Cyclic Fatigue Resistance of One Curve, 2Shape, ProFile Vortex, Vortex Blue, and RaCe Nickel-Titanium Rotary Instruments in Single and Double Curvature Canals

Abstract BackgroundThe aim of this study was to compare cyclic fatigue resistance (CFR) and separation patterns during rotating movement of five heat-treated nickel titanium files in both single and double-curved canals. MethodsCFR was compared between five groups of 24 files each: HyFlex® EDM, HyFlex™ CM, Vortex Blue®, Protaper Next®, and One Curve, by determining the time needed to fracture (TTF) and the number of cycles to failure (NCF) in a cyclic fatigue testing device with a single 5-mm radius of curvature (ROC) and 60° angle, and a double curvature; coronal curvature (5 mm ROC and 60° angle) and apical curvature (2 mm ROC and 70° angle). The separation pattern was evaluated, and file fragment separated length were measured. One-way ANOVA and Tukey’s post-hoc were used to compare statistical differences between the groups. Scanning Electron Microscope (SEM) was used to investigate the fracture sites. Results HyFlex™ CM files displayed significantly higher CFR, followed by HyFlex® EDM and Vortex Blue® in single curvature canals, and Protaper Next® (PTN) in the double curvature canals, as observed by TFF and NCF. PTN group had the highest tendency for files to extrude apically after separation in both curvatures. ConclusionHyFlex™ CM instruments have superior resistance to cyclic flexural fatigue within single canals with single and double curvatures, followed by HyFlex® EDM and Vortex Blue® instruments. Protaper Next® files followed by One Curve had the highest tendency to extrude apically after separationClinical relevanceHyFlex™ CM instruments showed the highest safety in preparing canals with single or double curvatures, considering CFR.

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In Vitro comparison of cyclic fatigue resistance of TruNatomy in single and double curvature canals compared with different nickel-titanium rotary instruments

10.21203/rs.2.14099/v3 ◽

2020 ◽

Author(s):

Amr M. Elnaghy ◽

Shaymaa E Elsaka ◽

Ayman Mandorah

Keyword(s):

Fatigue Resistance ◽

Cyclic Fatigue ◽

The Other ◽

Probability Of Survival ◽

Double Curvature ◽

Significant Difference ◽

Recorded Data ◽

Vortex Blue ◽

Number Of Cycles

Abstract Background: The purpose of this study was to compare the cyclic fatigue resistance of newly developed TruNatomy instruments (TRN) in single and double (S-shaped) curvature canals with HyFlex CM (HCM), Vortex Blue (VB) and RaCe (RC) instruments. Methods: Size 20/.04 taper and size 25/0.04 of HCM, VB and RC were used. For TRN instruments, size 20/.04 taper (small) and size 26/.04 taper (prime) were used. The instruments were tested in artificial canals with double curvature (coronal curve; 60° curvature, 5 mm radius and apical curve; 70° curvature and 2 mm radius) and single curvature (60° curvature, 5 mm radius). The number of cycles to failure (NCF) was recorded. Data were statistically analyzed by Kruskal-Wallis and Dunn’s multiple comparison tests. Weibull analysis was performed on NCF data. Statistical significant was set at p < 0.05. Results: TRN and HCM revealed higher NCF compared with the other instruments for both tested sizes in single and double curvature canals ( p < 0.05). TRN and HCM showed no statistically significant difference in the NCF ( p > 0.05). The probability of survival was higher for HCM and TRN instruments than VB and RC instruments. Conclusions: HCM and TRN instruments were more resistant to cyclic fatigue than VB and RC instruments in single and double curvature canals. HCM and TRN instruments were anticipated to survive with higher number of cycles than the other tested instruments. RC instrument had the lowest fatigue resistance than the other instruments.

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