Characterising 12 NiTi Reciprocating Systems: An Integrative Laboratorial Analysis of Design, Mechanics, Metallurgy, Fluid Dynamics and Finite Element Analysis.

IF 7.1 1区 医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE
Jorge N R Martins, Emmanuel João Nogueira Leal Silva, Mário Rito Pereira, Duarte Marques, Ricardo Pinto, Abayomi O Baruwa, Rui F Martins, Francisco Manuel Braz Fernandes, Marco Aurélio Versiani
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引用次数: 0

Abstract

Aim: To comprehensively compare 12 nickel-titanium (NiTi) reciprocating single-file systems from eight manufacturers by integrating geometric, mechanical, metallurgical and in silico analyses.

Methodology: A total of 276 NiTi reciprocating instruments, representing 12 types across 8 brands, were selected, including Easy-File Flex Regular 25, EdgeOne Fire Primary, Flash 25.06vt, One Files R25 and Blue R25, One RECI N25, Perfect RC R25 (Blue, Gold and Silver), Reciproc R25 (Blue and M-Wire) and WaveOne Gold Primary. They were evaluated using stereomicroscopy, scanning electron microscopy, 3D optical scanning, energy-dispersive X-ray spectroscopy and differential scanning calorimetry to assess design and metallurgical properties. Mechanical performance was tested via buckling resistance and microhardness. A micro-CT-based premolar model was virtually prepared for each instrument to simulate canal shaping. Computational fluid dynamics (CFD) assessed irrigant penetration, wall shear stress and apical pressure. Finite element analysis (FEA) evaluated stress distribution in prepared roots. Data were analysed using the Shapiro-Wilk test for normality and the Kruskal-Wallis test for group comparisons (p < 0.05).

Results: The systems differed considerably in spiral density, cross-sectional design, size, volume and phase transformation temperatures. Instruments with larger apical cores (One Files and Reciproc M-Wire) and austenitic-phase dominance (Perfect RC Silver and One Files) showed greater buckling strength. Files with martensitic phases (Perfect RC Gold, WaveOne Gold and One Files Blue) or hybrid cross-sections (One RECI and Flash) were more flexible. CFD revealed that conservative shaping (Easy-File Flex, EdgeOne Fire, One RECI, WaveOne Gold) increased wall shear stress but reduced apical irrigant exchange. FEA showed similar stress patterns across all groups, with lower stress in restored roots.

Conclusions: Substantial variation exists among current NiTi reciprocating systems in terms of design, mechanics, fluid dynamics and metallurgy. Instruments with large cores and austenitic-phase structure provide superior buckling resistance. Conservative shaping improves shear stress but limits apical cleaning. Root stress remained consistent across systems. These findings highlight the importance of optimising instrument design and clinical protocols to balance shaping efficacy and irrigant delivery.

表征12个镍钛往复系统:设计、力学、冶金、流体动力学和有限元分析的综合实验室分析。
目的:通过综合几何、机械、冶金和硅分析,对来自8家制造商的12种镍钛(NiTi)往复单锉系统进行综合比较。研究方法:共有276台NiTi往复仪器,代表8个品牌的12种类型,包括Easy-File Flex Regular 25、EdgeOne Fire Primary、Flash 25.06vt、One Files R25和Blue R25、One RECI N25、Perfect RC R25(蓝色、金色和银色)、Reciproc R25(蓝色和M-Wire)和WaveOne Gold Primary。利用立体显微镜、扫描电子显微镜、3D光学扫描、能量色散x射线光谱和差示扫描量热法来评估它们的设计和冶金性能。通过抗屈曲性能和显微硬度测试材料的力学性能。每个器械虚拟制备了一个基于微ct的前磨牙模型来模拟根管成形。计算流体动力学(CFD)评估了灌溉水渗透、壁面剪应力和顶压力。有限元分析(FEA)评估了预制根的应力分布。数据分析使用夏皮罗-威尔克检验的正态性和Kruskal-Wallis检验的组比较(p)结果:系统在螺旋密度,横截面设计,尺寸,体积和相变温度有很大差异。具有较大顶芯(One Files和Reciproc M-Wire)和奥氏体相优势(Perfect RC Silver和One Files)的仪器显示出更高的屈曲强度。具有马氏体相(Perfect RC Gold, WaveOne Gold和One Files Blue)或混合截面(One RECI和Flash)的文件更灵活。CFD显示,保守整形(Easy-File Flex、EdgeOne Fire、One RECI、WaveOne Gold)增加了管壁剪应力,但减少了根尖灌溉交换。FEA结果显示各组应力模式相似,修复根应力较低。结论:目前的镍钛往复系统在设计、力学、流体力学和冶金方面存在很大的差异。具有大芯和奥氏体相结构的仪器具有优异的抗屈曲性能。保守整形改善了剪应力,但限制了根尖清洁。根系应力在各系统中保持一致。这些发现强调了优化器械设计和临床方案的重要性,以平衡整形效果和冲洗输送。
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来源期刊
International endodontic journal
International endodontic journal 医学-牙科与口腔外科
CiteScore
10.20
自引率
28.00%
发文量
195
审稿时长
4-8 weeks
期刊介绍: The International Endodontic Journal is published monthly and strives to publish original articles of the highest quality to disseminate scientific and clinical knowledge; all manuscripts are subjected to peer review. Original scientific articles are published in the areas of biomedical science, applied materials science, bioengineering, epidemiology and social science relevant to endodontic disease and its management, and to the restoration of root-treated teeth. In addition, review articles, reports of clinical cases, book reviews, summaries and abstracts of scientific meetings and news items are accepted. The International Endodontic Journal is essential reading for general dental practitioners, specialist endodontists, research, scientists and dental teachers.
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