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轴长对根管镍钛器械扭转行为的影响。

Influence of shaft length on torsional behavior of endodontic nickel-titanium instruments.

机构信息

Department of Oral and Maxillo-Facial Sciences, "La Sapienza" University of Rome, Via Caserta 6, 00161, Rome, Italy.

出版信息

Odontology. 2021 Jul;109(3):568-573. doi: 10.1007/s10266-020-00572-2. Epub 2020 Nov 27.

Abstract

Torsional stresses are one of the most frequent causes of intracanal separation of nickel-titanium endodontic instruments, which represents a great concern of endodontists. For this reason, torsional resistance of rotary instruments has been deeply investigated by determining all parameters that can influenced it, that can be summarized in: (1) Tooth-related factors, (2) Strategy-related factors and (3) Instrument-related factors. This study was conducted to examine the influence of shaft length on torsional resistance of a nickel-titanium rotary instrument and if it should be considered as an Instrument-related factor. With this aim, 120 Twisted Files Adaptive M-L (TFA M-L) NiTi instruments (SybronEndo, Orange, CA, USA) were divided into 6 experimental groups (n = 20), according to instruments length and size: Group 1, 20 TFA M-L1 25/08 23 mm; Group 2, 20 TFA M-L1 25/08 27 mm; Group 3, 20 TFA M-L2 35/06 23 mm; Group 4, 20 TFA M-L2 35/06 27 mm; Group 5, 20 TFA M-L3 50/04 23 mm; and Group 6, 20 TFA M-L3 50/04 27 mm. All instruments were submitted to a static torsional test, blocking each instrument at 3 mm from the tip and rotating it until its fracture. Torque to Fracture (TtF) and fragments length were registered and all data were statistically analyzed. Results showed that Groups 2, 4 and 6 had a higher TtF, respectively, than Groups 1, 3 and 5, which differ from the former just for shaft length. Group 6 showed the highest torsional resistance (1.31 ± 0.08 Ncm), whilst Group 1 the lowest (0.40 ± 0.08 Ncm). According to that, it can be stated that the longer the instrument, the higher the torsional resistance is, proving that shaft length should be considered as an important factor about torsional resistance.

摘要

扭转应力是镍钛根管器械根管内分离的最常见原因之一,这是牙髓病医生非常关注的问题。出于这个原因,通过确定所有可能影响扭转阻力的参数,对旋转器械的扭转阻力进行了深入研究,这些参数可以概括为:(1)牙齿相关因素,(2)策略相关因素和(3)器械相关因素。本研究旨在检查器械轴长度对镍钛旋转器械扭转阻力的影响,以及是否应将其视为器械相关因素。为此,将 120 根 Twisted Files Adaptive M-L(TFA M-L)镍钛器械(SybronEndo,Orange,CA,USA)根据器械长度和尺寸分为 6 个实验组(n = 20):第 1 组,20 根 TFA M-L1 25/08 23mm;第 2 组,20 根 TFA M-L1 25/08 27mm;第 3 组,20 根 TFA M-L2 35/06 23mm;第 4 组,20 根 TFA M-L2 35/06 27mm;第 5 组,20 根 TFA M-L3 50/04 23mm;第 6 组,20 根 TFA M-L3 50/04 27mm。所有器械均进行静态扭转试验,在距尖端 3mm 处将每个器械锁定,并旋转直至其断裂。记录扭矩至断裂(TtF)和碎片长度,并对所有数据进行统计学分析。结果表明,第 2、4 和 6 组的 TtF 分别高于第 1、3 和 5 组,而前 3 组与后 3 组仅因轴长不同。第 6 组的扭转阻力最高(1.31 ± 0.08 Ncm),而第 1 组的扭转阻力最低(0.40 ± 0.08 Ncm)。因此,可以得出结论,器械越长,扭转阻力越大,证明器械轴长应被视为扭转阻力的一个重要因素。

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