Rotary Systems: An Insight: Manmohan R Soni, Swaroop Hegde, Sylvia Mathew, K S Madhu
Rotary Systems: An Insight: Manmohan R Soni, Swaroop Hegde, Sylvia Mathew, K S Madhu
REVIEW ARTICLE
                                      Rotary Systems: An Insight
                                                    1
                                                        Manmohan R Soni, 2Swaroop Hegde, 3Sylvia Mathew, 4K S Madhu
1
  Post-graduate Student, Department of
Conservative Dentistry and Endodontics,             ABSTRACT
Faculty of Dental Sciences, MS Ramaiah
University of Applied Sciences, Bengaluru,
Karnataka, India.                                   In modern day practice, with time being the essence, it has become a necessity to strive
2
  Professor, Department of Conservative             for newer advances in technology. Keeping this in mind utmost patient benefit is the
Dentistry and Endodontics, Faculty of Dental        prime goal for an endodontist. Successful endodontic treatment relies upon endodontic
Sciences, MS Ramaiah University of Applied
Sciences, Bengaluru, Karnataka, India.
                                                    instruments used for cleaning and shaping of the root canal system, which ultimately
3
  Professor & Head, Department of Conservative      determines the clinical outcome. Rotary systems have proved to be safer, quicker and
Dentistry and Endodontics, Faculty of Dental        more efficient over the conventional instruments. The modern day dental surgeon is
Sciences, MS Ramaiah University of Applied
Sciences, Bengaluru, Karnataka, India.
                                                    faced with the challenge of using the best rotary system among the plethora of systems
4
  Assistant    Professor,      Department      of   available. This review gives a brief insight into the design and features of different rotary
Conservative Dentistry and Endodontics,             instrument systems.
Faculty of Dental Sciences, MS Ramaiah
University of Applied Sciences, Bengaluru,
Karnataka, India.
Correspondence: Dr. Manmohan R Soni.
Department of Conservative Dentistry and
Endodontics, Faculty of Dental Sciences,
MS       Ramaiah     University     of    Applied
Sciences, M.S.R.I.T. Post, M.S.R. Nagar,
Bengaluru - 560 054, Karnataka, India. Mobile:
+91-9164731189. Email: mansoni06@gmail.com
How to Cite:
Soni MR, Hegde S, Mathew S, Madhu KS.               Key Words: Nickel titanium, root canal preparation, rotary instruments.
Rotary systems: An insight. J Dent Orofac Res
2014;10(2):16-21.
                                  Profile     Dentsply Tulsa        Ben Johnson Triple U shapeNegative       Open (20°)      3 radial lands    Non‑active          15‑90       2, 4, 5, 6,      150‑350
                                              Dental/1993                                     (20°)                                                                               7, 8
  17
                                                 Dental/2001        C Ruddle, J triangular                   (grows from                                                      Sx ‑ 3.5‑19,
                                                                    West                                     tip to shaft)                                                     S1‑2‑11,
                                                                                                                                                                              S2‑4‑11.5,
                                                                                                                                                                                                             Journal of Dental & Oro-facial Research Vol 10 Issue 2 Jul-Dec 2014
                                                                                                                                                                               F1‑7‑5.5,
                                                                                                                                                                               F2‑8‑5.5,
                                                                                                                                                                               F3‑9‑5.5
                                  K3             Sybron             McSpadden 3 asymmetric        Positive   Variable        2 radial lands, 1 Non‑active          15‑60          4, 6           300
                                                 Endo/2001                    surfaces                       (grows from     cutting blade
                                                                                                             tip to shaft)
                                  M two          VDW, Munich,       ‑            Italic S         Negative   Variable        2 cutting blades Non‑active           10‑40        4, 5, 6, 7      300‑350
                                                 Germany/2003                                                (grows from
                                                                                                             tip to shaft)
                                  Twisted file   Sybron Endo,     ‑           Triangular          ‑          Variable        2 cutting blades Non‑active           25‑40       4, 6, 8, 10,      500
                                                 Orange, CA,                                                                                                                       12
                                                 USA/2008
                                  Self‑          ReDent, Raanana, Zvi Metzger NiTi lattice        N/A        N/A             Hollow thin       Non‑active          1.5 and                     3000‑5000
                                  adjusting file Israel/2010                                                                 walled cylinder   (Asymmetrical)       2 mm
                                                                                                                                                                 (diameter)
                                  Hyflex         Coltene‑           Riacrdo      Double fluted    Positive   Variable,       2 cutting blades, Non‑active           15‑40        4, 6, 8         500
                                                                                                                                                                                                             JDOR
300
300
300
                                                                    300
                                                                                                                                           ProFile
                                                                                                                                           GT
                                                                                                                                           LightSpeed
                                                    X1‑4, X2‑6,
                                                    X3‑7, X4‑6,
                                                     Variable
        Taper
5, 6, 8
                                                      X5‑6
         (%)
6, 8
                                                       4, 6
                                                                                                                                                                      Triple U‑shaped with radial lands
                                                                                                                                           Protaper
                                                                                                                                           WaveOne
                        21‑40
25‑50
17‑50
                                                                    17‑40
        Sizes
                                                                             Non‑active
                                                           4 cutting blades Active
lands
                                                                                                                                           RaCe
                                            (grows from
                                            (grows from
                                            tip to shaft)
tip to shaft)
                                                                                                                                           Twisted file
                                            Variable
Variable
Variable
                                                                                                                                           Hyflex CM
               Modified convex Negative
                                                                                                                                           M two
               (annealed heat
               (offset design)
                                                                                                                                           Reciproc
               cross‑section
               cross‑section
               Rectangular
                                                                                                                                           Quantec
               transverse
triangular
Parabolic
               treated)
               section
                                         Germany/2011
                        Dentsply Tulsa
                                         Dentsply Tulsa
                                         VDW GmbH,
                        Dental/2011
Dental/2013
                                                                                                                                          Tip design
                                         Munich,
                                                                                                                                          tip (Figure  1). Cutting tips on the rotary files make them too
                                                                                                                                          aggressive.31
        Instrument
                                                                                                                                          Active tips: It has cutting edges on its surface and can help to
                        Wave‑one
ProTaper
                                                                    Edge File
                                         Reciproc
file.
