• Restorative Dentistry and Endodontics
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• 제38권1호
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• pp.31-35
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• 2013

Objectives: This study compared the cyclic fatigue resistance of nickel-titanium (NiTi) files obtained in a conventional test using a simulated canal with a newly developed method that allows the application of constant fatigue load conditions. Materials and Methods: ProFile and K3 files of #25/.06, #30/.06, and #40/.04 were selected. Two types of testing devices were built to test their fatigue performance. The first (conventional) device prescribed curvature inside a simulated canal (C-test), the second new device exerted a constant load (L-test) whilst allowing any resulting curvature. Ten new instruments of each size and brand were tested with each device. The files were rotated until fracture and the number of cycles to failure (NCF) was determined. The NCF were subjected to one-way ANOVA and Duncan's post-hoc test for each method. Spearman's rank correlation coefficient was computed to examine any association between methods. Results: Spearman's rank correlation coefficient (${\rho}$ = -0.905) showed a significant negative correlation between methods. Groups with significant difference after the L-test divided into 4 clusters, whilst the C-test gave just 2 clusters. From the L-test, considering the negative correlation of NCF, K3 gave a significantly lower fatigue resistance than ProFile as in the C-test. K3 #30/.06 showed a lower fatigue resistance than K3 #25/.06, which was not found by the C-test. Variation in fatigue test methodology resulted in different cyclic fatigue resistance rankings for various NiTi files. Conclusions: The new methodology standardized the load during fatigue testing, allowing determination fatigue behavior under constant load conditions.

• Restorative Dentistry and Endodontics
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• 제24권4호
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• pp.633-638
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• 1999

The purpose of our study is to evaluate the ability of nickel-titanium(NiTi) files in maintaining the original curvature of a curved root canal during canal preparation. Curved canals on translucent resin blocks were prepared with Profiles and stainless steel files and they were placed at the platform which can reproduce the same position. The unprepared and prepared canal forms were accurately compared by double exposure technique of photography. The results were as follows : 1 NiTi files made a canal comparatively taper, but stainless steel files didn't make a canal taper, wicest at midportion and comparatively wide at a apical portion. 2. Canals preparations with no. 25 Profile.06 up to the working length were most excellent in taperness and in maintaining the original curvature. Canals prepared with no 30 Profile.06 up to the working length made a little outer transportation at a apical portion, but not severe. 3. Canal preparations with Profile GT were excellent in taperness and in maintaining the original curvature, but made more enlargement toward the inner side at the starting portion of the curvature. 4. Canal preparations with stainless steel files were not tapered and provided the largest transportation.

• Restorative Dentistry and Endodontics
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• 제35권2호
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• pp.88-95
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• 2010

이 연구의 목적은 4가지 엔진구동형 NiTi 기구의 근관성형력을 비교하는 것이다. 32개의 투명레진모형을 사용하여 파일의 단면도가 S자 형태이고 "single length"방법으로 근관성형을 시행하는 Mtwo와 crown-down 방법으로 근관성형을 하는 Profile, ProTaper Universal 및 K3로 근관성형을 하였다 (n = 8). 모든 근관은 한사람의 술자가 근단공 크기가 #30이 될 때까지 성형하였다. 기구 사용 전과 후 근관 모양을 디지털 영상을 기록하였고, 컴퓨터 영상 분석 프로그램(Expression Scanner와 Adobe Photoshop CS)으로 평가하였다. 다음과 같은 결론을 얻었다. 근첨으로부터 1, 2, 3, 4, 5, 6, 7 mm 떨어진 부위의 내측과 외측으로 삭제된 레진 양을 측정하였고, 자료는 SPSS법으로 비교 분석하였다. 1. 근관형성 시간은 Mtwo가 84.50초로 가장 짧았으며, 총 작업시간은 K3가 269.37초로 가장 길었다(p < 0.05). 2. 기구의 변형과 파절은 모든 구동형 NiTi 파일에서 발생하지 않았다. 3. 근관 내측 폭경의 변화는 Profile이 1, 2 mm 부위를 제외한 다른 부위에서 가장 적었으며, ProTaper Universal은 모든 부위에서 가장 많았다(p < 0.05). 4. 근관 외측 폭경의 변화는 Mtwo이 1 mm 부위를 제외한 모든 부위에서 가장 적었으며, Profile은 3, 4 mm 부위에서 가장 많았다(p < 0.05). ProTaper Universal와 K3는 1, 2, 6, 7 mm 부위에서 가장 많았다(p < 0.05). 5. 근관중심변위율(centering ratio)은 Profile이 1, 4, 5, 6 mm 부위에서 가장 적었다(p < 0.05). 이상의 결과, 구동성 NiTi 파일을 이용한 만곡 근관의 근관형성은 치경부는 ProTaper와 같은 삭제력이 높은 파일을 사용하는 것이 근관 입구를 효과적으로 넓히고 더 나은 taper를 형성하며, 근단부는 Profile과 같은 근관 중심 변위가 적은 파일을 사용하는 것이 근관형성 시간을 단축하고 근단부의 근관 변형(transportation)을 줄일 수 있다고 판단된다.

