Deformations and cyclic fatigue resistance of nickel-titanium instruments inside a sequence.

Annali di stomatologia Pub Date : 2015-05-18 eCollection Date: 2015-01-01
Gianluca Gambarini, Gianluca Plotino, Lucila Piasecki, Dina Al-Sudani, Luca Testarelli, Gianpaolo Sannino
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Abstract

Aim: To compare the effect of brushing motion on torsional and cyclic fatigue resistance of TF Adaptive instruments after clinical use.

Methods: 20 packs of TFA small sequence (SybronEndo, Orange, CA, USA) were used for this study and divided into two groups. Each instrument prepared one resin tooth, consisting in 4 canals with a complex anatomy. In group A, no brushing motion was performed. In group B, after the green instrument reached the working length, brushing motion with circumferential filing was performed for 15 seconds in each canal (overall 1 minute). All the instruments were then subjected to cyclic fatigue test and mean values and standard deviation for time to fracture were evaluated. Data were subjected to one-way analysis of variance and Bonferroni t-test procedure with a significance set at P < 0.05.

Results: No instruments were broken during preparation of root canals. Two TF Adaptive green and 5 yellow showed unwinding after intracanal clinical use. No statistically significant differences were found between green instruments of both groups (P > 0.05), while a statistically significant difference was found between the yellow instruments (P < 0.05), with group B showing an higher resistance to cyclic fatigue.

Conclusions: A prolonged passive brushing motion did not adversely affected mechanical resistance of the instrument used for this purpose. Resistance to both deformations and cyclic fatigue of the second instrument within the TFA small sequence was enhanced by the coronal flaring provided by the brushing action of the first instrument used.

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序列内镍钛仪器的变形及抗循环疲劳性能。
目的:比较刷牙运动对TF自适应器械临床使用后抗扭性和抗循环疲劳性的影响。方法:采用SybronEndo, Orange, CA, USA的TFA小序列试剂盒20包,分为两组。每台器械准备一颗树脂牙,由4根管组成,解剖结构复杂。A组不做刷牙动作。B组,绿色器械达到工作长度后,每根管进行圆周锉刷运动15秒(共1分钟)。然后对所有仪器进行了循环疲劳试验,并评估了断裂时间的平均值和标准差。资料采用单因素方差分析和Bonferroni t检验,P < 0.05为显著性。结果:根管预备过程中无器械破损。2个TF自适应绿色和5个黄色表示临床使用后未缠绕。两组绿色器械间差异无统计学意义(P > 0.05),黄色器械间差异有统计学意义(P < 0.05), B组抗循环疲劳能力更强。结论:长时间的被动刷牙运动不会对用于此目的的仪器的机械阻力产生不利影响。在TFA小序列内,第二仪器的抗变形和抗循环疲劳能力都被第一仪器的刷刷作用所提供的冠状耀斑增强了。
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