• Restorative Dentistry and Endodontics
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• v.37 no.4
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• pp.215-219
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• 2012

Objectives: The purpose of this study was to investigate the screw-in effect and torque generation depending on the size of glide path during root canal preparation. Materials and Methods: Forty Endo-Training Blocks (REF A 0177, Dentsply Maillefer) were used. They were divided into 4 groups. For groups 1, 2, 3, and 4, the glide path was established with ISO #13 Path File (Dentsply Maillefer), #15 NiTi K-file NITIFLEX (Dentsply Maillefer), modified #16 Path File (equivalent to #18), and #20 NiTi K-file NITIFLEX, respectively. The screw-in force and resultant torque were measured using a custom-made experimental apparatus while canals were instrumented with ProTaper S1 (Dentsply Maillefer) at a constant speed of 300 rpm with an automated pecking motion. A statistical analysis was performed using one-way analysis of variance and the Duncan post hoc comparison test. Results: Group 4 showed lowest screw-in effect ($2.796{\pm}0.134$) among the groups (p < 0.05). Torque was inversely proportional to the glide path of each group. In #20 glide path group, the screw-in effect and torque decreased at the last 1 mm from the apical terminus. However, in the other groups, the decrease of the screw-in effect and torque did not occur in the last 1 mm from the apical terminus. Conclusions: The establishment of a larger glide path before NiTi rotary instrumentation appears to be appropriate for safely shaping the canal. It is recommended to establish #20 glide path with NiTi file when using ProTaper NiTi rotary instruments system safely.

• Proceedings of the KACD Conference
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• 2003.11a
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• pp.594-594
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• 2003

I. Objectives The purpose of this study is to determine if propagation of pre-existing manufacturing defects results in brittle fracture of NiTi rotary files by examining the fracture surface of the instrument by SEM, and to compare the fracture time of NiTi rotary files with different flute designs under cyclic loading. II. Materials and Methods This study examined three groups of rotary NiTi instruments (K3, ProFile, Hero). Of each group, 04 taper, size 30 and 06 taper, size 25 were selected.：120 in total. Surface defects were created by simulating the machining process of NiTi rotaries.(omitted)

• Restorative Dentistry and Endodontics
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• v.28 no.2
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• pp.146-155
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• 2003

여러 가지 장점으로 인해 Ni-Ti 전동 파일을 근관성형에 사용하는 빈도가 점차 증가되는 추세이지만, 초심자를 대상으로 한 연구는 부족한 실정이다. 이에 본 연구에서는 초심자에서 Ni-Ti 전동 파일을 사용할 때 근관 형성의 효용성을 평가하고, 어떤 방법이 초심자에게 적절한지를 알아보고자 하였다. 근관형태가 재현된 레진 블록을 이용하여 12명의 초심자와 4명의 숙련자가 근관 형성을 시행하였다. 각 술자는 ProFile, ProTaper, Hybrid (ProFile＋ProTaper)를 이용하여 각각의 레진 블록을 세 개씩 근관형성하고, 각 파일 별의 근관 형성 시간을 기록하였다. 근관 형성 전과 후의 digital 이미지를 중첩하여 치근단으로부터 1, 2, 3, 4, 5, 6, 7mm level에서 근관단면의 총길이 변화량, 만곡 외측의 길이 변화량, 만곡 내측의 길이 변화량, 중심이동량, 중심이동율과 치근단에서의 apical transportation을 구하고, 초심자와 숙련자 사이의 차이를 비교 평가하였다. 실험결과 ProFile군의 1, 3, 5, 6, 7mm level과 ProTaper군의 6mm level, Hybrid군의 3mm level에서 초심자의 근관단면의 총길이 변화량이 숙련자보다 많았다. 모든 군에서 치근단으로부터 4, 5, 6, 7mm level에서는 근관 중심이 만곡내측으로 이동하였고, 1 2, 3mm level 에서는 만곡외측으로 이동하였으나, 숙련자가 시행한 Hybrid군의 3mm level과 비숙련자가 시행한 ProTaper 군의 3mm level에서는 만곡내측으로 이동하였다. 모든 군의 3mm level과 ProFile 군의 5mm level에서 초심자의 중심이동율이 숙련자에 비해 컸으며, 초심자가 ProTaper를 사용시 더 큰 apical trans portation을 보였고, 모든 군에서 초심자가 근관형성시 더 많은 시간이 걸렸다. ProFile과 ProTaper를 이용한 Hybrid technique이 초심자에게 추천되며, 초심자들도 충분히 교육받는다면 만곡된 근관의 근관형성에 있어서 Ni-Ti rotary file의 이용이 가능하리라고 사료된다.

