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46 Results Found

  • Article
  • Open Access
2 Citations
3,072 Views
13 Pages

22 December 2019

This study investigated the cyclic fatigue resistance of three brands of nickel-titanium rotary files—Unicone (size 25 0.06; Medin), Navigator Evo (W-4; size 25 0.06; Medin) and Protaper Next (X2; size 25 0.06 Dentsply Tulsa Dental)—in re...

  • Article
  • Open Access
2 Citations
3,846 Views
10 Pages

Quantitative Evaluation of Apically Extruded Debris of Root Canal Dentin Layer with WaveOne, ProTaper Next, ProTaper Gold Rotary File Systems

  • Muhammad Ali,
  • Muhammad Adeel Ahmed,
  • Azeem Ul Yaqin Syed,
  • Asmat Jamil,
  • Seher Pervaiz Khan,
  • Ahmed A. AlMokhatieb,
  • Abdulaziz Abdulwahed,
  • Khulud A. Al-Aali,
  • Fahim Vohra and
  • Tariq Abduljabbar

26 March 2022

Endodontic flare-up or post-operative pain occurs when debris such as necrotic pulp tissue, dentin chips, irrigants, and microorganisms are extruded from the apical foramen intraoperatively into the periradicular tissue during root canal instrumentat...

  • Article
  • Open Access
14 Citations
3,124 Views
8 Pages

14 November 2020

Background: Root canal preparation during endodontic treatment may be associated with various complications, including a change in the original pathway of the root canal lumen. The aim of our study was to determine whether files of similar sizes that...

  • Article
  • Open Access
18 Citations
3,022 Views
7 Pages

21 October 2021

(1) Background: Apical extrusion of debris is an example of a complication that may arise during root canal treatment, and it has been proven to be an unavoidable occurrence during endodontic treatment by numerous authors. Even though it may not hind...

  • Article
  • Open Access
365 Views
16 Pages

Comparative Analysis of Rotary Systems in Curved Root Canals: Evaluation of Wear, Transportation, and Centering Capacity

  • Siri Paulo,
  • Pedro Zagalo,
  • Beatriz Louro,
  • Ricardo Jorge Teixo,
  • José Pedro Martinho,
  • Tiago Nóbrega,
  • Anabela Paula,
  • Carlos Miguel Marto,
  • Diogo Fonseca and
  • Manuel Marques Ferreira

5 February 2026

Background/Objectives: Root canal instrumentation has a crucial role in the success of endodontic treatment. However, management of curved root canals remains a challenge. This study aimed to compare the performance of four rotatory file systems, Pro...

  • Article
  • Open Access
15 Citations
5,866 Views
10 Pages

Failure Analysis and Reliability of Ni–Ti-Based Dental Rotary Files Subjected to Cyclic Fatigue

  • Abdullah Alqedairi,
  • Hussam Alfawaz,
  • Amani Bin Rabba,
  • Areej Almutairi,
  • Sarah Alnafaiy and
  • Muneer Khan Mohammed

6 January 2018

The cyclic fatigue resistance of ProTaper Universal (PTU), ProTaper Gold (PTG), and ProTaper Next (PTN) nickel titanium (NiTi) rotary files was evaluated. Fifteen instruments of each type were selected, totaling 195 files. The instruments were rotate...

  • Article
  • Open Access
1 Citations
3,503 Views
11 Pages

3 December 2021

(1) Background: Root canal preparation constitutes an important factor for success in endodontics. However, various complications may occur during this stage. The aim of this study was to compare the incidence of cracks within radicular dentin after...

  • Article
  • Open Access
14 Citations
6,632 Views
12 Pages

Postoperative Pain Following Root Canal Instrumentation Using ProTaper Next or Reciproc in Asymptomatic Molars: A Randomized Controlled Single-Blind Clinical Trial

  • Patrícia Santos Oliveira,
  • Meire Coelho Ferreira,
  • Natália Gomes Nascimento Paula,
  • Alessandro Dourado Loguercio,
  • Renata Grazziotin-Soares,
  • Gisele Rodrigues da Silva,
  • Helena Cristina Santos da Mata,
  • José Bauer and
  • Ceci Nunes Carvalho

1 July 2022

Aim: The development of postoperative pain following root canal instrumentation may impair patient’s comfort and undermine their trust in the dentist. This study assessed the effect of root canal instrumentation techniques (rotary (PTN; ProTape...

