apical crack initiation and propagation during the removal of root canal filling material with ProTaper and Mtwo rotary nickel-titanium retreatment instruments and hand files. Journal of endodontics. 2014 Jul 31;40(7):1009-12.

Arslan H, Karataş E, Capar ID, Özsu D, Doğanay E. Effect of ProTaper Universal, Endoflare, Revo-S, HyFlex coronal flaring instruments, and Gates Glidden drills on crack formation. Journal of endodontics. 2014 Oct 31;40(10):1681-3.

Schilder H. Cleaning and shaping the root canal. Dental clinics of North America. 1974 Apr;18(2):269-96.

Adorno CG, Yoshioka T, Suda H. The effect of root preparation technique and instrumentation length on the development of apical root cracks. Journal of endodontics. 2009 Mar 31;35(3):389-92.

Schäfer E, Tepel J. Relationship between design features of endodontic instruments and their properties. Part 3. Resistance to bending and fracture. Journal of endodontics. 2001 Apr 30;27(4):299-303.

Shemesh H, Roeleveld AC, Wesselink PR, Wu MK. Damage to root dentin during retreatment procedures. Journal of endodontics. 2011 Jan 31;37(1): 63-6.

Pop I, Manoharan A, Zanini F, Tromba G, Patel S, Foschi F. Synchrotron light-based μCT to analyse the presence of dentinal microcracks post-rotary and reciprocating NiTi instrumentation. Clinical oral investigations. 2015 Jan 1;19(1):11-6.

Liu R, Hou BX, Wesselink PR, Wu MK, Shemesh H. The incidence of root microcracks caused by 3 different single-file systems versus the ProTaper system. Journal of endodontics. 2013 Aug 31;39(8):1054-6.

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 Feb 29;38(2):232-5.

Sathorn C, Palamara JE, Palamara D, Messer HH. Effect of root canal size and external root surface morphology on fracture susceptibility and pattern: a finite element analysis. Journal of endodontics. 2005 Apr 30;31(4):288-92.

Kim HC, Lee MH, Yum J, Versluis A, Lee CJ, Kim BM. Potential relationship between design of nickel-titanium rotary instruments and vertical root fracture. Journal of endodontics. 2010 Jul 31;36(7):1195-9.

Capar ID, Altunsoy M, Arslan H, Ertas H, Aydinbelge HA. Fracture strength of roots instrumented with self-adjusting file and the ProTaper rotary systems. Journal of endodontics. 2014 Apr 30;40(4):551-4

Dixit H, Nair M, Shah N, Pandit V. Incidence of Dentinal Crack Formation during various Endodontic Procedures. International Journal of oral Health and Medical Research. April;2(6):125-28.

Published

11-04-2022

How to Cite

Sharma, M., Sharma, D. C., Adyanthaya, B. R., Bala, M., Soangra, R., & Kachhwaha, K. (2022). Effect of hand files, rotary protaper universal and protaper retreatment files on crack formation in dentin: An in vitro study. International Journal of Health Sciences, 6(S1), 4253–4264. https://doi.org/10.53730/ijhs.v6nS1.5831

Issue

Section

Peer Review Articles