• Restorative Dentistry and Endodontics
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• 제27권2호
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• pp.196-206
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• 2002

본 연구는 근관의 치관부는 GT Rotary file을 이용하여 성형하고, 근단부는 K-Flexofile, ProFile .04, Lightspeed, HERO642 file로 성형하여 근관용 file의 근관성형력을 비교하는 것이다. 실험 표본으로는 resin simulated root canal blocks(Dentsply, Swiss)를 이용하였고 4개의 군으로 분류하여 실험을 실시하였다. 모든 resin block을 GT Rotary file(Dentsply, Swiss)을 이용하여 치관부를 형성한 후 근단부는 K-Flexofile(Dentsply, Swiss), ProFile .04 taper file(Denstply. Swiss), Lightspeed file(Lightspeed Tech., USA), HERO642 file(Micromega, France)로 ISO size #35까지 형성하였다. 성형 후 preparation time과 instrument failure를 측정하였고 최종 사용한 file을 resin block 내에 재위치시켜 working length의 변화량을 0.5mm 단위로 측정하였다. Resin debris에 의한 canal blockage를 조사하였으며, 근관 내의 인상을 채득하여 canal form을 평가하였다. 성형 전과 성형 후의 사진을 촬영하고 computer software를 이용하여 중첩시킨 후 canal aberration, canal transportation을 평가하여 다음과 같은 결과를 얻었다. 1. Preparation time, working length의 변화량, canal blockage, canal aberration, canal transportation에 있어서 Ni-Ti file이 stainless steel file에 비하여 우수하였다(p<0.05). 반면에 근관성형력에 있어서 canal form과 canal transportation을 제외하고는 세 Ni-Ti file 사이에는 유의차가 없었다(p>0.05). 2. Canal form 중 taper에 있어서 Lightspeed는 적절하지 못한 taper를 보여주었다(p<0.05). 3. Canal transportation에 있어서 Lightspeed 군과 HER0642 군이 K-Flexofile 군과 ProFile .04 군에 비해 적게 나타났고(p<0.05), 특히 만곡의 끝 부분에서는 Lightspeed 군이 가장 적게 나타났다(p<0.05). 이상과 같은 연구결과로 보아 부적절한 taper를 지니고 있던 Lightspeed fie과 HERO642 file 중 HERO642 file은 GT Rotary file과 함께 사용함으로써 적절한 taper로 형성할 수 있었으나 Lightspeed file은 효과적이지 못하였으므로 적절한 taper를 형성하기 위한 file이 치근의 중간부를 형성하기 위해 필요함이 확인되었다.

• Restorative Dentistry and Endodontics
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• 제22권2호
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• pp.659-669
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• 1997

The goals of root canal instrumentation are complete debridement of pulp tissue, removal of microbes and affected dentin, and proper cleaning and shaping of the root canal space before obturation. Instrumentation with stainless steel files has been shown to produce undesirable results in canals, regardless of the improved technique or modified file type used. Nickel-Titanium(Ni-Ti) alloy has been shown to be exceptionally elastic, having a lower bending moment and lower permanent set after torsion, compared with similar gauge stainless steel. The purpose of this study was to evaluate the change of root canal prepared by Ni-Ti rotary and stainless steel instruments. Thirty-four single rooted teeth of similar shape and canal size were divided into three groups. The teeth were scanned by computed tomography before instrumentation. In group 1, canals were instrumented using a step-back technique with K-file. In group 2, canals were prepared with K-flex file using the same technique as group 1. Group 3 was prepared with nickel-titanium(Ni-Ti) rotary instrument using a manufacture's instruction. Instrumented teeth were again scanned using computed tomography, and reformated images of the uninstrumented canals were compared with images of the instrumented canals. K-flex file and Ni-Ti file caused significantly less canal transportation than K-file in the 8mm root canal section from the apex(p<0.05). K-flex file and Ni-Ti file produced more centered canal preparation than K-file in the 2mm section(p<0.05). Ni-Ti file maintained more precisely the center of the canal than K-flex file in the 10mm section (p<0.05). There was no difference in the removed volume of canals among each groups.

