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Ni-Ti ROTARY INSTRUMENT FRACTURE ANALYSIS AFTER CLINICAL USE. STRUCTURE CHANGES IN USED INSTRUMENTS
Autori: Teodora Stefanescu
Data aparitiei: Mai / 2016
Revista: Environmental Engineering and Management JournalVol. 15Nr. 5
ISSN: 1843 - 3707
Pret: 25.00 RON    
N.A.

Over the past three decades, nickel–titanium engine-driven files have become instruments “sine qua non” for root canal
treatment. They are increasingly used by dentists to facilitate the cleaning and shaping of root canals, during the mechanical
treatment phase in endodontic therapy, increasing not only the speed of the treatment but also assuring a proper shape of the
canal preparation. During the repeated use of these instruments, separation of the file occurs. It has been demonstrated that the
failure of the instruments can appear due to the torsional stress or cyclic loading, or a combination of both. Our study was meant
to explore the surface and the non-organic structure of the fractured instruments, using SEM analysis. Extracted teeth’ roots were
prepared with Bio-RaCe (FKG, Le Chaux-of-Fonds, Switzerland) until the instrument fracture occurred. In order to reduce
friction between the root canal wall and the instrument, the root canal was rinsed both with NaOCl and EDTA. The corrosive
environment of both rinsing agents may be noticed on SEM images, scoring as a severe surface defect with 10 points, out of the
maximum 11. Both are corrosive agents, used to eliminate the debris, bacterial agents and to soften the hard tissue. The moment
the first instrument separated (BR3 25/.06.) we scored all the files, noticing on SEM analysis all the changes that occurred.
Opposed to the current trend of using as less files as possible, we consider it a dangerous simplification of the preparation
procedure. A step by step taper increasing is less dangerous, providing thus, a predictable outcome of the treatment. For a safer
treatment and a positive outcome, a full kit of files (from 10 to 50) with a taper of 4 is recommended before using the same size
files with a greater taper.



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