Shaping ability of Hero 642 rotary nickel-titanium instruments and stainless steel hand K-Flexofiles in simulated curved root canals.

OBJECTIVE The purpose of this study was to compare the shaping ability of Hero 642 rotary nickel-titanium instruments with that of stainless steel hand K-Flexofiles. STUDY DESIGN Simulated 28 degrees and 35 degrees curved canals were prepared with Hero 642 instruments by using a crown-down preparation and with K-Flexofiles by using a reaming working motion (n = 24 canals in each case). All canals were sequentially prepared up to size 35. Preinstrumental and postinstrumental images were taken, and assessment of the canal shapes was completed with a computer image analysis program. Material removal was measured at 20 measuring points, beginning 1 mm away from the apex. In addition, preparation time, changes of working length, and instrument failures were recorded. RESULTS In comparison with stainless steel K-Flexofiles, rotary Hero 642 instruments achieved better canal geometry and showed less canal transportation, both in canals with 28 degrees curves and in canals with 35 degrees curves. Three Hero instruments separated, whereas none of the K-Flexofiles separated. In 28 degrees curved canals, Hero instruments were significantly faster (P <.01) and maintained working distance significantly better (P <.05) than K-Flexofiles. These differences were insignificant in 35 degrees curved canals. CONCLUSION Hero 642 instruments prepared curved canals rapidly, without change in working length and with only minimal transportation toward the outer aspect of the curve.

[1]  K Gulabivala,et al.  An in vitro comparison of canal preparation using two automated rotary nickel-titanium instrumentation techniques. , 2000, International endodontic journal.

[2]  S. W. Schneider,et al.  A comparison of canal preparations in straight and curved root canals. , 1971, Oral surgery, oral medicine, and oral pathology.

[3]  S. A. Thompson An overview of nickel-titanium alloys used in dentistry. , 2000, International endodontic journal.

[4]  S. Montgomery,et al.  Another look at root canal instrumentation. , 1992, Oral surgery, oral medicine, and oral pathology.

[5]  J B Roane,et al.  The "balanced force" concept for instrumentation of curved canals. , 1985, Journal of endodontics.

[6]  L. A. Morgan,et al.  A comparison of four instrumentation techniques on apical canal transportation. , 1995, Journal of endodontics.

[7]  E. Schäfer,et al.  Properties of endodontic hand instruments used in rotary motion. Part 1. Cutting efficiency. , 1995, Journal of endodontics.

[8]  P. Esposito,et al.  A comparison of canal preparation with nickel-titanium and stainless steel instruments. , 1995, Journal of endodontics.

[9]  S. A. Thompson,et al.  Shaping ability of Hero 642 rotary nickel-titanium instruments in simulated root canals: Part 1. , 2000, International endodontic journal.

[10]  S A Thompson,et al.  Shaping ability of ProFile.04 Taper Series 29 rotary nickel-titanium instruments in simulated root canals. Part 1. , 1997, International endodontic journal.

[11]  S. A. Thompson,et al.  Shaping ability of NT Engine and McXim rotary nickel-titanium instruments in simulated root canals. Part 1. , 1997, International endodontic journal.

[12]  Paul Michael Howell Dummer,et al.  Comparison of six files to prepare simulated root canals. Part 1 , 1992 .

[13]  J. Baumgartner,et al.  An analysis of canal centering using mechanical instrumentation techniques. , 1999, Journal of endodontics.

[14]  S A Thompson,et al.  Shaping ability of Hero 642 rotary nickel-titanium instruments in simulated root canals: Part 2. , 2000, International endodontic journal.

[15]  E. Schäfer,et al.  Effects of four instrumentation techniques on curved canals: a comparison study. , 1996, Journal of endodontics.

[16]  S. A. Thompson,et al.  Shaping ability of mity roto 360° and naviflex rotary nickel-titanium instruments in simulated root canals , 1998 .

[17]  A. Roth,et al.  Effect of experience on quality of canal preparation with rotary nickel-titanium files. , 1999, Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics.

[18]  S. A. Thompson,et al.  Shaping ability of Lightspeed rotary nickel-titanium instruments in simulated root canals. Part 1. , 1997, Journal of endodontics.

[19]  R. A. Uchin,et al.  Effect of instrumentation on the shape of the root canal. , 1975, Shiyo. The journal of the Tokyo Dental Association.

[20]  E. Schäfer,et al.  Properties of endodontic hand instruments used in rotary motion. Part 2. Instrumentation of curved canals. , 1995, Journal of endodontics.