Alzahrani Omar, Merdad Khalid, Abuhaimed Tariq, Natto Zuhair S, Siddiqui Amna Y, Alothmani Osama S
Department of Advanced General Dentistry, Faculty of Dentistry, King Abdulaziz University Dental Hospital, Jeddah 21589, Saudi Arabia.
Department of Endodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
Bioengineering (Basel). 2025 Sep 17;12(9):985. doi: 10.3390/bioengineering12090985.
Utilizing a novel approach that concomitantly assessed cyclic fatigue and torsional overloading, we aimed to establish the maximum number of artificial canals that can be prepared by Hyflex EDM and NeoNiTi A1 operated at two different speeds until their separation. Forty-eight files were equally divided into four groups: (A) Hyflex EDM operated at 300 rotations per minute (RPM) and (B) at 500 RPM, and (C) NeoNiTi A1 at 300 RPM and (D) at 500 RPM. Files were used to completely shape 10 sequential artificial canals unless file separation occurred. Maximum number of canals prepared was noted and averaged. Fractography was conducted to determine the mechanism of file separation. Hyflex EDM prepared significantly more canals compared to NeoNiTi A1 ( = 0.008). When operated at 300 RPM, Hyflex EDM prepared significantly more canals compared to NeoNiTi A1 ( = 0.028), whereas no significant difference was observed when they were operated at 500 RPM ( = 0.116). One NeoNiTi file broke due to cyclic fatigue while another one separated due to torsional overloading. Hyflex EDM files showed signs of both mechanisms. Within the limitations of this study, one file safely prepared four to five canals before its fracture. There was a trend towards fewer prepared canals as the RPM increased.
我们采用一种同时评估循环疲劳和扭转过载的新方法,旨在确定以两种不同速度操作的Hyflex EDM和NeoNiTi A1锉在分离前能够预备的人工根管的最大数量。48根锉被平均分为四组:(A) Hyflex EDM以每分钟300转(RPM)操作,(B) 以500 RPM操作,(C) NeoNiTi A1以300 RPM操作,(D) 以500 RPM操作。除非锉分离,否则使用锉对10个连续的人工根管进行完全塑形。记录并计算预备的根管最大数量的平均值。进行断口分析以确定锉分离的机制。与NeoNiTi A1相比,Hyflex EDM预备的根管明显更多(P = 0.008)。当以300 RPM操作时,Hyflex EDM预备的根管比NeoNiTi A1明显更多(P = 0.028),而当它们以500 RPM操作时未观察到显著差异(P = 0.116)。一根NeoNiTi锉因循环疲劳断裂,另一根因扭转过载分离。Hyflex EDM锉显示出两种机制的迹象。在本研究的局限性内,一根锉在断裂前安全地预备了四到五个根管。随着RPM增加,预备的根管数量有减少的趋势。