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1.
J Conserv Dent ; 26(3): 288-291, 2023.
Artículo en Inglés | MEDLINE | ID: mdl-37398865

RESUMEN

Aim: The aim of this study was to assess and compare the quantity of apically debris which was extruded apically by TruNatomy (TN), ProTaper Next (PTN), HyFlex electric discharge machining (EDM), and HyFlex controlled memory (CM), following root canal preparation. Materials and Methods: Sixty extracted single-canal mandibular premolars were used. The root canal preparation was done with TN, HyFlex EDM, PTN, or HyFlex CM files. The preweight debris, which was extruded apically, was collected in the Eppendorf tube and later on incubated at 670°C for 3 days and weighed again to record the extruded debris. Results: The result showed that there was a significant reduction in debris extrusion by TN system, followed by PTN system, HyFlex EDM, and maximum extrusion in HyFlex CM (P < 0.05). Between the PTN and TN groups as well as between the HyFlex EDM and HyFlex CM groups, statistically significant difference was not observed (P > 0.05). Conclusion: Apical debris extrusion is the inherent nature of the all file systems. Nevertheless, the TN file system produced substantially minimum debris extrusion among other systems compared in the study.

2.
Aust Endod J ; 47(3): 435-441, 2021 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-33660339

RESUMEN

This study aimed to compare the shaping ability of ProTaper Next (PTN), HyFlex EDM (HEDM) and One Curve (OC) systems manufactured via different thermal treatment methods in simulated S-shaped canals. Sixty S-shaped canals in clear resin blocks were enlarged to a final apical size of 25 using PTN, HEDM and OC instruments (n = 20 canals/group). Composite images were obtained by superimposing pre- and post-preparation images. The amount of removed resin was measured perpendicularly to the canal surface in 22 points. Prepared canal width and canal transportation at different levels were determined. Canal aberrations were also recorded. Data were statistically analysed using analysis of variance, the Kruskal-Wallis and the chi-square tests at a 0.05 significance level. OC produced the most conservative enlargement and better maintained particularly the apical curvature of the S-shaped canals than HEDM and PTN. OC and HEDM better maintained the canal terminus and coronal curvature than PTN.


Asunto(s)
Níquel , Titanio
3.
J Endod ; 46(11): 1682-1688, 2020 Nov.
Artículo en Inglés | MEDLINE | ID: mdl-32640265

RESUMEN

INTRODUCTION: The purpose of this study was to evaluate the effect of 5 different curvature locations on the fatigue resistance of thermomechanically treated nickel-titanium (NiTi) files and superelastic NiTi files at body temperature and to document the corresponding phase transformations. METHODS: EndoSequence (ES; Brasseler USA, Savannah, GA), EndoSequence CM (ESCM, Brasseler USA), K3 (SybronEndo, Orange, CA), K3XF (SybronEndo), and Vortex Blue (VB; Dentsply Tulsa Dental Specialties, Tulsa, OK) NiTi files (size 25/.04) were subjected to fatigue tests inside customized artificial canals containing a curvature of 60° and a 3-mm radius. There were 5 different canals based on the location of initial curvature; these included groups in which the distance between the canal orifice and the location of the curvature (DOC) was 5, 6, 8, 10, and 11 mm. The model canal was immersed in water at 37°C ± 1°C. The number of cycles to failure (Nf) was recorded, and the fracture surface of the fragments was examined by scanning electron microscopy. Two unused files of each brand were examined by differential scanning calorimetry. RESULTS: The Nf was highest in the 10-mm and 11-mm DOC groups and lowest with the 5-mm and 6-mm DOC groups (P < .05). ESCM files had the highest fatigue resistance followed by the VB, K3XF, K3, and ES files (P < .05). ESCM files had the highest Nf (P < .05), and ES and K3 files had the lowest Nf (P < .05) depending on the curvature location. Two endothermic peaks were observed on the heating curve of the heat-treated files (ESCM, K3XF, and VB). CONCLUSIONS: The location of the canal curvature had a significant effect on the fatigue resistance of both heat-treated and superelastic NiTi files. The fatigue life of files in the coronal curve was quite short.


