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Basic ResearchTechnology

Cyclic Fatigue Resistance of Reciproc Blue,


Reciproc, and WaveOne Gold Reciprocating
Instruments
gur Inan, DDS, PhD,* Murat Demiral, DDS,
ul Keskin, DDS, PhD,* U
Cang
and Ali Keles, DDS, PhD*

Abstract
Introduction: The aim of the present study was to
compare the cyclic fatigue resistance of Reciproc Blue
R25 (VDW, Munich, Germany) with Reciproc R25
N ickel-titanium (NiTi)
instrument separation
without warning during
Signicance
This study reported that the novel Reciproc Blue
R25 instrument exhibited higher cyclic fatigue
(VDW) and WaveOne Gold Primary (Denstply Maillefer, clinical use has been a
resistance than WaveOne Gold Primary and its
Ballaigues, Switzerland). Methods: Fifteen Reciproc problem ever since the
predecessor Reciproc R25.
Blue R25, 15 Reciproc R25, and 15 WaveOne Gold introduction of NiTi alloys
Primary instruments were collected and tested in a (1). The unexpected frac-
dynamic cyclic fatigue test device, which has an artificial ture of files occurs via 2 different mechanisms as torsional stress and cyclic fatigue
canal with a 60 angle of curvature and a 5-mm radius (2, 3). Torsional fracture occurs when the tip of the instrument binds into the canal
of curvature. All instruments were operated until as the shank continues to rotate and, consequently, the torque exceeds the elastic
fracture occurred, and time to fracture (TF) and the limit of the metal (4). Cyclic fatigue failure, which is 1 of the leading reasons for
lengths of the fractured fragments were recorded. The unexpected instrument separation, is caused by continual tension and compression
mean and standard deviations of TF and fragment stress on the area of maximum root canal curvature (2, 3). There are many factors
length were calculated for each reciprocating system. contributing to the cyclic fatigue resistance including the kinematics, alloy,
TF data were subjected to Kruskal-Wallis 1-way analysis operational setting, and metallurgical properties of the instrument (57).
of variance and the Dunn test, whereas fractured frag- In 2008, Yared (8) proposed a new approach, which led to a new perspective of
ment length data were subjected to 1-way analysis of NiTi instrument kinematics. This procedure involved the use of a ProTaper F2
variance (P < .05). Results: Reciproc Blue R25 exhibited instrument (Tulsa Dentsply, Tulsa, OK) connected to a reciprocating motor performing
the highest cyclic fatigue resistance (P < .05). The cyclic clockwise and counterclockwise rotations set at four tenths and two tenths of a circle,
fatigue resistance values of WaveOne Gold Primary respectively, to complete the root canal preparation with only 1 instrument and to
were significantly higher than those of Reciproc R25 simplify the armamentarium. The reciprocation motion was reported to increase the
(P < .05). There was no significant difference in the life span of instruments by exposing the instrument to lower stress values than contin-
mean length of the fractured fragments among the uous rotation (8, 9). WaveOne Gold (Dentsply Maillefer, Ballaigues, Switzerland) is a
instruments (P > .05). Conclusions: Reciproc Blue recent single-file reciprocating instrument that replaced WaveOne. WaveOne Gold is
R25 instruments had significantly higher cyclic fatigue improved by the use of Gold wire and a new parallelogram cross-sectional design
resistance than WaveOne Gold and Reciproc R25 with 2 cutting edges. Reciproc R25 (VDW, Munich, Germany) is another single-file
instruments. (J Endod 2017;-:14) reciprocating instrument manufactured from M-Wire. Reciproc was recently upgraded
to Reciproc Blue by using an innovative heat treatment that transforms the molecular
Key Words structure of the alloy and gives the instrument a blue color. This heat treatment has
Dynamic cyclic fatigue test model, nickel-titanium, been reported to increase the flexibility and the cyclic fatigue resistance and to cause
reciprocation the instrument to show less surface microhardness values compared with its predeces-
sor (10). Both manufacturers of Reciproc Blue and WaveOne Gold claim that thermal
treatments increase the flexibility and cyclic fatigue resistance of the instruments. To our
knowledge, the cyclic fatigue resistance of Reciproc Blue has not been compared with
WaveOne Gold.
The present study aimed to compare the cyclic fatigue resistance of Reciproc Blue
R25 with that of Reciproc R25 and WaveOne Gold Primary instruments. The null

