A first step towards the detection of damage processes in endodontic Ni-Ti alloy files, using acoustic emission.

Despite major instrumental developments over the last decade, endodontic files are still not infallible. It is well known that NiTi rotary files can break without any visible sign of deformation. Instrument breakage under combined flexion-torsion loading is still common in clinical practice. Unfortunately, breakage of this type of instrument mainly occurs in narrow canals, through pinching in the apical region. When such an incident occurs, the endodontist must adopt a debris retrieval strategy that is both stressful and not guaranteed success. This study proposes a new method for experimental damage detection leading to the fracture of Ni-Ti shape memory alloy endodontic files. It is based on the acoustic emission (AE) technique and mechanical parameters measured in real-time and image analysis. It has been shown that the AE results correlate with the damage observations and torque and force measurements recorded during the tests. Having carried out numerous root canal treatment on resin blocks, it appears that this new detection and analysis technique can be used to analyze and anticipate the first signs of damage leading to endodontic file failure. The technological development of such a method, at the level of the engine itself, associated with the act in service procedure, would constitute a revolution in the field of endodontics.

The effect of cobalt alloying on the phase transformation kinetics of Ni-Ti alloys.

This study investigates the influence of cobalt (Co) alloying addition and heat treatment temperature on the phase transformation behaviour controlling the superelasticity and shape memory effect (SME) of Nickel-Titanium (Ni-Ti) alloys, commonly known as nitinol. The microstructural evolution upon heat treatment conducted at a temperature ranging from 440 to 560 °C was thoroughly analyzed via Differential Scanning Calorimetry (DSC), X-ray Diffraction (XRD), and Scanning Electron Microscopy/Energy Dispersive Spectroscopy (SEM/EDS). Increase in heat treatment temperatures from 470 °C up to 530 °C led to the dissolution of particles present in as-received (cold-worked) condition. It was determined that Co addition into the Ni-Ti alloy system resulted in a change in the nucleation and growth kinetics of Ti-rich precipitates, leading to the formation of larger and fewer particles during processing. Both binary and ternary alloys showed a decrease in austenite finish temperature (Af) with increasing heat treatment temperatures, however, the rate of decrease was found to be higher for Co containing ternary alloys. This is linked with faster structural relaxation when Co is present and evidenced by lattice size variation during heat treatment. It is highlighted that heat treatment methodology needs to be tailored to the specific alloy composition for controlling superelasticity and SME via alloy design.

Surface Coating of Nickel-Titanium (Ni-Ti) Pediatric Rotary File Using Graphene Oxide: A Scanning Electron Microscopy Analysis.

BACKGROUND: The effectiveness of endodontic files relies significantly on the characteristics of the outermost layer, which can be greatly improved through suitable surface treatments and appropriate coatings. Graphene-based materials (GBMs) have been utilized to fabricate nanocomposite coatings aimed at improving surface characteristics and mechanical behavior, including resilience, sustainability, oxidation resistance, solidity, and traction. AIM: This research aims to study the surface topography of a nickel-titanium (Ni-Ti) pediatric rotary file coated with graphene oxide (GO) using a scanning electron microscope (SEM). METHODS: The study utilized Ni-Ti pediatric rotary instruments that were 16 mm long and had the same ISO tip size of #25. The Ni-Ti pediatric rotary files had a titanium oxide coating that needed to be removed for the application of the GO coating. The GO coating was applied to the files using an electrophoretic deposition (EPD) procedure. Data were gathered to evaluate the surface topography and structural profiles of the GO-coated endodontic files through SEM analysis. RESULTS: SEM imaging showed that the GO coatings consisted of numerous layers of GO sheets, which were uniformly and thoroughly applied to the endodontic instrument. A substantial portion of the GO layers aligned with neighboring layers along the edges, creating a continuous structure. CONCLUSION: GO coatings were effectively applied to Ni-Ti endodontic instruments using EPD. The deposition of the GO coating is consistent throughout the surface of the Ni-Ti rotary instrument.

[Long-term effectiveness of Ni-Ti memory alloy tripod fixator in treatment of Kienböck disease].