Taper
It is the amount of increase in the file diameter with each
millimeter along its working surface from the tip toward the file
handle. It is a very important feature of the rotary file systems
and varies from 2% to 12%.10,32
Constant taper: Instrument with the same taper but varying
apical tip diameters. E.g. Profile system
Varying or graduating taper: Instrument with same apical
diameter but varying taper (4-12%). E.g. Quantec system
Progressive taper: Instrument with progressive taper along the
shank. E.g. ProTaper system                                                    Figure 1: Tip design (active vs. non-active).
Rake angle31
•	 The rake angle is the angle formed by the cutting edge and a
   cross-section taken perpendicular to the cutting edge
•	 The cutting angle is the angle formed by the cutting edge
   and the radius when the file is sectioned perpendicular to the
   cutting edge
•	 It can either be positive, negative or neutral (Figure 2).
Positive rake angle: If the angle formed by the leading edge and
the surface to be cut is obtuse, the rake angle is said to be “positive
or cutting.” E.g. K3, Quantec systems.
Negative rake angle: If the angle formed by the leading edge and
the surface to be cut is acute, the rake angle is said to be “negative
or scraping.” E.g. Profile, ProTaper, M two, etc.
Neutral or zero rake angle: When the face of the blade coincides with          Figure 2: Rake angle.
the radial line it is said to be neutral or zero rake angle (planing).
E.g. LightSpeed, Greater taper (GT) file systems.
Radial land33
It is defined as the surface projecting axially from the central axis
as far as the cutting edge between flutes (Figure 3).
Functions
•	 Reduces the tendency of the file to screw into the canal
•	 Reduces transportation of the canal                                            a                                 b
•	 Supports the cutting-edge
•	 Limits the depth of cut.
Full radial land – ProFile, GT.
Recessed land – Quantec.
Modified radial land – K3.
No radial land – ProTaper, Race, Endowave, Hero 642.
Helical angle34                                                                   c                                 d
It is the angle formed by the cutting edge with the long axis of the           Figure 3: Radial land (RL), (a) full RL, (b) recessed RL, (c) no RL,
file. It can be of two types (Figure 4).                                       (d) modified RL.
     enlargement. Dent Clin 2008;17:33-4.                                  29.	Ruddle C. The Shaping Movement: Fifth Generation
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     2010;36(4):691-6.                                                          technology. [Last accessed on 2014 Dec 29].
25.	 Shen Y, Coil JM, Zhou H, Zheng Y, Haapasalo M. HyFlex                 30.	 Edge Endo, 2013. Available from: http://www.
     nickel-titanium rotary instruments after clinical use:                     edgeendo.com/products/edgefile/. [Last accessed on
     Metallurgical properties. Int Endod J 2013;46(8):720-9.                    2014 Dec 29].
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     wave one single-file reciprocating system. Roots 2011;1:28-33.             instruments. Endo (Lond) 2012;6:29-39.
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     dental.com/fileadmin/redaktion/downloads/produkte/                         files and how they affect clinical performance. Oral Health
     en/en-reciproc-anwender_a5_rev6.pdf. [Last accessed on                     2002;39-49.
     2014 Dec 29].                                                         33.	Rotary Instrumentation: An Endodontic Perspective.
28.	 ProTaper Next Brochure. http://www.tulsadentalspecialties.                 Endodontics: Colleagues for Excellence, Winter. Chicago,
     com/Libraries/Tab_Content_-_Endo_Access_Shaping/                           IL: American Association of Endodontists; 2008. p. 1-7.
     ProTaperNext_Brochure.sflb.ashx. [Last accessed on                    34.	McSpadden JT. Mastering Endodontic Instrumentation,
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