Das Paramarshi, Swapna D V, Nadig Roopa R
Department of Conservative Dentistry and Endodontics, Dayananda Sagar College of Dental Sciences, Bengaluru, Karnataka, India.
J Conserv Dent. 2019 Sep-Oct;22(5):464-469. doi: 10.4103/JCD.JCD_39_20. Epub 2020 Aug 4.
The aim of this study is to evaluate and compare the surface deformation and cyclic fatigue resistance of Hyflex controlled memory (CM) and Hyflex electric discharge machining (EDM) files following instrumentation and heat sterilization.
Thirty Hyflex CM and thirty Hyflex EDM files were selected and profilometric images taken. Sixty extracted molars were decoronated, cleaning and shaping done with files, and subjected to autoclaving. Profilometric images were taken after instrumentation and sterilization. Cyclic fatigue testing was done at 30° and 60° in a custom-made jig.
The Mann-Whitney test was used to compare profilometer and cyclic fatigue values between Hyflex CM and Hyflex EDM groups, whereas Friedman's and Wilcoxon signed-rank test were used for intragroup comparisons.
Intact Hyflex EDM files showed higher surface roughness values compared to Hyflex CM. Hyflex CM showed an increase in surface roughness after instrumentation and sterilization that was statistically significant while Hyflex EDM showed no statistical significance both after instrumentation and sterilization. Hyflex EDM showed a significantly higher mean number of cycles to failure than Hyflex CM at both degrees.
Hyflex EDM files are able to maintain their surface topography and also have cyclic fatigue resistance better than Hyflex CM after both instrumentation and sterilization.
本研究旨在评估和比较Hyflex控制记忆(CM)锉和Hyflex电火花加工(EDM)锉在根管预备和热消毒后的表面变形及抗循环疲劳性能。
选取30支Hyflex CM锉和30支Hyflex EDM锉并拍摄轮廓测量图像。选取60颗拔除的磨牙,去除牙冠,用锉进行清理和预备,然后进行高压灭菌。在根管预备和消毒后拍摄轮廓测量图像。在定制夹具中于30°和60°进行循环疲劳测试。
采用Mann-Whitney检验比较Hyflex CM组和Hyflex EDM组之间的轮廓测量值和循环疲劳值,而Friedman检验和Wilcoxon符号秩检验用于组内比较。
完整的Hyflex EDM锉相比Hyflex CM锉表面粗糙度值更高。Hyflex CM锉在根管预备和消毒后表面粗糙度增加,具有统计学意义,而Hyflex EDM锉在根管预备和消毒后均无统计学意义。在两个角度下,Hyflex EDM锉的平均失效循环次数均显著高于Hyflex CM锉。
Hyflex EDM锉在根管预备和消毒后能够保持其表面形貌,并且比Hyflex CM锉具有更好的抗循环疲劳性能。