Effect of Repeated Simulated Clinical Use and Sterilization on the Cutting Efficiency and Flexibility of Hyflex CM Nickel-Titanium Rotary Files

Scott T. Seago, Brian Edward Bergeron, Timothy C. Kirkpatrick, Mark D. Roberts, Howard W. Roberts, Van T. Himel, Kent A. Sabey

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Introduction: Recent nickel-titanium manufacturing processes have resulted in an alloy that remains in a twinned martensitic phase at operating temperature. This alloy has been shown to have increased flexibility with added tolerance to cyclic and torsional fatigue. The aim of this study was to assess the effect of repeated simulated clinical use and sterilization on cutting efficiency and flexibility of Hyflex CM rotary files. Methods: Cutting efficiency was determined by measuring the load required to maintain a constant feed rate while instrumenting simulated canals. Flexibility was determined by using a 3-point bending test. Files were autoclaved after each use according to the manufacturer's recommendations. Files were tested through 10 simulated clinical uses. For cutting efficiency, mean data were analyzed by using multiple factor analysis of variance and the Dunnett post hoc test (P <.05). For flexibility, mean data were analyzed by using Levene's Test of Equality of Error and a general linear model (P <.05). Results: No statistically significant decrease in cutting efficiency was noted in groups 2, 5, 6, and 7. A statistically significant decrease in cutting efficiency was noted in groups 3, 4, 8, 9, and 10. No statistically significant decrease in flexibility was noted in groups 2, 3, and 7. A statistically significant decrease in flexibility was noted in groups 4, 5, 6, 8, 9, 10, and 11. Conclusions: Repeated simulated clinical use and sterilization showed no effect on cutting efficiency through 1 use and no effect on flexibility through 2 uses.

Original languageEnglish (US)
Pages (from-to)725-728
Number of pages4
JournalJournal of Endodontics
Volume41
Issue number5
DOIs
StatePublished - Jan 1 2015

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Statistical Factor Analysis
Fatigue
Linear Models
Analysis of Variance
Temperature
nitinol

Keywords

  • Cutting efficiency
  • Hyflex CM
  • flexibility

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Effect of Repeated Simulated Clinical Use and Sterilization on the Cutting Efficiency and Flexibility of Hyflex CM Nickel-Titanium Rotary Files. / Seago, Scott T.; Bergeron, Brian Edward; Kirkpatrick, Timothy C.; Roberts, Mark D.; Roberts, Howard W.; Himel, Van T.; Sabey, Kent A.

In: Journal of Endodontics, Vol. 41, No. 5, 01.01.2015, p. 725-728.

Research output: Contribution to journalArticle

Seago, Scott T. ; Bergeron, Brian Edward ; Kirkpatrick, Timothy C. ; Roberts, Mark D. ; Roberts, Howard W. ; Himel, Van T. ; Sabey, Kent A. / Effect of Repeated Simulated Clinical Use and Sterilization on the Cutting Efficiency and Flexibility of Hyflex CM Nickel-Titanium Rotary Files. In: Journal of Endodontics. 2015 ; Vol. 41, No. 5. pp. 725-728.
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abstract = "Introduction: Recent nickel-titanium manufacturing processes have resulted in an alloy that remains in a twinned martensitic phase at operating temperature. This alloy has been shown to have increased flexibility with added tolerance to cyclic and torsional fatigue. The aim of this study was to assess the effect of repeated simulated clinical use and sterilization on cutting efficiency and flexibility of Hyflex CM rotary files. Methods: Cutting efficiency was determined by measuring the load required to maintain a constant feed rate while instrumenting simulated canals. Flexibility was determined by using a 3-point bending test. Files were autoclaved after each use according to the manufacturer's recommendations. Files were tested through 10 simulated clinical uses. For cutting efficiency, mean data were analyzed by using multiple factor analysis of variance and the Dunnett post hoc test (P <.05). For flexibility, mean data were analyzed by using Levene's Test of Equality of Error and a general linear model (P <.05). Results: No statistically significant decrease in cutting efficiency was noted in groups 2, 5, 6, and 7. A statistically significant decrease in cutting efficiency was noted in groups 3, 4, 8, 9, and 10. No statistically significant decrease in flexibility was noted in groups 2, 3, and 7. A statistically significant decrease in flexibility was noted in groups 4, 5, 6, 8, 9, 10, and 11. Conclusions: Repeated simulated clinical use and sterilization showed no effect on cutting efficiency through 1 use and no effect on flexibility through 2 uses.",
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N2 - Introduction: Recent nickel-titanium manufacturing processes have resulted in an alloy that remains in a twinned martensitic phase at operating temperature. This alloy has been shown to have increased flexibility with added tolerance to cyclic and torsional fatigue. The aim of this study was to assess the effect of repeated simulated clinical use and sterilization on cutting efficiency and flexibility of Hyflex CM rotary files. Methods: Cutting efficiency was determined by measuring the load required to maintain a constant feed rate while instrumenting simulated canals. Flexibility was determined by using a 3-point bending test. Files were autoclaved after each use according to the manufacturer's recommendations. Files were tested through 10 simulated clinical uses. For cutting efficiency, mean data were analyzed by using multiple factor analysis of variance and the Dunnett post hoc test (P <.05). For flexibility, mean data were analyzed by using Levene's Test of Equality of Error and a general linear model (P <.05). Results: No statistically significant decrease in cutting efficiency was noted in groups 2, 5, 6, and 7. A statistically significant decrease in cutting efficiency was noted in groups 3, 4, 8, 9, and 10. No statistically significant decrease in flexibility was noted in groups 2, 3, and 7. A statistically significant decrease in flexibility was noted in groups 4, 5, 6, 8, 9, 10, and 11. Conclusions: Repeated simulated clinical use and sterilization showed no effect on cutting efficiency through 1 use and no effect on flexibility through 2 uses.

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