Objective: To investigate the long-term effectiveness of Ni-Ti memory alloy tripod fixator in the treatment of Kienböck disease. Methods: The clinical data of 22 patients with Kienböck disease who were treated with Ni-Ti memory alloy tripod fixator between January 2011 and September 2013 and followed up more than 10 years was retrospectively analyzed. There were 14 males and 8 females with an average age of 45 years (range, 20-64 years). The Lichtman staging was stage Ⅲb. According to AO/Association for the Study of Internal Fixation (AO/ASIF) classification, there were 6 cases of type B1, 2 cases of type B2, 10 cases of type B3, and 4 cases of type C2. The disease duration ranged from 18 to 50 months, with an average of 30.7 months. The operation time, intraoperative blood loss, and complications were recorded. Wrist height ratio and scapholunate angle were measured by wrist anteroposterior and lateral X-ray films before and after operation. The grip strength of bilateral hands was measured by Jamar dynamometer. The wrist pain was evaluated by visual analogue scale (VAS) score, and the wrist function was evaluated by Mayo score, and the radial deviation, ulnar deviation, dorsiflexion, and palmar flexion range of motion of wrist were measured. Results: The operation time was 45-60 minutes, with an average of 52.21 minutes; the intraoperative blood loss was 50-60 mL, with an average of 58.63 mL. No nerve or blood vessel injury occurred during operation. All patients were followed up 10-13 years (mean, 11.3 years). X-ray films at 3 months after operation showed that the density of lunate bone was lower than that before operation. Satisfactory fusion of the scapho-trapezio-trapezoeid joint was achieved at 3-6 months after operation (mean, 4.5 months), and the wrist height ratio and the scapholunate angle after fusion significantly improved when compared with those before operation ( P<0.05). Wrist pain relieved, scaphoid rotation and dislocation improved, and no radiocarpal joint degeneration was found during follow-up, and no internal fixator loosening, breakage, or lunate bone necrosis occurred. At last follow-up, the wrist radial deviation, ulnar deviation, dorsiflexion, and palmar flexion range of motion, VAS score, and grip strength of the affected side significantly improved when compared with those before operation ( P<0.05); the grip strength of the affected side recovered to 99.00%±1.25% of the healthy side. Mayo score ranged from 72 to 93, with an average of 85; 14 cases were rated as excellent, 5 good, and 3 satisfactory, the excellent and good rate was 86.4%. Conclusion: In the treatment of stage Ⅲb Kienböck's disease, the scapho-trapezio-trapezoeid joint usion using Ni-Ti memory alloy tripod fixator can effectively reduce pain, improve hand function, and prevent further deterioration, and achieve good long-term effectiveness.

Comparing the efficacy of heat-activated NiTi (HANT) versus conventional NiTi archwires: A systematic review and meta-analysis.

OBJECTIVE: To assess the effectiveness of heat-activated NiTi (HANT) wires compared to NiTi wires during orthodontic alignment, through a systematic review and meta-analysis. SEARCH METHODS: We comprehensively searched databases up to January 2024, including MEDLINE, Web of Science, EMBASE, Scopus, and Cochrane's CENTRAL, without language or date restrictions. SELECTION CRITERIA: Clinical studies aligning with the PICO question were included, and their bias risk was evaluated using the Cochrane Risk of Bias 2.0 tool. DATA COLLECTION AND ANALYSIS: Data were collected using custom forms, and a meta-analysis was performed using random-effects inverse variance. Primary outcome was Little's Irregularity Index (LII) changes. Secondary outcomes were pain intensity and root resorption. RESULTS: Thirteen clinical studies were reviewed, with nine included in the meta-analysis. No significant differences were observed in LII changes during the first four months, with similar findings in the first, second and third months. In the fourth month, NiTi wires exhibited higher reductions. Pain intensity did not differ between groups on the first or the seventh day. No significant difference in root resorption was found between the two groups. CONCLUSIONS: HANT and conventional NiTi wires showed comparable effectiveness in reducing LII, pain levels, and root resorption during the orthodontic alignment phase. While HANT wires may entail higher costs, their ease of insertion and ligation offer practical advantages. Ultimately, choosing between wire types should consider individual patient needs and clinician preferences.

