Effect of Repeated Simulated Clinical Use and Sterilization on the Cutting Efficiency and Flexibility of Hyflex CM Nickel-Titanium Rotary Files

• Published in: Journal of endodontics Vol. 41; no. 5; pp. 725 - 728
• Main Authors: Seago, Scott T., DDS, Bergeron, Brian E., DMD, Kirkpatrick, Timothy C., DDS, Roberts, Mark D., DMD, Roberts, Howard W., DDS, Himel, Van T., DDS, Sabey, Kent A., DDS
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01-05-2015
• Subjects: Animals; Cattle; Cutting efficiency; Dentistry; Endocrinology & Metabolism; Femur; flexibility; Hyflex CM; Materials Testing; Nickel; Pliability; Root Canal Preparation - instrumentation; Sterilization; Temperature; Titanium; Cutting efficiency; flexibility; Hyflex CM
• ISSN: 0099-2399; 1878-3554
• DOI: 10.1016/j.joen.2015.01.011

Abstract Introduction Recent nickel-titanium manufacturing processes have resulted in an alloy that remains in a twinned martensitic phase at operating temperature. This alloy has been shown to have increased flexibility with added tolerance to cyclic and torsional fatigue. The aim of this study was to assess the effect of repeated simulated clinical use and sterilization on cutting efficiency and flexibility of Hyflex CM rotary files. Methods Cutting efficiency was determined by measuring the load required to maintain a constant feed rate while instrumenting simulated canals. Flexibility was determined by using a 3-point bending test. Files were autoclaved after each use according to the manufacturer's recommendations. Files were tested through 10 simulated clinical uses. For cutting efficiency, mean data were analyzed by using multiple factor analysis of variance and the Dunnett post hoc test ( P < .05). For flexibility, mean data were analyzed by using Levene's Test of Equality of Error and a general linear model ( P < .05). Results No statistically significant decrease in cutting efficiency was noted in groups 2, 5, 6, and 7. A statistically significant decrease in cutting efficiency was noted in groups 3, 4, 8, 9, and 10. No statistically significant decrease in flexibility was noted in groups 2, 3, and 7. A statistically significant decrease in flexibility was noted in groups 4, 5, 6, 8, 9, 10, and 11. Conclusions Repeated simulated clinical use and sterilization showed no effect on cutting efficiency through 1 use and no effect on flexibility through 2 uses.