scholarly journals Information regarding use of rotary nickel -titanium endodontic instruments among general dental practitioners: a questionnaire survey

2016 ◽  
Vol 4 (1) ◽  
pp. 4
Author(s):  
Ritu Meel ◽  
Deepak Raisingani ◽  
Ashwini Prasad ◽  
Rachit Mathur ◽  
Nidha Madan ◽  
...  
Keyword(s):  
Questionnaire Survey ◽  
Nickel Titanium ◽  
Cross Sectional ◽  
Rotary Instruments ◽  
Dental Practitioners ◽  
Instruments And Techniques ◽  
Niti Instruments ◽  
General Dentists ◽  
Niti Rotary Instruments

Aim: A cross-sectional questionnaire survey was conducted to obtain information on the use of rotary nickel –titanium endodontic instruments was conducted among General Dental Practioner A two sectioned questionnaire was mailed to 200 randomly general practioners to obtain information on usage of Nickel –Titanium endodontic instrument and data was collected.Results: Forty-six percent of the general practioners had used rotary NiTi instruments. 76% dentists use NiTi files for five or more times a week. Most of the dentist used NiTi file coronally &apically. General dentists experienced more file fracture at size 20 and 25 with 0.02 and 0.04 taper.Conclusions: Dentists are familiar with limitations of NiTi instruments and techniques. Current study showed the awareness of dentists about benefits of NiTi rotary instruments application comparing to traditional techniques and also the high percent usage of these instruments among general dentists.

scholarly journals Advancement of Mechanical Properties of Nickel-Titanium Rotary Endodontic Instruments by Spring Machining on the File Shaft

Materials ◽  
2020 ◽  
Vol 13 (22) ◽  
pp. 5246
Author(s):  
Sangmi Ahn ◽  
Jung-Hong Ha ◽  
Sang Won Kwak ◽  
Hyeon-Cheol Kim
Keyword(s):  
Fatigue Resistance ◽  
Cyclic Fatigue ◽  
Nickel Titanium ◽  
Significance Level ◽  
Rotary Instruments ◽  
Niti Instruments ◽  
General Dentists ◽  
Niti Rotary Instruments ◽  
Distortion Angle ◽  
Paired T Test

Nickel-titanium (NiTi) endodontic rotary instruments are used extensively in root canal procedures by both general dentists and specialists. However, their vulnerability to fracture is the major reason for clinicians’ concern regarding their use. The objective of this study was to investigate the potential effects of spring machining of the file shaft on the fatigue and torsional resistances of NiTi rotary instruments. Three types of NiTi rotary systems with (S) and without (NS) spring machining were used in this study (n = 15 each): a spring file (SPR; #25/.06, SPR-S, SPR-NS), a ProTaper Next X2 (PTN; #25/variable taper, PTN-S, PTN-NS), and a ProTaper Gold F2 (PTG; #25/variable taper, PTG-S, PTG-NS). Spring machining was adjusted on the 6 mm of each file system’s shaft via a laser cutting process. The number of rotation cycles until fracture (i.e., cyclic fatigue resistance), ultimate torsional strength, the distortion angle, and the toughness of each subgroup were estimated with specially designed devices. The results were analyzed using a paired t-test at a significance level of 95%. NiTi rotary instruments with spring machining exhibited a higher cyclic fatigue resistance than instruments without spring machining. The groups with spring machining exhibited a higher toughness and larger distortion angle than the groups without it (p < 0.05). In conclusion, spring machining on the shank of NiTi instruments may provide a stress-bearing area and attenuate the torsional and cyclic fatigue of NiTi rotary instruments.

scholarly journals Torsional Resistance of Heat-Treated Nickel-Titanium Instruments under Different Temperature Conditions

Materials ◽  
2021 ◽  
Vol 14 (18) ◽  
pp. 5295
Author(s):  
Hyo Jin Jo ◽  
Sang Won Kwak ◽  
Hyeon-Cheol Kim ◽  
Sung Kyo Kim ◽  
Jung-Hong Ha
Keyword(s):  
Nickel Titanium ◽  
Phase Transformation Temperature ◽  
Scanning Calorimetry ◽  
Temperature Conditions ◽  
Torsional Resistance ◽  
Heat Treated ◽  
Rotary Instruments ◽  
Single Use ◽  
Niti Instruments ◽  
Niti Rotary Instruments

