Jo Hyo Jin, Kwak Sang Won, Kim Hyeon-Cheol, Kim Sung Kyo, Ha Jung-Hong
Department of Conservative Dentistry, School of Dentistry, Kyungpook National University, Daegu 41940, Korea.
Department of Conservative Dentistry, School of Dentistry, Dental Research Institute, Pusan National University, Yangsan 50612, Korea.
Materials (Basel). 2021 Sep 14;14(18):5295. doi: 10.3390/ma14185295.
This study compared the torsional resistance of heat-treated nickel-titanium (NiTi) instruments under different temperature conditions. Four thermomechanically treated single-use NiTi rotary instruments were selected for this study: OneShape (OS), OneCurve (OC), WaveOne Gold (WOG) and HyFlex EDM (HFE). Each instrument was further subdivided by temperature into 2 subgroups. Maximum torque and the distortion angle until fracture occurred were evaluated. Differential scanning calorimetry analysis was performed to measure the phase transformation temperature. Statistical analysis was performed using a two-way ANOVA and -test ( < 0.05). Fractured fragments were observed using scanning electron microscopy (SEM). The two-way ANOVA showed no significant differences for different temperature conditions. At both room (RT) and body temperature (BT), OS was predominantly austenite while HFE was martensite. OC and WOG were predominantly martensite at RT and mixed phase at BT. At BT, more than half of WOG was martensite, while half of OC was austenite. SEM examination showed no topographical differences between instruments in different temperature groups. In relation to a limitation of this study, there was no difference in torsional resistance of NiTi rotary instruments between the BT and RT conditions. This implies that clinicians do not need to consider a decrease of torsional resistance of heat-treated NiTi instruments at BT.
本研究比较了不同温度条件下热处理镍钛(NiTi)器械的抗扭强度。本研究选用了四种经热机械处理的一次性使用NiTi旋转器械:OneShape(OS)、OneCurve(OC)、WaveOne Gold(WOG)和HyFlex EDM(HFE)。每种器械再按温度进一步细分为2个亚组。评估了最大扭矩和直至断裂发生时的变形角度。进行差示扫描量热法分析以测量相变温度。使用双向方差分析和t检验进行统计分析(P<0.05)。使用扫描电子显微镜(SEM)观察断裂碎片。双向方差分析显示不同温度条件下无显著差异。在室温(RT)和体温(BT)下,OS主要为奥氏体,而HFE主要为马氏体。OC和WOG在RT时主要为马氏体,在BT时为混合相。在BT时,超过一半的WOG为马氏体,而一半的OC为奥氏体。SEM检查显示不同温度组的器械之间在形貌上没有差异。关于本研究的一个局限性,BT和RT条件下NiTi旋转器械的抗扭强度没有差异。这意味着临床医生无需考虑热处理NiTi器械在BT时抗扭强度的降低。