Characterization of the nucleus, cutting edge and failure detection in NiTi instruments for endodontic retreatment

Authors

  • Daniel de Almeida Decurcio Universidade Federal de Goiás
  • Julio Almeida Silvaa
  • Mateus Gehrke Barbosa
  • Lucas Silva Chaves
  • Marco Antônio Zaiden Loureiro
  • Carlos Estrela

DOI:

https://doi.org/10.15448/1980-6523.2017.4.30157

Keywords:

electron scanning microscopy, endodontics, retreatment.

Abstract

OBJECTIVE: To characterize the nucleus, cutting edge and to detect defects in surfaces of nickeltitanium (NiTi) instruments for endodontic retreatment.
METHODS: The selected endodontic instruments (D-RaCe, ProTaper retreatment and Mtwo retreatment) were evaluated prior to their use in 30- and 50-fold magnification in scanning electron microscopy (SEM), for linear measurements of lateral cut edge areas and of the nucleus and the ratio between these measures. After use in simulated canals, faults in the active surface were analyzed by SEM with 30 and 50 times magnification, and 200 times magnification when faults were found. The images were examined by three evaluators, whose measurements were previously calibrated. The defects analyzed were crack, blunt and barb, and data were tabulated for analysis.
RESULTS: The instruments studied differed in results. The D-RaCe system instruments had the highest nucleus:edge ratio, while ProTaper retreatment instruments yielded the lowest ratio. All instruments presented some defect, with the instruments Mtwo retreatment presenting two instruments with defects.
CONCLUSION: All analyzed instruments presented some type of failure after using them for removal of the filling material of simulated root canals. The D-RaCe system presented the highest edge measurements and the smallest nucleus measurements, contrary to the ProTaper retreatment system, which presented the smallest edge measurements and the largest core measurements.

References

Estrela C, Pécora JD, Estrela CRA. et al. Common operative procedural errors and clinical factors associated with root canal treatment. Braz Dent J 2017;28(2):179-90. https://doi.org/10.1590/0103-6440201702451

Esposito PT, Cunninghan CJ. A comparison of canal preparation with nickel titanium and stainless steel instruments. J Endod 1995;21(4):173-6. https://doi.org/10.1016/S0099-2399(06)80560-1

Kuhn G, Tavernier B, Jordan L. Influence of structure on nickel-titanium endodontic instruments failure. J Endod 2001;27(8):516-20. https://doi.org/10.1097/00004770-200108000-00005

Lopes HP, Elias CN, Estrela C. et al. Assessment of the apical transportation of root canals using the method of the curvature radius. Braz Dent J 1998;9(1):39-45.

Walia H, Brantley WA, Gerstein H. An initial investigation of the bending and torsional properties of nitinol root canal files. J Endod 1988;14: 346 51. https://doi.org/10.1016/S0099-2399(88)80196-1

Schäffer E. Root canal instruments for manual use: a review. Endod Dent Traumat 1997;13:51-64. https://doi.org/10.1111/j.1600-9657.1997.tb00011.x

Bürklein S, Schäfer E. Apically extruded debris with reciprocating singlefile and full-sequence rotary instrumentation systems. J Endod 2012b;38: 850-2. https://doi.org/10.1016/j.joen.2012.02.017

Yoo YS, Cho YB. A comparison of the shaping ability of reciprocating NiTi instruments in simulated curved canals. Rest Dent Endod 2012;37(4): 220-7. https://doi.org/10.5395/rde.2012.37.4.220

Bürklein S, Benten S, Schäfer E. Shaping ability of different single-file systems in severely curved root canals of extracted teeth. Int Endod J 2013;46(6):590–7. https://doi.org/10.1111/iej.1203710.

Lim YJ, Park SJ, Kim HC, Min KS. Comparison of the centering ability of Wave·One and Reciproc nickel-titanium instruments in simulated curved canals. Rest Dent Endod 2013;38(1):21–5. https://doi.org/10.5395/rde.2013.38.1.21

Bürklein S, Poschmann T, Schäfer E. Shaping ability of different nickeltitanium systems in simulated S-shaped canals with and without glide path. J Endod 2014;40(8):1231–4. https://doi.org/10.1016/j.joen.2014.01.043

Capar ID, Ertas H, Ok E, Arslan H, Ertas ET. Comparative study of different novel nickel-titanium rotary systems for root canal preparation in severely curved root canals. J Endod 2014;40(6):852–6. https://doi.org/10.1016/j.joen.2013.10.010

Gergi R, Arbab-Chirani R, Osta N, Naaman A. Micro-computed tomographic evaluation of canal transportation instrumented by different kinematics rotary nickel titanium instruments. J Endod 2014;40(8):1223 7. https://doi.org/10.1016/j.joen.2014.01.039

Hwang YH, Bae KS, Baek SH, Kum KY, Lee W, Shon WJ, Chang SW. Shaping ability of the conventional nickel-titanium and reciprocating nickel-titanium file systems: a comparative study using micro-computed tomography. J Endod 2014;40(8):1186-9. https://doi.org/10.1016/j.joen.2013.12.032

Nazari Moghadam K, Shahab S, Rostami G. Canal transportation and centering ability of twisted file and reciproc: a cone-beam computed tomography assessment. Iran Endod J 2014;9(3):174-9.