This study compared the torsional resistance of heat-treated nickel-titanium (NiTi) instruments under different temperature conditions. Four thermomechanically treated single-use NiTi rotary instruments were selected for this study: OneShape (OS), OneCurve (OC), WaveOne Gold (WOG) and HyFlex EDM (HFE). Each instrument was further subdivided by temperature into 2 subgroups. Maximum torque and the distortion angle until fracture occurred were evaluated. Differential scanning calorimetry analysis was performed to measure the phase transformation temperature. Statistical analysis was performed using a two-way ANOVA and t-test (p < 0.05). Fractured fragments were observed using scanning electron microscopy (SEM). The two-way ANOVA showed no significant differences for different temperature conditions. At both room (RT) and body temperature (BT), OS was predominantly austenite while HFE was martensite. OC and WOG were predominantly martensite at RT and mixed phase at BT. At BT, more than half of WOG was martensite, while half of OC was austenite. SEM examination showed no topographical differences between instruments in different temperature groups. In relation to a limitation of this study, there was no difference in torsional resistance of NiTi rotary instruments between the BT and RT conditions. This implies that clinicians do not need to consider a decrease of torsional resistance of heat-treated NiTi instruments at BT.

scholarly journals Role of the Flat-Designed Surface in Improving the Cyclic Fatigue Resistance of Endodontic NiTi Rotary Instruments

Materials ◽  
2019 ◽  
Vol 12 (16) ◽  
pp. 2523 ◽  
Author(s):  
Gianluca Gambarini ◽  
Gabriele Miccoli ◽  
Marco Seracchiani ◽  
Tatyana Khrenova ◽  
Orlando Donfrancesco ◽  
...  
Keyword(s):  
Cyclic Fatigue ◽  
Nickel Titanium ◽  
Segment Length ◽  
Flat Side ◽  
Heat Treated ◽  
Rotary Instruments ◽  
Time To Fracture ◽  
Niti Instruments ◽  
Niti Rotary Instruments

The aim of this study was to investigate the role of the flat-designed surface in improving the resistance to cyclic fatigue by comparing heat-treated F-One (Fanta Dental, Shanghai, China) nickel–titanium (NiTi) rotary instruments and similar prototypes, differing only by the absence of the flat side. The null hypothesis was that there were no differences between the two tested instruments in terms of cyclic fatigue lifespan. A total of 40 new NiTi instruments (20 F-One and 20 prototypes) were tested in the present study. The instruments were rotated with the same speed (500 rpm) and torque (2 N) using an endodontic motor (Elements Motor, Kerr, Orange, CA, USA) in the same stainless steel, artificial canal (90° angle of curvature and 5 mm radius). A Wilcoxon–Mann–Whitney test was performed to assess the differences in terms of time to fracture and the length of the fractured segment between the flat- and non-flat-sided instruments. Significance was set at p = 0.05. The differences in terms of time to fracture between non-flat and flat were statistically significant (p < 0.001). In addition, the differences in terms of fractured segment length were statistically significant (p = 0.034). The results of this study highlight the importance of flat-sided design in increasing the cyclic fatigue lifespan of NiTi rotary instruments.

scholarly journals Mechanical and Metallurgical Properties of Various Nickel-Titanium Rotary Instruments

2017 ◽  
Vol 2017 ◽  
pp. 1-13 ◽  
Author(s):  
Kyu-Sang Shim ◽  
Soram Oh ◽  
KeeYeon Kum ◽  
Yu-Chan Kim ◽  
Kwang-Koo Jee ◽  
...  
Keyword(s):  
Angular Displacement ◽  
Cyclic Fatigue ◽  
Nickel Titanium ◽  
Scanning Calorimetry ◽  
Metallurgical Properties ◽  
Rotary Instruments ◽  
Conventional Instrument ◽  
Conventional Alloy ◽  
Niti Instruments ◽  
Niti Rotary Instruments

