国际口腔医学杂志 ›› 2022, Vol. 49 ›› Issue (6): 663-669.doi: 10.7518/gjkq.2022097

• 牙髓治疗专栏 • 上一篇    下一篇

根管预备机用镍钛锉的研究进展

张麒麟1(),李军2,李姝慧3()   

  1. 1.新疆医科大学口腔医学院 乌鲁木齐 830000
    2.新疆维吾尔自治区人民医院颌面外科 乌鲁木齐 830000
    3.新疆维吾尔自治区人民医院口腔科 乌鲁木齐 830000
  • 收稿日期:2022-02-22 修回日期:2022-07-27 出版日期:2022-11-01 发布日期:2022-11-03
  • 通讯作者: 李姝慧
  • 作者简介:张麒麟,医师,硕士,Email:1604739198@qq.com
  • 基金资助:
    国家自然科学基金(81960207)

Research progress on nickel-titanium instruments for root canal preparation machine

Zhang Qilin1(),Li Jun2,Li Shuhui3()   

  1. 1.Dept. of Stomatology, Xinjiang Medical University, Urumqi 830000, China
    2.Dept. of Maxillofacial Surgery, Xinjiang Uygur Autonomous Region People ’s Hospital, Urumqi 830000, China
    3.Dept. of Stomatology, Xinjiang Uygur Autonomous Region People ’s Hospital, Urumqi 830000, China
  • Received:2022-02-22 Revised:2022-07-27 Online:2022-11-01 Published:2022-11-03
  • Contact: Shuhui Li
  • Supported by:
    National Natural Science Foundation of China(81960207)

摘要:

根管预备机用镍钛锉的出现是根管治疗中的一大里程碑,根管预备的安全性和效率得到了很大提升。近年来,镍钛锉的设计经历了一系列的变化和改进以适应临床中的需求,每一设计有其各自的特点。临床工作中了解和熟悉镍钛锉的性能及特点,选择合适的器械是根管治疗的前提和保障。本文从根管预备机用镍钛锉的发展入手,对镍钛锉晶相结构变化、外部结构改进、安全性和效率的改变作一综述,以期为临床工作中根管预备选择合适的器械提供一定的参考。

关键词: 镍钛锉, 晶相结构, 外部结构, 安全性, 效率

Abstract:

The emergence of nickel-titanium instruments for root canal preparation machine is a major milestone in root canal treatment, and the safety and efficiency of root canal preparation have been greatly improved. In recent years, the design of nickel-titanium instruments has undergone a series of changes and improvements to meet the clinical needs, and each design has its own characteristics. Understanding and being familiar with the performance and characteristics of nickel-titanium instruments for choosing appropriate instruments are important. This article focuses on the development of nickel-titanium instruments used in root canal preparation machine and reviews the progress on the changes in crystal structure, external structure improvement, safety, and efficiency to provide a reference for the selection of appropriate instruments for root canal preparation in clinical work.

Key words: nickel-titanium instrument, crystal structure, external structure, safety, efficiency

中图分类号: 

  • R 781.33

图 1

前角"

表 1

疏通锉概览"

器械名称公司和国家材质锥度尖端直径号数横截面运动模式系统类型
PathFlie[28-29]登士柏,美国传统镍钛合金0.0212#、16#、19#正方形连续旋转
G-File[28,30]Besanc,法国传统镍钛合金0.03

G1:12#;