• 대한치과보존학회:학술대회논문집
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• 대한치과보존학회 2002년도 추계학술대회
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• pp.689-689
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• 2002

No Abstract, See Full Text

• Restorative Dentistry and Endodontics
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• 제33권1호
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• pp.54-65
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• 2008

본 연구에서는 차아염소산나트륨 용액 및 고압증기멸균이 근관 치료용 Ni-Ti 파일의 주기적 피로 파절에 미치는 영향을 알아보고자 하였다. 파일 첨단 크기가 #30이고 .06 taper를 가지는 Hero $642^{(R)}$와 $K3^{(R)}$파일 70개를 10개씩 7개의 군으로 나누었으며, 6% 차아염소산나트륨 용액에 15분 (N15군), 30분 (N30군), 고압증기멸균은 $121\;^{\circ}C$의 온도, 0.12 MPa의 압력에서 20분간 시행하는 것을 일 회로 하여 5회 (H5군), 10회 (H10), 고압증기멸균 5회 후 차아염소산나트륨 용액 15분(H5N15), 고압증기멸균 10회 후 차아염소산나트륨 용액 30분 (H10N30) 처리 후 주기적 피로 파절 실험을 수행하여 파일이 파절될 때까지의 시간을 초 단위로 측정하였다. 대조군은 전처리를 하지 않고 주기적 피로 파절을 시행하였다. 95%의 신뢰도로 one-way analysis of varience를 이용하여 통계 처리하였으며, 다중 비교는 Tukey방법으로 분석하였다. 파일의 표면을 주사전자현미경으로 관찰하였다. 주기적 피로 파절에 소요된 시간은 Hero $642^{(R)}$는 각 군별로 유의할 만한 차이가 없었으며, $K3^{(R)}$는 N15, N30, H5N15군에서 대조군에 비해 짧은 시간이 소요된 것으로 나타났다 (p < 0.05). 주사전자 현미경에서 관찰했을 때 Hero $642^{(R)}$와 $K3^{(R)}$모두 N15, N30군에서 파일의 표면과 날이 부식이 되어 대조군에서 관찰된 일정 방향으로 배열된 정형화된 예리한 빗살무의가 부분적으로 파괴된 형태가 관찰되었으며, N15군에 비해 N30군에서 파일의 형태가 파괴된 양상이 뚜렷했으며, Hero $642^{(R)}$보다 $K3^{(R)}$가 심하게 부식된 양상이었다. H5군과 H10군에서는 $K3^{(R)}$ 파일은 날 부분이 무디어진 양상을 보였고, Hero $642^{(R)}$는 형태 파괴가 뚜렷하지 않았으나 H10군에서 표면의 빗살무늬가 약간 무디어진 양상을 보였다. H5N15군과 H10N30군에서는 그다지 뚜렷한 형태변화는 없었다. 본 연구 결과 $K3^{(R)}$파일을 사용 시에는 가능한 한 차아염소산나트륨에 적은 시간 노출시키는 것이 파일의 부식으로 인한 형태의 손상을 방지할 수 있고, 주기적 피로 파절에 걸리는 시간도 감소시킬 수 있을 것이다.

