Nevin Manimala Statistics

Influence of different heat treatments and temperatures on the cyclic fatigue resistance of endodontic instruments with the same design

Clin Oral Investig. 2022 Dec 1. doi: 10.1007/s00784-022-04808-z. Online ahead of print.


OBJECTIVES: To evaluate the influence of different heat treatments and temperatures on the cyclic fatigue resistance of 2Shape instruments (Micro Mega, Besancon, France) with the same design.

MATERIALS AND METHODS: A total of 80 2Shape TS1 (#25/.04) and 80 TS2 (#25/.06) files with different heat treatments (no heat-treated, NHT; C-Wire; T-Wire; CM-Wire) were tested at room (25° ± 1 °C) and body (37° ± 1 °C) temperatures in 16-mm stainless steel artificial canal with a curvature of 60° and 5 mm of radius. Files were tested in continuous rotation at 300 rpm using a customized device. Cyclic fatigue resistance was expressed in the number of cyclic to fracture (NCF). The phase transformation temperature of each file was determined by differential scanning calorimetry. Data were statistically analyzed using the two-way ANOVA and the Bonferroni post-hoc test with p < 0.05.

RESULTS: All CM-Wire TS1 and TS2 files showed higher NCF than the other groups at both temperatures (p < 0.001). C-Wire TS2 showed higher resistance than NHT and T-Wire TS2 (p < 0.001), with no significant differences between the last two. Body temperature significantly decreased NCF of all tested files (p < 0.05) except for NHT and T-Wire TS1.

CONCLUSIONS: Body temperature negatively affected the cyclic fatigue resistance of C-Wire and CM-Wire TS1 and of all TS2 files compared with room temperature. The CM-Wire instruments exhibited the highest cyclic fatigue resistance of all tested files.

CLINICAL RELEVANCE: Heat-treated nickel-titanium files can differently perform according to environmental temperature and file dimensions. The CM-Wire 2Shape prototypes displayed the highest flexural resistance in all experimental conditions.

PMID:36454355 | DOI:10.1007/s00784-022-04808-z

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