The aim of this study was to examine the cutting patterns of recently
introduced nickel-titanium endodontic files and compare them with simi
larly shaped stainless steel files using both balanced-force and stepb
ack techniques. Simulated canals were constructed in resin blocks with
40 degrees curvature. Fifty blocks were prepared by a balanced-force
technique: 25 with Nitiflex (Maillefer) and 25 with Flexofiles (Maille
fer) to a master apical file size 40. Fifty blocks were prepared by a
stepback technique: 25 with Nitiflex and 25 with Flexofiles to a maste
r apical file size 30. Composite prints were made of pre-and post-inst
rumentation canals using a computerized imaging system. The amount of
material removed from the inner and outer canal curvatures was measure
d at eight levels in the apical 11 mm of the canal. The results were a
nalysed by Kruskal-Wallis ANOVA. Using the balanced-force technique, N
itiflex files removed less material on the outer curve apically and le
ss on the inner curve mid-canal (P<0.05), while Flexofiles caused more
apical transportation. In the stepback technique, the Nitiflex files
removed more material from the outer curve apically (P<0.05); the Flex
ofiles removed more material along the entire inner curve (P<0.05), an
d maintained canal curvature better than Nitiflex files. It appeared p
referable to use Nitiflex files in a balanced-force technique, and Fle
xofiles in a filing technique as stainless steel files can be precurve
d.