Alternating versus continuous rotation: a comparative study of the effect on instrument life.
BACKGROUND
Rotary nickel-titanium instruments have multiple advantages but with the risk of more fractures because of flexure or torsion. Alternating rotation appears to be an alternative to continuous rotary movement. The objective of this study was to determine the influence of the type of instrument rotation on the frequency of fractures or deformation.


METHODS
Instrumentation was performed on 120 molar root canals with an angle of curvature greater than 30 degrees using alternating rotation (group A: 60 degrees clockwise, 45 degrees counterclockwise) and continuous rotation (group B).


RESULTS
The results indicate that instruments used with alternating rotation have a higher mean number of uses (13.0) compared with the continuous rotation group (10.05); this difference was statistically significant (p < 0.05).


CONCLUSIONS
The ProTaper shaping instruments (S1 and S2) are those that achieved the greatest difference in use with alternating rotation, with S2 being the most resistant to fracture or deformation with the two types of movement used.
Varela-Patiño
Purificación
P
Department of Operative Dentistry and Endodontics, School of Dentistry, University of Santiago de Compostela, Santiago de Compostela, Spain. puri.varela@usc.es
Ibañez-Párraga
Adalce
A
Rivas-Mundiña
Berta
B
Cantatore
Giuseppe
G
Otero
Xosé Luis
XL
Martin-Biedma
Benjamin
B
D003722:Dental Alloys; D003762:Dental Instruments; D003799:Dental Stress Analysis; D004868:Equipment Failure; D006801:Humans; D053208:Kaplan-Meier Estimate; D008963:Molar; D009532:Nickel; D018583:Pliability; D018915:Root Canal Preparation / Q000295:instrumentation*; D012399:Rotation; D014025:Titanium; D054159:Torsion, Mechanical
D003722:Dental Alloys; C040654:titanium nickelide; D009532:Nickel; D014025:Titanium