• Restorative Dentistry and Endodontics
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• v.41 no.3
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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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• v.28 no.1
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• pp.41-49
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• 2003

There are increasing usage of Nickel-Titanium rotary files in modern clinical endodontic treatment because it is effective and faster than hand filing due to reduced step. This study was conducted to evaluate the effect of canal preparations using 3 different rotary Nickel-Titanium files that has different cross sectional shape and taper on the maintenance of canal curvature. Simulated resin block were instrumented with Profile(Dentsply, USA), GT rotary files(Dentsply, USA), Hero 642(Micro-Mega France), and Pro-Taper(Dentsply, USA). The image of Pre-instrumentation and Post-instrumentation were acquired using digital camera and overspreaded in the computer. Then the total differences of canal diameter, deviation at the outer portion of curvature, deviation at the inner portion of curvature, movement of center of the canal and the centering ratio at the pre-determined level from the apex were measured. Results were statistically analyzed by means of ANOVA, followed by Scheffe test at a significance level of 0.05. The results were as follows； 1. Deviation at the outer portion of curvature, deviation at the inner portion of curvature were showed largest in Pro-Taper so also did in the total differences of canal diameter(p＜0.05). 2. All the groups showed movements of center Profile combined with GT rotary files and Hero 642 has no difference but Pro-Taper showed the most deviation(p＜0.05). 3. At the 1, 2, 3mm level from the apex movements of center directed toward the outer portion of curvature, but in 4, 5 mm level directed toward the inner portion of curvature(p＜0.05). As a results of this study, it could be concluded that combined use of other Nickel-Titanium rotary files is strongly recommended when use Pro-Taper file because it could be remove too much canal structure and also made more deviation of canal curvature than others.

• The korean journal of orthodontics
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• v.48 no.3
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• pp.153-162
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• 2018

Objective: The aim of this trial was to compare the alignment efficiency and intermaxillary arch dimension changes of nickel-titanium (NiTi) or copper-nickel-titanium (CuNiTi) round archwires with increasing diameters applied sequentially to the mandibular arch. Methods: The initial alignment phase of fixed orthodontic treatment with NiTi or CuNiTi round archwires was studied in a randomly allocated sample of 66 patients. The NiTi group comprised 26 women, 10 men, and the CuNiTi ($27^{\circ}C$) group comprised 20 women, 10 men. The eligibility criteria were as follows: anterior mandibular crowding of minimum 6 mm according to Little's Irregularity Index (LII), treatment requiring no extraction of premolars, 12 to 18 years of age, permanent dentition, skeletal and dental Class I malocclusion. The main outcome measure was the alignment of the mandibular anterior dentition; the secondary outcome measure was the change in mandibular dental arch dimensions during 12 weeks. Simple randomization (allocation ratio 1:1) was used in this single-blind study. LII and mandibular arch dimensions were measured on three-dimensional digital dental models at 2-week intervals. Results: No statistically significant difference was observed between NiTi and CuNiTi according to LII (p > 0.05). Intercanine and intermolar arch perimeters increased in the CuNiTi group (p < 0.001). Inter-first premolar width showed a statistically significant interaction in week ${\times}$ diameter ${\times}$ application (p < 0.05). Conclusions: The effects of NiTi and CuNiTi round archwires were similar in terms of their alignment efficiency. However, the intercanine and intermolar arch perimeters, and the inter-first premolar width changes differed between groups.

• The Journal of the Korean dental association
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• v.54 no.8
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• pp.640-650
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• 2016

Nickel-Titanium (NiTi) rotary instruments have brought a big step toward "efficient" practice of endodontic procedure. The rotary files help clinicians to reduce their working time and also increase the clinical success rate with minimal procedural errors. However, NiTi instruments still have a few drawbacks including unpredictable fatigue fracture. Clinicians may reduce the potential risk of instruments fracture by following some clinical guidelines for rotary instruments. In some clinical cases of instruments fracture, we may try to remove the instruments' fragments or bypass the fragment to reach the apical canal. In some limited cases, the fractured instruments' fragments would not jeopardize the clinical prognosis of root canal treatment. Nevertheless, it is impossible to be overemphasized that the prevention of file fracture is much easier than the removal of fracture fragment. Clinicians need to understand the fracture mechanisms and, in clinic, need to discard the used instruments timely.

• The Journal of the Korean dental association
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• v.51 no.10
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• pp.551-555
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• 2013

The purpose of this study was to give a guideline for selecting the nickel-titanium (NiTi) file by review from many studies. Since the early 1990s, several instrument systems manufactured from NiTi have been introduced into endodontic practice. The specific design characteristics vary, such as tip shape and size, cross sectional view, helix angle, and pitch space. Some of the early systems have been removed from the market or play only minor roles; others are still widely used. New designs continually are produced, but the extent to which clinical outcomes will depend on design characteristics is difficult to forecast. In this study, I have reviewed the different design characteristics in respect of the safety and efficiency. With the review from many studies, I concluded that the clinicians must be understand the specific design characteristics for selecting the ideal NiTi rotary instruments.

