The purpose of this study was to compare bending (bending moment) and resistance to fracture by twisting (torsional moment and angular deflection) of triangular cross-section K-files made of either nickel titanium (Nitiflex, Naviflex), titanium (Microtitane) or stainless steel (Flexofile, Flex-R). A total of 200 files were tested, 10 instruments for each type from size 25 to 40, according to ANSI/ADA specification no. 28 and ISO reference no. 3630. Files made of nickel titanium, especially Nitiflex, were the most flexible. Stainless steel instruments presented a higher bending moment than files made of nickel titanium and titanium, particularly Flex-R sizes 35 and 40. With regard to resistance to fracture, measured by angular deflection at the failure point, Flexofile followed by Flex-R were the most resistant to fracture and Nitiflex were the least resistant. Differences in angular deflection among file groups were greater than those for torsional moment. Thus, it seems that angular deflection is a more specific measurement for assessing resistance to fracture by twisting.
The purpose of this study was to assess the effect of dry‐heat or autoclave sterilization on the resistance to fracture in torque and angular deflection and the resistance to bending of K‐type files made of nickel‐titanium (Nitiflex, Naviflex), titanium (Microtitane) or stainless steel (Flexofile, Flex‐R).
Ten K‐type files of each sort, from size 25 to 40, were tested, according to ANSI/ADA specification 28 (1988) and ISO specification 3630 (1992). Sterilization with dry heat and autoclave slightly decreased the flexibility of files made of stainless steel and nickel‐titanium for most of the sizes, although the values obtained satisfied ISO specifications. The files made of titanium showed an increased flexibility after sterilization with autoclave (sizes 30 and 35) and dry heat (sizes 30, 35 and 40). Resistance to fracture varied amongst the five groups of files tested as follows: it decreased in some sizes of stainless‐steel instruments, decreased in all sizes of titanium files assessed by the torsional moment, and either increased or decreased in some sizes of nickel‐titanium files. All files tested, however, satisfied relevant standards for angular deflection after being subjected to sterilization with an autoclave or dry heat.
The aim of this study was to evaluate the apical seal obtained with various root canal sealing cements using a new method based on the use of a radionuclide and an external detection technique. A total of 150 maxillary incisors and canines, which had been kept in saline solution, were used. The root canals were instrumented with a stepback technique and circumferential filing. Six experimental groups and two control groups were randomly formed. Each experimental group was obturated by a lateral condensation technique with gutta-percha points and a different sealing cement (two based on zinc oxide-eugenol cement, two based on resins and two on calcium hydroxide); the positive control used gutta-percha without sealing cement, while in the negative control the apex was covered with nail varnish, leaving the root canal empty. The apical leakage was measured using an external detection technique after submerging the root apices in a solution containing the radioisotope metastable 99Tc. No leakage was observed in the negative control group. There was a large difference between the leakage observed in the positive control group and the experimental groups. The best seal was obtained using Sealapex cement, which differed significantly from AH26, Tubli-Seal and Diaket; there was no significant difference between the latter. The poorest results were obtained with Endomethasone and CRCS; there was a significant difference between these and the previous three sealing cements.
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