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操作者经验对使用后镍钛器械力学性能的影响。

Influence of Operator's Experience on Mechanical Properties of Nickel-Titanium Instruments After Usage.

作者信息

Isik Vasfiye, Kayahan Mehmet Baybora, AbuTahun Ibrahim H, Kwak Sang Won, Kim Hyeon-Cheol

机构信息

Division of Clinical Sciences, Department of Endodontics, Faculty of Dentistry, Istanbul University-Cerrahpaşa, Istanbul, Turkey.

Department of Conservative Dentistry, School of Dentistry, The University of Jordan, Amman, Jordan.

出版信息

Aust Endod J. 2025 Aug;51(2):250-257. doi: 10.1111/aej.12929. Epub 2025 Mar 3.

Abstract

This study aimed to evaluate the influence of the operator's experience level on the cyclic fatigue and torsional resistance of OneCurve (OC) and OneRECI (OR) instruments. Four inexperienced clinicians and four endodontists shaped endo-training blocks. Instruments were then subjected to cyclic fatigue and torsional tests under body temperature (37°C) condition (n = 10). The results were analysed using two-way ANOVA test and Tukey HSD post hoc comparison at a significance level of 95%. OR used by inexperienced operators had a longer time to fracture compared to other groups (p < 0.05). Used OC instruments showed longer time to fracture than unused ones (p < 0.05). No significant differences were found in ultimate strength and toughness regardless of experience level and instrument type (p > 0.05). Within the limitation of the present study, operators' experience may have different effects on the mechanical properties of the files based on the instruments' kinematics.

摘要

本研究旨在评估操作者的经验水平对OneCurve(OC)和OneRECI(OR)器械的循环疲劳和抗扭性的影响。四名经验不足的临床医生和四名牙髓病医生对牙髓训练块进行塑形。然后将器械在体温(37°C)条件下进行循环疲劳和扭转试验(n = 10)。结果采用双向方差分析和Tukey HSD事后比较进行分析,显著性水平为95%。与其他组相比,经验不足的操作者使用的OR折断时间更长(p < 0.05)。使用过的OC器械比未使用的器械折断时间更长(p < 0.05)。无论经验水平和器械类型如何,在极限强度和韧性方面均未发现显著差异(p > 0.05)。在本研究的局限性范围内,基于器械的运动学,操作者的经验可能会对锉的机械性能产生不同的影响。

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