Restorative Dentistry & Endodontics

Research Articles

Comparison of the cyclic fatigue resistance of VDW.ROTATE, TruNatomy, 2Shape, and HyFlex CM nickel-titanium rotary files at body temperature: Mustafa Gündoğar, Gülşah Uslu, Taha Özyürek, Gianluca Plotino; Restor Dent Endod 2020;45(3):e37. Published online June 22, 2020; DOI: https://doi.org/10.5395/rde.2020.45.e37

Objectives

This study aims to compare the cyclic fatigue resistance of VDW.ROTATE, TruNatomy, 2Shape, and HyFlex CM nickel-titanium (NiTi) rotary files at body temperature.

Materials and Methods

In total, 80 VDW.ROTATE (25/0.04), TruNatomy (26/0.04), 2Shape (25/0.04), and HyFlex CM (25/0.04) NiTi rotary files (n = 20 in each group) were subjected to static cyclic fatigue testing at body temperature (37°C) in stainless-steel artificial canals prepared according to the size and taper of the instruments until fracture occurred. The number of cycles to fracture (NCF) was calculated, and the lengths of the fractured fragments were measured. The data were statistically analyzed using a 1-way analysis of variance and post hoc Tamhane tests at the 5% significance level (p < 0.05).

Results

There were significant differences in the cyclic fatigue resistance among the groups (p < 0.05), with the highest to lowest NCF values of the files as follows: VDW.ROTATE, HyFlex CM, 2Shape, and TruNatomy. There was no significant difference in the lengths of the fractured fragments among the groups. The scanning electron microscope images of the files revealed typical characteristics of fracture due to cyclic fatigue.

Conclusions

The VDW.ROTATE files had the highest cyclic fatigue resistance, and the TruNatomy and 2Shape files had the lowest cyclic fatigue resistance in artificial canals at body temperature.

