J Endod:当代2种旋转器械依赖于温度的抗疲劳强度与差异扫描热量分析的相关性研究

2018-02-19 lishiting MedSci原创

这篇研究的目的是为了评估当代热处理过的镍钛旋转器械在室温和体温下的循环疲劳(CF)寿命,并记录相应的阶段性相变。

这篇研究的目的是为了评估当代热处理过的镍钛旋转器械在室温和体温下的循环疲劳(CF)寿命,并记录相应的阶段性相变。

研究将40根Hyflex EDM (H-EDM)锉(Coltene, Cuyahoga Falls, OH [#25/.08, 电释放加工制作])和40根TRUShape (TS)锉(Dentsply Tulsa Dental Specialties, Tulsa, OK [#25/.06v, 磨光和成型装置制作])分为2组(n = 20),置于室温(22°C ± 0.5°C)或体温(37°C ± 0.5°C)的水浴中进行CF测试。器械在一个模拟根管(角度= 60°,半径= 3 mm, 并且弯曲中心距顶点5 mm)内旋转直至折断。电路控制马达运转并且在器械折断时停止。随后,检测和比较它们的平均半衰期和beta和eta Weibull参数。选取每款品牌的2根器械进行差异扫描量热分析(DSC)。

结果显示,TS器械在室温下的持久性(平均寿命= 234.7秒; 95%置信区间[CI], 209-263.6)要显著长于体温下(平均寿命= 83.2秒; 95% CI, 76-91.1),而温度并不影响H-EDM器械的性能(室温平均寿命= 725.4秒; 95% CI, 658.8-798.8和体温平均寿命= 717.9秒; 95% CI, 636.8-809.3)。H-EDM器械在2个温度下的性能均比TS器械耐久。在体温下,H-EDM占主导地位的是奥氏体型相位,而TS为马氏体或R相位。TS在22°C时处于一种奥氏体/马氏体的混合相位,而H-EDM则在37°C时处于同样的状态。

结论:H-EDM比TS器械具有更加持续的抗疲劳寿命,然而它在体温下的抗疲劳寿命明显缩短。并且,DSC显示,不论H-EDM的抗疲劳寿命还是其显微结构的状态在室温或体温下均没有明显变化。

原始出处:

Arias A, Macorra JC, et al. Correlation between Temperature-dependent Fatigue Resistance and Differential Scanning Calorimetry Analysis for 2 Contemporary Rotary Instruments. J Endod. 2018 Feb 2. pii: S0099-2399(17)31267-0. doi: 10.1016/j.joen.2017.11.022.

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    2018-11-18 nymo
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    2018-02-21 tamgche
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    2018-02-19 131****1460

    学习了受益匪浅

    0