Sisera Massimo, Hofer Deborah J, Sener Beatrice, Attin Thomas, Schmidlin Patrick R
Department of Preventive Dentistry, Cariology, and Periodontology, University of Zurich, Center for Dental Medicine, Zurich, Switzerland.
Schweiz Monatsschr Zahnmed. 2009;119(12):1200-8.
This study assessed the edge cutting efficiency of three new curettes with different edge retention technologies after simulated wear in vitro. Three test curettes (two with a titanium nitride coating and one without coating, but made of a cryogenically treated stainless steel alloy) were used to root plane prepared bovine dentin specimens. Nine curettes of each type were used to instrument one dentin sample each. Dentin removal was determined after the first ten strokes and again cumulatively for the strokes 500-510 and 1,000-1,010 by means of atomic absorption spectrophotometry (AAS). The effects of chemical and thermal stress were analysed after repeated disinfection and sterilization of the instruments then followed by a final 10-stroke sequence of dentin removal to determine cutting efficacy. A standard, untreated stainless steel curette was used as a control. Test and control instruments showed no statistical evidence of diminished dentin removal over 1010 strokes. Dentin surface roughness also displayed insignificant differences for all instruments. However, sterilization negatively affected the test and control instruments to an equal degree. Sterilization procedures appear to be an important factor in the dulling of curettes, which affected dentin removal efficacy but not surface roughness.
本研究评估了三种采用不同刃口保留技术的新型刮治器在体外模拟磨损后的边缘切割效率。使用三种测试刮治器(两种带有氮化钛涂层,一种无涂层,但由低温处理的不锈钢合金制成)对牛牙本质标本进行根面平整。每种类型的九个刮治器分别用于处理一个牙本质样本。在前十次刮削后,通过原子吸收分光光度法(AAS)测定牙本质去除量,并在第500 - 510次和1000 - 1010次刮削时累计测定。在对器械进行反复消毒和灭菌后,分析化学和热应力的影响,然后进行最后10次刮削牙本质的操作以确定切割效率。使用标准的未处理不锈钢刮治器作为对照。测试器械和对照器械在超过1010次刮削后,没有统计学证据表明牙本质去除量减少。所有器械的牙本质表面粗糙度也显示出不显著的差异。然而,灭菌对测试器械和对照器械的影响程度相同。灭菌程序似乎是刮治器钝磨的一个重要因素,它影响牙本质去除效率,但不影响表面粗糙度。