Microhardness and energy dispersive X-ray evaluation of dentinal walls following chemical and electrochemical dissolution of fractured nickel-titanium file: An in vitro study.

Purpose: Chemical dissolution of nickel-titanium (NiTi) files involves the application of a fluoride solution in direct contact with a damaged instrument, whereas electrochemical dissolution involves the application of an electrical current to the electrolyte, which accelerates fragment dissolution. This study aimed to determine the hardness and concentration of calcium and phosphorus (Ca and P) ions in dentinal walls following chemical and electrochemical dissolution of fractured ProTaper F2 files with a novel chemical solution. Materials & Methods : Thirty human maxillary first molar palatal roots with fractured ProTaper F2 files in the middle third (length, 2.5 mm were divided into three groups according to the treatment techniques used with a novel solution (NaF 12 g/L + NaCl2 60 g/L + MgCl2 60 g/L + CaCl2 60 g/L) at pH 5: Group 1: distilled water (control group), Group 2: electrochemical dissolution, and Group 3: chemical dissolution using the novel solution. The novel solution was placed for 10 min using an electrochemical technique, and for 30 min in contact with the separated instrument in the chemical group. The Vickers microhardness test was performed in three areas: at 3, 6, and 9 mm from the apex, and an energy-dispersive X-ray test for both Ca and P ions was performed. The analysis of variance (ANOVA) and Tukey's tests were used for statistical analysis. Results: According to the one-way ANOVA analysis, no difference was observed between the tested approaches (P > 0.05) in the three areas evaluated (3, 6, and 9 mm), with no difference in the Ca/P ratio between the tested groups. Conclusion: Compared to the control group, the use of chemical and electrochemical dissolution methods with the novel solution did not affect dentin hardness or dentinal structure in terms of the Ca/P ratio, thereby indicating promising results while saving time.

Comparison of cyclic fatigue resistance of four pediatric rotary file systems at body temperature: an in vitro study.

BACKGROUND: The aim of this study was to compare the cyclic fatigue resistance (CFR) of the newly developed pediatric nickel-titanium (NiTi) rotary file systems for root canal preparation of primary teeth. METHODS: Eighty pediatric NiTi rotary file systems files were used in this study, including 20 EasyInSmile X-Baby (25/0.04), 20 Scope miniScope (25/0.04), 20 EndoArt Pedo Gold (25/0.04), and 20 EndoArt Pedo Blue (25/0.04) files. Static CFR tests; performed on a custom-made stainless steel block with an inner diameter of 1.5 mm, an angle of curvature of 60° and a curved artificial canal with a radius of curvature of 5 mm. The test system was filled with distilled water and the temperature was kept constant at 35 ± 1 °C. The files were rotated in the simulated canal until fracture occurred. The number of cycles to failure (NCF) data was recorded, and all the fracture surfaces of the files were evaluated using scanning electron microscopy (SEM). One-way ANOVA and Tukey tests were used for statistical analysis of the data, and the significance level was set at p < 0.05. RESULTS: EndoArt Pedo Blue showed the highest NCF values (2668.10 ± 755.26), while the miniScope showed the lowest NCF values (453.65 ± 72.51), with a statistically significant difference between all the tested file systems (p < 0.05). There was no statistical difference in terms of fractured fragment lengths among all tested files (p > 0.05). CONCLUSION: The EndoArt Pedo Blue file system showed the best CFR performance among the four file systems specifically designed for primary teeth.

A Comparative Evaluation of Surface Hardness and Nanomechanical Properties of Nickel-Titanium Orthodontic Wires: An In Vitro Study.

