Failure of ProTaper rotary Ni-Ti instruments used by undergraduate students
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García Font, Marc; Duran Sindreu, Fernando; Morello Castro, Sergio; Mercadè Bellido, M.; Bueno Martínez, Rufino; Roig Cayón, Miguel
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Aquest document és un/a article, creat/da en: 2012
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Objective: To evaluate the effect of number of uses, angle and radius of curvature and type of instrument on the
fracture of ProTaper rotary instruments when used by undergraduate students.
Study design: Three hundred and seventy-six molars, with a total of 1114 root canals, extracted were instrumented
by undergraduate students using ProTaper instruments according to the manufacturer´s recommendations. When
fracture occurred, data were collected concerning the number of uses, type of instrument, level of fracture, angle
and radius of curvature. ANOVA test were used to determine the influence of type of instrument in the incidence
of instrument fracture. Logistic regression model was used to determine the influence of number of uses, angle and
radius of curvature in the incidence of instrument fracture. Significance was set at p< 0.05.
Results: A total of 37 Ni-Ti rotary instruments fractured during the treatment. Fracture occurred in 9.84% (37/376)
of the teeth treated and 3.32% of the canals prepared with Ni-Ti rotary instruments (37/1114). A decrease in the
radius of curvature of the canal significantly increased the likelihood of fracture (p=0.0001). Instrument fracture
significantly increased as the number of uses increased (p=0.0037). No significant differences were found between
the 6 types of ProTaper instruments (p=0.8). A reduction in the angle of curvature did not produce a significant
decrease in the incidence of instrument separation (p=0.08).
Conclusions: The results of this study imply that instrument fracture is linked to radius of curvature and number
of uses.
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