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Abstract
Plotino G, Grande NM, Testarelli L, Gambarini G. Cyclic
fatigue of Reciproc and WaveOne reciprocating instruments.
International Endodontic Journal.
Introduction
The fracture of instruments used in rotary motion
occurs through two different mechanisms: fracture
caused by torsion and fracture caused by flexural
fatigue (Serene et al. 1995, Ullmann & Peters 2005,
Plotino et al. 2009a). Torsional fracture occurs when
an instrument tip or another part of the instrument
Correspondence: Dr Gianluca Plotino, Department of Endodontics, Sapienza University of Rome, Via Tommaso Salvini,
57 00197 Rome, Italy (Tel.: +393396910098; e-mail:
endo@gianlucaplotino.com).
Switzerland) in a reciprocating movement was introduced (Yared 2008), thereby presenting a new perspective for NiTi files. The employment of reciprocating
motion instead of the conventional continuous rotation
method was suggested as an advantage for the preparation of curved canals with the use of one single NiTi
file (De-Deus et al. 2010a, Franco et al. 2011, Paque
et al. 2011, You et al. 2011). The concept of using a
single NiTi instrument to prepare the entire root canal
is interesting, because the learning curve is considerably reduced as a result of technique simplification and
reduction of the endodontic armamentarium. Moreover, the use of a single NiTi instrument is likely to be
more cost-effective than the conventional multifile NiTi
rotary systems.
Recently, two different reciprocating systems were
introduced: Reciproc (VDW, Munich, Germany) and
WaveOne (Dentsply Maillefer, Ballaigues, Switzerland). The Reciproc clinical sequence, as suggested
by the manufacturer, is a single instrument technique
using one of the three files: R25 (tip size 25 with a taper
of 0.08 over the first apical millimitres), R40 (tip size 40
with a taper of 0.06 over the first apical millimitres),
R50 (tip size 50 with a taper of 0.05 over the first apical
millimitres). WaveOne NiTi files are available in three
sizes: small (tip size 21 with a taper of 0.06), primary
(tip size 25 with a taper of 0.08) and large (tip size 40
with a taper of 0.08). Both instruments are produced
with M-wire nickeltitanium, a new alloy produced in
an innovative thermal treatment process (Gambarini
et al. 2008). Reciproc and WaveOne instruments
have been designed specifically for use in reciprocation.
Both instruments have a left-handed angulation of the
blades, which means they cut in the counterclockwise
(CCW) direction. The values of clockwise (CW) and
CCW rotations are different. A large rotating angle in
the cutting direction (CCW) determines the instrument
advances in the canal and engages dentine to cut it,
whereas a smaller angle in the opposite direction (CW)
allows the file to be immediately disengaged and safely
progress along the canal path, whilst reducing the
effect of a screwing effect and file breakage. These
angles are specific for the different instruments and
they were determined using the torsional properties of
the instruments.
The reciprocating movement aims to minimize the
risk of instrument fracture caused by torsional stress:
the angle of CCW rotation is designed to be smaller
than the elastic limit of the instrument. On the other
hand, although those instruments complete one rotation of 360 in several reciprocating movements,
130.8 18.4
5.8 0.2
WaveOne primary
97.8 15.9b
6.1 0.1
Results
Mean values and standard deviation expressed as TtF
are displayed in Table 1. A greater time to fracture is
caused by an enhanced resistance to cyclic fatigue. A
statistically significant difference (P < 0.05) was noted
between Reciproc and WaveOne instruments (Table 1). Reciproc R25 instruments were associated
with a significant increase in the mean time to fracture
when compared with primary WaveOne instruments
(130.8 18.4 vs. 97.8 15.9 s).
The mean length of the fractured segment was also
recorded to evaluate the correct positioning of the
tested instrument inside the canal curvature and
whether similar stresses were being induced. No
statistically significant difference (P > 0.05) in the
mean length of the fractured fragments was evident
for the instruments (Table 1).
Discussion
The two instruments used in the present study were
selected because they are to date the only commercially
available instruments designed specifically to be used in
reciprocating motion. The instruments have the same
nominal size, tip size 25 with 0.08 taper. Taper is
constant in the apical 3 mm of the instruments but
reduces in the middle and coronal portion of the
working part of the instrument.
The null hypothesis can be rejected, as Reciproc
instruments demonstrated a significantly higher cyclic
fatigue resistance than WaveOne instruments under
the conditions of the present study. It is well known that
cyclic fatigue is influenced by the dimensions of the
instruments (Plotino et al. 2006, 2007); in the present
study, the similar dimensions of the instruments tested
should have reduced this possible variability. Cyclic
fatigue can be also influenced by the alloy and/or the
Conclusions
Reciproc instruments resisted cyclic fatigue significantly more than WaveOne instruments; these differences could be related to the different cross-sectional
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