Antonio Bonaccorso

Shaping Ability of Four Nickel-Titanium Rotary Instruments in Simulated S-Shaped Canals

INTRODUCTION The purpose of this study was to compare the shaping ability of ProTaper, Mtwo, BioRaCe, and BioRaCe + S-Apex instruments in simulated canals with an S-shaped curvature. METHODS Canal transportation and aberrations were assessed by comparing the preinstrumentation and postinstrumentation images under a stereomicroscope. Analysis of variance and post hoc Student-Newman-Keuls test were used for statistical analysis. RESULTS ProTaper instruments caused more pronounced canal transportation in the apical curvature (P < .01) than all other instruments. The use of ProTaper, Mtwo, and BioRaCe instruments resulted in more canal aberrations compared with BioRaCe + S-Apex (P < .05). CONCLUSIONS NiTi systems including less tapered and more flexible instruments like S-Apex seem to be favorable when preparing S-shaped canals.

Wear of nickel-titanium endodontic instruments evaluated by scanning electron microscopy: effect of ion implantation.

The present work analyzes possible increases in resistance to wear of nickel-titanium endodontic instruments that have undergone a process of ionic implantation. ProFile .04 taper #25 instruments were subjected to ionic implantation with bands of nitrogen ions of 250 KeV, currents in the order of 10 microA/cm2, and doses of 2 x 10(17) ions/ cm2. The instruments were used to make preparations in acrylic endodontic training blocks. Scanning electron microscopic investigations showed that after 60 s of work inside the endodontic training blocks nonionic implanted control instruments showed small modifications in their blades, and their tips showed the first signs of wear. After 240 s the control instruments showed consistent signs of wear and frequent changes to their surfaces. After 240 s of use the ionic-implanted instruments did not present any significant changes in the micromorphology of their surfaces. The implanted instruments did not manifest the typical signs of wear and did not show the surface changes that quickly affect the working life of untreated endodontic instruments manufactured from nickel-titanium.

Defects in GT Rotary Instruments After Use: An SEM Study

Used rotary nickel-titanium instruments require frequent replacement. This laboratory study evaluated defects of GT Rotary instruments before and after usage. The instruments were fixed into custom-made holders and photographed in an SEM at x 260 to x 12,000 magnification at preset points. Instrument sizes 20 with 1.0, 0.8, and 0.6 taper and instrument sizes 35 with 1.2 taper were used in 12 canals. The used instruments were cleaned and then reexamined in an SEM as before. The presence of 11 types of conditions was scored from the pre- and postusage photographs. No instruments fracturing or plastic deformation was observed during the test. The presence of debris, pitting, and scraping changed significantly. Imperfections were found on used GT Rotary instruments and the presence of defects (pitting, scraping, and blunt-cutting edges) increased in all of the instruments. The behavior of GT Rotary instruments with usage seems to be different, compared with that found in other instruments.

Improvement of the fatigue resistance of NiTi endodontic files by surface and bulk modifications

AIM To assess the failure mechanism of rotary NiTi instruments by chemical, structural and morphological analyses to provide a rational explanation of the effects of surface and bulk treatments on their resistance to fatigue fracture. METHODOLOGY Thermal treatment (350-500 °C) was performed on electropolished (EP) and non-electropolished (Non-EP) NiTi endodontic instruments. Bulk and surface chemical composition and crystallographic structures were determined by energy-dispersive X-ray spectroscopy, X-ray photoelectron spectroscopy (XPS) and X-ray diffraction (XRD) to evaluate the effects of thermal treatment and electropolishing on the NiTi alloy. Fatigue tests of all instruments were performed. Surface morphology before and after the tests, and fractured section were analysed using scanning electron microscopy to determine crack extensions. Results were analysed statistically using analysis of variance (anova) and post hoc Student-Newman-Keuls test. RESULTS Before thermal treatment, significant differences (P < 0.05) in fatigue resistance between EP and Non-EP instruments (the number of revolutions to failure, N(f) , was 385 and 160, respectively) were attributed to differences in the surface morphology of the instruments. SEM analysis of the fracture surfaces indicated that flexural fatigue fractures occurred in two steps: first by a slow growth of initial cracks and then rapid rupture of the remaining material. Thermal treatment did not affect the surface morphology but resulted in significant changes in the instrument bulk with the appearance of an R-phase and an improved fatigue resistance; indeed after treatment at 500 °C, N(f) increased up to 829 and 474 for EP and Non-EP instruments, respectively. CONCLUSIONS Both thermal treatment and electropolishing improved the resistance of NiTi rotary instruments against fatigue fracture.

