Kinematic analysis of new and used reciprocating endodontic motors in 2 different modes

Abstract

Purpose: The actual reciprocating angles of endodontic motors might differ from the manufacturers’ set values. This study analyzed the effect of clinical usage on the kinematics of reciprocating endodontic motors with 2 different reciprocal modes. Methods: 1 new and 3 used reciprocating endodontic motors (X-Smart Plus, Dentsply Maillefer) with 2 different reciprocating modes, WaveOne mode (W-mode) or Reciproc mode (R-mode), were analyzed. An angle measurement disc was inserted into a contra-angle. Reciprocating motions were recorded with a high-speed camera at 1,200 fps and analyzed on a computer. The following kinematic parameters were calculated: duration of each reciprocating motion, engaging and disengaging angles, cycle rotational speeds, engaging and disengaging rotational speeds, net cycle angle, total cycle angle, and number of cycles to complete full rotation. One-way ANOVA and Kruskal-Wallis test followed by multiple comparison tests were used for statistical analysis (p = 0.05). Results: In W-mode, the actual engaging angles of all used and new motors were different from the manufacturer’s set values (p<0.0001), whereas there was no difference between actual engaging angles among the motors (p>0.05). In R-mode, the actual engaging angles of all used and new motors were similar to the manufacturers’ set values (p>0.05). There was no difference between the actual engaging angles among motors (p>0.05). Both the W-mode and R-mode showed statistically different values of actual disengaging angles for all used and new motors when compared with the manufacturers’ set value (p<0.0001). Conclusions: This study confirmed that the actual kinematics of reciprocating endodontic motors differ from the manufacturers’ set values. Some kinematic parameters were influenced by the clinical usage of the motors.