Variable impact by ambient temperature on fatigue resistance of heat-treated nickel titanium instruments.

ABSTRACT

OBJECTIVES: The purpose of this study was to evaluate the effect of different ambient temperatures on cyclic fatigue (CF) life of two NiTi rotary systems and correlate the results with martensitic transformation temperatures. MATERIALS AND METHODS: Heat-treated NiTi Vortex Blue (VB) and EdgeSequel Sapphire (SP) instruments (tip sizes no. 20, 25, 30, 35, 40) were tested for CF resistance at room and body temperature (n = 20 each group) in a simulated canal (angle of curvature 60°; radius 3 mm; center from instrument tip 4.5 mm) with a motor controlled by an electric circuit. Mean half-life, beta and eta Weibull parameters were determined and compared. Two further instruments of each brand were subjected to differential scanning calorimetry (DSC). RESULTS: Temperature had an effect on fatigue behavior all instruments lasted significantly longer at room than at body temperature. All VB significantly outlasted those of SP at body temperature; while smaller diameters of VB (size no. 20) were also significantly more resistant than SP when tested at room temperature; SP with larger diameters (sizes no. 30, no. 35, and no. 40) lasted significantly longer than VB did. CONCLUSIONS: Immersion in water at body temperature was associated with a marked decrease in the fatigue life of all rotary instruments tested. VB instruments were significantly more CF resistant at body temperature and showed the highest predictability in terms of fracture resistance. CLINICAL RELEVANCE Rotary instruments manufactured with different post-machining heat treatment responded differently to changed ambient temperatures. DSC assessment of martensitic conversion temperatures helps to predict the behavior of nickel titanium rotaries in different environments.