• The Journal of the Korean dental association
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• v.52 no.2
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• pp.60-68
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• 2014

Nickel-Titanium(NiTi) rotary instruments have brought a big step toward "efficient" practice of endodontic procedure. The rotary files help clinicians to reduce their working time and also increase the clinical success rate with minimal procedural errors by stainless steel instruments. In spite of these advantages, NiTi instruments still have a few drawbacks including unpredictable fatigue fracture. Clinicians may reduce the potential risk of instruments fracture by following some clinical guidelines for rotary instruments. In some clinical cases of instruments fracture, we may try to remove the instruments' fragments or bypass the fragment to reach the apical canal. In some limited cases, the fractured instruments' fragments would not jeopardize the clinical prognosis of root canal treatment. However, it is impossible to be overemphasized that the fragment removal is more difficult than the prevention of fracture. Clinicians need to understand the fracture mechanisms and, in clinic, need to discard the used instruments timely.

• The korean journal of orthodontics
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• v.30 no.4 s.81
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• pp.453-465
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• 2000

The purpose of this study was to investigate the change of mechanical properties, surface topography and frictional force of various nickel titanium wires after recycling. Three types of nickel-titanium wires and one type of stainless steel wire were divided to three groups: as-received condition(T0:control group), treated in artificial saliva for four weeks(T1) and autoclaved after being treated in artificial saliva(T2). Some changes were observed for the selected mechanical properties in tensile test, surface topography by means of SEM and 3D profilogram, and frictional coefficient. The findings suggest that: 1. Nickel-titanium wires demonstrated no statistically significant differences in maximum tensile strength, elongation rate and modulus of elasticity, but stainless steel wire demonstrated statistically significant differences in maximum tensile strength, elongation rate and modulus of elasticity between the groups(p<0.05). 2. NiTi, Optimalloy, Stainless Steel wires demonstrated increased pitting and corrosion in SEM finding. 3. Recycled NiTi, Optimalloy and stainless steel wires demonstrated significantly greater surface roughness(Ra and Rq) through 3D profilogram when compared with the control wires(p<0.05), but Sentalloy didn't demonstrate significant difference. 4. Recycled NiTi, Optimalloy and stainless steel wires demonstrated significantly greater maximum frictional coefficient when compared with the control wires(p<0.05), but Sentalloy didn't demonstrate significant difference The changes of surface roughness and frictional coefficient in NiTi and Optimalloy had no clinical implication. Consequently recycled nickel titanium wires demonstrated no clinical problem in tensile properties, surface topography and frictional coefficient.

• Journal of Powder Materials
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• v.2 no.2
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• pp.142-148
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• 1995

2219 aluminum alloy bonded diamond wheels containing intermetallic compounds were fabricated by powder metallurgy method. Nickel and titanium were added in aluminum matrix piece. The hot pressing condition was $600^{\circ}C$ and 20 Mpa in the furnace of the electric resistance type. The mechanical properties and grinding tests were carried out to confirm the wheel performance. Aluminum oxide ceramics were chosen for use in the grinding tests. The test proved that the heat resistance 2219 aluminum bonded diamond wheel containing 15 wt% nickel and 15 wt% titanium respectively showed the best performance.

• The Journal of Korean Academy of Prosthodontics
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• v.34 no.3
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• pp.475-488
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• 1996

The opaque porcelain layer of porcelain-fused-to-metal(PFM) restoration is critical for the success of PFM restoration because it is the first layer placed over the treated alloy. But, the methods of opaquing technique have not been confirmed. Usually, the one layer method and two layer method have been used for the application of opaque porcelain. In the past, alloys with porcelain veneers which have been used successfully have contained various precious metals. Recent increase in the cost of precious metals stimulates considerable interest in nonprecious alloys. Although nickel-chromium alloys and nickel-chromium-beryllium alloys have been widely used, the use of cobalt-chromium alloys would be gradually increased with elimination of any potential risk of nickel-related allergic responses and/or beryllium-related toxic responses. This investigation examined one- and two-layer opaque porcelain applications to determine the effect on the bond strength of titanium added cobalt-chromium metal ceramic alloy. Bond strength of Ceramco II porcelain to titanium added cobalt-chromium alloy(2Dentitan) and gold-platinum-palladium alloy(Degudent H) were evaluated by direct shear bond strength test with Instron universal testing machine. The results were as follows; 1. When the mean shear bond strength of each experimental group were compared in $0.25cm^2$ unit area, the titanium added cobalt-chromium alloy/two layer method exhibited the greatest strength(79.7kg), followed by titanium added cobalt-chromium alloy/one layer method(76.2kg), gold-platinum-palladium alloy/two layer method(71.4kg), gold-platinum-palladium alloy/one layer method(64.2kg). 2. No significant differences in bond strength were recorded between the two opaquing techniques for gold-platinum-palladium alloy and titanium added cobalt-chromium alloy. 3. No significant differences in bond strength were recorded between the gold-platinum-palladium alloy and the titanium added cobalt-chromium alloy.

• Restorative Dentistry and Endodontics
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• v.22 no.2
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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.