G2:17#

可变截面

非对称连

续旋转

Scout Race[28-29,31]FKG,瑞士传统镍钛合金0.0210#、15#、20#正方形连续旋转
HyFlex GPF[28,31]康特,瑞士CM-Wire0.01、0.0215#(0.01、0.02);20#(0.02)正方形连续旋转
ProGlider[29,32-33]登士柏,美国M-Wire0.02~0.0816#正方形连续旋转单支锉
One-G[32]Micro-Mega,法国传统镍钛合金0.0314#不对称截面连续旋转单支锉
R-Pilot[33-34]VDW,德国M-Wire0.0412#S形往复运动单支锉
WaveOne Gold Glider[33]登士柏西诺德,美国CM-Gold-Wire0.02~0.0615#平行四边形往复运动单支锉
HyFlex EDM Glide Path[35]康特,瑞士CM-Wire0.0510#尖端方形,中部梯形,冠部三角形连续旋转单支锉
1 Kuzekanani M. Nickel-titanium rotary instruments: development of the single-file systems[J]. J Int Soc Prev Community Dent, 2018, 8(5): 386-390.
2 Johnson E, Lloyd A, Kuttler S, et al. Comparison between a novel nickel-titanium alloy and 508 nitinol on the cyclic fatigue life of ProFile 25/.04 rotary instruments[J]. J Endod, 2008, 34(11): 1406-1409.
3 Shen Y, Zhou HM, Zheng YF, et al. Current challenges and concepts of the thermomechanical treatment of nickel-titanium instruments[J]. J Endod, 2013, 39(2): 163-172.
4 何子淑. 镍钛合金疲劳性能研究[J]. 湖北农机化, 2021(10): 116-117.
He ZS. Study on fatigue properties of nickeltitanium alloy[J]. Hubei Nongjihua, 2021(10): 116-117.
5 Pereira ES, Gomes RO, Leroy AM, et al. Mechanical behavior of M-Wire and conventional NiTi wire used to manufacture rotary endodontic instruments[J]. Dent Mater, 2013, 29(12): e318-e324.
6 Campbell F, Cunliffe J, Darcey J. Current technology in endodontic instrumentation: advances in me-tallurgy and manufacture[J]. Br Dent J, 2021, 231(1): 49-57.
7 Kuhn G, Jordan L. Fatigue and mechanical properties of nickel-titanium endodontic instruments[J]. J Endod, 2002, 28(10): 716-720.
8 梁宇红, 岳林. 根管治疗技术之根管机械预备(二):根管预备技术和镍钛锉的发展[J]. 中华口腔医学杂志, 2019, 54(10): 717-720.
Liang YH, Yue L. Root canal treatment: key steps in root canal instrumentation and improvement of nic-keltitanium endodontic instruments[J]. Chin J Stomatol, 2019, 54(10): 717-720.
9 Topçuoğlu HS, Topçuoğlu G, Kafdağ Ö, et al. Effect of two different temperatures on resistance to cyclic fatigue of one Curve, EdgeFile, HyFlex CM and ProTaper next files[J]. Aust Endod J, 2020, 46(1): 68-72.
10 Gavini G, Santos MD, Caldeira CL, et al. Nickel-titanium instruments in endodontics: a concise review of the state of the art[J]. Braz Oral Res, 2018, 32(): e67.
11 Zupanc J, Vahdat-Pajouh N, Schäfer E. New thermomechanically treated NiTi alloys-a review[J]. Int Endod J, 2018, 51(10): 1088-1103.
12 Inan U, Keskin C, Sivas Yilmaz Ö, et al. Cyclic fatigue of Reciproc Blue and Reciproc instruments exposed to intracanal temperature in simulated severe apical curvature[J]. Clin Oral Investig, 2019, 23(5): 2077-2082.
13 Keskin C, Inan U, Demiral M, et al. Cyclic fatigue resistance of reciproc blue, reciproc, and WaveOne gold reciprocating instruments[J]. J Endod, 2017, 43(8): 1360-1363.
