Cyclic fatigue of NiTi rotary instruments in a simulated apical abrupt curvature.
OBJECTIVE
To evaluate the cyclic fatigue resistance of five NiTi rotary systems in an abrupt apical curvature.


METHODS
Cyclic fatigue testing was performed in stainless-steel artificial canals with a 2-mm radius of curvature and an angle of curvature of 90 degrees constructed to the dimensions of the instruments tested. The middle of the simulated curvature was 2.5 mm from the tip of the instrument that was placed at full working length. All instruments were new and 25 mm in length. Ten ProTaper Universal F2 (Dentsply Maillefer, Ballaigues, Switzerland); FlexMaster (VDW, Munich, Germany) tip size 25, taper 0.06; Mtwo (Sweden & Martina, Padova, Italy) tip size 25, taper 0.06; ProFile tip size 25, taper 0.06 from Dentsply Maillefer (Ballaigues, Switzerland); and ProFile tip size 25, taper 0.06 from Dentsply Tulsa (Tulsa, OK, USA) were rotated passively at 300 rpm until fracture occurred, and the number of cycles to failure (NCF) recorded. Length of the fractured tip was measured. Data were analysed by one-way anova and Tukey HSD test to determine any statistical difference amongst groups.


RESULTS
Mtwo had the highest fatigue resistance compared to the other instruments (NCF 124 +/- 25) (P < 0.001); there was no statistical difference between ProFile from the two different brands, although ProFile from Maillefer had the higher fatigue life (NCF 75 +/- 10) compared to ProFile from Tulsa (NCF 66 +/- 10). No difference was registered between FlexMaster (NCF 53 +/- 5) and ProFile from Tulsa; ProTaper F2 had a significantly (P < 0.001) lower fatigue life compared to the other instruments tested (NCF 29 +/- 5).


CONCLUSIONS
Lifespan registered for the instruments tested in an apical abrupt curvature was Mtwo > ProFile from Maillefer > ProFile from Tulsa > FlexMaster > ProTaper.
Department of Endodontics I, University of Rome "La Sapienza", Rome, Italy. endo@gianlucaplotino.com
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Plotino
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Grande
M C
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Melo
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Bahia
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Testarelli
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Gambarini
D000704:Analysis of Variance; D003722:Dental Alloys; D003762:Dental Instruments; D003799:Dental Stress Analysis; D004868:Equipment Failure; D006801:Humans; D003765:Models, Dental; D009532:Nickel; D018915:Root Canal Preparation / Q000295:instrumentation*; D018709:Statistics, Nonparametric; D014025:Titanium; D019227:Tooth Apex / Q000033:anatomy & histology* / Q000473:pathology; D054159:Torsion, Mechanical
D003722:Dental Alloys; C040654:titanium nickelide; C093824:Martensite; C093826:Austenite; D009532:Nickel; D014025:Titanium