Pitting Corrosion Resistance of Nickel–Titanium Rotary Instruments with Different Surface Treatments in Seventeen Percent Ethylenediaminetetraacetic Acid and Sodium Chloride Solutions

This study evaluated the pitting corrosion resistance of nickel-titanium (NiTi) rotary instruments with different surface treatments in 17% ethylenediaminetetraacetic acid (EDTA) and NaCl solutions. Electropolished RaCe instruments were allocated to group A, non-electropolished RaCe instruments to group B, and physical vapor deposition (PVD)-coated Alpha files to group C (10 instruments per group). Electrochemical measurements were carried out by using a potentiostat for galvanic current measurements. On the basis of electrochemical tests, no localized corrosion problems are to be expected in EDTA. In NaCl, pitting potential occurred at higher values for the electropolished and PVD instruments, indicating an increased corrosion resistance. There appears to be a risk of corrosion for NiTi instruments without surface treatments in contact with NaCl. NiTi files with PVD and electropolishing surface treatments showed an increase corrosion resistance.

Depositions of Nitrogen on NiTi Instruments

This study was designed to obtain nitrogen-rich layers on the surfaces of endodontic files made of nickel-titanium (NiTi) alloy by chemical vapor deposition. Experimental samples (GT rotary instruments) were deposited by using two different methods. The first one was based on the reaction of wet NH3 with NiTi under high temperatures (300 degrees C). The second technique is a typical MOCVD (metal organic chemical vapor deposition) procedure that uses Ti(Et2N)4 as a titanium and nitrogen precursor. Control samples were not exposed to any process. The chemical composition of the surface layers of each sample was determined by means of X-ray photoelectron spectroscopy and X-ray diffraction measurements. The experimental instruments showed surface chemical composition that was different from that seen in the control group; samples treated with gaseous NH3 showed a surface nitrogen/titanium (N/Ti) ratio = 0.9; MOCVD instruments showed a surface N/Ti ratio of 2; control samples showed a N/Ti ratio = 0.2; MOCVD of nitrogen ion of nickel-titanium files produced a higher concentration of nitrogen on the surface.

Fabrication of hard coatings on NiTi instruments.

The present study was designed to compare the nature of modified surface layers obtained by two different procedures on endodontic files made of NiTi alloy: the procedures were arc evaporation physical vapor deposition and thermal metal organic chemical vapor deposition (MOCVD). Experimental samples were GT Rotary Instruments. The first method was based on the physical deposition of elemental titanium in the presence of nitrogen. The second technique is a typical MOCVD procedure which adopts Ti(Et2N)4 as a titanium and nitrogen precursor. Control samples were not exposed to any process. The chemical composition of the surface and in-depth layers of each sample were examined by X-ray photoelectron spectroscopy and X-ray diffraction measurements. The instruments showed surface chemical compositions that were different from those seen in the control group; samples treated with the first method show a surface Nitrogen/Titanium ratio of 1; MOCVD instruments show a surface Nitrogen/Titanium ratio of 1.7; control samples show a Nitrogen/Titanium ratio of 0.2. Both techniques can produce a high nitrogen concentration on the surface. However, data showed that the morphologies, the in-depth nitrogen distribution, and the chemical nature of the coatings obtained with the two procedures were different. The paper also reports the effects of the two deposition procedures on the nickel/titanium ratio of the surface.

Chemical analysis of nickel-titanium rotary instruments with and without electropolishing after cleaning procedures with sodium hypochlorite.

The aim of this study was to chemically analyze rotary nickel-titanium instruments with and without electropolishing after cleaning procedures with NaOCl. To evaluate the effect of 5.25% NaOCl on electropolished RaCe instruments, a total of 18 instruments were tested. A control group of 18 nonelectropolished RaCe instruments was used. The surface of each instrument was analyzed before and after cleaning in NaOCl by using energy dispersive x-ray analysis, Auger electron spectroscopy, and scanning electron microscopy. Surface defects were recorded, and a chi(2) test was used for statistical analysis. After immersion in NaOCl, the nonelectropolished and electropolished files showed a significant increase of iron deposits as a result of galvanic corrosion of the shaft (P < .05). The nonelectropolished files showed marked presence of NaCl deposits in the machining marks and microcracks. As regards the chemical nature of the surface, the electropolished files had an oxide increase compared with the low oxide concentration (mainly TiO2) before cleaning. The nonelectropolished files already possessed higher oxides concentration (TiO2 and NiO) before NaOCl cleaning. NaOCl treatment affects the chemical composition of the surface and, in particular for nonelectropolished instruments, of the bulk exposed through machining marks and fabrication microcracks.