• Restorative Dentistry and Endodontics
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• v.30 no.4
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• pp.294-302
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• 2005

The purpose of this study was to evaluate the canal configuration after shaping by ProFile. ProTaper and K-Flexofile in simulated resin canals with different angles of curvature. Three types of instruments were used: ProFile. ProTaper. K-Flexofile. Simulated root canals. which were made of epoxy resin. were prepared by ProFile. ProTaper with rotary instrument using a crown-down pressureless technique. and hand instrumentation was performed by K-Flexofile using a step-back technique. All simulated. canals were prepared up to size 25 file at end-point of preparation. Pre and post instrumentation images were recorded with Scanner. Assessment of canal shape was completed with Image Analysis program. Measurements were made at 1. 2. 3. 4. 5. 6. 7. 8. 9 and 10mm from the apex. At each level. outer canal width. inner canal width. total canal width. and amount of transportation from original axis were recorded. Instrument deformation and fracture were recorded. Data were analyzed by means of one-way ANOVA analysis of variance and the Sheffe's test. The result was that ProFile and ProTaper maintain original canal shape regardless of the increase of angle of curvature than K-Flexofile. ProFile show significantly less canal transportation and maintained original canal shape better than ProTaper.

• The Journal of the Korean dental association
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• v.45 no.6 s.457
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• pp.362-369
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• 2007

The aim of this study was to investigate the effect of the hybrid instrumentation method with ProTaper and ProFile on the change of root canal area and distance from the canal to the root surface after canal shaping. The mesial canals of twenty extracted mandibular first molars having $10-20^{\circ}\Delta$ curvature were scanned using X-ray microcomputed tomography (XMCT)-scanner before root canals were instrumented. They were divided into four groups (n=10 canals ter group). In Group 1, root canals were instrumented by the step-back technique with stainless steel K-Flexofile after coronal flaring. The remainders were instrumented by the crown-down technique with, ProTaper system (Group 2), ProFile (Group 3) or ProTaper (Group 4). All canals were prepared up to size 25 at the end-point of preparation and scanned again. Pre- and post-operative cross-sectional images of 1, 3, 5, and 7 mm from the apical foramen were compared. For each level, change of cross-sectional canal are and distance to the nearest external root surface was calculated using Adobe Photoshop 6.0 and image software program. In the change of cross-sectional area, Group 4 was less than Group 2 at 3 mm and 5 mm level (p<0.05). In the difference of the distance from the canal to the root surface after canal shaping, Group 4 was least among the other groups at 7 mm level (p<0.05). According to the results, the methods using ProFile or K file only and the hybrid instrumentation technique using ProTaper and ProFile are more appropriate methods of canal preparation than ProTaper system for narrow of curved canals.

• Restorative Dentistry and Endodontics
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• v.26 no.3
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• pp.200-205
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• 2001

이 연구의 목적은 만곡 근관에서 다양한 크기로 근첨을 형성하였을 때 형성 전후의 근관의 전이 정도를 분석하고자 하는 것이다. 만곡된 근관을 가진 투명한 레진블럭 상에서 ProFile .06 taper와 K-flexofile을 이용하여 각각 근관형성을 시행하고 이를 똑같은 위치가 재현가능한 고정틀에 위치시킨 후 사진의 이중노출 기법을 이용하여 근관형성 전후의 근관의 전이정도를 분석한 결과 다음과 같은 결과를 얻었다. 1. ProFile의 경우 형성된 근관이 taper한데 비해 K-flexofiles의 경우 형성된 근관이 taper하지 못하고 확대가 더 컸다. K-flexofiles의 경우 ProFile의 경우보다 근첨 0~6mm 부위에서 유의하게 더 굵었다(p<0.05). 2. 만곡외측으로의 확대양상은 ProFile의 경우 대체적으로 taper하나 근첨 3~4mm부위가 약간 굵었다. K-flexofile의 경우 만곡외측으로의 확대양상은 taper하지 못하고 불규칙하였다. ProFile에 비해 근첨 0~2mm에서 유의하게 확대가 더 컸다(p<0.05). 3. 만곡내측으로의 확대양상은 모든 군에서 taper하였으나 K-flexofile의 경우 ProFile의 경우보다 확대가 더 컸다. K-flexofile의 경우 ProFile에 비해 근첨 3~5mm부위에서 유의하게 확대가 더 컸다(p<0.05).

