Effect of NaOCl and EDTA Solutions on Topography of ESX, TruShape and ProTaper Gold NiTi Rotary Instruments - An Atomic Force Microscopic Study

J Conserv Dent. 2019 Sep-Oct;22(5):459-463. doi: 10.4103/JCD.JCD_34_20. Epub 2020 Aug 4.

Abstract

Aim: The study was aimed to evaluate the effect of 5.25% NaOCl and 17% ethylenediaminetetraacetic acid (EDTA) Solutions on Surface Topography of ESX, TruShape, and ProTaper Gold nickel-titanium (NiTi) Rotary Instruments using Atomic Force Microscope (AFM).

Materials and methodology: A total of 27 each of three commercially available brands of endodontic NiTi instruments were analyzed, which were divided into three groups as follows: Group I: ESX (Brasseler, USA) Group II: Tru shape (Dentsply Tulsa, USA) Group III: Pro Taper Gold (Dentsply Tulsa, USA). These files were further divided into three subgroups containing nine files each, no immersion, immersion in 5.25% NaOCl for 5 min, and immersion in 17% EDTA for 5 min. Surface areas along 3 mm sections at the tip of the files (perfect squares of 10 μm × 10 μm) were analyzed using AFM operating in contact mode under ambient conditions.

Statistical analysis: Data were analyzed using two-way ANOVA and pairwise comparison of three main groups with respect to Ra and RMS by Tukey's multiple posthoc procedures.

Results: Three-dimensional AFM images of the surface of all the rotary NiTi instruments, including new and those immersed in 5.25% NaOCl and 17% EDTA solutions, revealed topographic irregularities at the nanometric scale. Ra and RMS values of instruments treated with 5.25% NaOCl and 17% EDTA solutions were statistically higher than that of the new ones (P < 0.05).

Conclusion: Using AFM for analysis indicated that short-term contact between 5.25% NaOCl and 17% EDTA solutions and NiTi instruments caused alterations in the topography of instruments.

Keywords: Atomic force microscope; nickel-titanium rotary instruments; sodium hypochlorite; surface roughness.