  • Article
  • Open Access
8 Citations
2,622 Views
9 Pages

Effect of Different Downward Loads on Canal Centering Ability, Vertical Force, and Torque Generation during Nickel–Titanium Rotary Instrumentation

  • Keiichiro Maki,
  • Arata Ebihara,
  • Hayate Unno,
  • Satoshi Omori,
  • Taro Nakatsukasa,
  • Shunsuke Kimura and
  • Takashi Okiji

7 April 2022

This study aimed to examine how downward loads influence the torque/force and shaping outcome of ProTaper NEXT (PTN) rotary instrumentation. PTN X1, X2, and X3 were used to prepare J-shaped resin canals employing a load-controlled automated instrumen...

  • Article
  • Open Access
23 Citations
4,532 Views
11 Pages

12 May 2020

Objectives: This study aims to evaluate the efficacy of the rotary instrument XP-endo Finisher for the removal of Ca(OH)2 aided by different irrigation regimens. Methods: Sixteen double-rooted upper premolar human teeth were selected for the study. T...

  • Review
  • Open Access
55 Citations
6,707 Views
18 Pages

Dentinal Microcracks after Root Canal Instrumentation Using Instruments Manufactured with Different NiTi Alloys and the SAF System: A Systematic Review

  • Kashmira Sawant,
  • Ajinkya M. Pawar,
  • Kulvinder Singh Banga,
  • Ricardo Machado,
  • Mohmed Isaqali Karobari,
  • Anand Marya,
  • Pietro Messina and
  • Giuseppe Alessandro Scardina

28 May 2021

Aim: The aim of this systematic analysis was to assess the prevalence of dentinal microcracks at various levels (3, 6, and 9 mm from the apex) after using instruments made with conventional, R-Phase, and M-Wire NiTi alloys and the SAF system. Materia...

  • Article
  • Open Access
4 Citations
3,212 Views
10 Pages

19 February 2023

The present study aims to measure the number of cycles leading to fracture (NCF) of instruments in static and dynamic cyclic fatigue situations under body temperature in stainless steel double-curved canals. The framework was constructed to establish...

  • Article
  • Open Access
23 Citations
3,957 Views
16 Pages

The Influence of NiTi Alloy on the Cyclic Fatigue Resistance of Endodontic Files

  • Celia Ruiz-Sánchez,
  • Vicente Faus-Llácer,
  • Ignacio Faus-Matoses,
  • Álvaro Zubizarreta-Macho,
  • Salvatore Sauro and
  • Vicente Faus-Matoses

21 November 2020

Background: The aim of this study was to analyze the influence of NiTi alloy in endodontic rotary instruments on cyclic fatigue resistance. Methods: One hundred and sixty-four (164) sterile endodontic rotary files were selected and distributed into t...

  • Article
  • Open Access
5 Citations
2,447 Views
16 Pages

A Comparative Analysis of ProTaper Ultimate and Five Multifile Systems: Design, Metallurgy, and Mechanical Performance

  • Jorge N. R. Martins,
  • Emmanuel João Nogueira Leal Silva,
  • Victor Talarico Leal Vieira,
  • Rui Pereira da Costa,
  • Abayomi O. Baruwa,
  • Francisco Manuel Braz Fernandes and
  • Marco Aurélio Versiani

13 March 2025

The present research compared the design, metallurgical properties, and mechanical characteristics of the ProTaper Ultimate instruments with five multifile systems. A total of 469 new nickel–titanium rotary finishing instruments, all 25 mm in l...

  • Article
  • Open Access
7 Citations
3,852 Views
9 Pages

1 August 2020

Background: This work aimed to evaluate the efficacy of sonic agitation of a binary mixture of solvents (methyl ethyl ketone/tetrachloroethylene) on filling remnants removal and compare the effects of solvent agitation with the enlargement to the nex...

