Murat Demiral’s scientific contributions

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Publications (5)


Images of the dynamic cyclic fatigue test device from different angles. a The device has a holder (a) that is responsible for the axial movement of the handpiece, which was determined by a digital processor (b). b A sensor (c) is placed at the end of the artificial canal and controls the axial movement of the handpiece. c The stainless steel block (d) that contains the artificial canal with a curvature angle of 60° and curvature of radius of 5 mm
Reliability plots for the tested instruments calculated using Weibull distribution function. Vertical axis is the survival probability, and the horizontal axis is TF
SEM surface images of the R-Pilot (a, b), ProGlider (c, d), and WaveOne Gold Glider (e, f). Black arrows show striation marks
Cyclic fatigue resistance of R-Pilot, WaveOne Gold Glider, and ProGlider glide path instruments
  • Article
  • Publisher preview available

December 2018

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1,013 Reads

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41 Citations

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Uğur İnan

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Murat Demiral

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Objective: The aim of the present study was to compare the cyclic fatigue resistance of R-Pilot (VDW; Munich, Germany) with ProGlider (Denstply Sirona; Ballaigues, Switzerland) and WaveOne Gold Glider (Denstply Sirona; Ballaigues, Switzerland) glide path instruments. Materials and methods: R-Pilot, ProGlider, and WaveOne Gold Glider instruments were collected (n = 15) and tested in a dynamic cyclic fatigue test device, which has an artificial canal with 60° angle of curvature and a 5-mm radius of curvature. All instruments were operated until fracture occurred, and both time to fracture (TF) and the lengths of the fractured fragments were recorded. Mean and standard deviations of TF and fragment length were calculated for each reciprocating system. TF data and fractured fragment length data were subjected to one-way ANOVA and post-hoc Tukey tests (P < 0.05). Also a Weibull analysis was performed on TF data. Results: The cyclic fatigue resistance values of the WaveOne Gold Glider and R-Pilot were significantly higher than those of the ProGlider (P < 0.05), with no significant difference between them (P > 0.05). Weibull analysis revealed that WaveOne Gold Glider showed the highest predicted TF value for 99% survival rate, which was followed by R-Pilot and ProGlider. Regarding the length of the fractured tips, there were no significant differences among the instruments (P > 0.05). Conclusions: The reciprocating WaveOne Gold Glider and R-Pilot instruments had significantly higher cyclic fatigue resistance than rotary ProGlider instruments. Clinical relevance: This study reported that novel reciprocating glide path instruments exhibited higher cyclic fatigue resistance than rotating glide path instrument.

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Figure 1. Representative image of the defined levels of 9 measuring points and the 3 zones containing them. 
Shaping Ability of Reciproc Blue Reciprocating Instruments with or without Glide Path in Simulated S-shaped Root Canals

March 2018

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366 Reads

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32 Citations

Journal of Dental Research, Dental Clinics, Dental Prospects

Background. The present study aimed to compare the shaping ability of Reciproc Blue instruments with or without the creation of a glide path in simulated S-shaped root canals. Methods. Root canals of thirty #15.02 clear resin S-shaped blocks were dyed using ink and photographed. Then the blocks were randomly divided into 2 groups: group A: Reciproc Blue with glide path created with ProGlider and group B: Reciproc Blue with no glide path preparation (n=15). The blocks were also photographed after preparation. The pre- and post-prepara-tion images were superimposed and evaluated at 9 different measurement points according to the 3 zones, as coronal straight, first curvature, and apical curvature zones. The data were evaluated with independent t-test or Kruskal-Wallis tests with 5% significance interval. Results. Group B removed greater amount of material from the inner aspect of simulated canal at the first curvature and apical curvature zones and from the outer aspect of the canal at apical curvature zone (P<0.05). Both groups exhibited trans-portation and the transportation width in group B was significantly greater in the levels of apical curvature zone (P<0.05). Conclusion. Glide path preparation using ProGlider rotary instrument improved the shaping ability of Reciproc Blue R25 instrument by leading to less transportation and maintaining centering ability.


Comparison of the shaping ability of novel thermally treated reciprocating instruments

March 2018

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192 Reads

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33 Citations

Restorative Dentistry & Endodontics

Objectives The present study aimed to evaluate the shaping ability of 2 thermally treated nickel-titanium reciprocating systems in simulated curved canals. Materials and Methods Forty simulated canals were prepared to apical size 25 using Reciproc Blue R25 (VDW) and WaveOne Gold Primary (Dentsply Sirona) instruments. Standard pre- and post-preparation images were taken and superimposed. The removal of resin material was measured at 5 standard points: the canal orifice, halfway between the canal orifice and the beginning of the curve, the beginning of the curve, the apex of the curve, and the end-point of the simulated canal. The data were analysed using the independent sample t-test with a 5% significance threshold. Results The canals in which Reciproc Blue R25 was used showed a significantly greater widening than those in which WaveOne Gold was used at 4 of the 5 measurement points (p < 0.05). The Reciproc Blue R25 instrument removed significantly more resin from the inner aspect of the curve at 2 of the 5 points and similar amounts at the remaining 3 points. At the 2 apical points, there was no significant difference between the Reciproc Blue R25 and WaveOne Gold Primary instruments. Conclusion Both instruments respected the original canal anatomy; however, WaveOne Gold resulted in a more conservative shape with less transportation.


