Experimental Study of the Effects of Torsional Loading on Three Types of Nickel-Titanium Endodontic Instruments

In modern endodontics, nickel-titanium (NiTi) rotary instruments are used on a large scale for root canal shaping. Nevertheless, the separation of an instrument is a serious concern during shaping. The aim of this study is to determine and compare the torsional fracture characteristics of three type...

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Main Authors: Andreea-Simona Boscornea-Pușcu, Laura Orel, Oana-Alexandra Velea-Barta, Razvan Mihai Horhat, Meda-Lavinia Negruțiu, Luminița Maria Nica, Virgil-Florin Duma, Dan Ioan Stoia, Carmen Opriș, Cosmin Sinescu
Format: Article
Language:English
Published: MDPI AG 2021-08-01
Series:Applied Sciences
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Online Access:https://www.mdpi.com/2076-3417/11/16/7224
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author Andreea-Simona Boscornea-Pușcu
Laura Orel
Oana-Alexandra Velea-Barta
Razvan Mihai Horhat
Meda-Lavinia Negruțiu
Luminița Maria Nica
Virgil-Florin Duma
Dan Ioan Stoia
Carmen Opriș
Cosmin Sinescu
author_facet Andreea-Simona Boscornea-Pușcu
Laura Orel
Oana-Alexandra Velea-Barta
Razvan Mihai Horhat
Meda-Lavinia Negruțiu
Luminița Maria Nica
Virgil-Florin Duma
Dan Ioan Stoia
Carmen Opriș
Cosmin Sinescu
author_sort Andreea-Simona Boscornea-Pușcu
collection DOAJ
description In modern endodontics, nickel-titanium (NiTi) rotary instruments are used on a large scale for root canal shaping. Nevertheless, the separation of an instrument is a serious concern during shaping. The aim of this study is to determine and compare the torsional fracture characteristics of three types of NiTi endodontic instruments, each with different cross-section designs and movements performed during root canal shaping: Endostar E3 (Endostar, Poldent Co. Ltd., Warsaw, Poland); Reciproc R25 (VDW, Munich, Germany); and Protaper Next X2 (Dentsply Maillefer, Ballaigues, Switzerland). Fifteen instruments are used in this study, divided in three groups (<i>n</i> = 5): Group Endostar, Group Reciproc and Group Protaper. For testing, each instrument is used to shape five simulated root canals, following which its torsional stress to failure is measured. The fracture lengths of all three groups are roughly between 2 and 3 mm from the tip. Higher values of the moment of torsion in fracture, and smaller values of the maximum twisting angle are observed for Group Endostar, as well as closer to circular cross-sections. However, the values of the shear tension are similar for all three groups, because the disadvantage given by the fracture section shape for Groups Reciproc and Protaper is compensated either by size or by intrinsic properties of the instrument material. For the shear tension the Endostar values are insignificantly increased (Kruskal–Wallis test, <i>p</i> = 0.207), and in the case of the maximum twist angle the Protaper values are insignificantly increased (Kruskal–Wallis test, <i>p</i> = 0.287). Because of the instruments shape and conicity, the analysis had to be carried out separately with regard to the length of the fractured tip. Rules-of-thumb are extracted from the study for current practice: if a blockage of the first 2 to 3 mm part of the tip can be anticipated (by the excessive curving of the instrument), the handpiece must be adjusted to torque values that do not exceed 1.5 to 2.5 N · cm for Endostar and 1 to 2 N · cm for Reciproc and Protaper instruments.