14 Silva EJNL, Vieira VTL, Hecksher F, et al. Cyclic fatigue using severely curved canals and torsional resistance of thermally treated reciprocating instruments[J]. Clin Oral Investig, 2018, 22(7): 2633-2638.
15 Xavier SR, de Lima CO, Marceliano-Alves MFV, et al. Shaping ability of two root canal instrumentation systems in oval-shaped canals: a microcomputed tomography study[J]. Aust Endod J, 2021, 47(2): 252-259.
16 Karkehabadi H, Siahvashi Z, Shokri A, et al. Cone-beam computed tomographic analysis of apical transportation and centering ratio of ProTaper and XP-endo Shaper NiTi rotary systems in curved canals: an in vitro study[J]. BMC Oral Health, 2021, 21(1): 277-285.
17 Cheung GS, Shen Y, Darvell BW. Does electropo-lishing improve the low-cycle fatigue behavior of a nickel-titanium rotary instrument in hypochlorite[J]. J Endod, 2007, 33(10): 1217-1221.
18 Chuste-Guillot MP, Badet C, Peli JF, et al. Effect of three nickel-titanium rotary file techniques on infec-ted root dentin reduction[J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2006, 102(2): 254-258.
19 Kılıç Y, Karataşlıoğlu E, Kaval ME. The effect of root canal preparation size and taper of middle me-sial canals on fracture resistance of the mandibular molar teeth: an in vitro study[J]. J Endod, 2021, 47(9): 1467-1471.
20 Sabeti M, Kazem M, Dianat O, et al. Impact of access cavity design and root canal taper on fracture resistance of endodontically treated teeth: an ex vivo investigation[J]. J Endod, 2018, 44(9): 1402-1406.
21 Krikeli E, Mikrogeorgis G, Lyroudia K. In vitro comparative study of the influence of instrument taper on the fracture resistance of endodontically trea-ted teeth: an integrative approach-based analysis[J]. J Endod, 2018, 44(9): 1407-1411.
22 葛久禹. 镍钛根管预备器械[J]. 中国实用口腔科杂志, 2014, 7(1): 2-9.
Ge JY. Nickel-titanium instruments for root canal preparation[J]. Chin J Pract Stomatol, 2014, 7(1): 2-9.
23 Mustafa R, Al Omari T, Al-Nasrawi S, et al. Evalua-ting in vitro performance of novel nickel-titanium rotary system (TruNatomy) based on debris extrusion and preparation time from severely curved canals[J]. J Endod, 2021, 47(6): 976-981.
24 柳振坤, 张杰, 岳林. 根管预备中碎屑从根尖推出量的比较研究[J]. 中华老年口腔医学杂志, 2020, 18(1): 1-5.
Liu ZK, Zhang J, Yue L. A comparative study on the amount of debris extruded from the apex during root canal preparation[J]. Chin J Geriatr Dent, 2020, 18(1): 1-5.
25 di Nardo D, Gambarini G, Seracchiani M. Influence of different cross-section on cyclic fatigue resistance of two nickel-titanium rotary instruments with same heat treatment: an in vitro study[J]. Saudi Endod J, 2020, 10(3): 221-225.
