Recent advances in metallurgy and design of rotary endodontic instruments: a review


Main Article Content

Aparna Palekar
Akhilesh Vajpayee
Basawaraj Biradar

Abstract

A variety of instruments are available for the extirpation of the pulp and the instrumentation and preparation of the root canal. Recently, nickel-titanium (NiTi) alloy is utilised for the manufacturing of endodontic instruments. Compared to other metals, these alloys are highly flexible, which significantly enhances ease of canal shaping. This review article gives an account in the advances of NiTi endodontic instruments with an emphasis on metallurgical, mechanical properties, the design features of each generation with a special focus on the latest generations of NiTi instruments.

Article Details


How to Cite
Palekar, A., Vajpayee, A., & Biradar, B. (2020). Recent advances in metallurgy and design of rotary endodontic instruments: a review. International Journal of Dental Materials, 2(2), 52–59. https://doi.org/10.37983/IJDM.2020.2204 (Original work published August 2, 2021)

References

  1. Brantley WA. Introduction of nickel-titanium alloy to endodontics.In 6th, editor. Endodontics.: BC Decker; 2008:802-803.
  2. Lee JH, Park JB, Andreasen GF, Lakes RS. Thermo-mechanical study of NiTi alloys. Journal of Biomedical Materials Research. 1988; 22: 573-88. https://doi.org/10.1002/jbm.820220611
  3. Metzger Z, Basrani B, Goodis HE. Instruments, Materials and devices. In 10th, editor. Pathways of Pulp.: Elsevier; 2011: 230. https://doi.org/10.1016/B978-0-323-06489-7.00008-4
  4. Thompson SA. An overview of nickel-titanium alloys used in dentistry. Int Endod J. 2000; 33(4): 297-310. https://doi.org/10.1046/j.1365-2591.2000.00339.x
  5. Rapisarda E, Bonaccorso A, Tripi TR, Fragalk I, Condorelli GG. The effect of surface treatments of nickel-titanium files on wear and cutting efficiency. Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics. 2000;89(3): 363-368. https://doi.org/10.1016/S1079-2104(00)70103-X
  6. Aun DP, Peixoto IF, Houmard M, Buono VT. Enhancement of NiTi superelastic endodontic instruments by TiO2 coating. Mater Sci Eng C: Materials for Biological Applications. 2016;68: 675-680. https://doi.org/10.1016/j.msec.2016.06.031
  7. Starosvetsky D, Gotman I. Corrosion behaviour of titanium nitride coated Ni-Ti shape memory surgical alloy. Biomaterials. 2001; 22(13): 1853-1859. https://doi.org/10.1016/S0142-9612(00)00368-9
  8. Vinothkumar TS, Miglani R, Lakshminarayananan L. Influence of deep dry cryogenic treatment on cutting efficiency and wear resistance of nickel-titanium rotary endodontic instruments. J Endod. 2007;33(11): 1355-1358. https://doi.org/10.1016/j.joen.2007.07.017
  9. Kim JW, Griggs JA, Regan JD, Ellis RA, Cai Z. Effect of cryogenic treatment on nickel-titanium endodontic instruments. Int Endod J. 2005;38(6):364-71. https://doi.org/10.1111/j.1365-2591.2005.00945.x
  10. Anderson ME, Price JW, Parashos P. Fracture resistance of electropolished rotary nickel-titanium endodontic instruments. J Endod. 2007;33(10): 1212-16. https://doi.org/10.1016/j.joen.2007.07.007
  11. Lopes HP, Elias CN, Vieira VT, Moreira EJ, Marques RV, et al. Effects of electropolishing surface treatment on the cyclic fatigue resistance of BioRace nickel-titanium rotary instruments. J Endod. 2010;36(10): 1653-1657. https://doi.org/10.1016/j.joen.2010.06.026
  12. De Vasconcelos RA, Murphy S, Carvalho CA, Govindjee RG, Govindjee S, et al. Evidence for Reduced Fatigue Resistance of Contemporary Rotary Instruments Exposed to Body Temperature. J Endod. 2016;42(5): 782-787. https://doi.org/10.1016/j.joen.2016.01.025
  13. Alapati SB, Brantley WA, Iijima M, Clark WA, Kovarik L, et al. Metallurgical characterization of a new nickel-titanium wire for rotary endodontic instruments. J Endod. 2009; 35(11): 1589-1593. https://doi.org/10.1016/j.joen.2009.08.004
