Guppy D R, Curtis R V, Ford T R
Department of Conservative Dentistry, Guy's, King's and St Thomas' Dental Institute, Kings' College, London, UK.
Endod Dent Traumatol. 2000 Dec;16(6):258-64. doi: 10.1034/j.1600-9657.2000.016006258.x.
This study aimed to compare the cross-sectional shape of two nickel-titanium rotary instruments, namely ProFile and Quantec files, both ISO 25, 0.06 taper, and sought to relate this to the chips produced by cutting dentine. A limited comparison was made with stainless steel engine reamers. First, five files of each type were sectioned transversely at 12 mm, 8 mm and 4 mm from the tip and examined by scanning electron microscopy. The cutting angles were assessed by a direct measurement technique which allowed for the inclination of a cutting edge to the root canal. Second, eight samples of cutting debris were collected from instrumentation by each type of nickel-titanium file and four samples from the engine reamers. The major and minor axis, area and roundness of the dentine chips in each sample were measured using computerized particle analysis. The results demonstrated that all files had a negative cutting angle which varied at the different levels (ProFiles range 69.4 degrees to 58.4 degrees and Quantec range 74.8 degrees to 56.8 degrees). The consistency within files of the same type was good as demonstrated by low standard deviations, except for Quantec files at the 4 mm level where higher standard deviations of 4.1 degrees and 5.5 degrees for the two blades were found. The chip analysis showed significant differences between chips produced by ProFile and Quantec files (P < 0.05). The latter were larger and rounder. The chips from the ProFile and the engine reamer chips were similar in dimension (P > 0.05). No simple relationship existed between file geometry and the dentine chips produced during instrumentation.
本研究旨在比较两种镍钛旋转器械(即ProFile锉和Quantec锉,均为ISO 25、0.06锥度)的横截面形状,并试图将其与切割牙本质产生的碎屑联系起来。还与不锈钢机用扩孔钻进行了有限的比较。首先,将每种类型的五根锉从尖端起分别在12mm、8mm和4mm处横向剖切,并通过扫描电子显微镜检查。采用直接测量技术评估切削角度,该技术考虑了切削刃相对于根管的倾斜度。其次,每种镍钛锉在器械操作过程中收集八个切削碎屑样本,从机用扩孔钻收集四个样本。使用计算机颗粒分析测量每个样本中牙本质碎屑的长轴和短轴、面积和圆度。结果表明,所有锉的切削角度均为负,且在不同水平有所变化(ProFile锉的范围为69.4度至58.4度,Quantec锉的范围为74.8度至56.8度)。同一类型锉内部的一致性良好(低标准差表明),但Quantec锉在4mm水平处除外,该水平两根锉刃的标准差较高,分别为4.1度和5.5度。碎屑分析显示ProFile锉和Quantec锉产生的碎屑之间存在显著差异(P<0.05)。后者更大且更圆。ProFile锉产生的碎屑与机用扩孔钻产生的碎屑尺寸相似(P>0.05)。锉的几何形状与器械操作过程中产生的牙本质碎屑之间不存在简单的关系。