Comparison of retreatment ability of full-sequence reciprocating instrumentation and 360° rotary instrumentation

Clin Oral Investig. 2015 Dec;19(9):2219-22. doi: 10.1007/s00784-015-1461-0. Epub 2015 Mar 29.


Objectives: The purpose of the present study was to investigate the amount of root canal filling material after root canal filling removal with 360° rotary instrumentation or reciprocating motion with the same file sequence.

Materials and methods: Root canals of the 36 mandibular premolars were shaped with ProTaper Universal instruments up to size F2 and filled with corresponding single gutta-percha cone and sealer. The teeth were assigned to two retreatment groups (n = 18): group 1 360° rotational motion and group 2 reciprocating motion of ATR Tecnika motors (1310° clockwise and 578° counterclockwise). Retreatment procedure was performed with ProTaper Universal retreatment files with a sequence of D1-3 and ProTaper Universal F3 instruments. Total time required to remove filling material were recorded. Remaining filling material was examined under stereomicroscope at ×8 magnification. The data were analysed statistically using the Mann-Whitney U test, and testing was performed at 95 % confidence level (p < 0.05).

Results: There were no significant differences between the groups (p > 0.05) in terms of remaining filling material. The total time required for retreatment was shorter in 360° rotational motion group compared to reciprocating motion group (p < 0.05).

Conclusion: Both continuous rotation and reciprocating motion showed similar effectiveness in terms of root canal filling material removal.

Clinical relevance: Using ProTaper Universal retreatment instruments with reciprocating motion of ATR motor and conventional rotary motion have similar efficacy in root canal filling removal.

Keywords: Endodontics; Reciprocating motion; Retreatment; Rotary nickel titanium instruments.

Publication types

  • Comparative Study

MeSH terms

  • Bicuspid / surgery
  • Dental Instruments*
  • Equipment Design
  • Humans
  • Mandible
  • Retreatment
  • Root Canal Filling Materials*
  • Root Canal Obturation / instrumentation
  • Root Canal Preparation / instrumentation*
  • Time Factors


  • Root Canal Filling Materials