The aim of this study was to investigate the effect of thermomechanical treatment on mechanical and metallurgical properties of nickel-titanium (NiTi) rotary instruments. Eight kinds of NiTi rotary instruments with sizes of ISO #25 were selected: ProFile, K3, and One Shape for the conventional alloy; ProTaper NEXT, Reciproc, and WaveOne for the M-wire alloy; HyFlex CM for the controlled memory- (CM-) wire; and TF for the R-phase alloy. Torsional fracture and cyclic fatigue fracture tests were performed. Products underwent a differential scanning calorimetry (DSC) analysis. The CM-wire and R-phase groups had the lowest elastic modulus, followed by the M-wire group. The maximum torque of the M-wire instrument was comparable to that of a conventional instrument, while those of the CM-wire and R-phase instruments were lower. The angular displacement at failure (ADF) for the CM-wire and R-phase instruments was higher than that of conventional instruments, and ADF of the M-wire instruments was lower. The cyclic fatigue resistance of the thermomechanically treated NiTi instruments was higher. DSC plots revealed that NiTi instruments made with the conventional alloy were primarily composed of austenite at room temperature; stable martensite and R-phase were found in thermomechanically treated instruments.

scholarly journals Factors influencing incidents of complications while using nickel-titanium rotary instruments for root canal treatment

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ahmad A. Madarati
Keyword(s):  
Root Canal ◽  
Nickel Titanium ◽  
Influential Factor ◽  
Common Complication ◽  
Pilot Studies ◽  
Significance Level ◽  
Rotary Instruments ◽  
Chi Squared ◽  
Final Questionnaire ◽  
General Dentists

Abstract Background To investigate the complications associated with the use of nickel titanium rotary instruments (NiTi-RIs) for root canal treatments (RCTs), in Saudi Arabia dental practice, and to explore the influencing factors. Methods After obtaining an ethical approval, two pilot studies were conducted to formulate the final questionnaire. The sample size was measured taking into consideration 60% expected response rates and confidence level of 99.9%. The questionnaire was emailed to 600 general dentists (GDs) randomly selected from the dental register and all of the endodontists (175). The email’s introduction clarified objectives of the study and guaranteed that all of the collected information would remain confidential. A reminder was sent after 10 weeks. The data were collected and analyzed using the chi-squared test at a 0.05 significance level. Results With a 51% overall response rate, 71.9% off the respondents used NiTi-RIs. The majority (83.1%) experienced complications while using NiTi-RIs; with the instruments’ fracture being significantly the most common complication (52.7%) (p < 0.001). The majority (87.7%) experienced NiTi-RIs’ fractureat least once; with more endodontists (94.3%) than GDs (83.3%) (p < 0.001). The greater the number of weekly performed RCTs and participants’ experiences, the more NiTi-RIs fractures and the greater the number of fracture incidents (p < 0.001). While 60% of those who performed 1–3 RCTs per week experienced NiTi-RIs fractures, 100% of those who performed more than 12 RCTs per week did so. The highest percentage of those who experienced more than 10 fractured NiTi-RIs (60%) was within the group who performed more than 12 RCTs per week. Although fracture incidents decreased with a smaller number of reuses, there was no significant correlation between the number of fractured instruments and NiTi-RIs discard strategy (p ≥ 0.05). Conclusion Fracture incidence was the most common complication while using NiTi-RIs, regardless of the clinicians’ experiences and skills. While the single use may reduce NiTi-RIs fractures, to some extent, the greater number of RCTs performed per week was the most influential factor.

scholarly journals Influence of nickel-titanium rotary systems with varying cross-sectional, pitch, and rotational speed on deflection and cyclic fatigue: a finite element analysis study

2021 ◽  
Vol 41 ◽  
pp. 05005
Author(s):  
Wignyo Hadriyanto ◽  
Lukita Wardani ◽  
Christina Nugrohowati ◽  
Ananto Alhasyimi ◽  
Rachmat Sriwijaya ◽  
...  
Keyword(s):  
Finite Element ◽  
Cross Section ◽  
Rotational Speed ◽  
Cyclic Fatigue ◽  
Nickel Titanium ◽  
Element Analysis ◽  
Cross Sectional ◽  
Rotary Instruments ◽  
Section Design ◽  
Sectional Shape

The effectiveness of endodontic file preparation depends, among others, on the material, geometric shape, and the drive system. This study aimed to analyze the effect of cross-sectional, pitch, and rotational speed on cyclic fatigue and deflection of NiTi files using finite element analyses. A total of 18 NiTi endodontic rotary instruments ProTaper Gold F2 #25.08 and Hyflex CM #25.04 (n=9) modeling were designed using Autodesk software. Subjects were divided into two groups, the design group of square and convex triangles. Static simulation was then carried out to each group with force on the instrument’s tip by 1N, 2N, and 3N. The file’s cycling fatigue was analyzed at rotating speeds of 200 rpm, 300 rpm, and 400. The data were analyzed by using the three-way Analysis of variance (ANOVA) test followed by LSD (p< 0.05). The results showed the cross-sectional shape and force effect on the deflection value and cyclic fatigue received by the endodontic files (p< 0.05). The convex triangle design presented the lowest cyclic fatigue than square. The convex triangular cross-section design showed a higher deflection value than the square cross-section design.

