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Research Article
Buckling resistance, torque, and force generation during retreatment with D-RaCe, HyFlex Remover, and Mtwo retreatment files
Yoojin Kim, Seok Woo Chang, Soram Oh
Restor Dent Endod 2023;48(1):e10.   Published online February 6, 2023
DOI: https://doi.org/10.5395/rde.2023.48.e10
AbstractAbstract PDFPubReaderePub
Objectives

This study compared the buckling resistance of 3 nickel-titanium (NiTi) retreatment file systems and the torque/force generated during retreatment.

Materials and Methods

The buckling resistance was compared among the D-RaCe (DR2), HyFlex Remover, and Mtwo R25/05 retreatment systems. J-shaped canals within resin blocks were prepared with ProTaper NEXT X3 and obturated by the single-cone technique with AH Plus. After 4 weeks, 4 mm of gutta-percha in the coronal aspect was removed with Gates-Glidden drills. Retreatment was then performed using DR1 (size 30, 10% taper) followed by DR2 (size 25, 4% taper), HyFlex Remover (size 30, 7% taper), or Mtrwo R25/05 (size 25, 5% taper) (15 specimens in each group). Further apical preparation was performed with WaveOne Gold Primary. The clockwise torque and upward force generated during retreatment were recorded. After retreatment, resin blocks were examined using stereomicroscopy, and the percentage of residual filling material in the canal area was calculated. Data were analyzed using 1-way analysis of variance with the Tukey test.

Results

The HyFlex Remover files exhibited the greatest buckling resistance (p < 0.05), followed by the Mtwo R25/05. The HyFlex Remover and Mtwo R25/05 files generated the highest maximum clockwise torque and upward force, respectively (p < 0.05). The DR1 and DR2 files generated the least upward force and torque (p < 0.05). The percentage of residual filling material after retreatment was not significantly different between file systems (p > 0.05).

Conclusions

NiTi retreatment instruments with higher buckling resistance generated greater clockwise torque and upward force.

Citations

Citations to this article as recorded by  
  • Comparative evaluation of the efficacy of three different retreatment files in removing root canal filling material: An In vitro confocal microscopy study
    Meghna Sarah Abraham, Aravind R. Kudva, Prathap M. S. Nair, Shravan Kini, Samreena Kalander, Faseeh Muhammed Bin Farookh
    Endodontology.2025; 37(2): 136.     CrossRef
  • Efficacy of Endodontic Files in Root Canal Retreatment: A Systematic Review of In Vitro Studies
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    Journal of Functional Biomaterials.2025; 16(8): 293.     CrossRef
  • Postoperative Pain Following Single‐Visit Nonsurgical Retreatment Using Minimally Invasive Rotary vs. Reciprocating Nickel‐Titanium File Systems: A Two‐Arm Parallel Randomized Clinical Trial
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    Pain Research and Management.2025;[Epub]     CrossRef
  • Comparative Evaluation of Canal Centering Ability of Single-file Retreatment System vs Multiple-file Retreatment System, with and without Gutta-Percha Solvent: An In Vitro Study
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    The Journal of Contemporary Dental Practice.2025; 26(9): 898.     CrossRef
  • Effect of Different Downward Loads and Rotational Speeds on the Removal of Gutta-Percha and Root Canal Sealer Using a Nickel-Titanium Rotary Gutta-Percha Removal System: An Ex Vivo Study
    Koki Toyoda, Shunsuke Kimura, Keiichiro Maki, Satoshi Omori, Keiko Hirano, Arata Ebihara, Takashi Okiji
    Applied Sciences.2025; 16(1): 446.     CrossRef
  • Cone-beam computed tomographic evaluation and fracture resistance of endodontically retreated teeth using hyflex remover, Mtwo, and ProTaper retreatment file systems: An in vitro study
    Isha Singh, Dakshita Joy Sinha, Pallavi Sharma, Kunal Bedi, Priyanka Rani, Swapnil Vats
    Saudi Endodontic Journal.2024; 14(1): 56.     CrossRef
  • Comparison of torsional, bending, and buckling resistances of different nickel-titanium glide path files
    Feyyaz Çeliker, İrem Çetinkaya
    Matéria (Rio de Janeiro).2024;[Epub]     CrossRef
  • Assessing the impact of obturation techniques, kinematics and irrigation protocols on apical debris extrusion and time required in endodontic retreatment
    Eugenio Pedullà, Francesco Iacono, Martina Pitrolo, Giovanni Barbagallo, Giusy Rita Maria La Rosa, Chiara Pirani
    Australian Endodontic Journal.2023; 49(3): 623.     CrossRef
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