Ha Jung-Hong, Kim Seo-Ryeong, Versluis Antheunis, Cheung Gary Shun-Pan, Kim Jin-Woon, Kim Hyeon-Cheol
Department of Conservative Dentistry, School of Dentistry, Kyungpook National University, Daegu, Korea.
Department of Conservative Dentistry, School of Dentistry, Pusan National University, Dental Research Institute, Yangsan, Korea.
J Endod. 2015 May;41(5):715-9. doi: 10.1016/j.joen.2014.12.027. Epub 2015 Feb 14.
Reciprocating angle and torsional load at the superelastic limit were investigated for nickel-titanium (NiTi) instruments used with reciprocating movements.
Two reciprocating NiTi instruments (Reciproc R25 [VDW, Munich, Germany] and WaveOne Primary [Dentsply Maillefer, Ballaigues, Switzerland]) and ProTaper F2 (Dentsply Maillefer) were tested for 2 torsional conditions using a custom-designed testing device. Rotational angles were applied, and generated torque values were recorded. The first test condition fixed the files at 5 mm and repetitively rotated them with gradually increasing angles up to 250° (n = 10). The second test subjected the files to a single continuous rotation until fracture (n = 10). The superelastic limits of the instruments were determined from their torque-rotation curves. Statistical analysis was performed (Kruskal-Wallis) at a 95% significance level. The tested specimens were examined under a scanning electron microscope.
It was found that the angle at the superelastic limit was higher for R25 and Primary files than the ProTaper file (P < .05). Repetitive torsional loading with a gradually increasing rotational angle reduced the torsional resistance compared with the single rotation motion. At the 5-mm fixation level all files had superelastic limit angles higher than the 170° set in the dedicated reciprocating motor. The scanning electron microscopic analysis showed features of torsional failure.
Under the conditions of this study, the 170° set angle of dedicated motors for reciprocating file systems is safe at the 5-mm level. Reuse of reciprocating systems, even with the movements within the elastic limit, may cause deterioration of the instruments.
研究了用于往复运动的镍钛(NiTi)器械在超弹性极限下的往复角度和扭转载荷。
使用定制设计的测试装置,对两种往复式NiTi器械(Reciproc R25[德国慕尼黑VDW公司]和WaveOne Primary[瑞士巴拉格Dentsply Maillefer公司])以及ProTaper F2(Dentsply Maillefer公司)进行了两种扭转条件的测试。施加旋转角度,并记录产生的扭矩值。第一个测试条件是将锉针固定在5毫米处,并以逐渐增加的角度重复旋转,直至250°(n = 10)。第二个测试是让锉针进行单次连续旋转直至断裂(n = 10)。从扭矩-旋转曲线确定器械的超弹性极限。在95%的显著性水平下进行统计分析(Kruskal-Wallis检验)。在扫描电子显微镜下检查测试样本。
发现R25和Primary锉针在超弹性极限下的角度高于ProTaper锉针(P <.05)。与单次旋转运动相比,逐渐增加旋转角度的重复扭转载荷降低了扭转阻力。在5毫米固定水平下,所有锉针的超弹性极限角度均高于专用往复式马达设定的170°。扫描电子显微镜分析显示了扭转失效的特征。
在本研究条件下,往复锉针系统专用马达设定的170°角度在5毫米水平是安全的。往复系统的重复使用,即使是在弹性极限内的运动,也可能导致器械性能下降。