Comparison of the Effects of Three Different Nickel–titanium Rotary Instruments on the Fracture Resistance of Obturated Roots: An in vitro Study

2017 ◽  
Vol 7 (2) ◽  
pp. 86-90
Author(s):  
Vanitha U Shenoy ◽  
Ritesh B Pawar ◽  
Sumanthini MV ◽  
Saimanaaz AH Shaikh
Keyword(s):  
Fracture Resistance ◽  
Testing Machine ◽  
In Vitro Study ◽  
Nickel Titanium ◽  
Endodontically Treated Teeth ◽  
Term Survival ◽  
Group I ◽  
Rotary Instruments ◽  
Niti Instruments

ABSTRACT Aim The aim of the article is to compare the effects of three different nickel–titanium (NiTi) rotary instruments on the fracture resistance of obturated roots. Materials and methods A total of 100 permanent mandibular premolars were randomly divided into four groups of 25 teeth each and biomechanical preparation was done: group I: stainless steel K-hand files (HFs), group II: ProTaper NiTi instruments (PT), group III: HyFlex CM NiTi instruments (HCM), and group IV: K3XF NiTi instruments. Following root canal preparation, the canals were obturated using lateral condensation. A light body silicone impression material was used to simulate the periodontal ligament (PDL). Fracture resistance was tested in an Instron testing machine. Statistical analysis Data were analyzed with Kruskal–Wallis test. Results There was no difference in significance (p < 0.05) among the different groups tested with respect to their fracture resistances. Conclusion The present study concluded that rotary instrumentation could result in an increased chance for dentinal defects as compared with hand instrumentation. Greater taper rotary NiTi instruments do not increase the fracture susceptibility of roots, which in turn depends on various factors other than instrumentation alone. Clinical significance Greater taper achieved by rotary NiTi files during canal preparation facilitates efficient irrigation and complete debridement. Root fracture might occur as a result of microcracks or craze lines that propagate with repeated stress application by occlusal forces and also during canal preparation. Based on the results obtained, it can be decided whether the use of the newer rotary NiTi system contributes to endodontic success and long-term survival of endodontically treated teeth. How to cite this article Shaikh SAH, Shenoy VU, Sumanthini MV, Pawar RB. Comparison of the Effects of Three Different Nickel–titanium Rotary Instruments on the Fracture Resistance of Obturated Roots: An in vitro Study. J Contemp Dent 2017;7(2):86-90.

scholarly journals Root canal preparation techniques using nickel-titanium rotary instruments

2005 ◽  
Vol 58 (3-4) ◽  
pp. 203-207
Author(s):  
Tatjana Brkanic ◽  
Slavoljub Zivkovic ◽  
Milan Drobac
Keyword(s):  
Root Canal ◽  
Apical Part ◽  
Nickel Titanium ◽  
Endodontic Treatment ◽  
Root Canal Preparation ◽  
Canal System ◽  
Rotary Instruments ◽  
Dental Practitioners ◽  
Root Canal System ◽  
Preparation Techniques

Introduction The main purpose of endodontic treatment is to clean the root canal system, eliminate the infected and toxic contents, and shape it in order to get a tridimensional obturation. The aim of this paper is to inform dental practitioners about crown-down techniques for root canal preparation using nickel-titanium rotary instruments. Root canal preparation Today most endodontists believe that root canal preparation is more officious, cleaning and shaping are better, if pre-enlargement of coronal two thirds is performed first, and shaping of the apical part later. Machine driven rotary instruments provide much quicker and better root canal preparation. Conclusion Contemporary endodontic rotary files vary in regard to their taper, cutting blades, guiding tip and material they are made of. The usage of rotary nickel-titanium files adds a new quality to root canal preparation.

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