Effect of environment on fatigue failure of controlled memory wire nickel-titanium rotary instruments

Experimental evaluation of cyclic fatigue resistance of four different nickel-titanium instruments after immersion in sodium hypochlorite and/or sterilization

NiTi instruments have a high risk of separation due to torsional or flexural fatigue (cyclic fatigue). Chemomechanical preparation, cleaning procedures, chemical disinfection and sterilization cause the corrosion of endodontic instruments that may weaken the fracture resistance of the instruments.

Phase transformation behavior and mechanical properties of thermomechanically treated K3XF nickel-titanium instruments

INTRODUCTION

The bending and torsional properties of thermomechanically treated K3XF (SybronEndo, Orange, CA) nickel-titanium instruments in relation to their phase transformation behavior were evaluated.

METHODS

NiTi instruments K3 (SybronEndo) and K3XF, both in sizes 25/.04 and 40/.04, were examined by differential scanning calorimetry and X-ray diffraction. The metal composition was determined by scanning electron microscopy with X-ray energy-dispersive spectrometric analyses. The bending property of K3 and K3XF instruments was measured in a cantilever-bending test with a maximum deflection of 4.00 mm. A torsional test of the instruments was evaluated according to the American National Standards Institute/American Dental Association Specification No. 28.

RESULTS

K3 and K3XF instruments had approximately the same chemical composition with a nickel content of 48-49 atomic %. The differential scanning calorimetry analyses showed that each segment of the K3XF instruments (24.89°C ± 1.98°C) had a higher austenite finish temperature than the K3 instruments (17.63°C ± 1.76°C) (P < .05). The bending load values were significantly lower for K3XF than for K3 in the superelastic ranges (P < .05). There was no statistically significant difference between K3 and K3XF in the maximum torque or maximum angular deflection before failure. The torque at fracture values of K3 and K3XF increased significantly with the diameter (P < .05).

CONCLUSIONS

K3XF exhibited different phase transformation behavior and flexibility when compared with K3, which may be attributed to the special heat treatment history of K3XF instruments.

HyFlex nickel-titanium rotary instruments after clinical use: metallurgical properties

AIM

To analyse the type and location of defects in HyFlex CM instruments after clinical use in a graduate endodontic programme and to examine the impact of clinical use on their metallurgical properties.

METHODOLOGY

A total of 468 HyFlex CM instruments discarded from a graduate endodontic programme were collected after use in three teeth. The incidence and type of instrument defects were analysed. The lateral surfaces of the defect instruments were examined by scanning electron microscopy. New and clinically used instruments were examined by differential scanning calorimetry (DSC) and x-ray diffraction (XRD). Vickers hardness was measured with a 200-g load near the flutes for new and clinically used axially sectioned instruments. Data were analysed using one-way anova or Tukey's multiple comparison test.

RESULTS

Of the 468 HyFlex instruments collected, no fractures were observed and 16 (3.4%) revealed deformation. Of all the unwound instruments, size 20, .04 taper unwound the most often (n = 5) followed by size 25, .08 taper (n = 4). The trend of DSC plots of new instruments and clinically used (with and without defects) instruments groups were very similar. The DSC analyses showed that HyFlex instruments had an austenite transformation completion or austenite-finish (Af ) temperature exceeding 37 °C. The Af temperatures of HyFlex instruments (with or without defects) after multiple clinical use were much lower than in new instruments (P < 0.05). The enthalpy values for the transformation from martensitic to austenitic on deformed instruments were smaller than in the new instruments at the tip region (P < 0.05). XRD results showed that NiTi instruments had austenite and martensite structure on both new and used HyFlex instruments at room temperature. No significant difference in microhardness was detected amongst new and used instruments (with and without defects).

CONCLUSIONS

The risk of HyFlex instruments fracture in the canal is very low when instruments are discarded after three cases of clinical use. New HyFlex instruments were a mixture of martensite and austenite structure at body temperature. Multiple clinical use caused significant changes in the microstructural properties of HyFlex instruments. Smaller instruments should be considered as single-use.

Torsion and bending properties of shape memory and superelastic nickel-titanium rotary instruments

INTRODUCTION

Recently introduced into the market are shape memory nickel-titanium (NiTi) rotary files. The objective of this study was to investigate the torsion and bending properties of shape memory files (CM Wire, HyFlex CM, and Phoenix Flex) and compare them with conventional (ProFile ISO and K3) and M-Wire (GT Series X and ProFile Vortex) NiTi files.

METHODS

Sizes 20, 30, and 40 (n = 12/size/taper) of 0.02 taper CM Wire, Phoenix Flex, K3, and ProFile ISO and 0.04 taper HyFlex CM, ProFile ISO, GT Series X, and Vortex were tested in torsion and bending per ISO 3630-1 guidelines by using a torsiometer. All data were statistically analyzed by analysis of variance and the Tukey-Kramer test (P = .05) to determine any significant differences between the files.

RESULTS

Significant interactions were present among factors of size and file. Variability in maximum torque values was noted among the shape memory files brands, sometimes exhibiting the greatest or least torque depending on brand, size, and taper. In general, the shape memory files showed a high angle of rotation before fracture but were not statistically different from some of the other files. However, the shape memory files were more flexible, as evidenced by significantly lower bending moments (P < .008).

CONCLUSIONS

Shape memory files show greater flexibility compared with several other NiTi rotary file brands.