CC BY 4.0 · Eur J Dent 2022; 16(03): 594-598
DOI: 10.1055/s-0041-1735935
Original Article

Fracture Incidence of Kedo-S Square Pediatric Rotary Files: A Prospective Clinical Study

1   Department of Pediatric and Preventive Dentistry – Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India
,
1   Department of Pediatric and Preventive Dentistry – Saveetha Dental College, Saveetha Institute of Medical and Technical Science, Chennai, Tamil Nadu, India
,
2   Department of Preventive Dental Sciences, Division of Pedodontics, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
,
2   Department of Preventive Dental Sciences, Division of Pedodontics, College of Dentistry, Jazan University, Jazan, Kingdom of Saudi Arabia
› Author Affiliations
Funding None.

Abstract

Objective The primary focus of this clinical study was to analyze the probability of occurrence of instrument fracture after root canal preparation of primary molars with the help of Kedo-S Square pediatric rotary file.

Materials and Methods Three experienced specialists treated 100 primary maxillary and mandibular molars (335 root canals) using a standardized protocol over 2 months. Biomechanical preparations were carried out using Kedo-S Square file, as per the suggestions given by the manufacturer. Every instrument in Group A helped handle three clinical cases, while for groups B, C and D, they helped in handling 5, 9, and 12 cases, respectively. Making use of an operational microscope, the rotary files, after being pulled out from the canal, were observed. The values were tabulated, and descriptive statistics were performed.

Results There were two fractures (2%), of which 1 occurred in group C in the apical 1/3rd of distobuccal canal of maxillary molar, and the other occurred in group D in the apical 1/3rd of mesiobuccal canal of maxillary molar.

Conclusions The fracture rate of Kedo-S Square rotary file is quite low. It is primarily in the buccal canals of the maxillary molars and the apical third of the root canal that the instrument has a greater probability of separation.



Publication History

Article published online:
04 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Locke M, Thomas MB, Dummer PMH. A survey of adoption of endodontic nickel-titanium rotary instrumentation part 1: general dental practitioners in Wales. Br Dent J 2013; 214 (03) E6
  • 2 Torabinejad M, Lemon RR. Procedural accidents. In: Walton R, Torabinejad M. eds. Principles and Practice of Endodontics. Philadelphia: W.B. Saunders Company; 2002: 310-330
  • 3 Spili P, Parashos P, Messer HH. The impact of instrument fracture on outcome of endodontic treatment. J Endod 2005; 31 (12) 845-850
  • 4 Tzanetakis GN, Kontakiotis EG, Maurikou DV, Marzelou MP. Prevalence and management of instrument fracture in the postgraduate endodontic program at the Dental School of Athens: a five-year retrospective clinical study. J Endod 2008; 34 (06) 675-678
  • 5 Jeevanandan G. Kedo-S pediatric rotary files for root canal preparation in primary teeth- Case report. J Clin Diagn Res 2017; 11 (03) ZR03-ZR05
  • 6 Lakshmanan L, Jeevandan G. Evaluation of quality of obturation and instrumentation time using Kedo-S Square file, H file and K file in primary molars- a randomized controlled trial. Int J Pharm Res 2020; ;(suppl (Suppl. 01) 3507-3514
  • 7 Kim HC, Lee MH, Yum J, Versluis A, Lee CJ, Kim BM. Potential relationship between design of nickel-titanium rotary instruments and vertical root fracture. J Endod 2010; 36 (07) 1195-1199
  • 8 Zafar MS. Impact of endodontic instrumentation on surface roughness of various nickel-titanium rotary files. Eur J Dent 2021; 15 (02) 273-280
  • 9 Lee W, Song M, Kim E, Lee H, Kim HC. A survey of experience-based preference of Nickel-Titanium rotary files and incidence of fracture among general dentists. Restor Dent Endod 2012; 37 (04) 201-206
  • 10 Arruda EDS, Sponchiado-Júnior EC, Pandolfo MT, Fredson MAC, Roberi Garcia LDF, Marques AAF. Apical transportation and centering ability after root canal filling removal using reciprocating and continuous rotary systems: a CBCT study. Eur J Dent 2019; 13 (04) 613-618
  • 11 Maniglia-Ferreira C, de Almeida Gomes F, Ximenes T. et al. Influence of reuse and cervical preflaring on the fracture strength of reciprocating instruments. Eur J Dent 2017; 11 (01) 41-47
  • 12 Gavini G, Caldeira CL, Akisue E, Candeiro GT, Kawakami DA. Resistance to flexural fatigue of Reciproc R25 files under continuous rotation and reciprocating movement. J Endod 2012; 38 (05) 684-687
  • 13 Bueno CSP, Oliveira DP, Pelegrine RA, Fontana CE, Rocha DGP, Bueno CEDS. Fracture incidence of WaveOne and Reciproc files during root canal preparation of up to 3 posterior teeth: a prospective clinical study. J Endod 2017; 43 (05) 705-708
  • 14 Yared GM, Bou Dagher FE, Machtou P. Cyclic fatigue of ProFile rotary instruments after clinical use. Int Endod J 2000; 33 (03) 204-207
  • 15 Parashos P, Gordon I, Messer HH. Factors influencing defects of rotary nickel-titanium endodontic instruments after clinical use. J Endod 2004; 30 (10) 722-725
  • 16 Jodway B, Hülsmann M. A comparative study of root canal preparation with NiTi-TEE and K3 rotary Ni-Ti instruments. Int Endod J 2006; 39 (01) 71-80
  • 17 Arens FC, Hoen MM, Steiman HR, Dietz Jr GC. Evaluation of single-use rotary nickel-titanium instruments. J Endod 2003; 29 (10) 664-666
  • 18 Iqbal MK, Kohli MR, Kim JS. A retrospective clinical study of incidence of root canal instrument separation in an endodontics graduate program: a PennEndo database study. J Endod 2006; 32 (11) 1048-1052
  • 19 Pruett JP, Clement DJ, Carnes Jr DL. Cyclic fatigue testing of nickel-titanium endodontic instruments. J Endod 1997; 23 (02) 77-85
  • 20 Turpin YL, Chagneau F, Vulcain JM. Impact of two theoretical cross-sections on torsional and bending stresses of nickel-titanium root canal instrument models. J Endod 2000; 26 (07) 414-417
  • 21 Pinto JC, Torres FFE, Santos-Junior AO, Duarte MAH, Guerreiro-Tanomaru JM, Tanomaru-Filho M. Safety and effectiveness of additional apical preparation using a rotary heat-treated nickel-titanium file with larger diameter and minimum taper in retreatment of curved root canals. Eur J Dent 2021; 15 (02) 247-252
  • 22 Alrahabi M, Zafar MS, Adanir N. Aspects of clinical malpractice in endodontics. Eur J Dent 2019; 13 (03) 450-458