Cyclic fatigue resistance of two variable-taper rotary file systems: ProTaper universal and V-Taper.
ABSTRACT The cyclic fatigue resistance of ProTaper Universal (Dentsply Tulsa Dental Specialties, Tulsa, OK) and V-Taper (Guidance Endo, Albuquerque, NM) files was measured while rotating files around a 5-mm radius curve with 90 degrees of maximum flexure. The files were rotated at 250 rpm with a continuous axial oscillation of 4 mm at 1 Hz. The number of cycles to failure was calculated and analyzed by using univariate analysis of variance and the Tukey HSD posthoc test with results confirmed by nonparametric Kruskal-Wallis and Mann-Whitney U tests with a Bonferroni correction. The fracture faces of representative files were imaged with a scanning electron microscope to confirm cyclic fatigue as the mode of fracture. For the instruments tested, the ProTaper files appeared to resist fracture better than the V-Taper files. At each tip size tested, the ProTaper files either outperformed or were not statistically different than V-Taper files.
Article: Instrument separation analysis of multi-used ProTaper Universal rotary system during root canal therapy.[show abstract] [hide abstract]
ABSTRACT: The purpose of this study was to identify the influential factors responsible for clinical instrument separation of reused ProTaper Universal rotary instruments (Dentsply Maillefer, Ballaigues, Switzerland). Six thousand one hundred fifty-four root canals in 2,654 teeth were prepared using ProTaper Universal files in endodontic clinics. Separation incidence was determined based on the number of treated teeth or canals. Data were collected including the size of fractured instrument, the length and location of a broken segment within the root canal, and the curvature of canal. The chi-square test and independent samples t test were used to determine the statistical significance. The overall instrument separation incidences were 2.6% according to the number of teeth and 1.1% according to the canal number, respectively. Separation incidences according to the number of teeth or canals were significantly higher (P < .05) in molars than those in premolars or anterior teeth. Because of its largest diameter, F3 file presented the highest separation incidence according to the number of teeth (1.0%) or canals (0.4%); 47.5% instrument separation of mandibular molars and 61.5% instrument separation of maxillary molars happened in the mesiobuccal canals. Moreover, 91.4% fragments were located in the apical third of root canals, and 54.2% instrument separation occurred in severely curved canals. There was a significant difference (P < .05) in the mean fracture length between shaping (2.42 ± 0.73 mm) and finishing files (3.32 ± 0.73 mm). Separation incidence according to the canal number is more reliable than that according to the number of teeth because of the variable canal number in different teeth. The tooth type, rotary file size, canal location, and anatomy were correlated with the instrument separation of reused ProTaper Universal files.Journal of endodontics 06/2011; 37(6):758-63. · 2.95 Impact Factor