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Updated: Mar 3, 2026

Scanning Electron Microscopic Evaluation of Surface Defects of Remover Retreatment File After Single and Multiple Uses
Published on: October 11, 2024
Effect of retreatment instruments on microcrack formation: a microcomputed tomography study
Mustafa M Koçak1, Neslihan Y Çırakoğlu2, Sibel Koçak1
1Department of Endodontics, Bülent Ecevit University, Faculty of Dentistry, Zonguldak - Turkey.
Introduction:
The purpose of this study was to compare the occurrence of microcracks in teeth prepared with different retreatment systems using microcomputed tomography (micro-CT).
Methods:
Forty-two freshly extracted mandibular premolar teeth were used. The root canals were instrumented with stainless steel K-files to an apical size of 35/.02 using the balanced-force technique and were obturated using the passive compaction technique. The specimens were divided into 3 experimental groups according to retreatment system used (n = 14): ProTaper Universal retreatment (PTUR), Mtwo retreatment (MTR), or D-RaCe retreatment (D-RC) systems. Each specimen was scanned using a high-resolution micro-CT system before instrumentation, after obturation, and after the removal of the filling material. The images were evaluated, and the presence of microcracks was recorded.
Results:
The PTUR system demonstrated the highest percentage, while MTR and D-RC retreatment systems resulted in similar numbers of microcracks.
Conclusions:
Clinicians should be aware that all retreatment systems may cause microcracks.
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