Asunto(s)
Níquel , Titanio , Temperatura Corporal , Aleaciones Dentales , Instrumentos Dentales , Diseño de Equipo , Falla de Equipo , Ensayo de Materiales , Preparación del Conducto Radicular
4.
J Conserv Dent ; 22(5): 464-469, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-33082663

RESUMEN

AIMS: The aim of this study is to evaluate and compare the surface deformation and cyclic fatigue resistance of Hyflex controlled memory (CM) and Hyflex electric discharge machining (EDM) files following instrumentation and heat sterilization. SUBJECTS AND METHODS: Thirty Hyflex CM and thirty Hyflex EDM files were selected and profilometric images taken. Sixty extracted molars were decoronated, cleaning and shaping done with files, and subjected to autoclaving. Profilometric images were taken after instrumentation and sterilization. Cyclic fatigue testing was done at 30° and 60° in a custom-made jig. STATISTICAL ANALYSIS USED: The Mann-Whitney test was used to compare profilometer and cyclic fatigue values between Hyflex CM and Hyflex EDM groups, whereas Friedman's and Wilcoxon signed-rank test were used for intragroup comparisons. RESULTS: Intact Hyflex EDM files showed higher surface roughness values compared to Hyflex CM. Hyflex CM showed an increase in surface roughness after instrumentation and sterilization that was statistically significant while Hyflex EDM showed no statistical significance both after instrumentation and sterilization. Hyflex EDM showed a significantly higher mean number of cycles to failure than Hyflex CM at both degrees. CONCLUSIONS: Hyflex EDM files are able to maintain their surface topography and also have cyclic fatigue resistance better than Hyflex CM after both instrumentation and sterilization.

5.
Eur Endod J ; 4(3): 111-117, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-32161896

RESUMEN

Ever since their introduction, nickel-titanium (NiTi) alloys have continued to revolutionize the field of endodontics. They have considerable advantages over the conventional stainless steel file in terms of mechanical properties. However, despite of their superior mechanical properties, NiTi alloys still pose some risk of fracture. Consequently, there has been considerable research conducted to investigate the mechanisms behind the occurrence of these procedural errors. Since the last decade, different proprietary processing procedures have been introduced to further improve the mechanical properties of NiTi alloys. These treatments include thermal, mechanical, electropolishing, and recently introduced electric discharge machining. The main purpose of these treatments is to impart a more martensitic phase into the files at normal body temperature, so that the maximum advantage of flexibility can be obtained. These heat-treated instruments also possess improved cyclic fatigue resistance when compared to conventional NiTi alloys. NiTi alloys can be subclassified as the instruments mainly containing austenitic phase (conventional NiTi, M-wire, R-phase), and those containing martensitic phase (controlled memory wire, ProTaper Gold, and Vortex Blue). Instruments based on austenitic alloys possess superelastic properties due to the stress-induced martensitic transformation. Contrary to this, martensitic alloys can easily be deformed due to phase transformation, and they can demonstrate the shape memory effect when heated. This review discusses the different phase transformations and heat treatments that the NiTi instruments undergo.

6.
Odontology ; 107(3): 324-332, 2019 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-30542934

RESUMEN

To evaluate the effect of immersion in 3% sodium hypochlorite solution in the resistance to cyclic fatigue of three nickel-titanium (NiTi) rotary file systems, ProTaper Next (PTN), Hyflex CM (CM), and Hyflex EDM (EDM), in a mechanical model featuring axial movement. Ninety instruments of three different NiTi rotary file systems, PTN (size 25, 0.06 taper), CM (25, 0.06), and EDM (25/~, variable taper), were randomly divided according to a 3 × 3 factorial design and tested under dynamic immersion in a 3% NaOCl solution (1 or 5 min) or without immersion, making a total of 9 groups (n = 10). Files were tested in an artificial root canal with 45° angle and 5 mm radius apical curvature being submitted to back-and-forth movements until fracture. Statistical analysis was performed using two-way factorial ANOVA with Bonferroni post-hoc tests, at a significance level of 5%. Instruments were evaluated for reliability using a Weilbull approach. Regardless of the immersion treatment, PTN had on average 1200 ± 178 cycles to fracture, CM had 1949 ± 362, and EDM had 5573 ± 853, which was a significantly different (P < 0.01). The NaOCl immersion promoted a significant reduction in the mean number of cycles to fracture (P = 0.01), and was reflected in a significant reduction of the characteristic life of the instruments of the CM end EDM groups. Within this study conditions, EDM instruments performed better to cyclic fatigue followed by CM and then PTN. Immersion in NaOCl decreased the resistance to cyclic fatigue of all tested instruments, but affected more those manufactured from CM wire.


