Capar Ismail Davut, Kaval Mehmet Emin, Ertas Hüseyin, Sen Bilge Hakan
Department of Endodontics, Faculty of Dentistry, İzmir Katip Çelebi University, İzmir, Turkey.
Department of Endodontics, Faculty of Dentistry, Ege University, İzmir, Turkey.
J Endod. 2015 Apr;41(4):535-8. doi: 10.1016/j.joen.2014.11.008. Epub 2014 Dec 12.
This study compared the cyclic fatigue resistance of current nickel-titanium rotary path-finding instruments.
Five types of nickel-titanium rotary pathfinding instruments were used in steel canals with a 90° curvature and a curvature radius of 3 mm (n = 10) and 5 mm (n = 10). The cyclic fatigue of the following instruments was tested at 4 mm from the tip: PathFile (#16 and a .02 taper; Dentsply Maillefer, Ballaigues, Switzerland), G-File (#12 and a .03 taper; Micro-Mega, Besançon Cedex, France), Scout Race (#15 and a .02 taper; FKG Dentaire, La Chaux-de-Fonds, Switzerland), HyFlex GPF (#15 and a .02 taper; Coltene-Whaledent, Allstetten, Switzerland), and ProGlider (#16 with a mean taper of .04125 and a .02 at the first 4 mm from the tip, Dentsply Maillefer). The length of the fractured parts was measured, and the number of cycles to fracture (NCF) was calculated. The data were statistically analyzed using Kruskal-Wallis and Mann-Whitney tests (α = .05). After Bonferroni correction, the new P value was set as .005.
The difference in the cyclic fatigue of all the files at both curvatures was statistically significant (P values from .0035 to less than .0001). The ranking of the instruments from the highest to the lowest NCF was as follows: HyFlex GPF, G files, ProGlider, PathFile, and Scout Race. The length of the fractured part of the instruments was similar in all the groups (P > .05). All the tested instruments had a lower NCF at a curvature radius of 3 mm when compared with a curvature radius of 5 mm (P < .0001).
Within the limitations of this study, the cyclic fatigue resistance of the HyFlex GPF instrument was the highest, and the curvature radius had a significant effect on the fatigue resistance.
本研究比较了当前镍钛旋转通路预备器械的抗循环疲劳性能。
五种镍钛旋转通路预备器械用于曲率为90°、曲率半径为3毫米(n = 10)和5毫米(n = 10)的不锈钢根管。在距器械尖端4毫米处测试以下器械的循环疲劳性能:PathFile(#16,锥度0.02;登士柏迈徕福,瑞士巴拉格)、G-File(#12,锥度0.03;微迈格,法国贝桑松)、Scout Race(#15,锥度0.02;FKG丹泰尔,瑞士拉绍德封)、HyFlex GPF(#15,锥度0.02;科尔tene-惠尔登特公司,瑞士阿尔施泰滕)和ProGlider(#16,平均锥度0.04125,距尖端前4毫米处锥度0.02;登士柏迈徕福)。测量折断部分的长度,并计算折断循环次数(NCF)。使用Kruskal-Wallis和Mann-Whitney检验(α = 0.05)对数据进行统计学分析。经Bonferroni校正后,新的P值设定为0.005。
在两种曲率下,所有器械的循环疲劳差异均具有统计学意义(P值从0.0035至小于0.0001)。器械的NCF从高到低排序如下:HyFlex GPF、G-File、ProGlider、PathFile和Scout Race。所有组中器械折断部分的长度相似(P > 0.05)。与曲率半径为5毫米相比,所有测试器械在曲率半径为3毫米时的NCF更低(P < 0.0001)。
在本研究的局限性内,HyFlex GPF器械的抗循环疲劳性能最高,且曲率半径对疲劳性能有显著影响。