Flexural Fatigue of Unicone, Navigator Evo and Protaper Next Files in Reciprocate and Continuous Rotary Systems in Simulated Curved Canals—An In Vitro Study

Abstract

This study investigated the cyclic fatigue resistance of three brands of nickel-titanium rotary files—Unicone (size 25 0.06; Medin), Navigator Evo (W-4; size 25 0.06; Medin) and Protaper Next (X2; size 25 0.06 Dentsply Tulsa Dental)—in reciprocating and continuous motion, during artificial canal instrumentation. Seventy-two samples—Unicone (n = 24), Navigator Evo (n = 24), and Protaper Next (n = 24)—each measuring 25 mm in length, were allocated to reciprocating (n = 36) and continuous motion (n = 36) experimental subgroups, and rotated in a simulated steel curved canal until fracture occurred. Fracture times and fragment lengths of samples in the experimental subgroups were recorded. One of the Unicone, Navigator Evo and Protaper Next fractured samples was randomly selected and analyzed for topographic characteristics by using scanning electron microscopy. Times to fracture and fragment lengths of samples were evaluated by analysis of variance and Tukey’s tests. Independent sample t test was used to compare mean values between the different groups. Protaper Next samples displayed significantly higher resistance to cyclic fatigue in reciprocating motion than Unicone and Navigator Evo samples (p < 0.001). Unicone samples exhibited the least fracture-resistant in continuous and reciprocating motion.

Keywords

• cyclic flexural fatigue
• navigator evo
• protaper next
• simulated curved canals
• unicone