Department of Endodontics, Grande Rio University (UNIGRANRIO), Rio de Janeiro, RJ, Brazil.
Departament of Endodontics, Fluminense Federal University (UFF), Niterói, RJ, Brazil.
Clin Oral Investig. 2023 May;27(5):2427-2436. doi: 10.1007/s00784-023-04899-2. Epub 2023 Feb 7.
This study aimed to compare 3 reciprocating systems regarding design, metallurgy, mechanical properties, and shaping ability.
New Reciproc Blue R25, WaveOne Gold Primary, and REX 25 instruments (n=41 per group) were analyzed regarding design, metallurgy, and mechanical performance, while shaping ability (untouched canal walls, volume of removed dentin, and hard tissue debris) was tested in 36 anatomically matched root canals of mandibular molars. Results were compared using one-way ANOVA post hoc Tukey and Kruskal-Wallis tests with a significant level set at 5%.
All instruments showed symmetrical cross sections with asymmetrical blades, no radial lands, no major defects, and an almost equiatomic nickel and titanium ratio. The highest R-phase start temperatures were observed with WaveOne Gold (46.1°C) and REX (44.8°C), while Reciproc Blue had the lowest R-phase start (34.5°C) and finish (20°C) temperatures. WaveOne Gold had the lowest time to fracture (169 s) and the highest maximum load (301.6 gf) (P <0.05). The maximum torque of Reciproc Blue (2.2 N.cm) and WaveOne Gold (2.1 N.cm) were similar (P >0.05), but lower than REX (2.6 N.cm) (P <0.05). No statistical differences were observed among instruments in the angle of rotation (P >0.05) and in the shaping ability in both mesial and distal canals (P >0.05).
Although the overall design, temperature transition phases and mechanical behavior parameters were different among tested instruments, they were similar in terms of shaping ability.
All tested heat-treated NiTi reciprocating systems showed similar shaping ability, without clinically significant errors.
本研究旨在比较 3 种往复运动系统在设计、冶金、机械性能和成形能力方面的差异。
对 41 个新 Reciproc Blue R25、WaveOne Gold Primary 和 REX 25 器械进行设计、冶金和机械性能分析,同时在 36 个下颌磨牙解剖匹配根管中测试成形能力(未触及的根管壁、去除牙本质的体积和硬组织碎屑)。采用单因素方差分析后 Tukey 和 Kruskal-Wallis 检验进行比较,显著水平设为 5%。
所有器械均显示出对称的横截面和不对称的刀片,无放射状凸台,无明显缺陷,镍钛比例几乎相等。WaveOne Gold 的 R 相起始温度最高(46.1°C),REX 的 R 相起始温度(44.8°C)次之,而 Reciproc Blue 的 R 相起始温度(34.5°C)和结束温度(20°C)最低。WaveOne Gold 的断裂时间最短(169 s),最大载荷最高(301.6 gf)(P <0.05)。Reciproc Blue 的最大扭矩(2.2 N.cm)和 WaveOne Gold 的最大扭矩(2.1 N.cm)相似(P >0.05),但低于 REX(2.6 N.cm)(P <0.05)。在旋转角度(P >0.05)和近远中根管成形能力(P >0.05)方面,各器械之间无统计学差异。
尽管测试器械在整体设计、温度相变阶段和机械性能参数方面存在差异,但在成形能力方面相似。
所有测试的热处理镍钛往复运动系统均表现出相似的成形能力,无明显临床误差。