OBJECTIVE: The study aimed to evaluate the influence of various surface coatings (epoxy, Teflon, and rhodium) on the surface roughness (SR) and nanomechanical characteristics of nickel-titanium (NiTi) archwires. The study compared these coated archwires to uncoated ones from a single manufacturer, which served as a control. MATERIALS AND METHODS: There were 15 rectangular samples of four distinct archwires measuring 0.17 × 0.25. These were ultrasonically treated with an alkaline solution at 60°C for 15 minutes before being rinsed with distilled water to remove precipitates. With an orthodontic soft wire cutter, the straight buccal sections of coated and uncoated archwires were cut into 20 mm lengths. A three-dimensional optical noncontact surface profilometer evaluated the surface. Profilometers use contact scanning white light interferometry. Using the Vision64 software (Bruker Corporation, San Jose, CA), the profilometer's nanolens atomic force microscopy module has a completely automated turret with programmed X, Y, and Z motions. Images were taken in five random locations. Five average measurements matched specimen SR. A nanoindenter with a Berkovich diamond indenter measured nanohardness (NH) and elastic modulus (EM). The experimental results were analyzed using the Statistical Package for the Social Sciences software version 26.0 (SPSS Inc., Chicago, IL). To examine mean differences at 5% significance, analysis of variance and Tukey's post hoc test were applied for SR, NH, and EM. RESULTS: Wires coated with epoxy had the highest SR (1.499 ± 0.082), followed by Teflon (0.811 ± 0.023) and rhodium (0.308 ± 0.024). The SR of the control group was 0.289 ± 0.027. Significant differences in SR were found (p < 0.0001). Except for the comparison between rhodium and the control group (p = 0.684), all intergroup comparisons of SR showed significant differences (p < 0.0001). The rhodium-coated wires exhibited the highest NH (0.185 ± 0.014), and the epoxy group had the lowest (0.147 ± 0.017). Variations in NH were significant between the study groups (p < 0.0001). The epoxy, Teflon, and rhodium groups showed significant differences against the control group (p < 0.0001) in intergroup comparisons for NH. The Teflon group had the highest EM (5.367 ± 0.379), and the epoxy group had the lowest (5.012 ± 0.498). The EM of the control group was 56.946 ± 0.737. Results indicate considerable EM changes between the groups (p < 0.05). Comparisons between experimental and control groups showed significant differences (p < 0.0001). CONCLUSION: The study's findings indicate that the SR of rhodium-coated archwires is substantially comparable to that of uncoated archwires. However, Teflon-, rhodium-, and epoxy-coated archwires had significantly different NH and EM compared to uncoated ones. Further, uncoated archwires have higher NH and EM.

Comparative Analysis of Surface Roughness and Plastic Deformation of Reciprocating Instruments after Clinical Use.

This study assessed the surface topography and plastic deformation (PD) of new and used contemporary reciprocating instruments. Twenty-six WaveOne Gold (WOG) and EdgeOne Fire (EO) instruments were photographed under magnification. The instruments were randomly assigned to a control group of new instruments preserved for surface roughness analysis (n = 6 each), or to an experimental group to shape the root canal system of a single molar (n = 20 each), making a total of four groups (WOGnew, EOnew, WOGused, EOused). Used instruments were also photographed after instrumentation. The presence of fractures was registered. Preoperative and postoperative images were randomly ordered for evaluation. Two blinded calibrated examiners evaluated the presence of PD. Inter-observer agreement was calculated with the Kappa coefficient (K = 0.89). 3D profilometry was also used for the surface roughness analysis of six randomly selected instruments from the WOGused and EOused groups. Chi-square and two-way ANOVA tests were used to, respectively, compare PD and changes in surface roughness among the groups. No instruments fractured; however, a significantly greater percentage of EO instruments suffered plastic deformation than WOG instruments (p < 0.001), (OR = 11.09 (CI 95% 2.6-56.3)). The overall surface roughness was higher for most parameters in the EO instruments (p < 0.05). Single uses of EO instruments produced significantly higher chances of PD and increased surface roughness values compared to WOG.

Phase Transformation and Mechanical Behaviour of Different Heat-Treated Nickel-Titanium Rotary Instruments.

