Restor Dent Endod.  2020 Nov;45(4):e51. 10.5395/rde.2020.45.e51.

Comparison of vibration characteristics of file systems for root canal shaping according to file length

Affiliations
  • 1Department of Conservative Dentistry, Gangneung-Wonju National University, Gangneung, Korea
  • 2Department of Conservative Dentistry, Hanyang University Seoul Hospital, Seoul, Korea

Abstract


Objectives
No studies have yet assessed vibration characteristics according to endodontic file length. Accordingly, the objective of the present study was to examine the vibration characteristics according to nickel-titanium file length and to compare these characteristics between different file systems.
Materials and Methods
A total of 45 root canal models were divided into 3 experimental groups (n = 15 each) based on the file system used (ProTaper Gold [PTG], ProTaper Next, or WaveOne Gold [WOG]). Each experimental group was further divided into 3 subgroups according to file length (21, 25, or 31 mm). An electric motor (X-SMART PLUS) was used in the experiment. For each file system, vibrations generated when using a size 25 file were measured and used to calculate the average vibration acceleration. The differences in vibrations were analyzed using 1-way analysis of variance and the Scheffé post hoc test with a confidence interval of 95%.
Results
In the PTG file system, significantly lower vibration acceleration was observed when using a 21-mm file than when using a 31-mm file. In the WOG file system, significantly stronger vibration acceleration was observed when using a 31-mm file than when using 21- or 25-mm files. Regardless of the file length, the WOG group exhibited significantly stronger vibration acceleration than the other 2 experimental groups.
Conclusions
In clinical practice, choosing a file with the shortest length possible could help reduce vibrations. Additionally, consideration should be given to vibrations that could be generated when using WOG files with reciprocating motion.

Keyword

File length; ProTaper Gold; ProTaper Next; Vibration; WaveOne Gold
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