26 Koch K, Brave D. Real world endo: design features of rotary files and how they affect clinical performance[J]. Oral Health, 2002, 92: 39-49.
27 Plotino G, Nagendrababu V, Bukiet F, et al. In-fluence of negotiation, glide path, and preflaring procedures on root canal shaping-terminology, basic concepts, and a systematic review[J]. J Endod, 2020, 46(6): 707-729.
28 Capar ID, Kaval ME, Ertas H, et al. Comparison of the cyclic fatigue resistance of 5 different rotary pathfinding instruments made of conventional nic-kel-titanium wire, M-wire, and controlled memory wire[J]. J Endod, 2015, 41(4): 535-538.
29 Topçuoğlu HS, Topçuoğlu G, Düzgün S. Resistance to cyclic fatigue of PathFile, ScoutRaCe and ProGlider glide path files in an S-shaped canal[J]. Int Endod J, 2018, 51(5): 509-514.
30 Paleker F, van der Vyver PJ. Glide path enlargement of mandibular molar canals by using K-files, the ProGlider file, and G-files: a comparative study of the preparation times[J]. J Endod, 2017, 43(4): 609-612.
31 韩怡, 白雨豪, 侯晓玫. 机用镍钛通畅锉在模拟根管中成形能力的对比研究[J]. 口腔医学研究, 2018, 34(2): 121-124.
Han Y, Bai YH, Hou XM. Glide path management of rotary nickel-titanium instruments in simulated root canals[J]. J Oral Sci Res, 2018, 34(2): 121-124.
32 Uslu G, Özyürek T, İnan U. Comparison of cyclic fatigue resistance of ProGlider and one G glide path files[J]. J Endod, 2016, 42(10): 1555-1558.
33 Keskin C, İnan U, Demiral M, et al. Cyclic fatigue resistance of R-Pilot, WaveOne Gold Glider, and ProGlider glide path instruments[J]. Clin Oral Investig, 2018, 22(9): 3007-3012.
34 于江利, 谭瑶, 侯晓玫, 等. 机用镍钛通畅锉用于S形根管成形能力的体外研究[J]. 口腔医学研究, 2020, 36(8): 781-785.
Yu JL, Tan Y, Hou XM, et al. Shaping ability of instrumental nickel-titanium endodontic files in S-shaped resin simulated root canal[J]. J Oral Sci Res, 2020, 36(8): 781-785.
35 Han Y, Hou XM. Glide path enlargement of curved molar canals using HyFlex EDM glide path file versus PathFile: a comparative study of preparation time and postoperative pain[J]. BMC Oral Health, 2021, 21(1): 150.
36 Yared G. Canal preparation using only one Ni-Ti rotary instrument: preliminary observations[J]. Int Endod J, 2008, 41(4): 339-344.
37 Živković S, Popović-Bajić M, Jovanović-Medojević M, et al. Single-file endodontic treatment-a perspective endodontic concept[J]. Vojnosanitets Pregl, 2021. doi: doi.org/10.2298/VSP210524078Z .
doi: doi.org/10.2298/VSP210524078Z
38 Boonchoo K, Leelataweewud P, Yanpiset K, et al. Simplify pulpectomy in primary molars with a single-file reciprocating system: a randomized controlled clinical trial[J]. Clin Oral Investig, 2020, 24(8): 2683-2689.
