Comparison of shaping ability between single length technique and crown-down technique using Mtwo rotary file

Abstract

Comparison of shaping ability between single length technique and crown-down technique using Mtwo rotary file Ⅰ. INTRODUCTIONRoot canal preparation with nickel-titanium (NiTi) rotary instruments is easier and faster than with hand instruments 1) . NiTi instruments have two to three times higher elastic flexibility and a superior resistance to torsional fracture, compared with similar-sized conventional stainless steel instruments [1][2][3][4][5] . Also, rotary instrumen- The aims of this study were to compare the shaping effect and safety between single length technique recommended by manufacturer and crown-down technique using Mtwo rotary file and to present a modified method in use of Mtwo file.Sixty simulated root canal resin blocks were used. The canals were divided into three groups according to instrument and the manner of using methods. Each group had 20 specimens. Group MT was instrumented with single length technique of Mtwo, group MC was instrumented with crowndown technique of Mtwo and group PT was instrumented with crown-down technique of ProTaper. All of the rotary files used in this study were operated by an electric motor. The scanned canal images of before and after preparation were superimposed. These superimposed images were evaluated at apical 1 to 8 mm levels. Angle changes were calculated. The preparation time, weight loss, instrument failure and binding, canal aberrations, and centering ratio were measured. Statistical analysis of the three experimental groups was performed with ANOVA and Duncan' s multiple range tests for post-hoc comparison and Fisher' s exact test was done for the frequency comparison.In total preparation time, group MT and group MC were less than group PT. In the aberrations, group MT had more elbows than those of group MC and group PT. The binding of group MC was least and group MT was less than group PT (P < 0.05).Under the condition of this study, crown-down technique using Mtwo rotary file is better and safer method than single length technique recommended by the manufacturer. [J Kor Acad Cons Dent 32(4):385-396, 2007]