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三种旋转锉系统在次氯酸钠浸泡后的动态模型中的循环疲劳阻力。

Cyclic fatigue resistance of three rotary file systems in a dynamic model after immersion in sodium hypochlorite.

机构信息

Institute of Endodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

Department of Dentistry, Faculty of Medicine, University of Coimbra, Coimbra, Portugal.

出版信息

Odontology. 2019 Jul;107(3):324-332. doi: 10.1007/s10266-018-0401-2. Epub 2018 Dec 12.

Abstract

To evaluate the effect of immersion in 3% sodium hypochlorite solution in the resistance to cyclic fatigue of three nickel-titanium (NiTi) rotary file systems, ProTaper Next (PTN), Hyflex CM (CM), and Hyflex EDM (EDM), in a mechanical model featuring axial movement. Ninety instruments of three different NiTi rotary file systems, PTN (size 25, 0.06 taper), CM (25, 0.06), and EDM (25/~, variable taper), were randomly divided according to a 3 × 3 factorial design and tested under dynamic immersion in a 3% NaOCl solution (1 or 5 min) or without immersion, making a total of 9 groups (n = 10). Files were tested in an artificial root canal with 45° angle and 5 mm radius apical curvature being submitted to back-and-forth movements until fracture. Statistical analysis was performed using two-way factorial ANOVA with Bonferroni post-hoc tests, at a significance level of 5%. Instruments were evaluated for reliability using a Weilbull approach. Regardless of the immersion treatment, PTN had on average 1200 ± 178 cycles to fracture, CM had 1949 ± 362, and EDM had 5573 ± 853, which was a significantly different (P < 0.01). The NaOCl immersion promoted a significant reduction in the mean number of cycles to fracture (P = 0.01), and was reflected in a significant reduction of the characteristic life of the instruments of the CM end EDM groups. Within this study conditions, EDM instruments performed better to cyclic fatigue followed by CM and then PTN. Immersion in NaOCl decreased the resistance to cyclic fatigue of all tested instruments, but affected more those manufactured from CM wire.

摘要

为了评估在机械轴向运动模型中,三种镍钛(NiTi)旋转锉系统(ProTaper Next [PTN]、Hyflex CM [CM]和 Hyflex EDM [EDM])在 3%次氯酸钠溶液中浸泡对循环疲劳阻力的影响,将 90 个不同 NiTi 旋转锉系统(PTN[尺寸 25,0.06 锥度]、CM[25,0.06]和 EDM[25/ 变锥度])的器械按 3×3 析因设计随机分组,并在 3%次氯酸钠溶液中动态浸泡 1 或 5 分钟(或不浸泡),共 9 组(n=10)。将锉在 45°角和 5mm 半径根尖曲率的人工根管中进行前后运动,直到折断。使用双向析因方差分析和 Bonferroni 事后检验,在 5%的显著性水平下进行统计分析。使用威布尔方法评估仪器的可靠性。无论浸泡处理如何,PTN 平均有 1200±178 个循环断裂,CM 有 1949±362 个,EDM 有 5573±853 个,差异有统计学意义(P<0.01)。次氯酸钠浸泡显著降低了平均循环断裂次数(P=0.01),反映了 CM 末端 EDM 组仪器特征寿命的显著降低。在本研究条件下,EDM 器械的循环疲劳性能优于 CM 和 PTN。在次氯酸钠中浸泡会降低所有测试器械的抗循环疲劳性,但对 CM 丝制造的器械影响更大。

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