Comparative Evaluation of Microcrack Formation in Different Kinematics Using Rotary and Reciprocating File Systems: An In Vitro Study

ABSTRACT Aim and objective To compare root microcrack formation after root canal preparation using ProTaper Next in rotation or forward reciprocation and Waveone gold in reverse reciprocating motion. Materials and methods Buccal roots of 60 maxillary premolars with mature apices were selected, for different instrumentation techniques and divided into three groups. Coronal access was achieved and the canals were confirmed for apical patency. The canals were then instrumented using the following instrumentation techniques: ProTaper Next in rotation or forward reciprocation or Waveone gold in reverse reciprocation. The tooth was then subjected to sectioning using a diamond saw under water cooling and then was visualized under the stereomicroscope for dentinal microcrack. Results The results showed that the maximum dentinal microcrack formed at apical 3 and 6 mm was in Waveone gold in reverse reciprocation followed by ProTaper Next in forward reciprocation and rotation. However, the p value was found to be not significant at 3 and 6 mm ( p value—0.082 and 0.23). Conclusion Nickle titanium rotary instruments tend to induce varied degrees of root dentinal damage during canal instrumentation. ProTaper Next files in rotation as well as forward reciprocation presented with minimal microcrack defects when compared with Waveone gold. Clinical significance Root canal preparation, when performed by manual or engine-driven techniques, has shown to produce structural defects in the root dentin. One of the causes of failures in root canal treatment is because of fracture in the dentin that occurs due to these procedures. Though all the motion kinematics caused microcracks in this study, it was seen that rotational motion produced the least structural damage to the dentin. How to cite this article Haridas K, Hariharan M, Singh P, et al. Comparative Evaluation of Microcrack Formation in Different Kinematics Using Rotary and Reciprocating File Systems: An In Vitro Study. J Contemp Dent Pract 2020;21(12):1389–1392.