From the *Department of Endodontics, Faculty of Dentistry, Ondokuz Mays University, Samsun, Turkey; and Cekmekoy Oral and Dental Health Center, Istanbul,
Turkey.
Address requests for reprints to Dr Cangul Keskin, Department of Endodontics, Faculty of Dentistry, Ondokuz Mayis University, Samsun, Turkey. E-mail address:
canglkarabulut@gmail.com or cangul.keskin@omu.edu.tr
0099-2399/$ - see front matter
Copyright 2017 American Association of Endodontists.
http://dx.doi.org/10.1016/j.joen.2017.03.036

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Basic ResearchTechnology
hypothesis was that there would be no significant difference in the cyclic torsional failure. Movement kinematics has also been regarded to
fatigue resistance of the instruments. influence the cyclic fatigue resistance of NiTi instruments (12). Previous
studies reported that reciprocating motion increases the cyclic fatigue
Materials and Methods resistance of NiTi instruments (8, 9, 13). All instruments of available
After inspection at 20 magnification under a stereomicroscope reciprocating systems are recommended as single-use instruments.
(SMZ 745T; Nikon, Tokyo, Japan), 15 Reciproc Blue R25 (25.08), 15 However, single use can include the preparation of at least 3 root canals
Reciproc R25 (25.08), and 15 WaveOne Gold Primary (25.07) in most molar teeth, which may be complex, depending on the anatomy
instruments free of visible defects and irregularities were included in of root canal system (14). Therefore, testing the cyclic fatigue resistance
the study. of reciprocating instruments is of paramount importance.
A dynamic cyclic fatigue testing device was used according to Many cyclic fatigue test devices could be used using either static or
criteria established in a previous study (11). Cyclic fatigue testing dynamic test models. In static models, the instrument rotates in the fixed
was performed in a stainless steel artificial canal with an inner diameter length in the artificial canal with no axial movement (15). The present
of 1.5 mm, a curvature angle of 60 , and a curvature or radius of 5 mm. study used a dynamic cyclic fatigue test model in which the axial move-
All the instruments were used with a VDW Silver endodontic motor ment was set to 3 mm because this type of model was reported to
(VDW) that was connected to the dynamic cyclic fatigue test device using simulate clinical use more realistically than static models (16, 17).
the preset Reciproc ALL program designed specifically for Reciproc In dynamic models, the TF value increases because the stress is
R25 and Reciproc Blue R25 instruments and the WaveOne ALL distributed along the shaft during back and forth movements in the
program designed specifically for WaveOne Gold instruments. To axial direction when compared with static test models in which the
reduce the friction of the instruments, synthetic oil (WD-40, Milton stress is concentrated to a constant area (15, 17).
Keynes, UK) was applied for lubrication of the artificial canal. All the The present study was the first to compare the cyclic fatigue
instruments were operated with a 3-mm/s axial movement until fracture resistance of Reciproc Blue R25 with that of WaveOne Gold Primary
occurred. At this point, the device stopped automatically, and the time to instruments. The null hypothesis was rejected because the cyclic fatigue
fracture (TF) in seconds was recorded. The lengths of the fractured resistance of the Reciproc Blue R25 instruments was significantly higher
fragments were measured with a digital caliper and recorded. In than that of the Reciproc R25 and WaveOne Gold Primary instruments.
each group, 2 fractured instruments were examined under a scanning The effect of thermal treatment of the Reciproc Blue alloy on cyclic
electron microscope (JEOL JSM-7001F; JEOL, Tokyo, Japan), and fatigue resistance is evident under the conditions of the present study
photomicrographs of the fractured surfaces were obtained at different because Reciproc Blue R25 and Reciproc R25 instruments have
magnifications. identical tapers, cross-sectional shapes, and operational modes. The
For the cyclic fatigue resistance and length of the fractured results of the present study are in accordance with a recent study that re-
fragments data, the assumption of normality was tested using the ported the superiority of Reciproc Blue over Reciproc (10). Thermally
Shapiro-Wilk test. The data obtained on the lengths of the fractured treated NiTi instruments show phase transformation changes that
fragments were also subjected to 1-way analysis of variance. The cyclic enhance the flexibility and cyclic fatigue resistance of the instruments
fatigue resistance values were analyzed using Kruskal-Wallis and Dunn (18). Reciproc Blue is manufactured from a novel alloy that is coated
tests and SPSS (SPSS Inc, Chicago, IL) with 5% selected as the signifi- by an oxide layer as a result of the thermomechanical process (10). Addi-
cance level. tional studies using differential scanning calorimetry are required to
determine the phase transformation behavior of Reciproc Blue R25.
In the present study, the mean cyclic fatigue resistance values of
Results WaveOne Gold Primary were significantly higher than those of Reciproc
Table 1 presents the mean and standard deviation of the TF values R25. The findings of the present study are in accordance with the
for each instrument. Greater TF values reflected increased cyclic fatigue previous literature that reported greater cyclic fatigue resistance of
resistance. Reciproc Blue R25 instruments were associated with the WaveOne Gold compared with Reciproc (16). WaveOne Gold is manu-
highest cyclic fatigue resistance values among all instruments factured from Gold wire using advanced metallurgy and heat treatment
(P < .05). The cyclic fatigue resistance of WaveOne Gold Primary to increase the flexibility of the instrument. The effect of thermomechan-
was significantly higher than that of Reciproc R25 (P > .05). There ical treatment applied to Gold wire has been evaluated using differential
was no significant difference in the mean length of the fractured frag- scanning calorimetry, and higher cyclic fatigue resistance values have
ments (P > .05). The scanning electron microscopic photomicro- been associated with 2-stage specific transformation behavior and
graphs revealed typical features of cyclic fatigue failure (Fig. 1). high Af temperature (18).
Apart from the metallurgical differences of these files, their cross-
Discussion sectional shape might also contribute to their cyclic fatigue resistance.
Reciprocating movement was developed mainly to reduce WaveOne Gold has a novel parallelogram-shaped cross section,
torsional stress around an instrument, thereby decreasing the rate of whereas both Reciproc Blue and Reciproc have S-shaped cross sections