• The Journal of the Korean dental association
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• v.51 no.10
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• pp.551-555
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• 2013

The purpose of this study was to give a guideline for selecting the nickel-titanium (NiTi) file by review from many studies. Since the early 1990s, several instrument systems manufactured from NiTi have been introduced into endodontic practice. The specific design characteristics vary, such as tip shape and size, cross sectional view, helix angle, and pitch space. Some of the early systems have been removed from the market or play only minor roles; others are still widely used. New designs continually are produced, but the extent to which clinical outcomes will depend on design characteristics is difficult to forecast. In this study, I have reviewed the different design characteristics in respect of the safety and efficiency. With the review from many studies, I concluded that the clinicians must be understand the specific design characteristics for selecting the ideal NiTi rotary instruments.

• Restorative Dentistry and Endodontics
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• v.31 no.2
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• pp.125-132
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• 2006

This study was conducted to evaluate the insertion depth of Buchanan plugger after shaping by various Ni-Ti rotary files. It was conducted to determine which size of plugger are appropriate, when root canals are shaped with Ni-Ti rotary files and obturated by Continuous wave of condensation technique. Two type of eighty simulated resin blocks were used : J-shaped and straight shaped canal. The simulated canals were instrumented by ProTaper and ProFile. Buchanan pluggers were inserted into the canal, and then the image was recorded to scanner. The distance from the apex of the canal to the plugger tip was measured by image analysis program. Data were analyzed by one-way ANOVA followed by Scheffe's test. The results were as follows 1. In straight canal finished up to ProTaper F2 and F3 file, F and FM pluggers were inserted more than 5 mm short of working length. 2. In J-shaped canal finished up to ProTaper F2 file, F pluggers were inserted more than 5 mm short of working length. Finished up to ProTaper F3 file. F and FM pluggers were inserted more than 5 mm short of working length. 3. In straight and J-shaped canal finished up to ProFile .06/#20 and .06/#25, any of Buchanan plugger could not be inserted more than 5 mm short of working length. These results suggest that canals shaped by ProTaper could be obturated by Continuous wave of condensation technique with F and FM size Buchanan plugger.

• Restorative Dentistry and Endodontics
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• v.39 no.1
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• pp.7-11
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• 2014

Objectives: The aim of this study was to compare the dimensional standard of several nickel-titanium (Ni-Ti) rotary files and verify the size conformity. Materials and Methods: ProFile (Dentsply Maillefer), RaCe (FKG Dentaire), and TF file (SybronEndo) #25 with a 0.04 and 0.06 taper were investigated, with 10 in each group for a total of 60 files. Digital images of Ni-Ti files were captured under light microscope (SZX16, Olympus) at $32{\times}$. Taper and diameter at $D_1$ to $D_{16}$ of each files were calculated digitally with AnalySIS TS Materials (OLYMPUS Soft Imaging Solutions). Differences in taper, the diameter of each level ($D_1$ to $D_{16}$) at 1 mm interval from (ANSI/ADA) specification No. 101 were statistically analyzed using one-way ANOVA and Scheffe's post-hoc test at 95% confidence level. Results: TF was the only group not conform to the nominal taper in both tapers (p < 0.05). All groups except 0.06 taper ProFile showed significant difference from the nominal diameter (p < 0.05). Conclusions: Actual size of Ni-Ti file, especially TF, was different from the manufacturer's statements.

• Restorative Dentistry and Endodontics
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• v.37 no.2
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• pp.79-83
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• 2012

Objectives: The purpose of this study was to evaluate the relation between intentionally induced internal stress and cyclic fatigue failure of .06 taper ProFile. Materials and Methods: Length 25 mm, .06 taper ProFile (Dentsply Maillefer), and size 20, 25, 30, 35 and 40 were used in this study. To give the internal stress, the rotary NiTi files were put into the .02 taper, Endo-Training-Bloc (Dentsply Maillefer) until auto-stop by torque controlled motor. Rotary NiTi files were grouped by the number of induced internal stress and randomly distributed among one control group and three experimental groups (n = 10, Stress 0 [control], Stress 1, Stress 2 and Stress 3). For cyclic fatigue measurement, time for separation of the rotary NiTi files was recorded. The fractured surfaces were observed by field emission scanning electron microscope (FE-SEM, SU-70, Hitachi). The time for separation was statistically analyzed using two-way ANOVA and post-hoc Scheffe test at 95% level. Results: In .06 taper ProFile size 20, 25, 30, 35 and 40, there were statistically significant difference on time for separation between control group and the other groups (p < 0.05). Conclusion: In the limitation of this study, cyclic fatigue failure of .06 taper ProFile is influenced by internal stress accumulated in the files.