• Restorative Dentistry and Endodontics
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• 제41권3호
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• pp.176-181
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• 2016

Objectives: This study aimed to compare two nickel-titanium systems (rotary vs. reciprocating) for their acceptance by undergraduate students who experienced nickel-titanium (NiTi) instruments for the first time. Materials and Methods: Eighty-one sophomore dental students were first taught on manual root canal preparation with stainless-steel files. After that, they were instructed on the use of ProTaper Universal system (PTU, Dentsply Maillefer), then the WaveOne (WO, Dentsply Maillefer). They practiced with each system on 2 extracted molars, before using those files to shape the buccal or mesial canals of additional first molars. A questionnaire was completed after using each file system, seeking students' perception about 'Ease of use', 'Flexibility', 'Cutting-efficiency', 'Screwing-effect', 'Feeling-safety', and 'Instrumentation-time' of the NiTi files, relative to stainless-steel instrumentation, on a 5-point Likert-type scale. They were also requested to indicate their preference between the two systems. Data was compared between groups using t-test, and with Chi-square test for correlation of each perception value with the preferred choice (p = 0.05). Results: Among the 81 students, 55 indicated their preferred file system as WO and 22 as PTU. All scores were greater than 4 (better) for both systems, compared with stainless-steel files, except for 'Screwing-effect' for PTU. The scores for WO in the categories of 'Flexibility', 'Screwing-effect', and 'Feeling-safety' were significantly higher scores than those of PTU. A significant association between the 'Screwing-effect' and students' preference for WO was observed. Conclusions: Novice operators preferred nickel-titanium instruments to stainless-steel, and majority of them opted for reciprocating file instead of continuous rotating system.

• Restorative Dentistry and Endodontics
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• 제48권1호
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• pp.10.1-10.9
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• 2023

Objectives: This study compared the buckling resistance of 3 nickel-titanium (NiTi) retreatment file systems and the torque/force generated during retreatment. Materials and Methods: The buckling resistance was compared among the D-RaCe (DR2), HyFlex Remover, and Mtwo R25/05 retreatment systems. J-shaped canals within resin blocks were prepared with ProTaper NEXT X3 and obturated by the single-cone technique with AH Plus. After 4 weeks, 4 mm of gutta-percha in the coronal aspect was removed with Gates-Glidden drills. Retreatment was then performed using DR1 (size 30, 10% taper) followed by DR2 (size 25, 4% taper), HyFlex Remover (size 30, 7% taper), or Mtrwo R25/05 (size 25, 5% taper) (15 specimens in each group). Further apical preparation was performed with WaveOne Gold Primary. The clockwise torque and upward force generated during retreatment were recorded. After retreatment, resin blocks were examined using stereomicroscopy, and the percentage of residual filling material in the canal area was calculated. Data were analyzed using 1-way analysis of variance with the Tukey test. Results: The HyFlex Remover files exhibited the greatest buckling resistance (p < 0.05), followed by the Mtwo R25/05. The HyFlex Remover and Mtwo R25/05 files generated the highest maximum clockwise torque and upward force, respectively (p < 0.05). The DR1 and DR2 files generated the least upward force and torque (p < 0.05). The percentage of residual filling material after retreatment was not significantly different between file systems (p > 0.05). Conclusions: NiTi retreatment instruments with higher buckling resistance generated greater clockwise torque and upward force.

• Restorative Dentistry and Endodontics
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• 제41권4호
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• pp.304-309
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• 2016

Objectives: The purpose of this study was to compare the maximum screw-in forces generated during the movement of various Nickel-Titanium (NiTi) file systems. Materials and Methods: Forty simulated canals in resin blocks were randomly divided into 4 groups for the following instruments: Mtwo size 25/0.07 (MTW, VDW GmbH), Reciproc R25 (RPR, VDW GmbH), ProTaper Universal F2 (PTU, Dentsply Maillefer), and ProTaper Next X2 (PTN, Dentsply Maillefer, n = 10). All the artificial canals were prepared to obtain a standardized lumen by using ProTaper Universal F1. Screw-in forces were measured using a custom-made experimental device (AEndoS-k, DMJ system) during instrumentation with each NiTi file system using the designated movement. The rotation speed was set at 350 rpm with an automatic 4 mm pecking motion at a speed of 1 mm/sec. The pecking depth was increased by 1 mm for each pecking motion until the file reach the working length. Forces were recorded during file movement, and the maximum force was extracted from the data. Maximum screw-in forces were analyzed by one-way ANOVA and Tukey's post hoc comparison at a significance level of 95%. Results: Reciproc and ProTaper Universal files generated the highest maximum screw-in forces among all the instruments while M-two and ProTaper Next showed the lowest (p < 0.05). Conclusions: Geometrical differences rather than shaping motion and alloys may affect the screw-in force during canal instrumentation. To reduce screw-in forces, the use of NiTi files with smaller cross-sectional area for higher flexibility is recommended.