Research Article

Evaluation of root dentin defect formation during retreatment procedure using various NiTi rotary retreatment files: an in vitro study

Number: 064 March 30, 2026

Evaluation of root dentin defect formation during retreatment procedure using various NiTi rotary retreatment files: an in vitro study

Abstract

The focus of the present study was to evaluate the incidence of dentinal microcracks following use of three distinct NiTi-based retreatment systems on extracted human teeth. 125 extracted human mandibular premolars with single canals and roots were selected for the study. The remaining 100 teeth were prepared using the ProTaper Next NiTi rotary system up to the X3 file (30/.07), while 25 specimens were left unprepared as controls. Gutta-percha cones and TotalFill BC sealer were used in a single-cone procedure to obturate the canals. There was no retreatment after 25 teeth were filled. Three experimental groups (n=25) were randomly selected 75 specimens based on retreatment system: ProTaper Universal Retreatment, R-Endo and XP-endo Rise Retreatment. In order to detect and score any dentinal crack formation, the roots were carefully examined under a stereomicroscope at 20× magnification after completing retreatment procedures. NCSS was used for statistical analysis. Chi-square and McNemar tests were used for calculating descriptive statistics. A p-value <0.05 was considered significant. No significant differences were observed among retreatment systems and control groups at any root level regarding dentinal defect scores or presence (p > 0.05). The majority of specimens showed no defects, and higher defect scores were infrequently observed. The negative control showed intact dentin throughout, and the positive control demonstrated minimal defects. Neither inter- nor intragroup comparisons revealed significant differences, and none of the instruments significantly increased dentinal defect incidence; however, the XP-endo Rise system showed a nonsignificant tendency toward fewer defects.

Keywords

References

  1. [1] J. F. Siqueira Jr., “Aetiology of root canal treatment failure: Why well-treated teeth can fail,” Int. Endod. J., vol. 34, no. 1, pp. 1–10, 2001, doi: 10.1046/j.1365-2591.2001.00396.x.
  2. [2] C. de Chevigny, T. T. Dao, B. R. Basrani, M. Marquis, A. Farzaneh, and P. R. Friedman, “Treatment out-come in endodontics: The Toronto study—phases 3 and 4: Orthograde retreatment,” J. Endod., vol. 34, no. 2, pp. 131–137, 2008, doi: 10.1016/j.joen.2007.10.003.
  3. [3] A. Mollo, G. Botti, N. Principi Goldoni, M. Randellini, and C. Prati, “Efficacy of two Ni-Ti systems and hand files for removing gutta-percha from root canals,” Int. Endod. J., vol. 45, no. 1, pp. 1–6, 2012, doi: 10.1111/j.1365-2591.2011.01938.x.
  4. [4] L. R. Wilcox, C. Roskelley, and T. Sutton, “The relationship of root canal enlargement to finger-spreader–induced vertical root fracture,” J. Endod., vol. 23, no. 8, pp. 533–534, 1997, doi: 10.1016/S0099-2399(97)80315-4.
  5. [5] R. Purba, S. S. Sonarkar, R. Podar, S. Singh, S. Babel, and G. Kulkarni, “Comparative evaluation of retreat-ment techniques using different file systems from oval-shaped canals,” J. Conserv. Dent., vol. 23, no. 1, pp. 91–96, 2020, doi: 10.4103/JCD.JCD_404_19.
  6. [6] C. A. S. Bier, H. Shemesh, M. Tanomaru-Filho, P. R. Wesselink, and M.-K. Wu, “The ability of different nickel-titanium rotary instruments to induce dentinal damage during canal preparation,” J. Endod., vol. 35, no. 2, pp. 236–238, 2009, doi: 10.1016/j.joen.2008.11.001.
  7. [7] H. M. Bayram, E. Bayram, M. Ocak, A. D. Uygun, and H. H. Celik, “Effect of ProTaper Gold, Self-Adjusting File, and XP-endo Shaper instruments on dentinal microcrack formation: A micro-computed tomo-graphic study,” J. Endod., vol. 43, no. 7, pp. 1166–1169, 2017, doi: 10.1016/j.joen.2017.02.018.
  8. [8] A. G. Machado, B. P. S. Guilherme, J. C. Provenzano, M. F. Marceliano-Alves, C. M. Siqueira, F. R. F. Alves, E. J. N. L. Silva, and G. De-Deus, “Effects of preparation with the Self-Adjusting File, TRUShape and XP-endo Shaper systems,” Int. Endod. J., vol. 52, no. 5, pp. 709–715, 2019, doi: 10.1111/iej.13064.