  14. Alapati SB, Brantley WA, Iijima M, Schricker SR, Nusstein JM, et al. Micro-XRD and temperature-modulated DSC investigation of nickel-titanium rotary endodontic instruments. Dent Mater. 2009;25(10): 1221-1229. https://doi.org/10.1016/j.dental.2009.04.010
  15. Gao Y, Shotton V, Wilkinson K, Phillips G, Johnson WB. Effects of raw material and rotational speed on the cyclic fatigue of ProFile Vortex rotary instruments. J Endod. 2010;36(7): 1205-1209. https://doi.org/10.1016/j.joen.2010.02.015
  16. Metzger Z, Basrani B, Goodis HE. Instruments, Materials and devices. In 10th, edition. Pathways of Pulp.: Elsevier; 2011: 230. https://doi.org/10.1016/B978-0-323-06489-7.00008-4
  17. Hou X, Yahata Y, Hayashi Y, Ebihara A, Hanawa T, et al. Phase transformation behaviour and bending property of twisted nickel-titanium endodontic instruments. Int Endod J. 2011;44(3): 253-258. https://doi.org/10.1111/j.1365-2591.2010.01818.x
  18. Gutmann JL, Gao Y. Alteration in the inherent metallic and surface properties of nickel-titanium root canal instruments to enhance performance, durability and safety: a focused review. Int Endod J. 2012;45(2): 113-128. https://doi.org/10.1111/j.1365-2591.2011.01957.x
  19. Shen Y, Zhou HM, Zheng YF, Campbell L, Peng B, et al. Metallurgical characterization of controlled memory wire nickel-titanium rotary instruments. J Endod. 2011;37(11): 1566-1571. https://doi.org/10.1016/j.joen.2011.08.005
  20. Da Cunha Peixoto IF, Pereira ES, da Silva JG, Viana AC, Buono VT, et al. Flexural fatigue and torsional resistance of ProFile GT and ProFile GT series X instruments. J Endod. 2011;36(4): 741-744. https://doi.org/10.1016/j.joen.2009.12.016
  21. Park SY, Cheung GS, Yum J, Hur B, Park JK, et al. (2010) Dynamic torsional resistance of nickel-titanium rotary instruments. J Endod. 2010;36(7): 1200-1204. https://doi.org/10.1016/j.joen.2010.02.016
  22. Shen Y, Coil JM, Zhou H, Zheng Y, Haapasalo M. HyFlex nickel-titanium rotary instruments after clinical use: metallurgical properties. Int Endod J. 2013; 46(8): 720-729. https://doi.org/10.1111/iej.12049
  23. Shen Y, Zhou HM, Zheng YF, Peng B, Haapasalo M. Current challenges and concepts of the thermomechanical treatment of nickel-titanium instruments. J Endod. 2013;39(2): 163-172. https://doi.org/10.1016/j.joen.2012.11.005
  24. Otsuka K, Ren X. Physical metallurgy of Ti-Ni-based shape memory alloys. Progress in Materials Science. 2005;50(5): 511-678. https://doi.org/10.1016/j.pmatsci.2004.10.001
  25. Shen Y, Zhou HM, Zheng YF, Peng B, Haapasalo M. Current challenges and concepts of the thermomechanical treatment of nickel-titanium instruments. J Endod. 2013; 39(2): 163-172. https://doi.org/10.1016/j.joen.2012.11.005
  26. Hieawy A, Haapasalo M, Zhou H, Wang ZJ, Shen Y. Phase Transformation Behaviour and Resistance to Bending and Cyclic Fatigue of ProTaper Gold and ProTaper Universal Instruments. J Endod. 2015; 41. https://doi.org/10.1016/j.joen.2015.02.030
  27. Iacono F, Pirani C, Generali L, Bolelli G, Sassatelli P, et al. Structural analysis of HyFlex EDM instruments. Int Endod J. 2017;50(3): 303-313. https://doi.org/10.1111/iej.12620
  28. Peters OA, Gluskin AK, Weiss RA, Han JT. An in vitro assessment of the physical properties of novel Hyflex nickel-titanium rotary instruments. Int Endod J. 2012;45(11): 1027-1034. https://doi.org/10.1111/j.1365-2591.2012.02067.x
  29. Gambarini G, Plotino G, Grande NM, Al-Sudani D, De Luca M, Testarelli L. Mechanical properties of nickel-titanium rotary instruments produced with a new manufacturing technique. Int Endod J. 2011; 44(4): 337-341. https://doi.org/10.1111/j.1365-2591.2010.01835.x
  30. Haapasalo M, Shen Y. Evolution of nickel-titanium instruments: from past to future. Endodontic Topics. 2013;29(1): 3-17. https://doi.org/10.1111/etp.12049