Research comparing Endodontic rotary file systems
Just so you know my bias, I use a mixture of GT and the SX from Protaper. I tried the GTX and didn’t feel comfortable in my hands. I also use the Edge clones of these systems at times. A
TF = Flexmaster in apical transportation
RaCe=Profile in apical transportation
Vortex (M-wire)=Endosequence in centering and apical transportation but M-wire better fatigue resistance
SAF=WaveOne=K3 in canal cleanliness but WaveOne is worse in isthmus cleaning (Why?)
K3XF (NiTi R-phase)>NiTi and M-wire
SAF=Reciproc=Twisted All three similar performance Siqueira 2013
HyFlex EDM > Protaper Next Venino 2017 JOE
The HyFlex EDM and WaveOne Gold > Reciproc, WaveONe, F6 SkyTaper in crack formation Pedulla JOE 2017
HyFlex EDM>Reciproc Blue>WaveOne Gold>OneShape in cyclic failure test Gündoğar JOE 2017
Protaper Next > ProTaper Universal in terms of ledges Alemam JOE 2017
Rotary endodontic files in curved canals
A Systemic review finds that rotary files perform better than reciprocating files in solving major issues we see with teeth with curves. JOE 2024 Călin
TF>Revo-S=GTX>ProTaper in canal transportation and centering ability
Reciproc>WaveOne in cyclic fatigue of 60 degree curvature
WaveOne>TF>Protaper Nov 12 in cyclic fatigue curved canal
GTX=Revo-S=RaCe=Mtwo>Protaper(worse only at 2.5mm) canal transportation 30-40 degree
SAF>>Vortex>Typhoon in S shape canal for transportation
ProTaper Next > WaveOne and ProTaper Universal in apical transportation
ProTaper Gold >ProTaper Universal based on more flexible and more resistant to fatigue
Reciproc>OneShape=Twisted File Adaptive=ProTaper Universal Capar JOE 2014
ProTaper Next>ProTaper Universal and WaveOne Li 2015 JOE
TRUShape > Profile and Vortex Blue in double curvature Shen 2016 JOE
ProTaper Next and Hyflex CM > OneShape and ProTaper Universal Topçuoğlu 2016 JOE
TFA>WaveOne and PTN in transportation in curved canals Liu JOE 2016
WaveOne Gold and HEDM > Reciproc in S shape canal Özyürek JOE 2017
Hyflex EDM > Hyflew CM Uslu JOE 2018
Hyflex EDM > Protaper Gold > Protaper universal Kaval JOE 2016
Reciprocal endodontic systems
More debris out apex with reciprocal vs. rotary June 12
More apical cracks with reciprocal v rotary
Less cyclic fatigue and less canal transportation with reciprocal. Controversy on apical debris. Systemic Review Ahn 2016 JOE
Comparison of reciprocal endodontic files
Rotary and reciprocating gave similar results in Cardoso Gen Den 2022 when removing gutta percha.
Repciproc Blue > WaveOne Gold and Reciproc in curve canal in terms of separation time. JOE 2017 Keskin
EdgeFile>WaveOne>Reciproc in terms centering ability Hasheminia JOE 2018
Rotary Path Files
Scout RaCe>PathFile
ProGlider > G-File > K-files Paleker JOE 2016
ProGlider > G-File Paleker JOE 2017
Hyflex GPF and G-file > Pathfile at centering Shi JOE 2017
Pain and apical extrusion
ProTaper Next=Reciproc=WaveOne Kherlakian JOE 2016
Retreatment of cases
Reciproc faster than TRUShape Zuolo JOE 2016
WaveOne beats ProTaper Jorgensen JOE 2017
File systems using controlled memory and or heat treatments
There are 3 types of heat treated NiTi alloys for endodontic files. M-wire, R-phase, CM-wire.
- Protaper Next (M-wire NiTi)
- HyFlex CM and EDM (controlled memory treatment and electrical discharge machining)
- Reciproc (M-wire)
- WaveOne and WaveOne Gold (M-wire gold is repeatedly heat treated)
Hyflex EDM and CM is the best Goo JOE 2017
Microcrack formation with endodontic files
XP-endo shaper and Reciproc blue beat Protaper universal Aksoy JOE 2019
Endodontic file separation can occur with any system so must be able to retrieve.