OBJECTIVES: This study evaluated the phase composition, phase transformation behaviour, and mechanical properties of five heat-treated NiTi instruments. METHODS: ProTaper NEXT (M-wire, PTN), ProTaper Gold (Gold-wire, PTG), One Curve (C-wire, OC), EdgeTaper Platinum (Fire-wire, ETP), NeoNiTi (electrical discharge machining-wire, NNA), and ProTaper Universal (conventional wire, PTU, control) with #25-tip size were tested (n = 12/group) for cyclic fatigue resistance (number of cycles to failure; NCF) and torsional resistance (angle of rotation to fracture and maximum torque at fracture [ultimate torsional strength]). The geometry and fracture surfaces of the tested instruments were examined by scanning electron microscopy. The phase transformation temperature and phase composition of the instruments were evaluated using differential scanning calorimetry and X-ray diffraction. Data were statistically analysed using one-way ANOVA and Tukey's post hoc test, with the significance level set at 5%. RESULTS: PTG showed the highest NCF (P < .05) at 37°C, while ETP exhibited the highest angle of rotation to fracture, ultimate torsional strength, and stiffness (P < .05). Scanning electron microscopy demonstrated typical clusters of fatigue striations and numerous cracks after cyclic fatigue fracture, whereas there was a concentric abrasion pattern with a dimple and microvoids at the centre after torsional fracture. In differential scanning calorimetry curves, austenite-finishing temperatures of heat-treated instruments were higher than 37°C, whereas that of PTU was lower than 37°C. PTU showed strong peaks of austenite at 25 and 37°C, whereas ETP showed a strong peak of R-phase at 25°C, but mostly austenite phase at 37°C in X-ray diffraction. CONCLUSIONS: Geometry, alloy type, and phase transformation temperatures of NiTi instruments affected their mechanical behaviour. CLINICAL RELEVANCE: PTG showed the highest NCF, suitable for markedly curved canals. ETP had the highest torsional resistance, appropriate for narrow and constricted canals.

Corrosion and Interfacial Contact Resistance of NiTi Alloy as a Promising Bipolar Plate for PEMFC.

Titanium (Ti) is generally considered as an ideal bipolar plate (BPP) material because of its excellent corrosion resistance, good machinability and lightweight nature. However, the easy-passivation property, which leads to increased interfacial contact resistance (ICR) and subsequently decreased cell performance, limits its large-scale commercial application in proton exchange membrane fuel cells (PEMFCs). In this paper, we proposed a NiTi alloy prepared by suction casting as a promising bipolar plate for PEMFCs. This NiTi alloy exhibits significantly decreased ICR values (16.8 mΩ cm2 at 1.4 MPa) compared with pure Ti (88.6 mΩ cm2 at 1.4 MPa), along with enhanced corrosion resistance compared with pure nickel (Ni). The superior corrosion resistance of NiTi alloy is accredited to the nobler open circuit potential and corrosion potential, coupled with low corrosion current densities and passive current densities. The improved ICR can be interpreted by the existence of high-proportioned metallic Ni in the passive film, which contributes to the reduced capacitance characteristic of the passive film (compared with Ti) and enhances charge conduction. This work provides a feasible option to ameliorate BPP material that may have desirable corrosion resistance and ICR.

Surface Treatment Strategies and Their Impact on the Material Behavior and Interfacial Adhesion Strength of Shape Memory Alloy NiTi Wire Integrated in Glass Fiber-Reinforced Polymer Laminate Structures.

Over the past few decades, there has been a growing trend in designing multifunctional materials and integrating various functions into a single component structure without defects. This research addresses the contemporary demand for integrating multiple functions seamlessly into thermoplastic laminate structures. Focusing on NiTi-based shape memory alloys (SMAs), renowned for their potential in introducing functionalities like strain measurement and shape change, this study explores diverse surface treatments for SMA wires. Techniques such as thermal oxidation, plasma treatment, chemical activation, silanization, and adhesion promoter coatings are investigated. The integration of NiTi SMA into Glass Fiber-Reinforced Polymer (GFRP) laminates is pursued to enable multifunctional properties. The primary objective is to evaluate the influence of these surface treatments on surface characteristics, including roughness, phase changes, and mechanical properties. Microstructural, analytical, and in situ mechanical characterizations are conducted on both raw and treated SMA wires. The subsequent incorporation of SMA wires after characterization into GFRP laminates, utilizing hot-press technology, allows for the determination of interfacial adhesion strength through pull-out tensile tests.

Structure and Properties of Bioactive Titanium Dioxide Surface Layers Produced on NiTi Shape Memory Alloy in Low-Temperature Plasma.