Citations

Citations to this article as recorded by

Micro-CT evaluation of dentinal microcrack formation in mesiobuccal canals of maxillary molars following instrumentation with heat-treated rotary and reciprocating systems
Fatemeh Soltaninejad, Yazdan Shantiaee, Babak Zandi, Arsham Moslemi, Seyed Sepehr Mirebeigi-Jamasbi
BMC Oral Health.2025;[Epub] CrossRef
Multimethod Analysis of a Novel NiTi Rotary System: Cyclic Fatigue, Buckling Resistance, and Bending Tests
Alyne Rouse Rocha, Ana Grasiela Limoeiro, Iris Nogueira Seckler, Bárbara Rebeca Alves, Adriana Jesus Soares, Samuel Nogueira Lima, Victor Talarico Vieira, Marília Fagury Videira Marceliano-Alves, Wayne Martins Nascimento, Luis Cardoso Rasquin, Marcos Froz
European Journal of Dentistry.2025;[Epub] CrossRef
Comparative Evaluation of Efficiency of Different Endodontic File Systems; Protaper Universal, MTWO, Protaper Next, Trunatomy, I-Race in Terms of Remaining Dentin Thickness: An In vitro CBCT Analysis
Anju Retnakaran, Faisal M. A. Gaffoor, Rethi Gopakumar, C Sabari Girish, N. C Sajeena, N Gokul Krishna
Journal of Pharmacy and Bioallied Sciences.2024; 16(Suppl 2): S1409. CrossRef
Analysis of Cutting Capacity, Surface Finishing, and Mechanical Properties of NiTi Instruments 25/.04: ROTATE and LOGIC 2
Ridalton Carlos de Morais, Juliana Delatorre Bronzato, Adriana de-Jesus-Soares, Marcos Frozoni, Victor Talarico Leal Vieira
Journal of Endodontics.2024; 50(7): 982. CrossRef
Effect of Temperature on the Cyclic Fatigue Resistance and Phase Transformation Behavior of Three Different NiTi Endodontic Instruments
Esra İrem Yi̇ği̇t, İrem Çetinkaya
Cureus.2024;[Epub] CrossRef
In Vitro Evaluation of the Dynamic Cyclic Fatigue Resistance of a New TruNatomy Glider File after Different Cycles of Use
Lorena Ferreira Rego, Juliana Delatorre Bronzato, Alana Pinto Carôso Souza, Adriana de-Jesus-Soares, Marcos Frozoni
Journal of Endodontics.2024; 50(5): 619. CrossRef
Effect of Sodium Hypochlorite and Hypochlorous Acid Solutions on the Cyclic Fatigue Resistance of Waveonegold, K3XF and Hyflex-EDM: A Study of Metallurgical Properties
D. A. Bozkurt, M. Akman, H. B. Karadag, Z. Ovalioglu, Ö.Küçük Keleş
Strength of Materials.2023; 55(1): 191. CrossRef
Effectiveness of conservative instrumentation in root canal disinfection
Sıla Nur Usta, Carmen Solana, Matilde Ruiz-Linares, Pilar Baca, Carmen María Ferrer-Luque, Monica Cabeo, Maria Teresa Arias-Moliz
Clinical Oral Investigations.2023; 27(6): 3181. CrossRef
Cyclic fatigue resistance of different nickel‐titanium instruments in single and double curvature at room and body temperatures: A laboratory study
Giusy Rita Maria La Rosa, Maria Laura Leotta, Francesco Saverio Canova, Virginia Rosy Romeo, Gabriele Cervino, Luigi Generali, Eugenio Pedullà
Australian Endodontic Journal.2023; 49(3): 592. CrossRef
Influence of NiTi Wire Diameter on Cyclic and Torsional Fatigue Resistance of Different Heat-Treated Endodontic Instruments
Eugenio Pedullà, Francesco Saverio Canova, Giusy Rita Maria La Rosa, Alfred Naaman, Franck Diemer, Luigi Generali, Walid Nehme
Materials.2022; 15(19): 6568. CrossRef
Impact of Different Access Cavity Designs and Ni–Ti Files on the Elimination of Enterococcus faecalis from the Root Canal System: An In Vitro Study
Gizem Andac, Atakan Kalender, Buket Baddal, Fatma Basmaci
Applied Sciences.2022; 12(4): 2049. CrossRef
Comparison of canal transportations and centering ability of rotary instrument systems with different heat-treated NiTi alloys: An in vitro CBCT study
Mukadder İnci BAŞER KOLCU, Gülter Devrim KAKİ
Turkish Journal of Health Science and Life.2022; 5(2): 81. CrossRef
Comparative evaluation of cutting efficiency, cyclic fatigue, corrosion resistance, and autoclave cycle effects of three different file systems: An in-vitro micro-CT and metallurgy analysis
KondasV Venkatesh, EldhoJ Varghese
Journal of International Oral Health.2022; 14(6): 551. CrossRef
Influence of different heat treatments and temperatures on the cyclic fatigue resistance of endodontic instruments with the same design
Walid Nehme, Alfred Naaman, Franck Diemer, Maria Laura Leotta, Giusy Rita Maria La Rosa, Eugenio Pedullà
Clinical Oral Investigations.2022; 27(4): 1793. CrossRef
Analysis of cyclic fatigue resistance of ProTaper Universal and ProTaper Next rotary instruments
Nenad Stosic, Jelena Popovic, Marija Andjelkovic-Apostolovic, Aleksandar Mitic, Radomir Barac, Marija Nikolic, Marko Igic
Stomatoloski glasnik Srbije.2022; 69(3): 109. CrossRef
Influência do hipoclorito de sódio na resistência à fadiga cíclica em instrumentos rotatórios endodônticos de memória controlada de NiTi: uma avaliação experimental
Marcelo Leite MESQUITA, Carlos Eduardo da Silveira BUENO, Alexandre Sigrist DE MARTIN, Rina Andrea PELEGRINE, Carlos Eduardo FONTANA
Revista de Odontologia da UNESP.2022;[Epub] CrossRef
Comparison of Cyclic Fatigue Resistance of Novel TruNatomy Files with Conventional Endodontic Files: An In Vitro SEM Study
Sabari Murugesan, Vinoth Kumar, Bharath Naga Reddy, Syed Nahid Basheer, Rajeswary Kumar, Saravanan Selvaraj
The Journal of Contemporary Dental Practice.2022; 22(11): 1243. CrossRef
Cyclic Fatigue of TruNatomy Nickel-Titanium Rotary Instrument in Single and Double Curvature Canals: A Comparative Study
Sarah A Rashid, Hikmet A AI-Gharrawi
World Journal of Dentistry.2021; 12(1): 28. CrossRef

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Influence of autoclave sterilization procedures on the cyclic fatigue resistance of heat-treated nickel-titanium instruments: a systematic review: Emmanuel João Nogueira Leal Silva, Mayara Zanon, Fernanda Hecksher, Felipe Gonçalves Belladonna, Rafaela Andrade de Vasconcelos, Tatiana Kelly da Silva Fidalgo; Restor Dent Endod 2020;45(2):e25. Published online March 31, 2020; DOI: https://doi.org/10.5395/rde.2020.45.e25

Abstract PDF PubReader ePub

Objectives

This systematic review evaluated the influence of autoclave sterilization procedures on the cyclic fatigue resistance of heat-treated nickel-titanium (NiTi) instruments.

Materials and Methods

A systematic search without restrictions was conducted in the following electronic databases: PubMed, Scopus, Web of Science, ScienceDirect, Cochrane, and Open Grey. The hand search was also performed in the main endodontic journals. The eligible studies were submitted to the methodological assessment and data extraction.

Results

From 203 abstracts, a total of 10 articles matched the eligible criteria. After reading the full articles, 2 were excluded because of the absence of the heat-treated instruments in the experimental design and 3 due to the lack of a control group using heat-treated instruments without autoclave sterilization. From the 5 included studies, 1 presented a low risk of bias, 3 presented moderate and 1 high risk. It was observed heterogeneous findings in the included studies, with autoclave sterilization cycles increasing, decreasing or not affecting the cyclic fatigue life of heat-treated NiTi instruments. However, the retrieved studies evaluating the cyclic fatigue resistance of endodontic instruments presented different protocols and assessing outcomes, this variability makes the findings less comparable within and also between groups and preclude the establishment of an unbiased scientific evidence base.