Details

Primary Language

English

Subjects

Endodontics

Journal Section

Research Article

Publication Date

March 30, 2026

Submission Date

January 13, 2026

Acceptance Date

March 16, 2026

Published in Issue

Year 2026 Number: 064

APA
Kurşun, H., Gökyay, S. S., Yalçın, T. Y., & Dinçol, M. E. (2026). Evaluation of root dentin defect formation during retreatment procedure using various NiTi rotary retreatment files: an in vitro study. Journal of Scientific Reports-A, 064, 78-89. https://doi.org/10.59313/jsr-a.1862681
AMA
1.Kurşun H, Gökyay SS, Yalçın TY, Dinçol ME. Evaluation of root dentin defect formation during retreatment procedure using various NiTi rotary retreatment files: an in vitro study. JSR-A. 2026;(064):78-89. doi:10.59313/jsr-a.1862681
Chicago
Kurşun, Hande, Sıtkı Selçuk Gökyay, Turgut Yağmur Yalçın, and Muzaffer Emir Dinçol. 2026. “Evaluation of Root Dentin Defect Formation During Retreatment Procedure Using Various NiTi Rotary Retreatment Files: An in Vitro Study”. Journal of Scientific Reports-A, nos. 064: 78-89. https://doi.org/10.59313/jsr-a.1862681.
EndNote
Kurşun H, Gökyay SS, Yalçın TY, Dinçol ME (March 1, 2026) Evaluation of root dentin defect formation during retreatment procedure using various NiTi rotary retreatment files: an in vitro study. Journal of Scientific Reports-A 064 78–89.
IEEE
[1]H. Kurşun, S. S. Gökyay, T. Y. Yalçın, and M. E. Dinçol, “Evaluation of root dentin defect formation during retreatment procedure using various NiTi rotary retreatment files: an in vitro study”, JSR-A, no. 064, pp. 78–89, Mar. 2026, doi: 10.59313/jsr-a.1862681.
ISNAD
Kurşun, Hande - Gökyay, Sıtkı Selçuk - Yalçın, Turgut Yağmur - Dinçol, Muzaffer Emir. “Evaluation of Root Dentin Defect Formation During Retreatment Procedure Using Various NiTi Rotary Retreatment Files: An in Vitro Study”. Journal of Scientific Reports-A. 064 (March 1, 2026): 78-89. https://doi.org/10.59313/jsr-a.1862681.
JAMA
1.Kurşun H, Gökyay SS, Yalçın TY, Dinçol ME. Evaluation of root dentin defect formation during retreatment procedure using various NiTi rotary retreatment files: an in vitro study. JSR-A. 2026;:78–89.
MLA
Kurşun, Hande, et al. “Evaluation of Root Dentin Defect Formation During Retreatment Procedure Using Various NiTi Rotary Retreatment Files: An in Vitro Study”. Journal of Scientific Reports-A, no. 064, Mar. 2026, pp. 78-89, doi:10.59313/jsr-a.1862681.
Vancouver
1.Hande Kurşun, Sıtkı Selçuk Gökyay, Turgut Yağmur Yalçın, Muzaffer Emir Dinçol. Evaluation of root dentin defect formation during retreatment procedure using various NiTi rotary retreatment files: an in vitro study. JSR-A. 2026 Mar. 1;(064):78-89. doi:10.59313/jsr-a.1862681