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spelling doaj.art-5e2a6a18d33845a9a379250336a7c2362023-11-22T06:38:25ZengMDPI AGApplied Sciences2076-34172021-08-011116722410.3390/app11167224Experimental Study of the Effects of Torsional Loading on Three Types of Nickel-Titanium Endodontic InstrumentsAndreea-Simona Boscornea-Pușcu0Laura Orel1Oana-Alexandra Velea-Barta2Razvan Mihai Horhat3Meda-Lavinia Negruțiu4Luminița Maria Nica5Virgil-Florin Duma6Dan Ioan Stoia7Carmen Opriș8Cosmin Sinescu9Research Center in Dental Medicine Using Conventional and Alternative Technologies, School of Dental Medicine, “Victor Babeș” University of Medicine and Pharmacy of Timisoara, 9 Revolutiei 1989 Ave., 300070 Timișoara, RomaniaResearch Center in Dental Medicine Using Conventional and Alternative Technologies, School of Dental Medicine, “Victor Babeș” University of Medicine and Pharmacy of Timisoara, 9 Revolutiei 1989 Ave., 300070 Timișoara, Romania3rd Department of Odontotherapy and Endodontics, Faculty of Dental Medicine, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, Romania3rd Department of Odontotherapy and Endodontics, Faculty of Dental Medicine, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, RomaniaResearch Center in Dental Medicine Using Conventional and Alternative Technologies, School of Dental Medicine, “Victor Babeș” University of Medicine and Pharmacy of Timisoara, 9 Revolutiei 1989 Ave., 300070 Timișoara, Romania3rd Department of Odontotherapy and Endodontics, Faculty of Dental Medicine, “Victor Babeș” University of Medicine and Pharmacy, 300041 Timișoara, RomaniaResearch Center in Dental Medicine Using Conventional and Alternative Technologies, School of Dental Medicine, “Victor Babeș” University of Medicine and Pharmacy of Timisoara, 9 Revolutiei 1989 Ave., 300070 Timișoara, RomaniaDepartment of Mechanics and Strength of Materials, “Politehnica” University of Timisoara, 1 Mihai Viteazu Ave., 300222 Timisoara, RomaniaDepartment of Materials and Manufacturing, “Politehnica” University of Timisoara, 1 Mihai Viteazu Ave., 300222 Timisoara, RomaniaResearch Center in Dental Medicine Using Conventional and Alternative Technologies, School of Dental Medicine, “Victor Babeș” University of Medicine and Pharmacy of Timisoara, 9 Revolutiei 1989 Ave., 300070 Timișoara, RomaniaIn modern endodontics, nickel-titanium (NiTi) rotary instruments are used on a large scale for root canal shaping. Nevertheless, the separation of an instrument is a serious concern during shaping. The aim of this study is to determine and compare the torsional fracture characteristics of three types of NiTi endodontic instruments, each with different cross-section designs and movements performed during root canal shaping: Endostar E3 (Endostar, Poldent Co. Ltd., Warsaw, Poland); Reciproc R25 (VDW, Munich, Germany); and Protaper Next X2 (Dentsply Maillefer, Ballaigues, Switzerland). Fifteen instruments are used in this study, divided in three groups (<i>n</i> = 5): Group Endostar, Group Reciproc and Group Protaper. For testing, each instrument is used to shape five simulated root canals, following which its torsional stress to failure is measured. The fracture lengths of all three groups are roughly between 2 and 3 mm from the tip. Higher values of the moment of torsion in fracture, and smaller values of the maximum twisting angle are observed for Group Endostar, as well as closer to circular cross-sections. However, the values of the shear tension are similar for all three groups, because the disadvantage given by the fracture section shape for Groups Reciproc and Protaper is compensated either by size or by intrinsic properties of the instrument material. For the shear tension the Endostar values are insignificantly increased (Kruskal–Wallis test, <i>p</i> = 0.207), and in the case of the maximum twist angle the Protaper values are insignificantly increased (Kruskal–Wallis test, <i>p</i> = 0.287). Because of the instruments shape and conicity, the analysis had to be carried out separately with regard to the length of the fractured tip. Rules-of-thumb are extracted from the study for current practice: if a blockage of the first 2 to 3 mm part of the tip can be anticipated (by the excessive curving of the instrument), the handpiece must be adjusted to torque values that do not exceed 1.5 to 2.5 N · cm for Endostar and 1 to 2 N · cm for Reciproc and Protaper instruments.https://www.mdpi.com/2076-3417/11/16/7224nickel-titanium (NiTi) instrumentsendodontic instrumentstorsional fracturecleaning and shapingsimulated root canalsinstrument separation
spellingShingle Andreea-Simona Boscornea-Pușcu
Laura Orel
Oana-Alexandra Velea-Barta
Razvan Mihai Horhat
Meda-Lavinia Negruțiu
Luminița Maria Nica
Virgil-Florin Duma
Dan Ioan Stoia
Carmen Opriș
Cosmin Sinescu
Experimental Study of the Effects of Torsional Loading on Three Types of Nickel-Titanium Endodontic Instruments
Applied Sciences
nickel-titanium (NiTi) instruments
endodontic instruments
torsional fracture
cleaning and shaping
simulated root canals
instrument separation
title Experimental Study of the Effects of Torsional Loading on Three Types of Nickel-Titanium Endodontic Instruments
title_full Experimental Study of the Effects of Torsional Loading on Three Types of Nickel-Titanium Endodontic Instruments
title_fullStr Experimental Study of the Effects of Torsional Loading on Three Types of Nickel-Titanium Endodontic Instruments
title_full_unstemmed Experimental Study of the Effects of Torsional Loading on Three Types of Nickel-Titanium Endodontic Instruments
title_short Experimental Study of the Effects of Torsional Loading on Three Types of Nickel-Titanium Endodontic Instruments
title_sort experimental study of the effects of torsional loading on three types of nickel titanium endodontic instruments
topic nickel-titanium (NiTi) instruments
endodontic instruments
torsional fracture
cleaning and shaping
simulated root canals
instrument separation
url https://www.mdpi.com/2076-3417/11/16/7224
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