Asunto(s)
Aleaciones Dentales , Hipoclorito de Sodio , Instrumentos Dentales , Falla de Equipo , Ensayo de Materiales , Reproducibilidad de los Resultados , Preparación del Conducto Radicular , Estrés Mecánico , Titanio
7.
Int Endod J ; 52(6): 847-856, 2019 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-30548555

RESUMEN

AIM: To evaluate the influence of three engine-driven NiTi file systems manufactured from different NiTi alloys for the preparation of second mesiobuccal (MB2) canals in extracted maxillary first molars using a micro-computed tomographic (micro-CT) scanner. METHODOLOGY: Thirty maxillary molars with two canals in the mesiobuccal root were selected and randomly divided into three groups (n = 10): Reciproc [REC; size 25, .08 taper; VDW, Munich, Germany], ProDesign R [PDR; size 25, .06 taper; Easy, Belo Horizonte, Brazil] and Mtwo [MO; size 25, .06 taper; VDW, Munich, Germany]. Before and after root canal preparation of the MB2 canal, the teeth were scanned using a micro-CT to evaluate canal transportation, centring ability, dentine thickness and volume change. The working time to achieve working length was also evaluated. All parameters were compared statistically using the Kruskal-Wallis and Dunn test for multiple comparisons, with a significance level of 5%. RESULTS: There was no significant difference amongst the groups regarding canal transportation and centring ability (P > 0.05). However, the PDR size 25, .06 taper group had significantly lower canal volume and volume of dentine removal compared with a MO size 25, .06 taper and REC size 25, .08 taper (P < 0.05). A root perforation was detected in MO size 25, .06 taper and REC size 25, .08 taper groups, respectively. Regarding the working time, the PDR size 25, .06 taper required a significantly longer time to achieve working length than MO size 25, .06 taper and REC size 25, .08 taper (P < 0.05). CONCLUSIONS: All NiTi systems had similar canal transportation, centring ability and increase in apical volume after preparation of MB2 canals. However, the PDR size 25, .06 taper had less volume of dentine removal, absence of root canal perforation and required a longer time to accomplish the root canal preparation.


Asunto(s)
Níquel , Titanio , Aleaciones , Brasil , Cavidad Pulpar , Alemania , Diente Molar , Preparación del Conducto Radicular , Microtomografía por Rayos X
8.
Int Endod J ; 51(10): 1088-1103, 2018 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-29574784

RESUMEN

In the past 10 years, several proprietary processing procedures for nickel titanium (NiTi) alloy were developed to improve the mechanical properties of NiTi endodontic instruments. Beside specific thermal and mechanical treatments, manufacturers introduced several machining procedures (e.g. twisting, electrical discharge machining), as well as techniques for final surface finishing. NiTi alloys used for endodontic instruments can be subdivided into instruments that mainly contain the austenite phase (austenitic: conventional NiTi, M-Wire, R-Phase) and those mainly containing the martensite phase (martensitic: CM Wire, Gold and Blue heat-treated NiTi). Thermomechanically treated NiTi alloys have been reported to be more flexible with improved cyclic fatigue resistance and greater angle of deflection at failure when compared to conventional NiTi. These enhanced properties may be attributed to a modified phase composition containing varying amounts of R-phase and martensite. Endodontic instruments made of austenitic alloys possess superelastic properties because of stress-induced martensite transformation and consequently tend to spring-back to their original form after deformation. In contrast, the martensitic instruments can easily be deformed due to the reorientation of the martensite variants and show a shape memory effect when heated. The use of martensitic alloy results in more flexible instruments, with an increased cyclic fatigue resistance compared with austenitic alloy.