  • Article
  • Open Access
1 Citations
3,396 Views
8 Pages

Cyclic Fatigue, Torsional Resistance, and Angular Deflection of Two Heat-Treated Files: M-Wire Versus New F-Wire Technology

  • Ajinkya M. Pawar,
  • Unmesh Khanvilkar,
  • Shivani Mallishery,
  • Kashmira Sawant,
  • Ricardo Machado,
  • Gianluca Plotino,
  • Alexander Maniangat Luke,
  • Simy Mathew,
  • Musab Hamed Saeed and
  • Krishna Prasad Shetty

12 October 2020

The cyclic fatigue, torsional resistance, and angular deflection of a new Fire-Wire rotary file (CricENDO) were compared. A total of 20 files of each type were tested. Cyclic fatigue testing was performed for each group (n = 10) by measuring the numb...

  • Article
  • Open Access
5 Citations
3,902 Views
7 Pages

29 December 2021

Background and Objectives: Postoperative pain is a common symptom of a flare-up after root canal treatments (RCTs). Insufficient instrumentation, extrusion of irrigation solutions and debris, and the existence of a periapical lesion are the factors a...

  • Article
  • Open Access
11 Citations
4,475 Views
8 Pages

Effect of Hand and Rotary Instruments on the Fracture Resistance of Teeth: An In Vitro Study

  • Nisha Acharya,
  • Md Riasat Hasan,
  • Dashrath Kafle,
  • Anil Chakradhar and
  • Takashi Saito

29 April 2020

Objective: Endodontic treatment should be both conservative and effective. Endodontic instruments with a greater taper are used for coronal flaring, for proper debridement with efficient irrigation. However, increased taper of an instrument can remov...

  • Article
  • Open Access
1,603 Views
12 Pages

A Comparative Study of Temperature Variations in Incisor Root Surfaces During Root Canal Preparation Using Various Rotary Systems and Irrigation Protocols

  • Mihai Paven,
  • Adrian-George Marinescu,
  • Osama Abuabboud,
  • Laura-Elena Cirligeriu,
  • Luminita Maria Nica,
  • Vlad Tiberiu Alexa,
  • Ruxandra Sava Rosianu,
  • Atena Galuscan and
  • Roxana Oancea

9 December 2024

Background/Objectives: This study investigates the temperature changes on the external root surface during root canal preparation using different rotary systems and assesses the impact of irrigation temperatures. Methods: Sixty extracted human maxill...

  • Article
  • Open Access
5 Citations
2,405 Views
9 Pages

30 September 2024

Objectives: The objective of the present study was to evaluate the cyclic fatigue strength of clockwise cutting rotary endodontic instruments when subjected to two different kinematics: continuous clockwise rotation and clockwise reciprocation moveme...

  • Article
  • Open Access
6 Citations
5,838 Views
15 Pages

Experimental Study of the Effects of Torsional Loading on Three Types of Nickel-Titanium Endodontic Instruments

  • Andreea-Simona Boscornea-Pușcu,
  • Laura Orel,
  • Oana-Alexandra Velea-Barta,
  • Razvan Mihai Horhat,
  • Meda-Lavinia Negruțiu,
  • Luminița Maria Nica,
  • Virgil-Florin Duma,
  • Dan Ioan Stoia,
  • Carmen Opriș and
  • Cosmin Sinescu

5 August 2021

In modern endodontics, nickel-titanium (NiTi) rotary instruments are used on a large scale for root canal shaping. Nevertheless, the separation of an instrument is a serious concern during shaping. The aim of this study is to determine and compare th...

  • Article
  • Open Access
19 Citations
3,634 Views
9 Pages

Evaluation of Pressure Distribution against Root Canal Walls of NiTi Rotary Instruments by Finite Element Analysis

  • Giorgia Carpegna,
  • Mario Alovisi,
  • Davide Salvatore Paolino,
  • Andrea Marchetti,
  • Umberto Gibello,
  • Nicola Scotti,
  • Damiano Pasqualini,
  • Alessandro Scattina,
  • Giorgio Chiandussi and
  • Elio Berutti

24 April 2020

The aim of this study was to evaluate the contact pressure distribution of two different nickel-titanium (NiTi) endodontic rotary instruments against the root canal walls and to virtually predict their centering ability during shaping with finite ele...

