Eskibağlar M, et al. Restor Dent Endod. 2023 Nov;48:e38. https://doi.org/10.5395/rde.2023.48.e38

In the present study, the structural, morphological, and in vivo biocompatibility of un-doped and boron (B)-doped strontium apatite (SrAp) nanoparticles were investigated. Biomaterials were fabricated using the hydrothermal process. The structural and morphological characterizations of the fabricated nanoparticles were performed by XRD, FT-IR, FE-SEM, and EDX. Their biocompatibility was investigated by placing them in defects in rat tibiae in vivo. The un-doped and B-doped SrAp nanoparticles were successfully fabricated. The produced nanoparticles were in the shape of nano-rods, and the dimensions of the nano-rods decreased as the B ratio increased. It was observed that the structural and morphological properties of strontium apatite nanoparticles were affected by the contribution of B. A stoichiometric Sr/P ratio of 1.67 was reached in the 5% B-doped sample (1.68). The average crystallite sizes were 34.94 nm, 39.70 nm, 44.93 nm, and 48.23 nm in un-doped, 1% B-doped, 5% B-doped, and 10% B-doped samples, respectively. The results of the in vivo experiment revealed that the new bone formation and osteoblast density were higher in the groups with SrAp nanoparticles doped with different concentrations of B than in the control group, in which the open defects were untreated. It was observed that this biocompatibility and the new bone formation were especially elevated in the B groups, which added high levels of strontium were added. The osteoblast density was higher in the group in which the strontium element was placed in the opened bone defect compared with the control group. However, although new bone formation was slightly higher in the strontium group than in the control group, the difference was not statistically significant. Furthermore, the strontium group had the highest amount of fibrotic tissue formation. The produced nanoparticles can be used in dental and orthopedic applications as biomaterials.

In this study, fluoridated strontium apatite (SAP) nanoparticles with different mole percentages (5%, 10%, 30%, and 50%) synthesized using a hydrothermal method were used as biomaterials. The in vivo biocompatibility of the synthesized nanoparticles was investigated by embedding them as biomaterials in bone defects created in rat tibiae. Through the hematoxylin-eosin staining method, a histopathological analysis was performed for new bone formation, osteoblast density, and fibrotic tissue formation. Fluorine (F) addition affected the structural and morphological properties of the nanoparticles. With the F doping, the shapes of the nanoparticles changed from nano-rods to almost spherical. The Sr/P ratios, with a stoichiometric value of 1.67, were 1.76, 1.53, 1.54, 1.68, and 1.79 in pure, 5%, 10%, 30%, and 50% F-doped nanoparticles, respectively. The F/Sr ratios of 5%, 10%, 30%, and 50% F-doped nanoparticles were 0.05, 0.13, 0.16, and 0.20, respectively. The highest values in terms of fibrotic tissue formation were obtained in the group containing pure SAP. The best results in terms of new bone formation and osteoblast density in bone defects were observed in the groups with higher F ratios (30% and 50% F-doped). Pure and F-doped strontium apatite nanoparticles showed good results for new bone formation and osteoblast levels compared to the control group. It was observed that an increase in the fluorine ratio resulted in better bone healing. The results showed that pure and F-doped SAP nanoparticles synthesized by a hydrothermal method can be used as biomaterials in orthopedics and dentistry, especially in the surgical treatment of endodontic lesions.

The aim of this study was to evaluate the stress induced by clamps made of different materials on mandibular first molar teeth using finite element analysis. The tooth model to be used in the study was created using micro-CT scanner and the rubber dam clamp model was created in three dimensions (3D) using Solidworks and applied to a finite element tooth model of an intact mandibular first molar. The size of the clamp opening and the force to be applied were calculated according to the buccolingual distances of the tooth. The contact areas of the clamps on the tooth were determined and subjected to force. The stress distribution patterns and maximum von Mises stresses were calculated and compared against these forces. The most stress against these forces occurred in the enamel tissue on the distal side where the clamp was in contact with the tooth. The stress value in the stainless steel clamp (191.63 MPa) was approximately 85% higher than the clamp made of polyethylene ketone (103.85 MPa). The stress in the dentin and pulp tissue of the tooth was negligible. Clinicians should examine the enamel tissue below the equatorial line of the tooth in detail before clamp application. The forces exerted by stainless steel clamps can cause damage to the enamel tissue of the tooth or progression of an existing enamel crack.

The aim of this study was to evaluate the performance of two endodontic rotary files with different off-center geometries in bending and torsional tests using finite element analysis (FEA). Trunatomy Prime (TRN-P) and WaveOne Gold Primary (WOG-P) files were used in the study. Geometric models for finite element analysis were obtained by micro-computed tomography scanning. FEA analyses were performed according to ISO 3630-1 specifications to evaluate the bending and torsional tests of the files. Trunatomy Prime showed higher flexibility than WOG-P when subjected to bending. In terms of torsional strength, WOG-P showed higher torsional strength than TRN-P. The geometry of a rotary instrument file influences the mechanical behavior (bending and torsion) of rotary files. The clinician should be aware of the behavioral differences in rotary files and use the appropriate file according to the clinical situation in addition to the manufacturer’s instructions.

Aim: The aim of this study is to evaluate the amount of debris extruded apically by the primary shaping files of three rotary file systems manufactured with different alloy technologies [TruNatomy (TRN), ProTaper Ultimate (PTUltimate), and VDW.Rotate (VDW.R) files]. Methodology: Thirty lower premolar teeth with moderate curvature (10-20°) were randomly divided into three equal groups (n=10) according to three rotary file systems [TRN (26.04v), PTUltimate (25.08v), and VDW.R (25.06v)]. The debris extruded apically was collected in Eppendorf tubes of known weights. After preparation, the tubes were placed in an incubator at 70°C for five days to evaporate the distilled water. The tubes filled with debris were then weighed again, and the net weight of the extruded debris was calculated in grams (g) by subtracting the initial weight from the final weight. The data were analyzed using one-way ANOVA test. Results: There was no significant difference in the amount of debris extruded apically by the three shaping files (p > 0.05). The highest amount of debris extruded apically was 0.9534 g for PTUltimate. VDW.R extruded the minimum amount of debris apically, with 0.1833 g. Conclusion: All rotary files have caused apical debris extrusion. Even though there was no significant difference among the files, the VDW.R file extruded less debris compared to other file systems. How to cite this article: Eskibağlar M, Yeniçeri Özata M, Timis Ll. Comparison of ProTaper Ultimate, TruNatomy, and Rotate rotary files in apical debris extrusion. Int Dent Res 2023;13(S1):26-31. https://doi.org/10.5577/idr.2023.vol13.s1.4 Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.