BACKGROUND: The NiTi alloy, known for its shape memory and superelasticity, is increasingly used in medicine. However, its high nickel content requires enhanced biocompatibility for long-term implants. Low-temperature plasma treatments under glow-discharge conditions can improve surface properties without compromising mechanical integrity. METHODS: This study explores the surface modification of a NiTi alloy by oxidizing it in low-temperature plasma. We examine the impact of process temperatures and sample preparation (mechanical grinding and polishing) on the structure of the produced titanium oxide layers. Surface properties, including topography, morphology, chemical composition, and bioactivity, were analyzed using TEM, SEM, EDS, and an optical profilometer. Bioactivity was assessed through the deposition of calcium phosphate in simulated body fluid (SBF). RESULTS: The low-temperature plasma oxidization produced titanium dioxide layers (29-55 nm thick) with a predominantly nanocrystalline rutile structure. Layer thickness increased with extended processing time and higher temperatures (up to 390 °C), though the relationship was not linear. Higher temperatures led to thicker layers with more precipitates and inhomogeneities. The oxidized layers showed increased bioactivity after 14 and 30 days in SBF. CONCLUSIONS: Low-temperature plasma oxidation produces bioactive titanium oxide layers on NiTi alloys, with a structure and properties that can be tuned through process parameters. This method could enhance the biocompatibility of NiTi alloys for medical implants.

Unveiling the fatigue life of NiTi endodontic files: An integrated computational-experimental study.

Nickel-titanium (NiTi) rotary files used in root canal treatments experience fatigue and shear damage due to the complex curved geometries and operating conditions encountered within the root canal. This can lead to premature file fracture, causing severe complications. A comprehensive understanding of how different factors contribute to file damage is crucial for improving their functional life. This study investigates the combined effects of root canal curvature radius, file canal curvature, and rotational speed on the fatigue life and failure modes of NiTi endodontic files through an integrated computational and experimental approach. Advanced finite element simulations precisely replicating the dynamic motion of files inside curved canal geometries were conducted. Critical stress/strain values were extracted and incorporated into empirical fatigue models to predict the functional life of endodontic files. Extensive experiments with files rotated inside artificial curved canals at various canal curvatures and speeds provided validation. Increasing the canal curvature beyond 60∘ and shorter curvature radii below 5 mm dramatically reduced the functional life of the endodontic file, especially at rotational speeds over 360 rpm. The Coffin-Manson fatigue model based on strain amplitude showed the closest agreement with experiments. Shear stresses dominated damage at low canal curvatures, while the combined shear-fatigue loading effects were prominent at higher canal curvatures. This conclusive study elucidates how operational parameters like canal curvature radii, canal curvature, and rotational speed synergistically influence the fatigue damage processes in NiTi files. The findings offer valuable guidelines to optimize these factors, significantly extending the functional life of endodontic files and reducing the risk of intra-operative failures. The validated computational approach provides a powerful tool for virtual testing and estimation of the functional life of the new file designs before manufacturing.

Hexagonal MoO3 Anode with Extremely High Capacity and Cyclability for Lithium-Ion Battery: A Combined Theoretical and Experimental Study.

It is essential and still remains a big challenge to obtain fast-charge anodes with large capacities and long lifespans for Li-ion batteries (LIBs). Among all of the alternative materials, molybdenum trioxide shows the advantages of large theoretical specific capacity, distinct tunnel framework, and low cost. However, there are also some key shortcomings, such as fast capacity decaying due to structural instability during Li insertion and poor rate performance due to low intrinsic electron conductivity and ion diffusion capability, dying to be overcome. A unique strategy is proposed to prepare Ti-h-MoO3-x@TiO2 nanosheets by a one-step hydrothermal approach with NiTi alloy as a control reagent. The density functional theory (DFT) calculations indicate that the doping of Ti element can make the hexagonal h-MoO3-x material show the best electronic structure and it is favor to be synthesized. Furthermore, the hexagonal Ti-h-MoO3-x material has better lithium storage capacity and lithium diffusion capacity than the orthogonal α-MoO3 material, and its theoretical capacity is more than 50% higher than that of the orthogonal α-MoO3 material. Additionally, it is found that Ti-h-MoO3-x@TiO2 as an anode displays extremely high reversible discharge/charge capacities of 1326.8/1321.3 mAh g-1 at 1 A g-1 for 800 cycles and 611.2/606.6 mAh g-1 at 5 A g-1 for 2000 cycles. Thus, Ti-h-MoO3-x@TiO2 can be considered a high-power-density and high-energy-density anode material with excellent stability for LIBs.

