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不同根管治疗镍钛旋转锉抗循环疲劳性能的比较评估:一项研究。

A comparative evaluation of cyclic fatigue resistance for different endodontic NiTi rotary files: An study.

作者信息

Bhatt Akanksha, Rajkumar Balakrishnan

机构信息

M.D.S., Ph.D (Dental Sciences), Department of Conservative Dentistry & Endodontics, Babu Banarasi Das College of Dental Sciences, BBD University, Lucknow, U.P, 226028, India.

Principal & Head of Department, Department of Conservative Dentistry & Endodontics, Babu Banarasi Das College of Dental Sciences, BBD University, Lucknow, U.P, 226028, India.

出版信息

J Oral Biol Craniofac Res. 2019 Apr-Jun;9(2):119-121. doi: 10.1016/j.jobcr.2018.12.003. Epub 2019 Jan 2.

Abstract

AIM

This in-vitro study evaluated and compared the flexural fatigue resistance for Hero Shapers, Hyflex CM, One Shape, Profile Vortex and Protaper Next rotary NiTi files.

METHOD AND MATERIALS

Total 25 rotary NiTi files allocated to each experimental group were tested in a simulated constructed apparatus with an angle of curvature 60° & radius of curvature 5 mm. Each experimental file was coated with EDTA gel and was placed in endodomotor handpiece with rubber stopper at support steel cylinder and its end between two shaping steel cylinders on the simulated apparatus. File was then rotated at 400 rpm, 2.5 N/cm torque and simultaneously digital stop watch was started. Time taken (in seconds) until the file got fractured was recorded.

RESULTS

Time taken to fracture ranged from 7 to 58 s in different groups. Analysis of variance show a statistically significant intergroup difference (p < 0.001). Tukey HSD test showed the significant differences. The Weibull modulus values ranged from 7.31 to 24.19.

CONCLUSION

Cyclic flexural fatigue resistance was observed highest for Grp IV (Hyflex CM) and lowest for Grp I (Hero Shapers).

CLINICAL SIGNIFICANCE

Hyflex CM rotary NiTi files can be used in curved root canals as they had superior resistance and long survival time which will be helpful in eliminating one of the reasons for file fracture (due to cyclic flexural fatigue) during the root canal treatment clinically where root canal possesses a sharp bend or curve.

摘要

目的

本体外研究评估并比较了Hero Shapers、Hyflex CM、One Shape、Profile Vortex和Protaper Next旋转镍钛锉的抗弯曲疲劳性能。

方法和材料

将每组25根旋转镍钛锉在模拟构建的装置中进行测试,该装置的曲率角度为60°,曲率半径为5毫米。每根实验锉均涂有乙二胺四乙酸凝胶,并放置在内窥镜手机中,在支撑钢筒处用橡胶塞堵住,其末端置于模拟装置上两个成形钢筒之间。然后将锉以400转/分钟、2.5牛/厘米的扭矩旋转,同时启动数字秒表。记录锉断裂前所用的时间(以秒为单位)。

结果

不同组中锉断裂所用时间为7至58秒。方差分析显示组间存在统计学显著差异(p < 0.001)。Tukey HSD检验显示了显著差异。威布尔模量值范围为7.31至24.19。

结论

观察到第IV组(Hyflex CM)的循环抗弯曲疲劳性能最高,第I组(Hero Shapers)最低。

临床意义

Hyflex CM旋转镍钛锉可用于弯曲根管,因为它们具有卓越的抗力和较长的使用寿命,这将有助于消除根管治疗临床中根管存在急剧弯曲或曲线时锉折断的原因之一(由于循环弯曲疲劳)。

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