Fatigue resistance of endodontic instruments manufactured in NiTi CM Wire and in conventional NiTi alloy with eletrochemical treatment

Abstract

Objective: This study compared the fatigue behavior of endodontic instruments manufactured with conventional NiTi alloy electropolishing, RaCe (FKG Dentaire, LaChauxdeFonds, Switzerland), with instruments manufactured with NiTi CM Wire subjected to thermomechanical treatment, in the manufacturing process, HyFlex CM (Coltène Whaledent, Cuyahoga Falls, Ohio, USA), both with similar geometry and dimensions in order to determine the influence of the manufacturing process in the fatigue resistance. Methods: The methodoly consisted of twenty HyFlex CM and RaCe instruments with D0 0.25 mm, taper 0.06 mm / mm, 25 mm length, both with triangular cross section. The fracture resistance was evaluated by static fatigue test, using a stainless artificial canal with 5mm of radius (86°), recording the time and calculating the number of cycles until fracture occurs (NCF). For statistical analysis the Student t test was used The fractured instruments surface was analyzed by SEM. Results: The NCF was significantly higher for HyFlex CM instruments in comparison with RaCe files (P˂0.05) being 1336% more resistant to fatigue. The analysis of the fractured surface by SEM showed ductile-kind morphological characteristics for both instruments and the absence of plastic deformation. Conclusion: HyFlex CM instruments present higher values of NCF. Thus, it can be concluded that the thermal treatment to which these instruments with CM Wire alloy are submitted makes them more resistant to fracture than Race instruments manufactured with conventional NiTi alloy electropolishing.

Análise de formatação de canais preparados com lima manual em movimento rotatório

“…Este material por sua vez, possui melhor flexibilidade, melhorada capacidade de corte bem como, menor tendência de retificação dos canais em comparação às limas fabricadas em aço inox. Todavia, estes materiais ainda tendem a fraturar devido à fadiga cíclica criada, ou seja, quando estes instrumentos são submetidos a grandes tensões e compressões alternadas (Inojosa et al, 2018. ).…”

Fracture of endodontic instruments - Part 1: Literature review on factors that influence instrument breakage

“…43 CM-Wire (DS Dental, Johnson City, TN) is an alloy manufactured using an unique thermomechanical treatment that controls the memory of the instrument, resulting in superior flexibility without the shape memory of conventional NiTi instruments. 44 Studies have demonstrated that instruments manufactured with CM technology possess superior cyclic fatigue resistance and flexibility to conventional NiTi instruments, which can be attributed to their martensitic state. 45,46 In a study comparing the cyclic fatigue properties of Proflexendo (Nexden, Houston, TX, USA), manufactured using CM-Wire, to Profile Vortex (Dentsply Tulsa Dental, Tulsa, OK, USA) and ProTaper Universal (Dentsply Sirona, Ballaigues, Switzerland) manufactured with M-Wire, the Proflexendo exhibited significantly greater cyclic fatigue resistance.…”