Asunto(s)
Aleaciones Dentales , Endodoncia/instrumentación , Níquel , Titanio , Ensayo de Materiales , Fenómenos Mecánicos , Resistencia a la Tracción
9.
Dent Mater J ; 37(4): 549-554, 2018 Jul 29.
Artículo en Inglés | MEDLINE | ID: mdl-29593165

RESUMEN

This study aimed to investigate mechanical properties related to flexibility and fracture resistance of controlled memory wiremanufactured nickel-titanium rotary glide path files [HyFlex EDM Glide Path File (EDM) and HyFlex GPF (GPF)]. Scout RaCe (RaCe) served as control. Bending loads, torsional/cyclic fatigue resistance, and screw-in forces were measured. EDM showed a significantly larger torque at fracture, a longer time to cyclic fracture in reciprocation and a larger screw-in force compared with GPF and RaCe. GPF showed significantly lower bending loads and higher angular deflection values than EDM and RaCe, and a significantly longer time to cyclic fracture than RaCe. The time to cyclic fracture was significantly longer in reciprocation compared with continuous rotation in EDM and GPF. It can be concluded that EDM and/or GPF showed higher flexibility and cyclic/torsional fatigue resistance compared with RaCe; and that reciprocation conferred better cyclic fatigue resistance to EDM and GPF.


Asunto(s)
Instrumentos Dentales , Falla de Equipo , Níquel/química , Titanio/química , Diseño de Equipo , Ensayo de Materiales , Estrés Mecánico , Torque , Torsión Mecánica
10.
Niger J Clin Pract ; 21(2): 231-235, 2018 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-29465060

RESUMEN

AIMS: The aim of this in vitro study was to compare the static cyclic fatigue resistance of thermal treated rotary files with a conventional nickel-titanium (NiTi) rotary file. SUBJECTS AND METHODS: Four groups of 60 rotary files with similar file dimensions, geometries, and motion were selected. Groups were set as HyFlex Group [controlled memory wire (CM-Wire)], ProfileVortex Group (M-Wire), Twisted File Group (R-Phase Wire), and OneShape Group (conventional NiTi wire)] and tested using a custom-made static cyclic fatigue testing apparatus. The fracture time and fragment length of the each file was also recorded. Statistical analysis was performed using one-way analysis of variance and Tukey's test at the 95% confidence level (P = 0.05). RESULTS: The HyFlex group had a significantly higher mean cyclic fatigue resistance than the other three groups (P < 0.001). The OneShape groups had the least fatigue resistance. CONCLUSIONS: CM-Wire alloy represented the best performance in cyclic fatigue resistance, and NiTi alloy in R-Phase had the second highest fatigue resistance. CM and R-Phase manufacturing technology processed to the conventional NiTi alloy enhance the cyclic fatigue resistance of files that have similar design and size. M-wire alloy did not show any superiority in cyclic fatigue resistance when compared with conventional NiTi wire.


Asunto(s)
Aleaciones/química , Ensayo de Materiales/métodos , Modelos Biológicos , Níquel/química , Preparación del Conducto Radicular/instrumentación , Titanio/química , Diseño de Equipo , Falla de Equipo , Humanos
11.
J Endod ; 44(4): 648-653, 2018 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-29397218

