Department of Endodontics, Arthur A. Dugoni School of Dentistry, University of the Pacific, San Francisco, CA 94941, USA.
Int Endod J. 2012 Nov;45(11):1027-34. doi: 10.1111/j.1365-2591.2012.02067.x. Epub 2012 May 8.
To determine several properties including torsional and fatigue limits, as well as torque during canal preparation, of Hyflex, a rotary instrument manufactured from so-called controlled memory nickel-titanium alloy.
The instruments were tested in vitro using a special torque bench that permits both stationary torque tests according to ISO3630-1 and fatigue limit determination, as well as measurement of torque (in Ncm) and apical force (in N) during canal preparation. Fatigue limit (in numbers of cycles to failure) was determined in a 90°, 5 mm radius block-and-rod assembly. Simulated canals in plastic blocks were prepared using both a manufacturer-recommended single-length technique as well as a generic crown-down approach. anova with Bonferroni post hoc procedures was used for statistical analysis.
Torque at failure ranged from 0.47 to 1.38 Ncm, with significant differences between instrument sizes (P < 0.0001). Fatigue life ranged from 260 to 2565, with the shortest and longest lifespan for instruments size 20, .04 taper and size 25, .08 taper, respectively. Torque during canal preparation was significantly higher for small instruments used in the single-length technique but lower for the size 40, .04 taper, compared to a crown-down approach. No instrument fractured; 82% of the instruments used were plastically deformed; however, only 37% of these remained deformed after a sterilization cycle.
Hyflex rotary instruments are bendable and flexible and have similar torsional resistance compared to instruments made of conventional NiTi. Fatigue resistance is much higher, and torque during preparation is less, compared to other rotary instruments tested previously under similar conditions.
确定 Hyflex 等旋转器械的几项性能,包括扭转和疲劳极限以及根管预备时的扭矩,该器械由所谓的控制记忆镍钛合金制成。
使用特殊的扭矩台对器械进行体外测试,该扭矩台允许根据 ISO3630-1 进行静止扭矩测试和疲劳极限测定,以及测量根管预备时的扭矩(以 Ncm 为单位)和根尖力(以 N 为单位)。疲劳极限(以失效循环数为单位)在 90°、5mm 半径的块-棒组件中确定。在塑料块中模拟根管,使用制造商推荐的单长度技术和通用的冠向下方法进行预备。使用方差分析和 Bonferroni 事后检验程序进行统计分析。
失效时的扭矩范围为 0.47 至 1.38 Ncm,不同器械尺寸之间存在显著差异(P < 0.0001)。疲劳寿命范围为 260 至 2565,尺寸为 20、0.04 锥度和尺寸 25、0.08 锥度的器械寿命最短和最长。在单长度技术中使用的小器械在根管预备时的扭矩明显较高,但与冠向下方法相比,尺寸为 40、0.04 锥度的器械的扭矩较低。没有器械断裂;82%的器械发生塑性变形;然而,只有 37%的器械在经过一个消毒循环后仍然变形。
Hyflex 旋转器械具有柔韧性和弹性,与传统 NiTi 制成的器械相比具有相似的扭转阻力。与以前在类似条件下测试的其他旋转器械相比,疲劳阻力更高,预备时的扭矩更小。