Conclusions

Considering the little scientific evidence and considerable risk of bias, it is still possible to conclude that autoclave sterilization procedures appear to influence the cyclic fatigue resistance of heat-treated NiTi instruments.

Citations

Citations to this article as recorded by

Impact of Repeated Use on Cyclic and Torsional Fatigue of 3 Rotary Files: Implications for Clinical Safety
Raimundo Sales de Oliveira Neto, Rafael da Rocha Tavares Duarte, Marco Antonio Hungaro Duarte, Guilherme Ferreira da Silva, Murilo Priori Alcalde, Leonardo Rigoldi Bonjardim
Journal of Endodontics.2025;[Epub] CrossRef
Effect of simulated clinical use and sterilization on the cyclic fatigue resistance of nickel titanium files
Mohammad Alajemi, Ammar AbuMostafa
PeerJ.2024; 12: e17418. CrossRef
Cyclic Fatigue of Different Ni-Ti Endodontic Rotary File Alloys: A Comprehensive Review
Dina Abdellatif, Alfredo Iandolo, Michela Scorziello, Giuseppe Sangiovanni, Massimo Pisano
Bioengineering.2024; 11(5): 499. CrossRef
Cyclic Fatigue Resistance of Rotary versus Reciprocating Endodontic Files: A Systematic Review and Meta-Analysis
Ana De Pedro-Muñoz, Cristina Rico-Romano, Patricia Sánchez-Llobet, José María Montiel-Company, Jesús Mena-Álvarez
Journal of Clinical Medicine.2024; 13(3): 882. CrossRef
Influence of sodium hypochlorite on cyclic fatigue resistance of nickel–titanium instruments: A systematic review and meta-analysis of in vitro studies
Alexandre Henrique dos Reis-Prado, Lucas Guimarães Abreu, Lara Cancella de Arantes, Kiani dos Santos de Paula, Sabrina de Castro Oliveira, Juliana Goto, Ana Cecília Diniz Viana, Francine Benetti
Clinical Oral Investigations.2023; 27(11): 6291. CrossRef
Cyclic fatigue resistance of EdgeTaper Platinum, Protaper Gold, and TruNatomy Prime rotary files before and after autoclave sterilization
Rahaf A. Almohareb, Reem M. Barakat, Fahda N. Algahtani, Manal F. Alkadi
PeerJ.2023; 11: e14656. CrossRef
Effect of calcium hydroxide on fracture resistance and microhardness of dentin in human teeth
Simar Sethi, Alpa Gupta, Ansy Hanna Kurian, Dax Abraham, Parul Chauhan, Kritika Aneja, Sucheta Jala, Arundeep Singh
Endodontology.2022; 34(4): 223. CrossRef
Effect of body temperature on the cyclic fatigue resistance of the nickel”titanium endodontic instruments: A systematic review and meta-analysis of in vitro studies
Selventhra Savitha, Sidhartha Sharma, Vijay Kumar, Amrita Chawla, Perumal Vanamail, Ajay Logani
Journal of Conservative Dentistry.2022; 25(4): 338. CrossRef
Fracture Resistance of Heat-Treated Nickel-Titanium Rotary Files After Usage and Autoclave Sterilization: An In Vitro Study
Rashid El Abed, Aisha Alshehhi, Yoo Jung Kang, Dana Al Raeesi, Amar H. Khamis, Mohamed Jamal, Hyeon-Cheol Kim
Journal of Endodontics.2022; 48(11): 1428. CrossRef
Effect of Autoclaving Cycles on the Cyclic Fatigue Resistance of Race and Race Evo Nickel-Titanium Endodontic Rotary Files: An In Vitro Study
Rahaf A. Almohareb, Reem Barakat, Aroob Albakri, Manal Altamimi
Metals.2021; 11(12): 1947. CrossRef
Effect of number of uses and sterilization on the instrumented area and resistance of reciprocating instruments
Victor de Ornelas Peraça, Samantha Rodrigues Xavier, Fabio de Almeida Gomes, Luciane Geanini Pena dos Santos, Erick Miranda Souza, Fernanda Geraldo Pappen
Restorative Dentistry & Endodontics.2021;[Epub] CrossRef
Influence of sterilization procedures on the physical and mechanical properties of rotating endodontic instruments: a systematic review and network meta-analysis
Mario Dioguardi, Claudia Arena, Diego Sovereto, Riccardo Aiuto, Luigi Laino, Gaetano Illuzzi, Enrica Laneve, Bruna Raddato, Vito Carlo Alberto Caponio, Antonio Dioguardi, Khrystyna Zhurakivska, Giuseppe Troiano, Lorenzo Lo Muzio
Frontiers in Bioscience-Landmark.2021;[Epub] CrossRef

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