Spicciarelli Valentina, Corsentino Giacomo, Ounsi Hani F, Ferrari Marco, Grandini Simone
Department of Endodontics and Restorative Dentistry, University of Siena.
Department of Endodontics, School of Dentistry, Lebanese University.
J Oral Sci. 2019 Mar 28;61(1):45-52. doi: 10.2334/josnusd.17-0311. Epub 2019 Feb 1.
This in vitro study assessed morphological changes and efficiency of reciprocating files after multiple uses. Sixty standardized Endo Training Blocks and 10 ReciprocR25 files were selected (six blocks for each file). Each file was its own control (before use vs. after each instrumentation). The instruments were used according to the manufacturer's instructions, and scanning electron microscopy was used to observe fatigue cracks, metal strips/metal flash, pitting, fretting, debris, disruption of the cutting edge, and plastic deformations after each instrumentation. The presence of seven wear variables was scored semiquantitatively by viewing micrographs collected before and after use. The prepared areas in resin blocks were calculated and compared by using AutoCAD software. The control group had significantly lower values for all wear variables except fretting and plastic deformation. The presence of fatigue cracks and metal strips/metal flash significantly differed between unused instruments and instruments used four or five times, in all observed sections. The area of instrumented Endo Training Blocks significantly differed in relation to the number of instrument uses. The Reciproc files wore progressively, and repeated use affected their shaping efficiency in simulated canals.
这项体外研究评估了多次使用后往复锉的形态变化和效率。选取了60个标准化的根管治疗训练模块和10根ReciprocR25锉(每个锉对应6个模块)。每个锉以自身作为对照(使用前与每次预备后)。器械按照制造商的说明使用,每次预备后使用扫描电子显微镜观察疲劳裂纹、金属条/金属碎屑、点蚀、微动磨损、碎屑、切削刃破坏和塑性变形情况。通过查看使用前后收集的显微照片,对七个磨损变量的存在情况进行半定量评分。使用AutoCAD软件计算并比较树脂模块中预备区域。除微动磨损和塑性变形外,对照组在所有磨损变量上的值均显著更低。在所有观察部位,未使用的器械与使用了4次或5次的器械相比,疲劳裂纹和金属条/金属碎屑的存在情况有显著差异。根管治疗训练模块的预备面积与器械使用次数显著相关。Reciproc锉逐渐磨损,重复使用会影响其在模拟根管中的塑形效率。