Ionic concentration in periradicular medium after dissolution of endodontic file fragments: an in vitro study.

The aim of this study was to obtain ionic quantification in periradicular medium after diffusion tests of the solution used inside root canals during the electrochemical dissolution of endodontic file fragments and the NiTi-containing dissolution product via an apical foramen. Thirty single-rooted extracted human teeth had root canals prepared and were attached to Eppendorf tubes filled with sterile saline. The samples were divided into 3 groups (n = 10) according to the solution used inside the root canal during the diffusion tests: Group 1: [NaF 12 g/L + NaCl 1 g/L]; Group 2: [NaF 12 g/L + NaCl 1 g/L + NiTi 0.50 g/L]; Group 3: [NaF 6 g/L + NaCl 0.5 g/L + NiTi 0.25 g/L]. The sample in each Eppendorf tube was then analyzed to assay the ionic quantification in periradicular medium. The groups were compared in relation to ionic quantifications (Kruskal-Wallis and Dunn's tests, p ≤ 0.05). Group 2 showed significantly higher F-, Ni and Ti quantities than groups 1 and 3 (p < 0.05). Group 3 showed significantly higher Ti and Ni quantities than group 1, where no measurable quantities of Ti and Ni were observed (p < 0.05). The conclusions were that a 50% dilution of the NiTi-containing dissolution product resulted in significantly lower F-, Ni and Ti quantities compared to the undiluted product. The quantifications observed here suggest that irrigation is recommendable during the electrochemical dissolution process to reduce the resultant ion concentrations in both the root canal and the periradicular medium.

Ionic concentration in periradicular medium after dissolution of endodontic file fragments: an in vitro study

Abstract The aim of this study was to obtain ionic quantification in periradicular medium after diffusion tests of the solution used inside root canals during the electrochemical dissolution of endodontic file fragments and the NiTi-containing dissolution product via an apical foramen. Thirty single-rooted extracted human teeth had root canals prepared and were attached to Eppendorf tubes filled with sterile saline. The samples were divided into 3 groups (n = 10) according to the solution used inside the root canal during the diffusion tests: Group 1: [NaF 12 g/L + NaCl 1 g/L]; Group 2: [NaF 12 g/L + NaCl 1 g/L + NiTi 0.50 g/L]; Group 3: [NaF 6 g/L + NaCl 0.5 g/L + NiTi 0.25 g/L]. The sample in each Eppendorf tube was then analyzed to assay the ionic quantification in periradicular medium. The groups were compared in relation to ionic quantifications (Kruskal-Wallis and Dunn's tests, p ≤ 0.05). Group 2 showed significantly higher F-, Ni and Ti quantities than groups 1 and 3 (p < 0.05). Group 3 showed significantly higher Ti and Ni quantities than group 1, where no measurable quantities of Ti and Ni were observed (p < 0.05). The conclusions were that a 50% dilution of the NiTi-containing dissolution product resulted in significantly lower F-, Ni and Ti quantities compared to the undiluted product. The quantifications observed here suggest that irrigation is recommendable during the electrochemical dissolution process to reduce the resultant ion concentrations in both the root canal and the periradicular medium.

Corrosion induced fracture of NiTi wires in simulated oral environments.

This work aims to assess the influence of corrosion on fracture of nickel titanium (NiTi) superelastic wires in physiological solutions (9 g/l NaCl) with and without addition of 1 g/l NaF. The electrochemical cell was coupled to a Hounsfield Tensiometer tensile machine commonly used for corrosion investigation of alloys under stress and strain. Corrosion tests were performed on unstrained and strained conditions up to 4% total strain. This strain limit corresponds to 50% of the total elongation achieved into the superelastic stress plateau of the alloy. All wire specimens were analyzed after testing by scanning electron microscopy (SEM). The results showed that localized corrosion occurred for NiTi wires in solution containing fluoride, while no corrosion attack was detected in NaCl 9 g/l solution. There was no significant difference between the corrosion resistance of unstrained and strained wires. However, brittle like fracture occurred in NaCl + NaF solution within the superelastic domain of the material. The most relevant conclusion achieved is that the use of superelastically strained NiTi in oral environments in the presence of fluoride is followed by significant risk of corrosion induced fracture.

Influence of electrochemical polishing on the mechanical properties of K3 nickel-titanium rotary instruments.

Instrument fracture is a serious concern in endodontic treatment. Several studies have evaluated the influence of various factors on the fracture of nickel-titanium endodontic rotary instruments. The present study analyzes the influence of electrochemical polishing on flexural fatigue and torsional properties of K3 nickel-titanium endodontic rotary instruments. New files and polished files were tested for flexural fatigue and for resistance to fracture by twisting. The t test was used to compare the groups for number of cycles, angle of rotation, and maximum torque necessary to fracture. No statistical difference existed between these groups. Scanning electron microscopy analysis showed no significant differences caused by electrochemical polishing between these groups. These results suggest that electrochemical polishing has no influence on resistance to fracture of K3 rotary instruments.

Fractographic analysis of K3 nickel-titanium rotary instruments submitted to different modes of mechanical loading.

The aim of the present study was to analyze the fracture surface of nickel-titanium K3 rotary files submitted to different modes of mechanical loading. Torsional and flexural fatigue tests were realized separately in 2 groups of files. Additional 2 groups of files were tested in mixed loading modes, torsional test after incomplete flexural fatigue test and flexural fatigue test after incomplete torsional test. Scanning electronic microscopy observation was used to make a fractographic analysis of the files under test. The files fractured during torsional resistance tests showed fractographies with a central area containing dimples, which are oval-shaped depressions in the microstructure in places of high local plastic deformation. The peripheral area of these files' fractographies presented a flattened aspect without dimples. The fractographies of the files fractured by flexural fatigue presented one area with radial striations and another area containing dimples. The fractographic patterns observed when mixed loading modes were imposed correspond to the pattern defined by the second stage test. The patterns established for the fractured files provide consistent bases to explain the fracture process in clinical conditions by fractographic analysis.