Cyclic Fatigue Resistance of Reciproc Blue, Reciproc, and WaveOne Gold Reciprocating Instruments

June 2017

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616 Reads

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158 Citations

Journal of Endodontics

Introduction: The aim of the present study was to compare the cyclic fatigue resistance of Reciproc Blue R25 (VDW, Munich, Germany) with Reciproc R25 (VDW) and WaveOne Gold Primary (Denstply Maillefer, Ballaigues, Switzerland). Methods: Fifteen Reciproc Blue R25, 15 Reciproc R25, and 15 WaveOne Gold Primary instruments were collected and tested in a dynamic cyclic fatigue test device, which has an artificial canal with a 60° angle of curvature and a 5-mm radius of curvature. All instruments were operated until fracture occurred, and time to fracture (TF) and the lengths of the fractured fragments were recorded. The mean and standard deviations of TF and fragment length were calculated for each reciprocating system. TF data were subjected to Kruskal-Wallis 1-way analysis of variance and the Dunn test, whereas fractured fragment length data were subjected to 1-way analysis of variance (P < .05). Results: Reciproc Blue R25 exhibited the highest cyclic fatigue resistance (P < .05). The cyclic fatigue resistance values of WaveOne Gold Primary were significantly higher than those of Reciproc R25 (P < .05). There was no significant difference in the mean length of the fractured fragments among the instruments (P > .05). Conclusions: Reciproc Blue R25 instruments had significantly higher cyclic fatigue resistance than WaveOne Gold and Reciproc R25 instruments.


Effect of interrupted motion on the cyclic fatigue resistance of reciprocating nickel-titanium instruments

May 2017

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43 Reads

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14 Citations

International Endodontic Journal

Aim: To compare the cyclic fatigue resistances of WaveOne Gold (Denstply Sirona, Ballaigues, Switzerland), WaveOne (Dentsply Sirona), and Reciproc (VDW, Munich, Germany) in interrupted reciprocation. Methodology: Three groups of 18 instruments each of WaveOne Gold Primary, WaveOne Primary, and Reciproc R25 were subjected to cyclic fatigue tests in reciprocation and interrupted reciprocation. The instruments in group 1 were tested in reciprocation, whereas in groups 2 and 3, reciprocation was interrupted for 1 s in every 5 s and 10 s, respectively. Cyclic fatigue resistance was tested using dynamic test devices in stainless steel, curved canals (60°, r = 5 mm) until fracture, and the time to fracture values were recorded. The lengths of the fractured tips were also recorded, and fractured surfaces were examined with a scanning electron microscope (SEM). Data were evaluated by one-way analysis of variance and Tukey's tests. Results: The cyclic fatigue resistance of WaveOne Gold Primary was not affected by the interruptions (P > 0.05) and exhibited significantly greater cyclic fatigue resistance than WaveOne Primary and Reciproc R25 in all groups (P < 0.05). Interruptions reduced the cyclic fatigue resistance of WaveOne Primary and Reciproc R25 significantly (P < 0.05). Conclusion: Interrupted reciprocation reduced the cyclic fatigue resistance of Reciproc R25 and WaveOne Primary. The cyclic fatigue resistance of WaveOne Gold Primary was greater than that of WaveOne Primary and was not dependent on the occurrence of interruptions. This article is protected by copyright. All rights reserved.

Citations (5)


... Although that study was conducted in severely curved canals, an anatomical configuration different from the Vertucci Type V morphology, the findings are nonetheless consistent with the present study in highlighting the influence of instrument design on tactile feedback. This sensation can be problematic, especially in the apical third, where the risk of perforation is higher due to the thin dentin walls [53]. It is important to note that in this study, the Reciproc instrument was used as a single file, whereas the other systems involved the creation of a glide path using files with a smaller diameter and taper. ...

Reference:

Micro-Computed Tomography Analysis of Reciprocating Systems in Three-Dimensional Models of Mandibular Premolars with Two Canals
Shaping Ability of Reciproc Blue Reciprocating Instruments with or without Glide Path in Simulated S-shaped Root Canals

Journal of Dental Research, Dental Clinics, Dental Prospects

... Root canal treatment aims to clean and disinfect the root canal system while maintaining the original canal shape [1]. Endodontic instruments have evolved over the years. ...

Comparison of the shaping ability of novel thermally treated reciprocating instruments

Restorative Dentistry & Endodontics

... The WOG, NiTi, and S.S. groups did not show any significant difference. Many studies [26][27] have shown that WaveOne Gold has better cyclic fatigue resistance, owing to its reciprocation motion, but the interesting outcome of this study was that its performance was comparable to conventional S.S. and NiTi 2% 15 size K file when used with reciprocation, which are easily available and cost-effective. ...

Cyclic fatigue resistance of R-Pilot, WaveOne Gold Glider, and ProGlider glide path instruments

... The manufacturing process of NiTi instruments involves various steps, including the creation of specialized alloys designed to optimize the mechanical properties of the instrument. Over the years, different types of NiTi wires have been developed to further improve the flexibility, fatigue resistance, and torsional strength of endodontic instruments (9,10). While much of the research on cyclic fatigue resistance has been conducted at room temperature, this does not fully replicate the clinical conditions under which NiTi instruments are used (11). ...

Cyclic Fatigue Resistance of Reciproc Blue, Reciproc, and WaveOne Gold Reciprocating Instruments
  • Citing Article
  • June 2017

Journal of Endodontics

... Single-file instruments often rely on their alloy for strength and reciprocating motion to prevent stress accumulation while they tend to be exposed to more stresses compared to sequentially used multifile instruments, since a single-file is the only instrument to prepare all thirds of root length [31,32]. They also tend to oversimplify canal anatomy by proposing a single size that could not be a realistic goal according to Schilder's mechanical and biologic objectives [31,33]. ...

Effect of interrupted motion on the cyclic fatigue resistance of reciprocating nickel-titanium instruments
  • Citing Article
  • May 2017

International Endodontic Journal