Comparison of Cyclic Fatigue Resistance of Five Nickel Titanium Rotary File Systems with Different Manufacturing Techniques

<p><strong>Objectives:</strong> The purpose of this study was to evaluate the resistance to fatigue failure of five different nickel-titanium rotary files in three different curved trajectories.</p><p><strong>Materials and Methods: </strong>A total of 150 Neoniti A1, RaCe 25.06, Mtwo 25.06, Twisted file 25.06 and ProTaper Next X2 files with the tip size of 25 were tested (n=30 for each group). Three groove types simulating curved canals were used differing in radius, arc length and position of the arc, each measuring 1.5 mm in width, 20 mm in total length and 2.5 in depth. Resistance to cyclic fatigue was determined by counting the numbers of cycles to failure. Furthermore, the fragment length of the fractured tips and angle and radius of curvature formed by each file in each trajectory were evaluated. The data were analyzed by t-test, one way ANOVA and Tukey’s HSD test.</p><p><strong>Results: </strong>Neoniti showed the highest and RaCe showed the lowest number of cycles to fracture (NCF) values (P&lt;0.05), indicating the highest and lowest fatigue resistance, respectively. The highest and lowest curvature angles were seen in RaCe and Neoniti, respectively. Regarding the radius of curvature, Twisted file had the lowest and Neoniti had the highest values. The mean NCF of all rotary files was lower in the more coronally curved trajectory.</p><p><strong>Conclusion: </strong>The fatigue resistance of the evaluated rotary files was lower in more coronally located curvatures. Neoniti exhibited the highest and RaCe exhibited the lowest fatigue resistance compared to other evaluated files.