Relevant Aspects in the Mechanical and Aging Degradation of NiTi Alloy with R-Phase in Endodontic Files.

One of the most important challenges in endodontics is to have files that have excellent flexibility, toughness, and high fatigue life. Superelastic NiTi alloys have been a breakthrough and the new R-phase NiTi alloys promise to further optimize the good properties of NiTi alloys. In this work, two austenitic phase endodontic files with superelastic properties (Protaper and F6) and two austenitic phase files with the R-phase (M-wire and Reciproc) have been studied. The transformation temperatures were studied by calorimetry. Molds reproducing root canals at different angles (30, 45, and 70°) were obtained with cooling and loads simulating those used in the clinic. Mechanical cycles of different files were realized to fracture. Transformation temperatures were determined at different number of cycles. The different files were heat treated at 300 and 500 °C as the aging process, and the transformation temperatures were also determined. Scanning and transmission electron microscopy was used to observe the fractography and precipitates of the files. The results show that files with the R-phase have higher fracture cycles than files with only the austenitic phase. The fracture cycles depend on the angle of insertion in the root canal, with the angle of 70° being the one with the lowest fracture cycles in all cases. The R-Phase transformation increases the energy absorbed by the NiTi to produce the austenitic to R-phase and to produce the martensitic transformation causing the increase in the fracture cycles. Mechanical cycling leads to significant increases in the transformation temperatures Ms and Af as well as Rs and Rf. No changes in the transformation temperatures were observed for aging at 300 °C, but the appearance of Ni4Ti3 precipitates was observed in the aging treatments to the Nickel-rich files that correspond to those with the R transition. These results should be considered by endodontists to optimize the type of files for clinical therapy.

Comparative evaluation of increase in temperature on the external root surface of teeth during retrieval of broken NiTi instrument using two ultrasonic tips and two power settings: An in vitro study.

Context: An unfavorable event that can hinder endodontic treatment and affect the outcome of root canal treatment is the separation of endodontic instruments. Endodontic instrument separation can occur due to clinical or metallurgical factors. Friction between the ultrasonic tip and the remaining dentin generates heat, which is subsequently transferred to the external root surface. Elevated temperatures exceeding 10°C above body temperature for more than a minute may result in injury to periodontal or bone tissue. Aim: The aim of this study was to evaluate and compare temperature rise on the external root surface of teeth during retrieval of broken NiTi instrument using two different ultrasonic tips and two power settings. Materials and Methods: In each group, a sample size of 8 was sufficient to attain a statistical power exceeding 90%, enabling the detection of a minimum mean difference of 0.9204 (delta) through a one-way ANOVA test at a 95% confidence level (alpha 0.05). After access opening and working length determination, samples were randomly distributed into two groups - Group 1 (A and B) - ProUltra tip at high and low power settings and Group 2 (A and B) - Cric Dental IR3 at high and low power settings. The temperature rise was measured using K-type thermocouple thermometer. The comparisons were analyzed using the Kruskal-Wallis test with pairwise comparisons using the Dunn's test. Results: Group 1A and Group 1B resulted in lower heat generation compared to Group 2A and 2B and its difference was statistically significant (P < 0.05). Minimum temperature rise is seen in the ProUltra group at lower power settings (Group 1A) at the apical level and maximum temperature rise is seen in the Cric Dental IR3 group at higher power settings (Group 2B) at the middle third level. Conclusion: It was found that there is a significant temperature rise seen when ultrasonic tips are used for the retrieval of separated files, especially at higher power settings. The ProUltra tip demonstrated the lowest temperature rise at lower power settings, particularly at the apical level, whereas the IR3 Cric Dental tip exhibited the highest temperature rise, notably at higher power settings and the middle third level.