• Restorative Dentistry and Endodontics
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• v.32 no.2
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• pp.87-94
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• 2007

This study was done to evaluate transportation of the apical foramen after 0.5 mm overinstrumentation by ProFile, ProTaper and $K^3$ in simulated resin root canal. Sixty simulated resin root canal with a curvature of J and S-shape were divided into two groups. Each group consisted of three subgroups with 10 blocks according to the instruments used: $ProFile^{(R)},\;ProTaper^{TM},\;and\;K^{3TM}$. Simulated resin root canal was prepared by ProFile, ProTaper and $K^3$ with 300 rpm by the crown-down preparation technique. Pre- and post-instrumentation apical foramen images were overlapped and recorded with Image-analyzing microscope 100X (Camcope, Sometech Inc, Korea). The amounts of difference in width and dimension on overlapped images were measured after reference points were determined by Image Analysis program ($Image-Pro^{(R)}$ Express, Media Cybernetic, USA). Data were analyzed using Kruskal-Wallis and Mann-Whitney U-test. The results suggest that ProFile showed significantly less canal transportation and maintained original apical foramen shape better than $K^3$ and ProTaper.

• Restorative Dentistry and Endodontics
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• v.31 no.1
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• pp.11-19
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• 2006

The purpose of this study was to compare and evaluate the shaping abilities of various hybrid instrumentation method using constant tapered file systems with $ProTaper\^{(R)}$ S1 and the difference between experts and inexperienced clinicians in use of NiTi file. Three hybrid methods used in this study were composed of $ProTaper\^{(R)}\;S1\;and\;K-Flexofile\^{(R)}\;(group S),\;ProTaper\^{(R)}\;S1\;and\;HeroShaper\^{(R)}\;(group\;H),\;and\;ProTaper\^{(R)}\;S1\;and\;ProFile\^{(R)}\;(group\;P)$respectively. The $ProTaper\^{(R)}$-alone method (group C) was introduced as a control group. After canal preparation, the lapse of time was recorded. The images of pre- and post-operative canal were scanned and superimposed. Amounts of instrumented canal widths and centering ratio were measured at apical 1, 2 and 3 mm levels and statistical analysis was performed In this study. both of the group C and S took more time to prepare canals than other groups, Inexperienced operators required more time for the entire preparation with the groups C and H than the experienced (p<0.05). And the centering ratio of group P were preferable to $ProTaper\^{(R)}$-alone method or the hybrid technique using stainless steel files. As such, within experienced operators, group H also showed better results in addition to the group P. Under these condition, the hybrid methods of each the $ProFile^{(R)}$ system and $HeroShaper^{(R)}$ with ProTaper are recommendable comparative to $ProTaper\^{(R)}$-alone method. According to the results, the hybrid instrumentation method is a more appropriate method of canal preparation than single file system for narrow or curved canals.

• Restorative Dentistry and Endodontics
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• v.31 no.1
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• pp.50-57
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• 2006