RESUMEN

INTRODUCTION: The purpose of this study was to assess the effects of sodium hypochlorite (NaOCl) immersion and sterilization on the cyclic fatigue resistance of heat-treated nickel-titanium (NiTi) rotary instruments. METHODS: Two hundred ten new 25/.06 Twisted Files (TFs; SybronEndo, Orange, CA) and Hyflex CM (Coltene Whaledent, Cuyahoga Falls, OH) files were divided into 7 groups (n = 15) for each brand. Group 1 (control group) included new instruments that were not immersed in NaOCl or subjected to autoclave sterilization. Groups 2 and 3 were composed of instruments dynamically immersed for 3 minutes in 5% NaOCl solution 1 and 3 times, respectively. Groups 4 and 5 consisted of instruments only autoclaved 1 and 3 times, respectively. Groups 6 and 7 recruited instruments that received a cycle of both immersion in NaOCl and sterilization 1 and 3 times, respectively. Instruments were subsequently subjected to a fatigue test. The surface morphology of fractured instruments was studied by field-emission scanning electron microscopy and x-ray energy-dispersive spectrometric (EDS) analyses. The means and standard deviations of the number of cycles to failure (NCF) were calculated and statistically analyzed using 2-way analysis of variance (P < .05). RESULTS: Comparison among groups indicated no significant difference of NCF (P > .05) except for the groups of TFs sterilized 3 times without and with immersion in NaOCl (P < .05). HyFlex CM files exhibited higher cyclic fatigue resistance than TFs when files were sterilized 3 times, independently from immersion in NaOCl (P < .05). EDS analysis showed the presence of an oxide-rich layer on the Hyflex CM files' external surface. No morphologic or chemical differences were found between files of the same brand subjected to different treatments. CONCLUSIONS: Repeated cycles of sterilization did not influence the cyclic fatigue of NiTi files except for TFs, which showed a significant decrease of flexural resistance after 3 cycles of sterilization. Immersion in NaOCl did not reduce significantly the cyclic fatigue resistance of all heat-treated NiTi files tested.


Asunto(s)
Aleaciones , Instrumentos Dentales/efectos adversos , Desinfectantes/efectos adversos , Falla de Equipo , Hipoclorito de Sodio/efectos adversos , Calor/efectos adversos , Esterilización
12.
Int Endod J ; 51(1): 112-117, 2018 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-28218957

RESUMEN

AIM: To compare the cyclic fatigue properties of a novel file made using controlled memory Ni-Ti technology with those of files made from M-wire. METHODOLOGY: Twelve files with similar cross-sectional geometry and tip size from each of the following groups were tested: Proflexendo made from CMT (PE; size 30 0.04; Nexden, Houston, Tx, USA), ProFile Vortex made from M-wire (PV; size 30 0.04; Dentsply Tulsa Dental, Tulsa, OK, USA) and ProTaper Universal made from regular alloy (PU; F3; Dentsply Tulsa Dental). A custom-made cyclic fatigue device was made to evaluate the total number of cycles to failure for each system. A scanning electron microscope (SEM) was used to examine the fractured surfaces of the fragments. The arithmetic means and standard deviations were calculated for the total number of cycles to failure. One-way analysis of variance was used to compare the mean cyclic failure amongst the three groups. Post hoc Tukey's test was performed to compare the difference of the means between the groups at a significance level of P < 0.05. RESULTS: Proflexendo had a significantly greater resistance to cyclic fatigue compared to other systems (P < 0.001). Proflexendo files were able to withstand 500% more cycles to fracture when compared to ProFile Vortex files. CONCLUSIONS: Manufacturing technique had a significant impact on the resistance to cyclic fatigue. Proflexendo files made from controlled memory Ni-Ti technology had the highest number of cycles to failure compared to ProFile Vortex made from M-wire files with similar taper and tip size.


Asunto(s)
Níquel/química , Preparación del Conducto Radicular/instrumentación , Estrés Mecánico , Titanio/química , Instrumentos Dentales , Humanos , Ensayo de Materiales , Microscopía Electrónica de Rastreo , Propiedades de Superficie
13.
J Conserv Dent ; 20(3): 161-165, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-29279618

RESUMEN

AIM: The aim of the present study was to compare the canal transportation and centering ability of three rotary nickel-titanium (NiTi) systems (Twisted Files [TF], HyFlex controlled memory [CM], and Wave One [WO]) in curved root canals using computed tomography (CT). MATERIALS AND METHODS: Sixty freshly extracted single-rooted teeth having curved root canals with at least 25-35 degrees of curvature were selected. The teeth were randomly divided into three experimental groups of twenty each. After preparation with TF, HyFlex CM, and WO, all teeth were scanned using CT to determine the root canal shape. Pre- and post-instrumentation images were obtained at three levels, 3 mm apical, 9 mm middle, and 15 mm coronal above the apical foramen were compared using CT software. Amount of transportation and centering ability were assessed. The three groups were statistically compared with analysis of variance and post hoc Tukey's honestly significant difference test. RESULTS: Least apical transportation and higher centering ability were seen in HyFlex CM file system in all the three sections followed by TF. WO file system showed maximum transportation. CONCLUSIONS: The canal preparation with HyFlex CM file system showed lesser transportation and better centering ability than TF, WO file system.

