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次氯酸钠浸泡和高压灭菌后不同根管弯曲度下往复式器械循环疲劳抗力的分析:一项研究。

An analysis of cyclic fatigue resistance of reciprocating instruments in different canal curvatures after immersion in sodium hypochlorite and autoclaving: An study.

作者信息

Champa C, Divya V, Srirekha A, Karale Rupali, Shetty Ashwija, Sadashiva Pushpalatha

机构信息

Department of Conservative Dentistry and Endodontics, The Oxford Dental College and Hospital, Bengaluru, Karnataka, India.

出版信息

J Conserv Dent. 2017 May-Jun;20(3):194-198. doi: 10.4103/0972-0707.218307.

Abstract

AIM

The aim of this study is to assess the effect of sodium hypochlorite and sterilization on the cyclic fatigue resistance of two reciprocating nickel-titanium files using a rotary and a reciprocating motor.

MATERIALS AND METHODS

Totally, 160 Reciproc and Wave One files were tested. The eighty files of the same brand were assigned into four groups ( = 20). These four groups were further divided into two subgroups, 1a and 1b, 2a and 2b, 3a and 3b, 4a and 4b consisting of ten files in each group. 2.5% NaOCl for 5 min, 2.5% NaOCl for 5 min + 1 cycle of autoclave sterilization, 2.5% NaOCl for 5 min + 5 cycles of autoclave sterilization, no sterilization (control). Groups 1a, 2a, 3a, and 4a were subjected to 30° and Groups 1b, 2b, 3b, and 4b were subjected to 60° canal curvature.

RESULTS

Intergroup comparison reveals that there is an increase in cyclic fatigue resistance from the first cycle to the fifth cycle of autoclave which is statistically significant.

CONCLUSION

Reciproc and Wave One showed reduced cyclic fatigue resistance on immersion in NaOCl for 5 min. Multiple autoclaving cycles significantly increased the cyclic fatigue resistance of Reciproc file system in both the curvatures. There was a decrease in cyclic fatigue resistance for Wave One after multiple autoclaving at 60° curvature which was statistically significant.

摘要

目的

本研究旨在评估次氯酸钠和灭菌处理对使用旋转电机和往复电机的两种往复式镍钛锉循环疲劳抗力的影响。

材料与方法

共测试160根Reciproc和Wave One锉。将同一品牌的80根锉分为四组(每组 = 20)。这四组再进一步分为两个亚组,1a和1b、2a和2b、3a和3b、4a和4b,每组各有10根锉。分别为2.5%次氯酸钠处理5分钟、2.5%次氯酸钠处理5分钟 + 1次高压灭菌、2.5%次氯酸钠处理5分钟 + 5次高压灭菌、不进行灭菌(对照)。1a、2a、3a和4a组采用30°根管弯曲度,1b、2b、3b和4b组采用60°根管弯曲度。

结果

组间比较显示,从高压灭菌的第一个周期到第五个周期,循环疲劳抗力有所增加,具有统计学意义。

结论

Reciproc和Wave One在浸入2.5%次氯酸钠5分钟后循环疲劳抗力降低。多次高压灭菌显著提高了Reciproc锉系统在两种弯曲度下的循环疲劳抗力。Wave One在60°弯曲度下多次高压灭菌后循环疲劳抗力降低,具有统计学意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e209/5706322/1c0bafc1a37e/JCD-20-194-g001.jpg

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