  • Article
  • Open Access
2 Citations
1,520 Views
11 Pages

Comparative Retreatment Efficacy of Two Multi-File Systems with Different Access Cavity Designs: A Micro-Computed Tomography Study

  • Emine Odabaşı Tezer,
  • Dilan Kırmızı,
  • Mohamad Abduljalil,
  • Fatma Basmacı,
  • Arda Buyuksungur and
  • Meltem Dartar Öztan

2 December 2024

Background and Objectives: The access cavity design and instrumentation system could affect the remaining root canal obturation materials in root canal retreatment. This study aimed to evaluate the efficiency of two different multi-file systems in re...

  • Article
  • Open Access
9 Citations
2,792 Views
9 Pages

Micro-Computed Tomography Evaluation of Minimally Invasive Shaping Systems in Mandibular First Molars

  • Elio Berutti,
  • Edoardo Moccia,
  • Stefano Lavino,
  • Stefania Multari,
  • Giorgia Carpegna,
  • Nicola Scotti,
  • Damiano Pasqualini and
  • Mario Alovisi

8 August 2022

The aim of this study was to compare the shaping ability of a modified ProTaper Next technique (PTNm) with that of TruNatomy (TN) in lower molars mesial curved canals using micro-computed tomography (Micro-CT). Sixty mesial canals of first mandibular...

  • Article
  • Open Access
1 Citations
1,965 Views
12 Pages

Quantitative Assessment of Apically Extruded Debris During Retreatment Procedures Using Three Nickel-Titanium Rotary Systems: An In Vitro Comparative Study

  • Luigi Generali,
  • Federica Veneri,
  • Francesco Cavani,
  • Vittorio Checchi,
  • Carlo Bertoldi,
  • Angela Lucia Ingrosso,
  • Giusy Rita Maria La Rosa and
  • Eugenio Pedullà

26 November 2024

Objectives: Apical extrusion of debris can affect the success of endodontic treatments, and the specific performance of certain retreatment systems has not been studied yet. Therefore, the aim of this in vitro study was to quantitatively assess the a...

  • Article
  • Open Access
3,424 Views
11 Pages

Comparative Analysis of Nickel–Titanium Instrumentation Systems for Root Canal Anatomy Preservation: An In Vitro Study

  • Eszter Nagy,
  • Niki Kotaki,
  • Máté Dudás,
  • Dániel Gerhard Gryschka,
  • Gábor Braunitzer and
  • Mark Adam Antal

5 January 2025

This study aimed to evaluate the efficacy of various nickel–titanium (Ni-Ti) root canal instrumentation systems in preserving root canal anatomy, focusing on their capacity to limit changes in canal angulation. One hundred canals in fifty extra...

  • Article
  • Open Access
4 Citations
4,224 Views
8 Pages

20 November 2020

Nickel-titanium (NiTi) endodontic rotary instruments are used extensively in root canal procedures by both general dentists and specialists. However, their vulnerability to fracture is the major reason for clinicians’ concern regarding their us...

  • Article
  • Open Access
1 Citations
1,302 Views
19 Pages

Bond Strength of an Epoxy Resin Root Canal Sealer Prototype

  • Matthias J. Roggendorf,
  • Hubert C. Roggendorf,
  • Markus Müller-Krott,
  • Franz-Josef Faber and
  • Roland Frankenberger

9 September 2025

Background/Objectives: We aimed to assess the bond strength of AH Plus Jet (AH) and an epoxy resin-based root canal sealer prototype (K-0189) adhered to three different obturation points. Methods: A total of 120 single-rooted teeth were selected afte...

  • Review
  • Open Access
206 Views
18 Pages

CBCT in Evaluation of Root Canal Preparation—A Scoping Review

  • Andreia Vidal,
  • Ana Moura Teles,
  • Miguel Cardoso,
  • Maria Bartolomeu and
  • Rita Noites

14 February 2026

Cone-beam computed tomography (CBCT) is widely utilized in endodontics for evaluating root canal shaping outcomes, offering critical three-dimensional imaging capabilities. This study aims to assess the differences in apical and root canal preparatio...

  • Article
  • Open Access
3 Citations
4,227 Views
13 Pages

12 December 2023

This study aimed to assess the amount of erosion during activated endodontic irrigation with either HEDP or EDTA via high-resolution micro-computed tomography. Two root canals of twenty premolars were prepared with ProTaper Next and irrigated with so...