14.
Iran Endod J ; 12(3): 307-311, 2017.
Artículo en Inglés | MEDLINE | ID: mdl-28808456

RESUMEN

INTRODUCTION: As a consequence of root canal preparation, dentinal chips, irrigants and pulp remnants are extruded into preradicular space. This phenomenon may lead to post endodontic flare-ups. The purpose of this study was to compare the amount of extruded debris with four endodontic NiTi engine-driven systems. METHODS AND MATERIALS: Sixty mesiobuccal roots of maxillary molars with 15-30˚ curvature were divided randomly into four groups (n=15). Each group was instrumented up to apical size of 25 using Reciproc, ProTaper Universal, Neolix and Hyflex. Bidistilled water was used as irrigant and extruded debris was collected in pre-weighted Eppendorf tubes. Tubes were stored in incubator for drying the debris. Extruded debris were weighted in electronic microbalance with accuracy of 0.0001 g. The raw data was analyzed with one way analysis of variance (ANOVA) and Tukey's HSD post hoc test. Level of significance was set at 0.05. RESULTS: The debris extrusion with Reciproc files was significantly higher than the other groups (P<0.05). Hyflex significantly extruded less debris than other files (P<0.05). There was no significant difference between ProTaper Universal and Neolix regarding the amount of extruded debris (P=0.98). CONCLUSION: All systems extruded debris during the instrumentation. Reciproc system significantly extruded more debris. Caution should be taken when interpreting the results of this study and applying it to the real clinical situation.

15.
J Endod ; 43(6): 1023-1027, 2017 Jun.
Artículo en Inglés | MEDLINE | ID: mdl-28416314

RESUMEN

Lateral and apical ramifications of the main root canal create potential pathways through which bacteria can spread and remain unaffected by treatment procedures. It is a challenge for the specialty to find techniques that can predictably reach, disinfect, and obturate these ramifications. Here, we report the use of a novel instrumentation approach to aid in the negotiation and management of a lateral canal discernible on cone-beam computed tomography (CBCT) in an unusual maxillary central incisor. A 23-year-old female patient was referred for evaluation and possible treatment of tooth 9. The periapical radiographic examination revealed pulp chamber obliteration, existence of a lateral lesion, and a possible complex internal root canal anatomy. The CBCT evaluation revealed the existence of a lateral lesion, a periapical lesion, an additional distopalatal canal, and a lateral canal exiting at the lateral lesion. The diagnosis of asymptomatic apical and lateral periodontitis of tooth 9 was reached. CBCT-aided access cavity preparation and scouting resulted in the successful negotiation of all canals, main and lateral. A novel instrumentation technique with precurved controlled memory files was used for the mechanical preparation of the lateral canal to a 25/04 enlargement. Obturaton of the lateral canal was achieved with a single gutta-percha cone and AH Plus Root Canal Sealer. At the 2-year follow-up, the patient was asymptomatic, and the 2-dimensional radiographic examinations revealed resolution of both the periapical and the lateral lesions. This case report describes the application of a novel instrumentation technique for the mechanical debridement of an infected lateral canal discernible on CBCT and reinforces the importance of treating the root canals as systems that possesses anatomic intricacies that need to be addressed.


Asunto(s)
Tomografía Computarizada de Haz Cónico/métodos , Cavidad Pulpar/diagnóstico por imagen , Incisivo/diagnóstico por imagen , Radiografía Dental/métodos , Cavidad Pulpar/patología , Femenino , Humanos , Incisivo/patología , Periodontitis Periapical/diagnóstico , Periodontitis Periapical/diagnóstico por imagen , Periodontitis Periapical/cirugía , Obturación del Conducto Radicular/métodos , Tratamiento del Conducto Radicular/métodos , Adulto Joven
16.
J Endod ; 43(5): 805-809, 2017 May.
Artículo en Inglés | MEDLINE | ID: mdl-28292599

