Comparison of Dentinal Microcrack Formation in Root Canal after Mechanical Instrumentation with 4 Single-File Rotary Systems

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Angsana Jainaen
Pinpana Thaweesit
Pitchayanin Laosiriwijit
Khanista Junsuaydee
Warisa Chueaduangphui
Rajda Chaichit

Abstract

The purpose of this study was to compare the formation of microcracks after root canal preparation performed with different single-file rotary systems; HyFlexEDM, Reciprocblue, WaveOneGold and XP-Endoshaper. Fifty-four human extracted teeth which 20-30 degree of curved root, 1 root canal and 1 apical foramen were used. The teeth were divided into 4 different rotary systems preparation (n = 12):  Group 1 –HyFlexEDM, Group 2 –Reciprocblue, Group 3 –WaveOneGold, Group 4 - XP-Endoshaper and a control group (unprepared teeth; n = 6) by stratified random sampling. Roots were sectioned at 3, 6 and 9 mm from the apex, then the surface was investigated under a stereomicroscope. The results showed that no cracks were observed in the control group. For rotary preparation groups, HyFlexEDM, Reciprocblue, XP-Endoshaper and WaveOneGold were found dentinal microcracks in median of number of cracks on 9.33 (5.66, 16.99), 8.84 (4.58, 10.42), 7.34 (2.00, 10.57) และ 6.33 (2.50, 12.17) respectively. No significant differences between the mean number of cracks of all four groups in 3, 6, 9 mm level from the apex sections (p–value>0.05) were found. Completed cracks were observed in HyFlexEDM, Reciprocblue and WaveOneGold. Conclusion from this study, root canal preparation with four single-file rotary systems were created dentinal microcracks with no statistically difference, however HyFlexEDM showed tendency of the most microcracks and WaveOneGold showed of the least microcracks.

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Jainaen A, Thaweesit P, Laosiriwijit P, Junsuaydee K, Chueaduangphui W, Chaichit R. Comparison of Dentinal Microcrack Formation in Root Canal after Mechanical Instrumentation with 4 Single-File Rotary Systems. Khon Kaen Dent J [Internet]. 2020 Dec. 16 [cited 2024 Dec. 22];23(3):11-20. Available from: https://he01.tci-thaijo.org/index.php/KDJ/article/view/228776
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References

Hargreaves K, Kenneth M, Stephen C, Louis HB. Cracks and fractures. Cohen's Pathways of the Pulp. 11th ed. St. Louis: Mosby 2015:793-817.

Glickman GN, Koch KA. 21st century endodontics. J Am Dent Assoc 2000;131(6):39-46.

Ruddle CJ, Machtou P, West JD.The shaping movement:5th generation technology. Dentistry Today 2013;32(4):94-9.

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. J Endod 2010;36(7):1195-9.

Ahn SY, Kim HC, Kim E. Kinematic effects of nickel-titanium instruments with reciprocating or continuous rotation motion: a systematic review of in vitro studies. J Endod 2016;42(7):1009-17.

Bayram HM, Bayram E, Ocak M, Uygun AD, Celik HH. Effect of protaper gold, self-adjusting file, and xp-endo shaper instruments on dentinal microcrack formation: a micro-computed tomographic study. Basic Research Technology 2017;43(7):1166-9.

InsooK,Ki-suk P, Seung-pyo L. Quantitative evaluation of the accuracy of micro-computed tomography in tooth measurement. Clin Anat 2007;20(1):27-34.

Katterbach R, Wannenmacher E, Hoehling HJ, Vogel H. Cracks in the dental enamel as seen under light microscopy, polarization microscopy and electronmicro-scopy. DDZ 1965;19:31-42

Cambruzzi JV, Marshall FJ, Pappin JB. Methylene blue dye: an aid toendodontic surgery. J Endod 1985;11(7): 311-4.

Wright HJ, Loushine RJ, Weller RN, Kimbrough WF, Waller J, Pashley DH. Identification of resected root-end dentinal cracks: a comparative study of transillumination and dyes. J Endod 2004;30(10): 712-5.

Li SH, Lu Y, Song D, Zhou X, Zheng Q, Gao Y, et al. Occurrence of dentinal microcracks in severely curved root canals with ProTaper Universal, WaveOne, and ProTaper Next File Systems. J Endod 2015;41(11):1875-9.

Schneider SW. Comparison of the canal preparation in straight and curved root canals. Oral Surg 1971;32:271-5. Cited in Zhu Y, Gu Y, Du R, Li C. Reliability of two methods on measuring root canal curvature. Int Chin J Dent. 2003;3:118-121.

Walia H, Brantley WA, Gernstein H. An initial investigation of the bending and torsional properties initial root canal files. J Endod 1988;14:346-51.

Amre RA, Timothy FW. Root dentine and endodontic instrumentation: cutting edge microscopic imaging. Interface Focus 2015;6(3):453-8.

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.

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. J Endod 2012;38(2):232-5.

Pedullà E, Genovesi F, Rapisarda S, La Rosa GRM, Grande NM, Plotino G, et al. Effects of 6 single-file systems on dentinal crack formation. J Endod 2017; 43(3):456-61.