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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
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).
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.