PubMed · 8064439
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J T Biggs, F W Benenati. 1993. Treating obstructed root canals.. https://pubmed.ncbi.nlm.nih.gov/8064439/
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The Flex-R file was compared with the Onyx nickel-titanium file in respect to canal center movement and final canal area after balanced-force instrumentation. Forty-two root canals in extracted human molars were divided into two equal groups of 21, in all of which the angle of curvature ranged from 20 to 40 degrees. After mounting in a mold, each root was sectioned at two locations, providing an apical and a coronal section. Pre- and postinstrumentational 35-mm photographic slides of each section were superimposed, projected, traced, and then scanned into a computer. From these computerized pre- and postinstrumentation images, the movement of the canal center and the area of each canal were computed at both the apical and coronal sections. Results showed no significant difference in canal center movement or postinstrumentation area when Flex-R or Onyx files were used at the apical section. Coronally, the Flex-R files demonstrated more movement of the canal center. No significant correlation was found between the angle of root curvature and canal movement or the angle of root curvature and postinstrumentation canal area.
Much has been reported on the qualitative, and to some degree, the quantitative effects of wear and sharpening of the periodontal curet's cutting edge. Presented here is an engineering model of the periodontal curet's cutting edge during wear and sharpening, and an estimated life of a typical periodontal curet. Although not confirmed by scientific experiments, this engineering model provides a framework for further scientific analysis. It also gives a clinical appreciation for the longevity of such periodontal instruments.
A total of 460 roots of extracted human teeth were divided into three groups i.e. straight, apically curved and entirely curved groups. Each of the three groups were divided into seven subgroups according to instrumentation by conventional hand, K-Flex file, 3-LD, 3-LDSY, Excalibur. MM 1400 and Endo Sonic. Radiographs were taken both clinical and proximal views before and after the enlargement of canals. An assessment of shaping characteristic of instrumentation was made on the basis of overimposed radiographs including perforation, ledge formation smoothness of wall contour incidence of elbow and zip measurements at the elbow level and asymmetry measurements. The majority of enlarged root canals were asymmetrical in shape. High differences were found between the incidence of elbow and zip formation. Under laboratory conditions the K-Flex file produced minor canal aberrations and significantly less asymmetry than the conventional instruments. But both the above mentioned instruments caused perforations on curved canals, such as the instrumentation by Excalibur. The loss of working distance was significant in all canal forms prepared with 3-LD and 3-LDSY instruments, which could have occurred through the packing of debris towards the apical constriction. The Excalibur appeared to be superior to the conventional hand instrument in straight canals, but its shaping characteristic was similar to conventional hand instrument in curved canals. The MM 1400 handpiece and ultrasonic instruments resulted in less aberration and significantly less asymmetry than the other tested instruments.