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新型多色热处理镍钛旋转系统的多方法分析:设计、冶金、机械性能及成型能力

Multimethod Analysis of a Novel Multi-coloured Heat-treated Nickel-Titanium Rotary System: Design, Metallurgy, Mechanical Properties, and Shaping Ability.

作者信息

Silva Emmanuel J N L, Martins Jorge N R, Ajuz Natasha, Vieira Victor T L, Pinto Ricardo, Marques Duarte, Braz Fernandes Francisco M, Versiani Marco A

机构信息

School of Dentistry, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil; Department of Endodontics, Rio de Janeiro State University, Rio de Janeiro, Brazil.

Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, Portugal; Grupo de Investigação em Bioquimica e Biologia Oral, Unidade de Investigação em Ciências Orais e Biomédicas (UICOB), Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, Portugal; Centro de Estudo de Medicina Dentária Baseada na Evidência (CEMDBE) - Cochrane Portugal, Faculdade de Medicina Dentária, Universidade de Lisboa, Lisboa, Portugal.

出版信息

J Endod. 2024 Nov;50(11):1622-1633. doi: 10.1016/j.joen.2024.07.011. Epub 2024 Jul 30.

Abstract

INTRODUCTION

This study aimed to compare a new multicolored rotary system with four heat-treated rotary instruments using the multimethod approach.

METHODS

Three-hundred instruments of RCS Rainbow, Rotate, RaCe EVO, OneCurve, and ProTaper Ultimate systems were evaluated regarding their design (stereomicroscopy, scanning electron microscopy, and 3D surface scanning), metallurgy, and mechanical performance (cyclic fatigue, torsional resistance, bending and buckling resistance, and cutting ability). Unprepared surfaces after canal preparation of maxillary molars were evaluated using micro-computed tomography. Kruskal-Wallis and one-way analysis of variance post hoc Tukey tests were used for statistical comparisons (α = 5%).

RESULTS

Instruments exhibited variations in active blade length, number of spirals, and cross-sectional designs. RCS Rainbow showed specific phase transformation temperatures, highest bending (400.5gf) and buckling (286gf) resistance values, and lowest mean angle of rotation (529°) (P < .05). OneCurve exhibited superior cutting ability (8.4 mm) and longer time to fracture (112s). RaCe EVO displayed the lowest time to fracture (51s), maximum torque (1.2 N.cm), buckling (174gf), and bending resistance (261gf) values (P < .05). ProTaper Ultimate showed the highest torque (1.6 N.cm) and angle of rotation (611°) (P < .05), while its bending load (262gf) was comparable to RaCe EVO (P > .05). Rotate instrument showed intermediate values in the mechanical tests. No difference was observed regarding the unprepared canal surfaces (P > .05) CONCLUSIONS: RCS Rainbow demonstrates a trade-off between flexibility and other mechanical properties. Its dimensions exceeded those of other instruments, affording it higher torque resistance, yet concurrently reducing its flexibility, angle of rotation, and cutting ability. OneCurve stands out as a well-balanced choice by integrating geometric design and mechanical performance.

摘要

引言

本研究旨在采用多方法途径,将一种新型彩色旋转系统与四种经过热处理的旋转器械进行比较。

方法

对RCS Rainbow、Rotate、RaCe EVO、OneCurve和ProTaper Ultimate系统的300件器械进行了设计(立体显微镜检查、扫描电子显微镜检查和3D表面扫描)、冶金学以及机械性能(循环疲劳、抗扭性、抗弯和抗屈曲性以及切割能力)方面的评估。使用微型计算机断层扫描对上颌磨牙根管预备后的未预备表面进行评估。采用Kruskal-Wallis检验和单因素方差分析后的Tukey检验进行统计学比较(α = 5%)。

结果

器械在有效刃长、螺旋数和横截面设计方面存在差异。RCS Rainbow显示出特定的相变温度、最高的抗弯(400.5gf)和抗屈曲(286gf)值以及最低的平均旋转角度(529°)(P <.05)。OneCurve表现出卓越的切割能力(8.4mm)和更长的断裂时间(112s)。RaCe EVO显示出最短的断裂时间(51s)、最大扭矩(1.2N.cm)、抗屈曲(174gf)和抗弯性(261gf)值(P <.05)。ProTaper Ultimate显示出最高扭矩(1.6N.cm)和旋转角度(611°)(P <.05),而其抗弯负荷(262gf)与RaCe EVO相当(P >.05)。Rotate器械在机械测试中表现出中等值。在未预备的根管表面未观察到差异(P >.05)。结论:RCS Rainbow在柔韧性和其他机械性能之间表现出一种权衡。其尺寸超过了其他器械,使其具有更高的抗扭性,但同时降低了其柔韧性、旋转角度和切割能力。OneCurve通过整合几何设计和机械性能,成为一个平衡良好的选择。

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