  • Article
  • Open Access
2 Citations
2,651 Views
10 Pages

A Novel Technique for Identification of Wear Values at Different Lengths after Multiple Clinical Use of Different File Systems

  • Neslihan Yılmaz Çırakoğlu,
  • Ersan Çiçek,
  • Cevat Özarpa,
  • Yağız Özbay and
  • Olcay Özdemir

18 August 2022

Introduction The purpose of this research is to assess the wearing of the rotary file system (Protaper Next) and reciprocating file systems (Reciproc Blue and WaveOne Gold) at different lengths using a novel technique after in vivo clinical use. Mate...

  • Article
  • Open Access
9 Citations
3,007 Views
12 Pages

Mechanical Properties and Root Canal Shaping Ability of a Nickel–Titanium Rotary System for Minimally Invasive Endodontic Treatment: A Comparative In Vitro Study

  • Hayate Unno,
  • Arata Ebihara,
  • Keiko Hirano,
  • Yuka Kasuga,
  • Satoshi Omori,
  • Taro Nakatsukasa,
  • Shunsuke Kimura,
  • Keiichiro Maki and
  • Takashi Okiji

9 November 2022

Selection of an appropriate nickel–titanium (NiTi) rotary system is important for minimally invasive endodontic treatment, which aims to preserve as much root canal dentin as possible. This study aimed to evaluate selected mechanical properties...

  • Article
  • Open Access
9 Citations
3,740 Views
9 Pages

The removal of filling material is important for successful root canal retreatment. The aim of the study was to compare the efficiency of two activated irrigation techniques, the shock wave-enhanced emission photoacoustic streaming (SWEEPS) mode of t...

  • Feature Paper
  • Article
  • Open Access
13 Citations
5,040 Views
9 Pages

28 May 2019

The present study evaluated the porosity distribution of BioRoot RCS/single gutta-percha point (BR/SC) and MTA flow (MF) fillings, which were used as plugs for the apical perforation repair in curved canals of extracted mandibular molars using micro-...

  • Feature Paper
  • Article
  • Open Access
16 Citations
3,491 Views
8 Pages

CBCT-Based Assessment of Vapor Lock Effects on Endodontic Disinfection

  • Francesco Puleio,
  • Angelo Sergio Lizio,
  • Valentina Coppini,
  • Roberto Lo Giudice and
  • Giuseppe Lo Giudice

23 August 2023

Background: The phenomenon of vapor lock, characterized by the formation of gas bubbles, poses challenges in achieving effective cleaning and debridement during endodontic treatments. This study aimed to evaluate the presence of vapor lock and to qua...

  • Article
  • Open Access
4 Citations
4,060 Views
14 Pages

Post-Operative Quality of Life after Single-Visit Root Canal Treatment Employing Three Different Instrumentation Techniques—An Institutional Randomized Clinical Trial

  • Vathsalya Shetty,
  • Shalini Yelke,
  • Dian Agustin Wahjuningrum,
  • Alexander Maniangat Luke,
  • Luca Testarelli,
  • Luciano Giardino and
  • Ajinkya M. Pawar

15 February 2023

Root canal treatment (RCT) eliminates damaged pulpal tissue and protects the tooth from recurrent microbial invasion. Post-endodontic pain (PEP) is a frequently encountered complication of root canal therapy. It can have an impact on patients’...

  • Article
  • Open Access
6 Citations
3,389 Views
11 Pages

Cytotoxicity and Efficacy in Debris and Smear Layer Removal of HOCl-Based Irrigating Solution: An In Vitro Study

  • Goda Bilvinaite,
  • Ruta Zongolaviciute,
  • Saulius Drukteinis,
  • Virginija Bukelskiene and
  • Elisabetta Cotti

In the present study we evaluated the cytotoxicity of super-oxidized water on human gingival fibroblasts and its efficacy in debris and smear layer removal from root canal walls. Cultured gingival fibroblasts were exposed to super-oxidized water (Ste...