RESUMEN

INTRODUCTION: The aim of the present study was to compare the shaping ability of Reciproc (RPC; VDW, Munich, Germany), HyFlex EDM (HEDM; Coltene/Whaledent AG, Altstätten, Switzerland), and WaveOne GOLD (WOG; Dentsply Maillefer, Ballaigues, Switzerland) nickel-titanium (NiTi) files made of different NiTi alloys in S-shaped simulated canals. METHODS: Sixty S-shaped canals in resin blocks were prepared to an apical size of 0.25 mm using RPC R25, WOG Primary, and HEDM OneFile (n = 20 canal/per group) systems. Composite images were made from the superimposition of pre- and postinstrumentation images. The amount of resin removed by each system was measured using a digital template and image analysis software in 22 different points. Canal aberrations were also recorded. Data were statistically analyzed using the Kruskal-Wallis and post hoc Dunn tests at the 5% level. RESULTS: NiTi file fracture was not observed during shaping of the simulated canals although a danger zone formation in 1 sample and a ledge in 1 sample were observed in the RPC group. There was no statistically significant difference between the WOG and HEDM groups' apical, medial, and coronal regions (P > .05). However, it was determined that the RPC group removed a statistically significantly higher amount of resin from all the canal regions when compared with the WOG and HEDM groups (P < .05). CONCLUSIONS: Within the limitation of the present study, it was determined that all of the tested NiTi files caused various levels of resin removal. However, WOG and HEDM NiTi files were found to cause a lower level of resin removal than RPC NiTi files.


Asunto(s)
Materiales de Obturación del Conducto Radicular/uso terapéutico , Cavidad Pulpar/patología , Cavidad Pulpar/cirugía , Humanos , Resultado del Tratamiento
17.
J Endod ; 43(4): 613-618, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-28190587

RESUMEN

INTRODUCTION: The aim of this study was to evaluate the influence of cyclic deformation on the torsional resistance of controlled memory (CM) nickel-titanium files in comparison with superelastic (SE) instruments with similar geometric and dimensional characteristics. METHODS: New 30/.06 HyFlex (HF; Coltene/Whaledent, Inc, Cuyahoga Falls, OH), Typhoon (Clinician's Choice Dental Products, New Milford, CT), RaCe (FKG, La-Chaux De Fonds, Switzerland), and ProTaper Universal F2 instruments (F2; Dentsply Maillefer, Ballaigues, Switzerland) were assessed. The diameter and pitch length were measured along the active part of the instruments. The number of cycles to failure (Nf) in flexural fatigue and the torsional resistance were evaluated for new files (n = 10). Ten new instruments of each type were fatigued to 3/4 of their fatigue life and then submitted to torsion until rupture. Data were analyzed using 1-way analysis of variance (α = .05). RESULTS: New CM files had a significantly higher Nf when compared with SE instruments; HF exhibited the highest value (P = .001). The mean torque value for F2 was the highest (P = .001). CM files precycled to 3/4 Nf had a significantly lower torque than the new files (HF: P = .003, Typhoon: P = .001), whereas the SE instruments displayed no significant differences (F2: P = .059, RaCe: P = .079). CONCLUSIONS: Cyclic flexural loading significantly reduced the torsional resistance of CM instruments.


Asunto(s)
Endodoncia/instrumentación , Falla de Equipo , Níquel , Titanio , Aleaciones , Análisis de Falla de Equipo , Humanos , Torsión Mecánica
18.
J Endod ; 43(4): 628-632, 2017 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-28215346

RESUMEN

INTRODUCTION: The aim of this study was to evaluate and compare, by means of micro-computed tomography imaging, the shaping ability of ProTaper Next (PTN) and the novel HyFlex EDM (HFEDM) instruments. METHODS: Forty teeth were randomly divided into 2 groups and prepared with PTN or HFEDM. Root canal transportation and centering ratio were evaluated in mesiodistal and buccolingual directions at 5 levels (at the midpoint of the apical, middle, and coronal thirds and at the boundaries between them). Variations in volume, surface, and cross-sectional shape were measured for the apical, middle, and coronal thirds. The null hypotheses were that no differences existed between the 2 groups. The D'Agostino-Pearson test (α = .05) was conducted to assess the normality of the data sets. The distributions were compared by using the Mann-Whitney test (α = .05). RESULTS: Statistically significant differences (P < .005) were recorded only for buccolingual canal transportation and centering ratio at the section between the middle and coronal thirds, where HFEDM files were superior. CONCLUSIONS: HFEDM and PTN files were similarly effective, and both safely prepared the root canals, respecting their original anatomies. HFEDM files performed better in terms of buccolingual canal transportation and centering ratio at the section between the middle and coronal thirds.


