Elastic Limits in Torsion of Reciprocating Nickel-Titanium Instruments

摘要

Introduction: Reciprocating angle and torsional load at the superelastic limit were investigated for nickel-titanium (NiTi) instruments used with reciprocating movements. Methods: Two reciprocating NiTi instruments (Reciproc R25 [VDW, Munich, Germany] and WaveOne Primary [Dentsply Maillefer, Ballaigues, Switzerland]) and ProTaper F2 (Dentsply Maillefer) Were tested for 2 torsional conditions using a custom-designed testing device. Rotational angles were applied, and generated torque values were recorded. The first test condition fixed the files at 5 mm and repetitively rotated them with gradually increasing angles up to 2500 (n = 10). The second test subjected the files to a single continuous rotation until fracture (n = 10). The superelastic limits of the instruments were determined from their torque-rotation curves. Statistical analysis was performed (Kruskal-Wallis) at a 95% significance level. The tested specimens were examined under a scanning electron microscope. Results: It was found that the angle at the superelastic limit Was higher for R25 and Primary files than the ProTaper file (P < .05). Repetitive torsional loading with a gradually increasing rotational angle reduced the torsional resistance compared with the single rotation motion. At the 5-mm fixation level all files had superelastic limit angles higher than the 170 degrees set in the dedicated reciprocating motor. The scanning electron microscopic analysis showed features of torsional failure. Conclusions: Under the conditions of this study, the 170 degrees set angle of dedicated motors for reciprocating file systems is safe at the 5-mm level. Reuse of reciprocating systems, even with the movements within the elastic limit, may cause deterioration of the instruments.