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This study compared the microscopic features of the fractured endodontic nickel-titanium (NiTi) rotary instruments by two different torsional loadings: repetitive torsional loading (RTL) and single torsional loading (STL) based on the International Organization for Standardization (ISO). ProTaper Next, HyFlex EDM, and V-Taper 2 were compared in this study. In the STL method, the torsional load was applied after fixing the 3 mm tip of the file, by continuous clockwise rotation (2 rpm) until fracture. In the RTL method, a preset rotational loading (0.5 N·cm) was applied and the clockwise loading to the preset torque and counterclockwise unloading to original position were repeated at 50 rpm until the file fractured. Fractured fragments by two methods were compared under a scanning electron microscope (SEM) to examine the topographic features of the fractured surfaces and longitudinal aspects. SEM examinations showed significantly different features according to the loading methods. Specimens from the RTL method showed ruptured aspects on cross sections, with multiple areas of initiated cracks while the STL method showed the typical features of torsional failure, such as circular abrasion marks and fatigue dimples. This study suggested a new repetitive torsional loading method which is much more clinically relevant and may result in a different fracture feature from STL method.

Microscopic Features of Fractured Fragment of Nickel-Titanium Endodontic Instruments by Two Different Modes of Torsional Loading