Asunto(s)
Tratamiento del Conducto Radicular/instrumentación , Aleaciones , Cavidad Pulpar/diagnóstico por imagen , Cavidad Pulpar/cirugía , Humanos , Preparación del Conducto Radicular/instrumentación , Microtomografía por Rayos X
19.
Int Endod J ; 50(7): 718-724, 2017 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-27388432

RESUMEN

AIM: To investigate the effect of irrigation on the surface roughness and fatigue resistance of HyFlex and M3 controlled memory (CM) wire nickel-titanium instruments. METHODOLOGY: Two new files of each brand were analysed by atomic force microscopy (AFM). Then, the instruments were dynamically immersed in either 5.25% sodium hypochlorite (NaOCl) or 17% ethylene diamine tetraacetic acid (EDTA) solution for 10 min, followed by AFM analysis. The roughness average (Ra) and root mean square (RMS) values were analysed statistically using an independent sample t-test. Then, 36 files of each brand were randomly assigned to three groups (n = 12). Group 1 (the control group) was composed of new instruments. Groups 2 and 3 were dynamically immersed in 5.25% NaOCl and 17% EDTA solutions for 10 min, respectively. The number of rotations to failure for various groups was analysed using the one-way analysis of variance software. RESULTS: For M3 files, the Ra and RMS values significantly increased (P < 0.05) after the immersion. For the HyFlex file, the Ra and RMS values significantly increased (P < 0.05) only in EDTA, but not (P > 0.05) NaOCl. The resistance to cyclic fatigue of both HyFlex and M3 files did not significantly decrease (P > 0.05) by immersing in 5.25% NaOCl and 17% EDTA solutions. CONCLUSIONS: Except the HyFlex files immersed in NaOCl, the surface roughness of other files exposed to irrigants increased. However, a change in the surface tomography of CM wire instruments caused by contact with irrigants for 10 min did not trigger a decrease in cyclic fatigue resistance.


Asunto(s)
Instrumentos Dentales , Análisis de Falla de Equipo , Irrigantes del Conducto Radicular/química , Preparación del Conducto Radicular/instrumentación , Ácido Edético/química , Falla de Equipo , Ensayo de Materiales , Microscopía de Fuerza Atómica , Níquel , Distribución Aleatoria , Hipoclorito de Sodio/química , Estrés Mecánico , Propiedades de Superficie , Titanio
20.
J Conserv Dent ; 19(6): 578-582, 2016.
Artículo en Inglés | MEDLINE | ID: mdl-27994323

RESUMEN

INTRODUCTION: M-Wire and reciprocating motion of WaveOne and controlled memory (CM) wire) of HyFlex were the recent innovations using thermal treatment. Therefore, a study was planned to evaluate the shaping ability of reciprocating motion of WaveOne and HyFlex using cone beam computed tomography (CBCT). METHODOLOGY: Forty-five freshly extracted mandibular teeth were selected and stored in saline until use. All teeth were scanned pre- and post-operatively using CBCT (Kodak 9000). All teeth were accessed and divided into three groups. (1) Group 1 (control n = 15): Instrumented with ProTaper. (2) Group 2 (n = 15): Instrumented with primary file (8%/25) WaveOne. (3) Group 3 (n = 15): Instrumented with (4%/25) HyFlex CM. Sections at 1, 3, and 5 mm were obtained from the pre- and post-operative scans. Measurement was done using CS3D software and Adobe Photoshop software. Apical transportation and degree of straightening were measured and statistically analyzed. RESULTS: HyFlex showed lesser apical transportation when compared to other groups at 1 and 3 mm. WaveOne showed lesser degree of straightening when compared to other groups. CONCLUSION: This present study concluded that all systems could be employed in routine endodontics whereas HyFlex and WaveOne could be employed in severely curved canals.

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