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A survey of experience-based preference of Nickel-Titanium rotary files and incidence of fracture among general dentists

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ÀÌ¿ìö ( Lee Woo-Cheol ) - Seoul National University School of Dentistry and Dental Research Institute Department of Conservative Dentistry
¼Û¹ÎÁÖ ( Song Min-Ju ) - Yonsei University College of Dentistry Department of Conservative Dentistry
±èÀǼº ( Kim Eui-Seong ) - Yonsei University College of Dentistry Department of Conservative Dentistry
ÀÌÈ¿Áø ( Lee Hyo-Jin ) - Pusan National University Department of Statistics
±èÇöö ( Kim Hyeon-Cheol ) - Pusan National University School of Dentistry Department of Conservative Dentistry

Abstract


Objectives: The purpose was to investigate the preference and usage technique of NiTi rotary instruments and to retrieve data on the frequency of re-use and the estimated incidence of file separation in the clinical practice among general dentists.

Materials and Methods: A survey was disseminated via e-mail and on-site to 673 general dentists. The correlation between the operator's experience or preferred technique and frequency of re-use or incidence of file fracture was assessed.

Results: A total of 348 dentists (51.7%) responded. The most frequently used NiTi instruments was ProFile (39.8%) followed by ProTaper. The most preferred preparation technique was crown-down (44.6%). 54.3% of the respondents re-used NiTi files more than 10 times. There was a significant correlation between experience with NiTi files and the number of reuses (p = 0.0025). 54.6% of the respondents estimated experiencing file separation less than 5 times per year. The frequency of separation was significantly correlated with the instrumentation technique (p = 0.0003).

Conclusions: A large number of general dentists in Korea prefer to re-use NiTi rotary files. As their experience with NiTi files increased, the number of re-uses increased, while the frequency of breakage decreased. Operators who adopt the hybrid technique showed less tendency of separation even with the increased number of re-use.

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Crown-down technique; Fracture incidence; Hybrid technique; Nickel-titanium rotary file; Preference

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