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      Influence of the Pecking Motion Frequency on the Cyclic Fatigue Resistance of Endodontic Rotary Files

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          Abstract

          Purpose: To analyze the influence of the pecking motion frequency on the cyclic fatigue resistance of endodontic rotary files. Material and Methods: Sixty PlexV 25.06 endodontic rotary files were selected and distributed into three groups: 30 movements/min ( n = 20), 60 movements/min ( n = 20), and 120 movements/min ( n = 20). A dynamic cyclic fatigue device was designed using Computer Aided Design/ Computer Aided Engineering (CAD/CAE) technology and manufactured by 3D impressions to simulate the pecking motion performed by an operator. Failures of the endodontic rotary files were detected by a Light-Emitting Diode (LED)/Light-Dependent Resistor (LDR) system controlled by an Arduino-Driver complex and management software. Endodontic rotary files were tested on an artificial root canal manufactured by wire electrical discharge machining (EDM), with similar dimensions to those of the instrument under examination. Endodontic rotary files were used following the manufacturer’s recommendations. The results were analyzed by ANOVA and Weibull statistics. Results: All pairwise comparisons revealed statistically significant differences in all three variables, except for the difference in the number of cycles between the groups with 60 and 120 movements/min ( p = 0.298). The scale distribution parameter of Weibull statistics showed statistically significant differences in all three variables, except for the differences in the number of cycles between groups with 30 and 60 movements/min ( p = 0.0722). No statistically significant differences in the three variables were observed for the shape distribution parameter. Conclusion: A low frequency of pecking motion is recommended to reduce the risk of failure of endodontic rotary files associated with cyclic fatigue.

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          Most cited references22

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          The influence of a manual glide path on the separation rate of NiTi rotary instruments.

          The dual purpose of this study was, to evaluate the fracture rate of Ni-Ti rotary instruments when following a manual glide path and using stainless steel hand files before carrying out instrumentation by means of rotary files and, to compare the results in this study with those obtained in two previous analyses, in which the glide path technique was not used. A total of 208 canals obtained from a pool of freshly extracted human mandibular and maxillary molars was divided into three groups corresponding to; K3, ProFile and ProTaper. The coronal 2/3 of each tooth were used. In all three groups the apical portion of the samples was prepared with size 10-20 stainless steel K-type hand files. The apical stops were prepared using K3, ProFile and ProTaper rotary instruments. Logistic regression model analysis indicated that breakage was significantly associated with the angle of curvature of the canal (OR = 1.078; 95% CI = 1.032-1.12; p = 0.001), and with the number of clinical uses (files used more than eight times broke more frequently that those used 1 or 2 times; OR: 22.686; 95% CI: 2.6-191.3; p = 0.004). The breakage rate obtained in the present study is significantly lower than in our previous studies, in which the angle of curvature was also greater than 30 degrees and rotational speed a constant 350 rpm, but in which the canals were not first prepared with hand files (25/205 = 12% versus 16/61 = 26%, p = 0.007). Based on the results of this study, we recommend the use of stainless steel hand files to prepare the apical 1/3 of curved canals before introducing rotary files.
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            Cyclic fatigue of endodontic nickel titanium rotary instruments: static and dynamic tests.

            Endodontic instruments upon rotation are subjected to both tensile and compressive stress in curved canals. This stress is localized at the point of curvature. The purpose of this study was to evaluate the cyclic fatigue of 0.04 ProFile nickel titanium rotary instruments operating at different rotational speeds and varied distances of pecking motion in metal blocks that simulated curved canals. A total of 150 ProFile instruments were made to rotate freely in sloped metal blocks at speeds of 200, 300, or 400 rpm by a contra-angle handpiece mounted on an Instron machine. The electric motor and Instron machine were activated until the instruments were broken in two different modes, static and dynamic pecking-motion. The fractured surfaces of separated instruments were examined under a scanning electron microscope. All data obtained were analyzed by a stepwise multiple regression method using a 95% confidence interval. The results demonstrated that the time to failure significantly decreased as the angles of curvature or the rotational speeds increased. However, as pecking distances increased, the time to failure increased. This is because a longer pecking distance gives the instrument a longer time interval before it once again passes through the highest stress area. Microscopic evaluation indicated that ductile fracture was the major cyclic failure mode. To prevent breakage of a NiTi rotary instrument, appropriate rotational speeds and continuous pecking motion in the root canals are recommended.
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              Factors influencing the fracture of nickel-titanium rotary instruments.