• Restorative Dentistry and Endodontics
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• v.33 no.4
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• pp.323-331
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• 2008

Flexibility and fracture properties determine the performance of NiTi rotary instruments. The purpose of this study was to evaluate how geometrical differences between three NiTi instruments affect the deformation and stress distributions under bending and torsional conditions using finite element analysis. Three NiTi files (ProFile .06 / #30, F3 of ProTaper and ProTaper Universal) were scanned using a Micro-CT. The obtained structural geometries were meshed with linear, eight-noded hexahedral elements. The mechanical behavior (deformation and von Mises equivalent stress) of the three endodontic instruments were analyzed under four bending and rotational conditions using ABAQUS finite element analysis software. The nonlinear mechanical behavior of the NiTi was taken into account. The U-shaped cross sectional geometry of ProFile showed the highest flexibility of the three file models. The ProTaper, which has a convex triangular cross-section, was the most stiff file model. For the same deflection, the ProTaper required more force to reach the same deflection as the other models, and needed more torque than other models for the same amount of rotation. The highest von Mises stress value was found at the groove area in the cross-section of the ProTaper Universal. Under torsion, all files showed highest stresses at their groove area. The ProFile showed highest von Mises stress value under the same torsional moment while the ProTaper Universal showed the highest value under same rotational angle.

• Restorative Dentistry and Endodontics
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• v.23 no.1
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• pp.477-486
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• 1998

Recently the development of rotary instrument makes it possible that in root canal treatment operator saves much more time, maintans original curved canal shape and easily prepares continuous tapered root canal. The purpose of this experiment was to examine the smoothness of the internal surface of prepared root canal and the effectiveness of debridement in prepared root canal by SEM for the comparison of hand and Ni-Ti rotary instrument. 25 extracted human teeth were access opened and # 10 K-type file was introduced into canal until it was appeared at the apical foramen. The working length was established by subtracting 0.5mm from this measurement. Group 1. The root canal preparation was done to # 30 with working length and then step-back until # 45 with K-Flexofile (Maillefer, Swiss). Group 2. Root canal preparation was done by Naviflex Ni-Ti file (Brasseler, USA) as the same technique with group 1. Group 3. Canal was prepared by Profile .04 (Maillefer, Swiss) taper until #30. Group 4. With use of Quantec (Tycom, USA) root canal was prepared from file number 1 to 8. In group 1 and 2, the root canal irrigant was NaOCl and the other groups, NaOCl and RC-prep (Premine Dental Products, USA) was used. The prepared teeth were notched with high-speed bur as bucco-lingual direction and fractured with chisel and mallet, then examined with SEM. Group 1 showed smooth internal surface. There were scratches mainly to the axial direction. Group 2 showed similar characteristics to those in group 1. Group 3 showed more smoother and linear cutting surface with bised scratches. Group 4 has the almost same characteristics group 3 and there was no difference in the file design. Ni-Ti rotary root canal instrument prepare the dentinal wall more smoother than hand instrument. The effectiveness of debridement was not fully affected by file design. The isthmus area and accessory canals of the root canal system were not prepared in any group. According to the result, hand and rotary type instrumentation techniques were effective in removal of major amount of tissue from root canal but it was not complete. In the direction of cutting movement there was difference between them.

• Restorative Dentistry and Endodontics
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• v.30 no.5
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• pp.393-401
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• 2005

The purpose of this study was to compare the canal configuration after shaping by ProTaper rotary files and ProTaper hand files in resin simulated canals. Forty resin simulated canals with a curvature of J-shape and S-shape were divided into four groups by 10 blocks each Simulated root canals in resin block were prepared by ProTaper rotary files and ProTaper hand files using a crown-down pressureless technique All simulated canals were prepared up to size $\#25$ file at end-point of preparation. Pre- and post-instrumentation images were recorded with color scanner. Assessment of canal shape was completed with an image analysis program. Measurements were made at 0, 1, 2, 3, 4, 5, 6 and 7 mm from the apex. At each level, outer canal width, inner canal width, total canal width, and amount of transportation from original axis were recorded. Instrumentation time was recorded. The data were analyzed statistically using independent t-test. The result was that ProTaper hand files cause significantly less canal transportation from original axis of canal body and maintain original canal configuration better than ProTaper rotary files, however ProTaper hand files take more shaping time.