39 Karataş E, Arslan H, Alsancak M, et al. Incidence of dentinal cracks after root canal preparation with twisted file adaptive instruments using different kinematics[J]. J Endod, 2015, 41(7): 1130-1133.
40 Alsofi L, Al Harbi M, Stauber M, et al. Analysis of the morpho-geometrical changes of the root canal system produced by TF adaptive vs. BioRace: a micro-computed tomography study[J]. Materials (Basel), 2021, 14(3): 531.
41 Donnermeyer D, Viedenz A, Schäfer E, et al. Impact of new cross-sectional designs on the shaping ability of rotary NiTi instruments in S-shaped canals[J]. Odontology, 2020, 108(2): 174-179.
42 Noguchi I, Suzuki K, Yoshida T, et al. Development of innovative contra-angle handpiece device with piston movement for root canal preparation[J]. J Endod, 2021, 47(4): 641-647.
[1] 戢晓,景钫淇,李雅,薛晶. 根管预备顺序的数据模拟优化研究[J]. 国际口腔医学杂志, 2022, 49(1): 37-47.
[2] 张雪雯,李聪,徐小茵,高静,申静. 混合光源系统用于活髓牙漂白的临床研究进展[J]. 国际口腔医学杂志, 2021, 48(6): 683-689.
[3] 王宏媛,何露,张茹,郑德强,李红. 热处理连续旋转镍钛锉对重度弯曲根管成形能力的比较研究[J]. 国际口腔医学杂志, 2021, 48(3): 297-304.
[4] 赵金,赖光云,汪俊. 全身麻醉下儿童口腔疾病治疗家长接受度现况的研究进展[J]. 国际口腔医学杂志, 2018, 45(6): 739-744.
[5] 贾卓群, 杨路. 影响根管消毒剂氢氧化钙清除效率的因素[J]. 国际口腔医学杂志, 2018, 45(4): 439-443.
[6] 张汝斌,曾晓娟,李雅娟,林伟远. 修复前后患者咀嚼能力和生活质量主客观评价的相关性研究[J]. 国际口腔医学杂志, 2016, 43(6): 651-653.
[7] 宋韬,王冏珂,文静,陈谦明,曾昕. 沙利度胺在口腔黏膜病临床治疗实践中的安全性分析[J]. 国际口腔医学杂志, 2016, 43(3): 366-370.
[8] 朱玉婷 刘江峰 黄江勇 徐妍 李艳利 李晓星 陈秉勋. 控制记忆型镍钛锉HyFlex CM根管预备的临床效果分析[J]. 国际口腔医学杂志, 2014, 41(5): 521-525.
[9] 孙学武 柳忠豪 朱详奎 杨柳. 不同颌位记录方法对全口义齿再修复患者咀嚼效率的影响[J]. 国际口腔医学杂志, 2014, 41(3): 286-288.
[10] 李桦综述 胡敏审校. 含镍合金在正畸治疗中生物安全性的研究进展[J]. 国际口腔医学杂志, 2012, 39(2): 233-236.
[11] 蒋玉清综述 黄定明审校. 新型树脂根管充填材料Resilon/Epiphany 的研究进展[J]. 国际口腔医学杂志, 2010, 37(3): 348-348~350.
[12] 黄雪莲, 范国书综述 李继遥审校. 常用细胞毒性实验在口腔局部用药安全性评价中的应用[J]. 国际口腔医学杂志, 2009, 36(4): 413-415,419.
[13] 刘剑,张晓玲,高宁. 铬合金修复材料的生物安全性[J]. 国际口腔医学杂志, 2008, 35(S1): -.
[14] 杨亚萍综述 樊明文审校. 壳聚糖介导基因转染效率影响因素的研究进展[J]. 国际口腔医学杂志, 2008, 35(5): 540-540~542.
[15] 徐瑛, 任志伟. 手用ProTaper 镍钛锉与不锈钢H 锉根管预备的临床疗效[J]. 国际口腔医学杂志, 2008, 35(1): 10-12.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 张新春. 桩冠修复与无髓牙的保护[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 王昆润. 长期单侧鼻呼吸对头颅发育有不利影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[3] 彭国光. 颈淋巴清扫术中颈交感神经干的解剖变异[J]. 国际口腔医学杂志, 1999, 26(05): .
[4] 杨凯. 淋巴化疗的药物运载系统及其应用现状[J]. 国际口腔医学杂志, 1999, 26(05): .
[5] 康非吾. 种植义齿下部结构生物力学研究进展[J]. 国际口腔医学杂志, 1999, 26(05): .
[6] 柴枫. 可摘局部义齿用Co-Cr合金的激光焊接[J]. 国际口腔医学杂志, 1999, 26(04): .
[7] 孟姝,吴亚菲,杨禾. 伴放线放线杆菌产生的细胞致死膨胀毒素及其与牙周病的关系[J]. 国际口腔医学杂志, 2005, 32(06): 458 -460 .
[8] 费晓露,丁一,徐屹. 牙周可疑致病菌对口腔黏膜上皮的粘附和侵入[J]. 国际口腔医学杂志, 2005, 32(06): 452 -454 .
[9] 赵兴福,黄晓晶. 变形链球菌蛋白组学研究进展[J]. 国际口腔医学杂志, 2008, 35(S1): .
[10] 庞莉苹,姚江武. 抛光和上釉对陶瓷表面粗糙度、挠曲强度及磨损性能的影响[J]. 国际口腔医学杂志, 2008, 35(S1): .