              To evaluate the effect of rotational speed and the angle and radius of curvature of root canals on the fracture of two types of nickel-titanium rotary instruments: K3 and ProTaper. A total of 240 root canals of extracted human maxillary and mandibular molars were divided into two groups of 120, according to the angle of the canal curvature (group A: 30 degrees). Each group was then divided into two subgroups of 60 canals in order to perform instrumentation using K3 and ProTaper rotary instruments at three different rotational speeds: 150, 250 and 350 r.p.m. (20 canals at each rotational speed). Each instrument was used a maximum of 20 times and at one rotational speed only. The angle and radius of canal curvature were measured in the only group in which fractures actually took place (group B). There were a total of 22 instrument fractures; all of these occurred in canals with curves >30 degree. In a multivariate analysis, it was demonstrated that the files used at a rotational speed of 350 r.p.m. were more likely to fracture than those used at 250 r.p.m. (OR: 1113.88; 95% CI: 2.36-526420.05) and than those used at 150 r.p.m. (OR: 13531.33; 95% CI: 5.37-34120254.00). A decrease in the angle of curvature of the canal also significantly reduced the likelihood of fracture (OR: 0.2083; 95% CI: 0.068-0.6502). These relationships remained significant after being adjusted for the potential interactions between the remaining variables. No significant differences were found between the files or the radii of the canals. Instrument fracture was associated with rotational speed and the angle of curvature of the canal.
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                Author and article information

                Journal
                J Clin Med
                J Clin Med
                jcm
                Journal of Clinical Medicine
                MDPI
                2077-0383
                24 December 2019
                January 2020
                : 9
                : 1
                : 45
                Affiliations
                [1 ]Department of Endodontics, Faculty of Health Sciences, Alfonso X el Sabio University, 28691 Madrid, Spain; jmenaalvarez@ 123456gmail.com
                [2 ]Department of Dentistry, School of Medicine, University of Salamanca, 37008 Salamanca, Spain; albertoalbaladejo@ 123456hotmail.com
                [3 ]Faculty of Dentistry, University of Sevilla, C/Avicena s/n, 41009 Sevilla, Spain; segurajj@ 123456us.es
                [4 ]Centro de Investigaciones Odontológicas (CIO) Pontificia, Universidad Javeriana, Bogotá 1101, Colombia; javiercaviedes@ 123456gmail.com
                [5 ]Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, 46010 Valencia, Spain; rubenagustinpanadero@ 123456gmail.com
                [6 ]Institute of Materials Science of Madrid, Superior Council of Scientific Investigations, 28222 Madrid, Spain; lopezpiriz@ 123456gmail.com
                [7 ]Department of Endodontics, School of Health Sciences, University of Zaragoza, 22006 Aragorn, Spain; lalonezp@ 123456unizar.es
                Author notes
                [* ]Correspondence: amacho@ 123456uax.es
                Author information
                https://orcid.org/0000-0001-9362-9702
                https://orcid.org/0000-0003-0533-9065
                https://orcid.org/0000-0002-0427-9059
                https://orcid.org/0000-0003-0407-9847
                https://orcid.org/0000-0003-2757-6619
                https://orcid.org/0000-0003-3868-6784
                Article
                jcm-09-00045
                10.3390/jcm9010045
                7020062
                31878217
                f5353b0a-5e4a-49de-8789-6c699261fa3b
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 02 November 2019
                : 20 December 2019
                Categories
                Article

                endodontics,cyclic fatigue,pecking motion,endodontic rotary files,niti rotary files

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