Rationale for the use of low-torque endodontic motors in root canal instrumentation.
Fracture of nickel-titanium rotary files is an iatrogenic error which can seriously jeopardize root canal therapy. If a high-torque motor is used, the instrument-specific limit-torque (fracture limit) is often exceeded, thus increasing the risk of intracanal failure. A possible solution to this problem is to use a low-torque endodontic motor which operates below these values. If the torque is set just below the limit of elasticity for each instrument, the risk of fracture is likely to be markedly reduced. The purpose of this paper was to discuss mechanical properties of NiTi rotary instruments, the rationale for selecting low torque values, and to use clinically a new endodontic motor (step-motor) which operates below the limit of elasticity of each rotary file. The step-motor was found to be helpful in reducing the risk of instrument fracture. Irreversible material damage (plastic deformation) and instrument fracture were rarely seen. Low-torque instrumentation also increased tactile sense and, consequently, mental awareness of rotary instrumentation.
Gambarini
G
G
Department of Periodontics-Endodontics, Dental School, University of Rome La Sapienza, Roma, Italy. ggambarini@tim.it
D003199:Computer Systems; D003722:Dental Alloys / Q000737:chemistry; D004548:Elasticity; D004581:Electronics / Q000295:instrumentation; D004867:Equipment Design; D004868:Equipment Failure; D004869:Equipment Safety; D006801:Humans; D009532:Nickel / Q000737:chemistry; D018583:Pliability; D012307:Risk Factors; D018915:Root Canal Preparation / Q000295:instrumentation*; D013314:Stress, Mechanical; D013499:Surface Properties; D013718:Tensile Strength; D014025:Titanium / Q000737:chemistry; D019415:Torque
D003722:Dental Alloys; C040654:titanium nickelide; D009532:Nickel; D014025:Titanium