The purpose of this study was to investigate influence of each file step of $ProTaper^{(R)}$ system on canal transportation. Twenty simulated canals were prepared with either engine-driven $ProTaper^{(R)}$ or manual $ProTaper^{(R)}$, Group R-resin blocks were instrumented with rotary $ProTaper^{(R)}$ and group M-resin blocks were instrumented with manual $ProTaper^{(R)}$. Pre-operative resin blocks and post-operative resin blocks after each file step preparation were scanned. Original canal image and the image after using each file step were superimposed for calculation of centering ratio The image after using each file step alld image after using previous file step were superimposed for calculation of the amount of deviation. Measurements were taken horizontally at five different levels (1 2, 3, 4 and 5 mm) from the level of apical foramen. In rotary $ProTaper^{(R)}$ instrumentation group, centering ratio and the amount of deviation of each step at all levels were not significantly different (p>0.05). In manual $ProTaper^{(R)}$ instrumentation group, centering ratio and the amount of deviation of each step at all levels except of 1 mm were not significantly different (p>0.05). At the level of 1 mn, F2 file step had significantly large centering ratio and the amount of deviation (p<0.05). Under the condition of this study, F2 file step of manual ProTaper tended to transport the apical part of the canals than that of rotary $ProTaper^{(R)}$.

• Journal of Dental Rehabilitation and Applied Science
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• v.30 no.2
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• pp.121-130
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• 2014

Purpose: To assess the surface profile of dentinal wall, dentin chips and smear layer during the canal shaping with rotary (ProTaper) and ProFile and reciprocating (WaveOne) nickel-titanium file. Materials and Methods: Sixty human extracted mandibular premolars and incisors with single canals were randomly selected. Three experimental groups (n = 20) were instrumented with ProTaper (F2), ProFile (25/.06), WaveOne (25/.08) with irrigation of 2.5% NaOCl. The dentin chips were collected from flute of file during each canal preparation. After canal preparation, roots were grinded and each group was divided into two subgroups (n = 10) for surface profile and smear layer of dentinal wall of shaped root canal. Each specimen was observed under scanning electron microscope for evaluating size of dentin chips, root canal surface recessions and smear layer. Scores of Smear layer were statistically analyzed using Kruskal Wallis test and Mann Whitney test at P = 0.05 level. Results: The size of dentin chips from ProFile, ProTaper and WaveOne was up to $7{\mu}m$, $6.5{\mu}m$, and$4{\mu}m$, respectively. In the surface profile, the width of surface irregularity was measured and Profile, ProTaper and WaveOne was up to $150{\mu}m$, $70{\mu}m$, and $80{\mu}m$, respectively. Completely cleaned root canals were not found. In the middle and apical third of the canals, WaveOne group showed higher smear layer score than ProFile and ProTaper groups (P < 0.05). Conclusion: Within limits of this study, reciprocating motion WaveOne group was not significant difference of shaping ability with the full-sequence ProFile and ProTaper systems except canal clearness of middle and apical third of root canal. When using WaveOne to shaping root canal, thorough root canal irrigation is recommended.

• 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.30 no.1
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• pp.38-48
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• 2005

The purpose of this study was to compare and evaluate the shaping ability of the three different Ni-Ti file systems used by undergraduate students. Fifty undergraduate students prepared 150 simulated curved root canals in resin blocks with three Ni-Ti file systems - $ProFile^{(R)}$ (PF), Manual $ProTaper^{(R)}$ (MPT), Rotary $ProTaper^{(R)}$ (RPT). Every student prepared 3 simulated root canals with each system respectively. After root canal preparation, the Ni-Ti files were evaluated for distortion or breakage Assessments were made according to the presence of various types of canal aberrations. The pre- and post-instrumented canal images were attained and superimposed. The instrumented root canal width were measured and calculated for the net transportation (deviation) and the centering ratio. Under the condition of this study, both $ProTaper^{(R)}$ systems allowed significantly more removal of root canal wall than the $ProFile^{(R)}$ system. In the important other aspects such as the centering ratio, there was no significant differences between the systems. Novice dental students were able to prepare curved root canals with any kinds of Ni-Ti file systems with little aberration and great conservation of tooth structure. Students want to learn effective methods and at the same time simple rotary procedures. The rotary $ProTaper^{(R)}$ systems were one of the most compatible to these students from the point of view of cutting ability The $ProFile^{(R)}$ system was also compatible in safe and gentle shaping.

• 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.