“…Several studies have shown that ultrasonically or sonically prepared teeth have significantly cleaner canals than teeth prepared by hand instruments (14,(147)(148)(149)(293)(294)(295)(296). Numerous studies have analyzed the different characteristics of ultrasonically activated files, such as cutting efficiency (11,12,(297)(298)(299)(300)(301)(302), effect on bacteria (168,303,304), characteristics of root canal preparation (153,(305)(306)(307)(308)(309)(310)(311)(312)(313), mechanical and technical features of files and handpieces (314 -318), and clinical implications (319 -323).…”