2024年10月11日
Here, we present a protocol for evaluating the surface characteristics of endodontic retreatment files after repeated use in retreatment procedures, utilizing scanning electron microscopy to identify and analyze potential surface defects.
The aim of our search is to investigate the impact of repeated use of a remover file on it surface characteristic with a particular focus on the number of users. The objective is to determine the number of times the product can be safely used without compromising its surface integrity. Our significant findings indicate that the remover treatment file can be safely used for up to three treatment cycles without compromising its performance or patient safety.
In the future, our laboratory plans to focus on conducting similar studies in clinical settings are feasible on human teeth. This will help enhance reliability of our results and further validate our findings in real-world applications. To begin procure 80 acrylic blocks with an internal diameter of 1.5 millimeters, a radius of curvature of 5 millimeters and a 55 degree curvature.
After cleaning and shaping the blocks, operate the files at 600 RPM and 2.5 Newton-Centimeter torque according to the manufacturer's instructions. Use the files with a back and forth motion without applying apical pressure until they are 3 millimeters short of the working length. Then remove the file from the canal when resistance is felt and irrigate the canal with 5.25%sodium hypochlorite solution.
Once the scanning electron microscopy is complete, have two calibrated examiners analyze all images on a computer screen and record the presence and type of deformation such as tip deformation, micro cracks, fracture, unwinding, surface pitting, and blade disruption. Deformation was observed in 75%of the files after a single use and in 100%of the files after three and six uses with no statistically significant difference between the groups. Micro cracks were not observed after a single use, but were present in 25%of the files after three uses and an 87.5%of the files after six uses showing a statistically significant increase.
Surface pitting was observed in 25%of the files after a single use, 87.5%after three uses, and 100%after six uses with statistically significant differences between the groups. No significant differences were observed between the groups for unwinding, tip deformation and blade disruption. No fractures were observed in any of the groups.
本研究探讨根管再治疗锉在重复使用后的表面特性,重点关注其完整性和安全性。通过扫描电子显微镜观察,旨在识别多次治疗周期后可能出现的潜在表面缺陷。
使用扫描电镜对镍钛根管再治疗锉进行表面缺陷的定量评估,可为器械的耐久性和操作安全性提供关键见解。了解单次及多次使用过程中缺陷的产生情况,有助于牙科器械工作流程中的风险管理与标准化。这些发现将直接影响牙科研发项目中的材料选择、重复使用政策以及预测性维护策略。
这种基于扫描电镜的缺陷分析方法可整合到牙科和医疗器械研发的设备发现、筛选及临床前验证工作流程中。