Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy.
Department of Oral and Maxillo-Facial Sciences, Sapienza University of Rome, Rome, Italy.
J Endod. 2021 Mar;47(3):472-476. doi: 10.1016/j.joen.2020.10.011. Epub 2020 Oct 21.
Previously published studies have deeply investigated the characteristics of flexural and torsional resistance of nickel-titanium rotary instruments, but none of them investigated the relationship between the 2 stresses. The objective of the present study was to evaluate the influence of flexural stresses over torsional resistance.
Sixty S-One 20.04 files (Fanta Dental, Shanghai, China) were used in the present study (N = 60) and divided into 3 test groups of 20 files. A customized device made of a mobile structure with a connection that holds the handpiece and the artificial canal was used for the experiment to make the measurements repeatable. The artificial canals were created with a 90° curvature, a 60° curvature, and lastly a straight canal. Each file was rotated at 300 rpm with a maximum torque value of 5.5 Ncm with the apical 2 mm firmly secured in a vise. The torque at fracture and the time to fracture were recorded by the software integrated in the handpiece and evaluated through statistical analysis.
Statistical analysis found significant differences in the values of torque to fracture (TtF) between these 3 groups (P < .05). The 90° curved canal group showed the highest TtF value, and the 60° curved canal group showed a higher TtF value than the straight canal group.
The results of the present study demonstrated a positive influence of flexural stresses over torque at fracture of rotary files. When nickel-titanium instruments were used in a 90° or 60° curvature, the values of torque at fracture increased compared with the same instruments that rotated in the straight canal.
先前的研究已经深入探讨了镍钛旋转器械的弯曲和扭转阻力特性,但没有一项研究探讨这两种应力之间的关系。本研究的目的是评估弯曲应力对扭转阻力的影响。
本研究使用了 60 根 S-One 20.04 根管锉(Fanta Dental,上海,中国)(N=60),并将其分为 3 组,每组 20 根。实验采用一个由一个带有连接的移动结构制成的定制设备,该连接可固定手机和人工根管,以确保测量可重复。人工根管的曲率为 90°、60°和最后一个直根管。每个锉以 300rpm 的速度旋转,最大扭矩值为 5.5Ncm,根尖 2mm 牢固地固定在虎钳中。软件集成在手机中记录断裂时的扭矩和断裂时间,并通过统计分析进行评估。
统计分析发现,这 3 组之间的断裂扭矩(TtF)值存在显著差异(P<0.05)。90°弯曲根管组的 TtF 值最高,60°弯曲根管组的 TtF 值高于直根管组。
本研究结果表明,弯曲应力对旋转锉的断裂扭矩有正向影响。当镍钛器械在 90°或 60°的曲度下使用时,与在直根管中旋转的相同器械相比,断裂扭矩值增加。