A Comparative Evaluation of Frictional Resistance of Various Lingual Brackets With Nitinol (NiTi) Archwires of Different Dimensions: An In Vitro Study.

Introduction Orthodontic mechanics involves transferring some of the applied force to the tooth's supporting components via friction, which in turn allows the tooth to move more easily. Aim The purpose of this in vitro experiment was to examine the frictional resistance (FR) of different lingual brackets utilizing Instron universal testing machines and nitinol (NiTi) archwires of varying sizes. Materials and methods Twenty-four sectional anterior die stones were replicated from a study model. They were categorized into eight categories, with the Libral lingual bracket and the JJ lingual bracket having 0.012" and 0.014" inch NiTi archwire, which were further subdivided into six subgroups. Three brackets were bonded to the anterior teeth of the upper and lower segments and replicated on other models with the help of silicon putty. Elastomeric modules were ligated to two diameters of NiTi wire (0.012" and 0.014") in each model. An Instron universal testing machine was used to measure the frictional force. Numerical data and descriptive statistics such as mean and standard deviation have been shown. Results In the overall analysis, it was observed that among JJ Orthodontics samples using 0.012" NiTi archwires, the maxilla exhibited a higher FR (4.205N) compared to the mandible (4.092N). Similarly, in the case of Libral Orthodontics samples with 0.012" NiTi archwires, the maxilla also demonstrated a higher FR (5.10N) than the mandible (4.97N). However, this trend did not hold for samples using 0.014" NiTi archwires. There was a statistically nonsignificant difference (p > 0.05) in the values between all the pairs of groups. Conclusion The present study concludes that Libral lingual brackets produced overall more FR than JJ lingual brackets.

Novel approach for characterizing clinical load application of superelastic orthodontic wires.

OBJECTIVE: Current standardized in vitro bending experiments for orthodontic archwires cannot capture friction conditions and load sequencing during multi-bracket treatment. This means that clinically relevant forces exerted by superelastic wires cannot be predicted. To address these limitations, this study explored a novel test protocol that estimates clinical load range. METHODS: The correction of a labially displaced maxillary incisor was simulated using an in vitro model with three lingual brackets. Deflection force levels derived from four different protocols were designed to explore the impact of friction and wire load history. These force levels were compared in nickel-titanium (NiTi) archwires with three commonly used diameters. The unloading path varied between protocols, with single or multiple sequences and different load orders and initial conditions. RESULTS: Deflection forces from the new protocol, employing multiple continuous load/unload cycles (CCincr), consistently exceeded those from the conventional protocol using a single continuous unloading path (CUdecr). Mean differences in plateau force ranged from 0.54 N (Ø 0.014" wire) to 1.19 N (Ø 0.016" wire). The CCinr protocol also provided average force range estimates of 0.47 N (Ø 0.012" wire), 0.89 N (Ø 0.014" wire), and 1.15 N (Ø 0.016" wire). SIGNIFICANCE: Clinical orientation towards CUdecr carries a high risk of excessive therapeutic forces because clinical loading situations caused by friction and load history are underestimated. Physiological tooth mobility using NiTi wires contributes decisively to the therapeutic load situation. Therefore, only short unloading sequences starting from the maximum deflection in the load history, as in CCincr, are clinically meaningful.

DNA fragmentation of lymphocytes and sperm cells induced by nickel released from orthodontic archwires: A preliminary study.

Orthodontic brackets and archwires placed intraorally are subject to corrosion, leading to the release of cytotoxic metal ions. The aim of this study was to determine whether the use of orthodontic NiTi archwires increases systemic Ni levels and cause alterations on the DNA of cells unrelated to the oral environment such as lymphocytes and sperm cells. Human urine, semen and blood samples were collected before (baseline) sham placement of orthodontic archwires and 15 and 30 days after placement. Lymphocytes and sperm cells cells were evaluated by comet assay. Ni concentration levels in urine increased significantly between baseline and 15 days (p<0.01) and 15 and 30 days of exposure (p<0.01). Progressive decrease in sperm viability and motility was observed between the sampling periods. Lymphocytes and sperm cells showed DNA fragmentation. The increase in systemic concentration of nickel induced structural damage in the DNA of lymphocytes and human sperm cells.