Comparative Evaluation of Microcrack Formation in Different Kinematics Using Rotary and Reciprocating File Systems: An In Vitro Study.

ABSTRACT

AIM AND OBJECTIVE: To compare r oot microcrack formation after r oot canal preparation using ProTaper Next in r otation or forward r eciprocation and Waveone gold in r everse r eciprocating motion. MATERIALS AND METHODS: Buccal r oots of 60 maxillary premolars with mature apices were selected, for different instrumentation techniques and divided into three groups. Coronal access was achieved and the canals were confirmed for apical patency. The canals were then instrumented using the following instrumentation techniques ProTaper Next in r otation or forward r eciprocation or Waveone gold in r everse reciprocation. The tooth was then subjected to sectioning using a diamond saw under water cooling and then was visualized under the stereomicroscope for dentinal microcrack. RESULTS: The results showed that the maximum dentinal microcrack formed at apical 3 and 6 mm was in Waveone gold in reverse reciprocation followed by ProTaper Next in forward reciprocation and rotation. However, the p value was found to be not significant at 3 and 6 mm (p value-0.082 and 0.23). CONCLUSION: Nickle titanium rotary instruments tend to induce varied degrees of root dentinal damage during canal instrumentation. ProTaper Next files in rotation as well as forward reciprocation presented with minimal microcrack defects when compared with Waveone gold. CLINICAL SIGNIFICANCE: Root canal preparation, when performed by manual or engine-driven techniques, has shown to produce structural defects in the root dentin. One of the causes of failures in root canal treatment is because of fracture in the dentin that occurs due to these procedures. Though all the motion kinematics caused microcracks in this study, it was seen that rotational motion produced the least structural damage to the dentin.