Martins Jorge N R, Silva Emmanuel João Nogueira Leal, Rito Pereira Mário, Marques Duarte, Pinto Ricardo, Baruwa Abayomi O, Martins Rui F, Braz Fernandes Francisco Manuel, Versiani Marco Aurélio
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.
Int Endod J. 2025 Aug 5. doi: 10.1111/iej.70010.
To comprehensively compare 12 nickel-titanium (NiTi) reciprocating single-file systems from eight manufacturers by integrating geometric, mechanical, metallurgical and in silico analyses.
A total of 276 NiTi reciprocating instruments, representing 12 types across 8 brands, were selected, including Easy-File Flex Regular 25, EdgeOne Fire Primary, Flash 25.06vt, One Files R25 and Blue R25, One RECI N25, Perfect RC R25 (Blue, Gold and Silver), Reciproc R25 (Blue and M-Wire) and WaveOne Gold Primary. They were evaluated using stereomicroscopy, scanning electron microscopy, 3D optical scanning, energy-dispersive X-ray spectroscopy and differential scanning calorimetry to assess design and metallurgical properties. Mechanical performance was tested via buckling resistance and microhardness. A micro-CT-based premolar model was virtually prepared for each instrument to simulate canal shaping. Computational fluid dynamics (CFD) assessed irrigant penetration, wall shear stress and apical pressure. Finite element analysis (FEA) evaluated stress distribution in prepared roots. Data were analysed using the Shapiro-Wilk test for normality and the Kruskal-Wallis test for group comparisons (p < 0.05).
The systems differed considerably in spiral density, cross-sectional design, size, volume and phase transformation temperatures. Instruments with larger apical cores (One Files and Reciproc M-Wire) and austenitic-phase dominance (Perfect RC Silver and One Files) showed greater buckling strength. Files with martensitic phases (Perfect RC Gold, WaveOne Gold and One Files Blue) or hybrid cross-sections (One RECI and Flash) were more flexible. CFD revealed that conservative shaping (Easy-File Flex, EdgeOne Fire, One RECI, WaveOne Gold) increased wall shear stress but reduced apical irrigant exchange. FEA showed similar stress patterns across all groups, with lower stress in restored roots.
Substantial variation exists among current NiTi reciprocating systems in terms of design, mechanics, fluid dynamics and metallurgy. Instruments with large cores and austenitic-phase structure provide superior buckling resistance. Conservative shaping improves shear stress but limits apical cleaning. Root stress remained consistent across systems. These findings highlight the importance of optimising instrument design and clinical protocols to balance shaping efficacy and irrigant delivery.
通过整合几何、力学、冶金和计算机模拟分析,全面比较来自八个制造商的12种镍钛(NiTi)往复式单根管器械系统。
共选择了276支NiTi往复式器械,代表8个品牌的12种类型,包括Easy-File Flex Regular 25、EdgeOne Fire Primary、Flash 25.06vt、One Files R25和Blue R25、One RECI N25、Perfect RC R25(蓝色、金色和银色)、Reciproc R25(蓝色和M-Wire)以及WaveOne Gold Primary。使用体视显微镜、扫描电子显微镜、3D光学扫描、能量色散X射线光谱和差示扫描量热法对它们进行评估,以评估设计和冶金性能。通过抗屈曲性和显微硬度测试机械性能。为每种器械虚拟制备基于微型计算机断层扫描(micro-CT)的前磨牙模型,以模拟根管预备。计算流体动力学(CFD)评估冲洗液渗透、壁面剪应力和根尖压力。有限元分析(FEA)评估预备后牙根中的应力分布。使用Shapiro-Wilk检验进行正态性分析,使用Kruskal-Wallis检验进行组间比较(p < 0.05)。
这些系统在螺旋密度、横截面设计、尺寸、体积和相变温度方面存在很大差异。具有较大根尖核心(One Files和Reciproc M-Wire)和奥氏体相占主导(Perfect RC Silver和One Files)的器械显示出更大的抗屈曲强度。具有马氏体相(Perfect RC Gold、WaveOne Gold和One Files Blue)或混合横截面(One RECI和Flash)的锉更灵活。CFD显示,保守预备(Easy-File Flex、EdgeOne Fire、One RECI、WaveOne Gold)会增加壁面剪应力,但会减少根尖冲洗液交换。FEA显示所有组的应力模式相似,修复后的牙根应力较低。
目前的NiTi往复式系统在设计、力学、流体动力学和冶金方面存在很大差异。具有大核心和奥氏体相结构的器械具有更好的抗屈曲性。保守预备可改善剪应力,但会限制根尖清洁。各系统之间的牙根应力保持一致。这些发现凸显了优化器械设计和临床方案以平衡预备效果和冲洗液输送的重要性。