Sampaio FC, Alencar AH, Guedes OA. et al. Chemical elements characterization of root canal sealers using scanning electron microscopy and energy dispersive X-ray analysis. OHDM – Oral Health Dent Manag 2014;13:27-34.

Lopes HP, Siqueira-Jr JF. Endodontia: biologia e técnica. Rio de Janeiro: Guanabara Koogan, 2010.

Lopes HP, Elias CN, Vieira VT, Moreira EJ, Marques RV, de Oliveira JC, Debelian G, Siqueira JF, Jr. Effects of electropolishing surface treatment on the cyclic fatigue resistance of BioRace nickel titanium rotary instruments. J Endod 2010;36(10):1653-7. https://doi.org/10.1016/j.joen.2010.06.026

Lopes HP, Chiesa WM, Correia NR. et al. Influence of curvature location along an artificial canal on cyclic fatigue of a rotary nickel-titanium endodontic instrument. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2011;111(6):792-6. https://doi.org/10.1016/j.tripleo.2010.12.006

McGuigan MB, Louca C, Duncan HF. Endodontic instrument fracture: causes and prevention. Br Dent J 2013;214(7):341-8. https://doi.org/10.1038/sj.bdj.2013.324

Marques da Silva B, Baratto-Filho F, Leonardi DP. et al. Effectiveness of ProTaper, D-RaCe, and Mtwo retreatment files with and without supplementary instruments in the removal of root canal filling material. Int Endod J 2012;45:927-32. https://doi.org/10.1111/j.1365-2591.2012.02051.x

Zuolo AS, Mello JE Jr, Cunha RS. et al. Efficacy of reciprocating and rotary techniques for removing filling material during root canal retreatment. Int Endod J 2013;46:947-53. https://doi.org/10.1111/iej.12085

Tasdemir T, Er K, Yildirim T, Celik D. Efficacy of three rotary NiTi in removing gutta-percha from root canals. Int Endod J 2008;41:191-6. https://doi.org/10.1111/j.1365-2591.2007.01335.x

Mollo A, Botti G, Principi Goldoni N. et al. Efficacy of two Ni-Ti systems and hand files for removing guttapercha from root canals. Int Endod J 2012;45:1-6. https://doi.org/10.1111/j.1365-2591.2011.01932.x

Rödig T, Hausdörfer T, Konietschke F. et al. Efficacy of D-RaCe and ProTaper Universal Retreatment NiTi instruments and hand files in removing gutta-percha from curved root canals – a microcomputed tomography study. Int Endod J 2012;45:580-9. https://doi.org/10.1111/j.1365-2591.2012.02014.x

Zuolo ML, Walton RE. Instrument deterioration with usage: nickel titanium versus stainless steel. Quintessence Int 1997;28:397-402.

Silva LRM, Detecção de falhas na superfície ativa de instrumentos de níquel-titânio. Goiânia. Dissertação [Mestrado em Clínica Odontológica] – Universidade Federal de Goiás; 2015.

Biz MT, Figueiredo JA. Morphometric analysis of shank-to-flute ratio in rotary nickel–titanium files. Int Endod J 2004;37(6):353-8. https://doi.org/10.1111/j.1365-2591.2004.00755.x

Schafer E, Tepel J. Relationship between design features of endodontic instruments and their properties. Part 3. Resistance to bending and fracture. J Endod 2001;27(4):299-303. https://doi.org/10.1097/00004770-200104000-00018

Thompson SA, Dummer PMH. Shaping ability of Quantec Series 2000 rotary nickel– titanium instruments in simulated root canals: Part 1. Int Endod J 1998;31:259–67. https://doi.org/10.1046/j.1365-2591.1998.00151.x

Svec TA, Powers JM. The deterioration of rotary nickel-titanium files under controlled conditions. J Endod 2002;28(2):105-7. https://doi.org/10.1097/00004770-200202000-00014

Thompson SA. An overview of nickel-titanium alloys used in dentistry. Int Endod J 2000;33(4):297-31. https://doi.org/10.1046/j.1365-2591.2000.00339.x

Downloads

Published

2018-07-25

Issue

Section

Original Article