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寻迹根管器械的力学行为。

Mechanical behavior of pathfinding endodontic instruments.

机构信息

Department of Endodontics, Estácio de Sá University, Rio de Janeiro, Rio de Janeiro, Brazil.

出版信息

J Endod. 2012 Oct;38(10):1417-21. doi: 10.1016/j.joen.2012.05.005. Epub 2012 Jun 29.

Abstract

INTRODUCTION

This study compared the mechanical properties of 3 pathfinding endodontic instruments.

METHODS

The test instruments were subjected to mechanical tests to evaluate resistance to bending (flexibility), buckling, cyclic fatigue, and torsional load in clockwise rotation. Data were statistically evaluated by analysis of variance and the Student-Newman-Keuls test for multiple comparisons.

RESULTS

In the buckling resistance test, the highest values were observed for C-Pilot files (VDW, Munich, Germany) and the lowest for Scout RaCe (FKG Dentaire, La Chaux-de-Fonds, Switzerland) instruments. In the bending resistance test, the lowest flexibility was observed for the C-Pilot instrument, and no significant difference was observed between Scout RaCe and PathFile (Maillefer/Dentsply, Ballaigues, Switzerland) instruments. The ranking in the fatigue resistance test was the following: PathFile > Scout RaCe > C-Pilot, with statistically significant differences observed in the number of cycles to fracture between all the instruments. In the torsional assay, the angular deflection to fracture decreased in the following order: Scout RaCe > PathFile > C-Pilot. As for the maximum torque values, the ranking was as follows: C-Pilot > PathFile > Scout RaCe.

CONCLUSIONS

Findings revealed that the stainless-steel C-Pilot instrument showed increased resistance to buckling but decreased flexibility and cyclic fatigue resistance when compared with nickel-titanium pathfinding instruments. PathFile instruments showed the highest resistance to cyclic fatigue, and Scout RaCe files exhibited the highest angular deflection to fracture. The different mechanical behavior of the instruments indicates that the combined use of stainless steel hand instruments and rotary nickel-titanium instruments during the exploration of narrow curved canals may be necessary to exploit the best performance of each pathfinding instrument.

摘要

简介

本研究比较了 3 种寻径根管器械的力学性能。

方法

对测试器械进行力学测试,以评估抗弯曲(柔韧性)、弯曲、循环疲劳和顺时针扭转的能力。数据通过方差分析和学生-纽曼-凯尔斯检验进行统计评估,以进行多重比较。

结果

在抗弯曲试验中,C-Pilot 锉(VDW,慕尼黑,德国)的弯曲阻力最大,而 Scout RaCe 锉(FKG Dentaire,拉绍德封,瑞士)的弯曲阻力最小。在弯曲阻力试验中,C-Pilot 器械的柔韧性最低,而 Scout RaCe 和 PathFile (Maillefer/Dentsply,Ballaigues,瑞士)器械之间没有明显差异。在抗疲劳试验中,PathFile > Scout RaCe > C-Pilot,所有器械的断裂循环数均有统计学差异。在扭转试验中,断裂时的角偏转顺序如下:Scout RaCe > PathFile > C-Pilot。至于最大扭矩值,顺序如下:C-Pilot > PathFile > Scout RaCe。

结论

研究结果表明,与镍钛寻径器械相比,不锈钢 C-Pilot 器械的弯曲阻力增加,但柔韧性和循环疲劳阻力降低。PathFile 器械表现出最高的抗循环疲劳能力,而 Scout RaCe 锉则表现出最高的断裂角偏转。器械的不同力学性能表明,在探索狭窄弯曲根管时,可能需要联合使用不锈钢手动器械和旋转镍钛器械,以充分发挥每种寻径器械的最佳性能。

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