Abu-Tahun Ibrahim H, Kwak Sang Won, Ha Jung-Hong, Kim Hyeon-Cheol
Department of Conservative Dentistry, School of Dentistry, The University of Jordan, Amman, Jordan.
Department of Conservative Dentistry, School of Dentistry, Dental Research Institute, Pusan National University, Yangsan, Republic of Korea.
Scanning. 2018 Feb 21;2018:9467059. doi: 10.1155/2018/9467059. eCollection 2018.
This study compared the microscopic features of the fractured endodontic nickel-titanium (NiTi) rotary instruments by two different torsional loadings: repetitive torsional loading (RTL) and single torsional loading (STL) based on the International Organization for Standardization (ISO). ProTaper Next, HyFlex EDM, and V-Taper 2 were compared in this study. In the STL method, the torsional load was applied after fixing the 3 mm tip of the file, by continuous clockwise rotation (2 rpm) until fracture. In the RTL method, a preset rotational loading (0.5 N·cm) was applied and the clockwise loading to the preset torque and counterclockwise unloading to original position were repeated at 50 rpm until the file fractured. Fractured fragments by two methods were compared under a scanning electron microscope (SEM) to examine the topographic features of the fractured surfaces and longitudinal aspects. SEM examinations showed significantly different features according to the loading methods. Specimens from the RTL method showed ruptured aspects on cross sections, with multiple areas of initiated cracks while the STL method showed the typical features of torsional failure, such as circular abrasion marks and fatigue dimples. This study suggested a new repetitive torsional loading method which is much more clinically relevant and may result in a different fracture feature from STL method.
本研究根据国际标准化组织(ISO)标准,比较了两种不同扭转载荷下折断的牙髓镍钛(NiTi)旋转器械的微观特征:重复扭转载荷(RTL)和单次扭转载荷(STL)。本研究对ProTaper Next、HyFlex EDM和V-Taper 2进行了比较。在STL方法中,在固定锉的3毫米尖端后施加扭转载荷,通过连续顺时针旋转(2转/分钟)直至折断。在RTL方法中,施加预设的旋转载荷(0.5牛·厘米),并以50转/分钟的速度重复顺时针加载至预设扭矩和逆时针卸载至原始位置,直至锉折断。在扫描电子显微镜(SEM)下比较两种方法产生的折断碎片,以检查折断表面的形貌特征和纵向特征。SEM检查显示,根据加载方法的不同,特征存在显著差异。RTL方法的标本在横截面上呈现破裂面,有多个起始裂纹区域,而STL方法显示出典型的扭转载荷失效特征,如圆形磨损痕迹和疲劳凹坑。本研究提出了一种新的重复扭转载荷方法,该方法在临床上更具相关性,可能会产生与STL方法不同的折断特征。