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VOLUME 22 , ISSUE 3 ( March, 2021 ) > List of Articles

ORIGINAL RESEARCH

Operative Torque Analysis to Evaluate Cutting Efficiency of Two Nickel-Titanium Rotary Instruments for Glide Path: An In Vitro Comparison

Gianluca Gambarini, Massimo Galli, Andrea Cicconetti, Dario Di Nardo, Marco Seracchiani, Federico Valenti Obino, Gabriele Miccoli, Luca Testarelli

Keywords : Cutting efficiency, Glide path, Nickel-titanium, Operative torque, Rotary instruments

Citation Information : Gambarini G, Galli M, Cicconetti A, Nardo DD, Seracchiani M, Obino FV, Miccoli G, Testarelli L. Operative Torque Analysis to Evaluate Cutting Efficiency of Two Nickel-Titanium Rotary Instruments for Glide Path: An In Vitro Comparison. J Contemp Dent Pract 2021; 22 (3):215-218.

DOI: 10.5005/jp-journals-10024-3061

License: CC BY-NC 4.0

Published Online: 00-03-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: The aim and objective of this study was to evaluate and compare the cutting efficacy of two different nickel titanium rotary instruments by a novel methodology: the operative torque (torque and time needed to progress toward the apex). Materials and methods: Ten fresh extracted upper first premolars with two canals were instrumented with a KaVo (Biberach, Germany) and a KaVo 1:1 handpiece at 300 rpm with maximum torque set at 2 N. One canal was instrumented with ProGlider NiTi rotary instruments (Dentsply Sirona Endodontics, Ballaigues, Switzerland), with tip size of 16.02, and the other one with EgdeGlidePath rotary instrument (EdgeEndo, Albuquerque, New Mexico). Mean instrumentation time, mean torque values, and maximum torque values were evaluated for each instrument. The significance level was set at p <0.05. Results: EdgeGlidePath instruments reached the working length in significantly less time with a significantly smaller amount of torque when compared to ProGlider (p >0.05). No instruments exhibited flute deformation or underwent intracanal failure. Conclusions: Operative torque is related to the capability to cut dentin and progress toward the apex: the smaller the torque values, the higher the cutting ability (and safety). Operative torque is also dependent on debris removal and irrigation techniques. Nevertheless, both operative torque and instrumentation time are clinically relevant parameters for evaluating instruments’ performance (i.e., cutting ability). Clinical significance: Operative torque during endodontic instrumentation helps understanding the overall performance in terms of both cutting efficiency and safety.


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