Viana A C D, Gonzalez B M, Buono V T L, Bahia M G A
Department of Restoration Dentistry, Faculty of Dentistry, Federal University of Minas Gerais, Belo Horizonte-MG, Brazil.
Int Endod J. 2006 Sep;39(9):709-15. doi: 10.1111/j.1365-2591.2006.01138.x.
To evaluate the effect of repeated sterilization cycles in dry oven or autoclave, on the mechanical behaviour and fatigue resistance of rotary endodontic Ni-Ti instruments.
New Ni-Ti instruments were subjected to five consecutive sterilization cycles in a dry oven or steam autoclave. Microhardness was measured in the nonmachined parts of the shanks of instruments using a Vickers indenter. Specimens of Ni-Ti wires were submitted to the same sterilization protocol and tensile tested until rupture. A group of instruments were fatigued to one half of their average fatigue life and then sterilized. New and sterilized instruments were fatigue tested until rupture. anova tests at alpha = 0.05 were used for statistical analysis.
Sterilization procedures resulted in no significant changes in Vickers microhardness, nor in the parameters describing the mechanical behaviour of the wires. However, the number of cycles to failure was statistically higher for all instruments after dry heat or autoclave sterilization cycles. In the instruments previously fatigued to one half of their fatigue life, autoclave sterilization gave rise to an increase of 39% in the remaining number of cycles to failure.
Changes in the mechanical properties of Ni-Ti endodontic instruments after five cycles of commonly used sterilization procedures were insignificant. The sterilization procedures are safe as they produced a significant increase in the fatigue resistance of the instruments.
评估在干热灭菌器或高压灭菌器中重复进行灭菌循环对旋转式牙髓治疗镍钛器械的机械性能和抗疲劳性的影响。
将新的镍钛器械在干热灭菌器或蒸汽高压灭菌器中连续进行五个灭菌循环。使用维氏压头测量器械柄部未加工部分的显微硬度。将镍钛丝样本按照相同的灭菌方案进行处理,并进行拉伸试验直至断裂。将一组器械疲劳至其平均疲劳寿命的一半,然后进行灭菌。对新的和经过灭菌的器械进行疲劳试验直至断裂。使用α = 0.05的方差分析进行统计分析。
灭菌程序在维氏显微硬度以及描述镍钛丝机械性能的参数方面均未导致显著变化。然而,经过干热或高压灭菌循环后,所有器械的失效循环次数在统计学上更高。在先前已疲劳至其疲劳寿命一半的器械中,高压灭菌使剩余的失效循环次数增加了39%。
经过五个常用灭菌程序循环后,镍钛牙髓治疗器械的机械性能变化不显著。这些灭菌程序是安全的,因为它们显著提高了器械的抗疲劳性。