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TiN 涂层和传统镍钛旋转器械表面的高压蒸汽灭菌效果。

Effect of autoclaving on the surfaces of TiN -coated and conventional nickel-titanium rotary instruments.

机构信息

Department of Oral and Maxillofacial Sciences, University of Napoli, Federico II, Napoli, Italy.

出版信息

Int Endod J. 2012 Dec;45(12):1148-55. doi: 10.1111/j.1365-2591.2012.02088.x. Epub 2012 Jul 3.

Abstract

AIM

To evaluate the effects of repeated autoclave sterilization cycles on surface topography of conventional nickel-titanium ( NiTi ) and titanium nitride ( TiN )-coated rotary instruments.

METHODOLOGY

A total of 60 NiTi rotary instruments, 30 ProTaper (Dentsply Maillefer) and 30 TiN -coated AlphaKite (Komet/Gebr. Brasseler), were analysed. Instruments were evaluated in the as-received condition and after 1, 5 and 10 sterilization cycles. After sterilization, the samples were observed using scanning electron microscope (SEM), and surface chemical analysis was performed on each instrument with energy dispersive X-ray spectroscopy (EDS). Moreover, the samples were analysed by atomic force microscopy (AFM), and roughness average (Ra) and the root mean square value (RMS) of the scanned surface profiles were recorded. Data were analysed by means of anova followed by Tukey's test.

RESULT

Scanning electron microscope observations revealed the presence of pitting and deep milling marks in all instruments. EDS analysis confirmed that both types of instruments were composed mainly of nickel and titanium, whilst AlphaKite had additional nitride. After multiple autoclave sterilization cycles, SEM examinations revealed an increase in surface alterations, and EDS values indicated changes in chemical surface composition in all instruments. Ra and RMS values of ProTaper significantly increased after 5 (P = 0.006) and 10 cycles (P = 0.002) with respect to the as-received instruments, whilst AlphaKite showed significant differences compared with the controls after 10 cycles (P = 0.03).

CONCLUSIONS

Multiple autoclave sterilization cycles modified the surface topography and chemical composition of conventional and TiN -coated NiTi rotary instruments.

摘要

目的

评估常规镍钛(NiTi)和氮化钛(TiN)涂层旋转器械重复高压蒸汽灭菌循环对表面形貌的影响。

方法

共分析了 60 根 NiTi 旋转器械,30 根 ProTaper(登士柏麦尔乐)和 30 根 TiN 涂层 AlphaKite(歌博/布雷塞乐)。器械在初始状态和经过 1、5 和 10 次灭菌循环后进行评估。灭菌后,使用扫描电子显微镜(SEM)观察样品,并对每根器械进行能量色散 X 射线光谱(EDS)表面化学分析。此外,对样品进行原子力显微镜(AFM)分析,并记录扫描表面轮廓的粗糙度平均值(Ra)和均方根值(RMS)。数据采用方差分析和 Tukey 检验进行分析。

结果

扫描电子显微镜观察显示,所有器械均存在点蚀和深铣痕迹。EDS 分析证实,这两种器械主要由镍和钛组成,而 AlphaKite 则含有额外的氮化物。经过多次高压蒸汽灭菌循环后,SEM 检查显示表面变化增加,EDS 值表明所有器械的化学表面组成发生变化。ProTaper 的 Ra 和 RMS 值在经过 5 次(P=0.006)和 10 次循环(P=0.002)后与初始器械相比显著增加,而 AlphaKite 在经过 10 次循环后与对照组相比差异显著(P=0.03)。

结论

多次高压蒸汽灭菌循环改变了常规和 TiN 涂层 NiTi 旋转器械的表面形貌和化学组成。

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