TABLE 1. The Mean and Standard Deviation Values for Time to Fracture (TF) (seconds) and Length of the Fractured Fragment (mm) of the Tested Instruments
Length of the fractured fragment
Tested instruments TF (s) SD (mm) SD
Reciproc Blue R25 872.06  155.40a 3.98  0.34a
WaveOne Gold Primary 549.54  186.70b 4.51  0.55a
Reciproc R25 343.38  92.01c 4.89  0.81a
SD, standard deviation.
Different superscript lowercase letters in the same column indicate a mean significant difference (P < .05).

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Figure 1. Scanning electron microscopic surface images of the (A and B) Reciproc Blue R25, (C and D) WaveOne Gold Primary, and (E and F) Reciproc R25. The
white arrows show striation marks. The circled areas depict the abrupt breakage area that finished the ductile fracture.

(16). There exists a lack of consensus on the effect of the cross- type (11, 19, 20). A previous study reported that instruments that had a
sectional shape of an instrument on its cyclic fatigue resistance, but greater metal core mass had reduced fracture resistance (20). Compar-
several studies have indicated the dimension of the cross-sectional ison of the cross-sectional areas of the Reciproc Blue/Reciproc R25 and
area as a more important factor in cyclic fatigue resistance than the alloy WaveOne Gold Primary instruments requires further investigation.

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Basic ResearchTechnology
Conclusions 8. Yared G. Canal preparation using only one Ni-Ti rotary instrument: preliminary ob-
servations. Int Endod J 2008;41:33944.
The Reciproc Blue R25 instruments were significantly more resis- 9. Plotino G, Ahmed HM, Grande NM, et al. Current assessment of reciprocation in
tant to cyclic fatigue than WaveOne Gold and Reciproc. The enhanced endodontic preparation: a comprehensive reviewpart II: properties and effective-
resistance may be associated with their different manufacturing ness. J Endod 2015;41:193950.
processes. Further studies are required to evaluate the phase transfor- 10. De Deus G, Silva EJ, Vieira VT, et al. Blue thermomechanical treatment optimizes
fatigue resistance and flexibility of the Reciproc files. J Endod 2017;43:4626.
mation behavior pattern to elucidate the advanced metallurgic proper- 11. Pruett JP, Clement DJ, Carnes DL. Cyclic fatigue testing of nickel-titanium endodontic
ties of Reciproc Blue instruments. instruments. J Endod 1997;23:7785.
12. Castello-Escriva R, Alegre-Domingo T, Faus-Matoses V, et al. In vitro comparison of
cyclic fatigue resistance of ProTaper, WaveOne and Twisted Files. J Endod 2012;38:
Acknowledgments 15214.
The authors deny any conflicts of interest related to this study. 13. De-Deus G, Moreira EJ, Lopes HP, Elias CN. Extended cyclic fatigue life of F2 Pro-
Taper instruments used in reciprocating movement. Int Endod J 2010;43:10638.
14. Plotino G, Grande NM, Testarelli L, Gambarini G. Cyclic fatigue of Reciproc and
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