  • Article
  • Open Access
6 Citations
3,162 Views
10 Pages

Can Type of Instrumentation and Activation of the Final Irrigant Improve the Obturation Quality in Oval Root Canals? A Push-Out Bond Strength Study

  • Ajinkya M. Pawar,
  • Anda Kfir,
  • Zvi Metzger,
  • Anuj Bhardwaj,
  • Yeyen Yohana,
  • Dian Agustin Wahjuningrun,
  • Alexander Maniangat Luke and
  • Bhaggyashri A. Pawar

1 January 2022

To appraise the outcome of file systems and activation of the final irrigant on the push-out bond strength of root fillings in oval canals. Single-rooted mandibular premolars (n = 180) with oval canals were divided into three groups (n = 60) for inst...

  • Article
  • Open Access
8 Citations
2,954 Views
11 Pages

27 October 2021

The present study evaluated the effect of ultrasonic agitation on the porosity distribution of BioRoot RCS/single gutta-percha cone (BR/SC) and MTA Flow (MF) root canals fillings used as apical plugs in moderately curved and apically perforated roots...

  • Article
  • Open Access
21 Citations
3,886 Views
11 Pages

Influence of Photon-Induced Photoacoustic Streaming (PIPS) on Root Canal Disinfection and Post-Operative Pain: A Randomized Clinical Trial

  • Narcisa Mandras,
  • Damiano Pasqualini,
  • Janira Roana,
  • Vivian Tullio,
  • Giuliana Banche,
  • Elena Gianello,
  • Francesca Bonino,
  • Anna Maria Cuffini,
  • Elio Berutti and
  • Mario Alovisi

2 December 2020

The aim of this study was to evaluate the ability of a PIPS (photon-induced photoacoustic streaming) Er:YAG laser to reduce the root canal system bacterial count in vivo in comparison to the traditional irrigation technique. The post-operative patien...

  • Article
  • Open Access
3 Citations
3,424 Views
15 Pages

20 May 2025

Background/Objectives: This study aimed to assess and compare the elimination of the smear layer and microhardness of dentin in root canals after sequential versus continuous chelation using different agitation techniques. Methods: Sixty-four palatal...

  • Article
  • Open Access
22 Citations
3,364 Views
10 Pages

17 April 2020

This study aimed to evaluate the effect of adaptive motion applied to conventional nickel-titanium (NiTi) rotary instruments on torsional stress generation during shaping procedure. One hundred and twenty mesio-buccal canals of molars were randomly a...

  • Article
  • Open Access
25 Citations
3,941 Views
15 Pages

Cleaning and Disinfecting Oval-Shaped Root Canals: Ex Vivo Evaluation of Three Rotary Instrumentation Systems with Passive Ultrasonic Irrigation

  • Ying Li,
  • Zhengyang Wang,
  • Pingping Bao,
  • Tingting Meng,
  • Meng Liu,
  • Huixu Li,
  • Ya Shen,
  • Dayong Liu,
  • Zhi Jia and
  • He Liu

Background and Objectives: Successful root canal treatment depends on the thorough removal of biofilms through chemomechanical preparation. This study aimed to investigate and compare the cleaning and disinfecting efficiency of oval-shaped root canal...

  • Communication
  • Open Access
29 Citations
4,413 Views
14 Pages

3D Finite Element Analysis of Rotary Instruments in Root Canal Dentine with Different Elastic Moduli

  • Carlo Prati,
  • João Paulo Mendes Tribst,
  • Amanda Maria de Oliveira Dal Piva,
  • Alexandre Luiz Souto Borges,
  • Maurizio Ventre,
  • Fausto Zamparini and
  • Pietro Ausiello

12 March 2021

The aim of the present investigation was to calculate the stress distribution generated in the root dentine canal during mechanical rotation of five different NiTi endodontic instruments by means of a finite element analysis (FEA). Two conventional a...

  • Article
  • Open Access
24 Citations
4,452 Views
9 Pages

25 July 2022

The purpose of this randomized controlled clinical trial was to assess the short-term clinical effectiveness of sealer-based root canal obturation using calcium-silicate-based sealer (CSBS) and epoxy-resin-based sealer (ERBS). A total of eighty patie...

  • Article
  • Open Access
2 Citations
2,212 Views
9 Pages

27 October 2024

The aim of this study was to evaluate the bond strength of the calcium silicate-based sealer (CSS) modified with the silver nanoparticles (AgNPs) using the single-cone technique (SC) and the continuous wave condensation (CWC) technique, measured by a...