Page 13 - SPEMD_62-1
P. 13

rev port estomatol med dent cir maxilofac . 2021;62(1):1-8               7


           mechanical performance. Therefore, the null hypothesis   the internal validity of the methodologies. 10-12  Another
           was rejected.                                       strength is the use of replica -like coronal shaping instruments
              Although some design differences could be noted between   that are already being marketed and used in clinics, but with
           PTG and Premium Taper Gold instruments, the most relevant   no available reported data in the literature regarding their per-
           was observed in the Go -Taper Flex instrument: a flat tip, mim-  formance and safety, making the present study relevant to
           icking the fracture pattern of an instrument subjected to a   both the scientific and clinical points of view.
           torsion test, but without any visible plastic deformation of the   With regards to the study’s limitations, it should be men-
           blades. The inspected instruments were picked from sealed   tioned that other replica -like orifice shapers exist in the
           packages and placed directly into the SEM sample holder to   market and were not tested herein. Besides, some addition-
           minimize the operator handling, therefore excluding any han-  al characteristics, such as cutting efficiency, shaping ability,
           dling damage. Although this flat tip feature was observed in   and certain instrument geometries, like dimensions, were
           the several SX instruments inspected, it could not be conclud-  not considered in the present methodology, as was not the
           ed whether it was a defect or a geometric characteristic. More-  influence of temperature. Further studies should focus on
           over, this feature was not observed in other Go -Taper Flex   other replica -like instruments available in the market and
           instruments (S1, S2, F1, F2, and F3) (unpublished data), which   understanding the similarities regarding instruments’ pitch,
           presented a conventional tip design (non -flat tip). Therefore,   core volume, and dimensions, using a reliable 3 -dimensional
           the impact of that difference in these instruments’ shaping   analysis.
           ability and safety is still unclear.
              Differences in the instruments’ mechanical performance
           must be analyzed considering multiple factors that may be   Conclusions
           more or less relevant depending on the test. Torsional strength
           refers to the ability to sustain torsional stress before fracture   Overall, both replica -like SX instruments were similar to the
           and is a highly advisable characteristic for coronal shaper in-  PTG premium brand regarding the number of blades, helix
           struments whose goal is to widen a narrow root canal en-  angles, design symmetry, cross -sectional geometry, and Ti/
           trance into a large size. 17,18  The angle of rotation is related to   Ni atomic proportions. Geometric differences were noted re-
           the capacity to sustain deformation before rupture under a   garding the instruments’ tip. Premium Taper Gold showed
                       19
           torsional load,  and the maximum bending load required to   the smoothest surface finishing, while the Go -Taper Flex
           perform a predefined displacement represents a flexibility   presented a surface with more irregularities. Distinct phase
           score in which lower loads reflect superior flexibility. It is also   transformation temperatures were observed among sys-
           a recommended characteristic for coronal shaper instruments   tems. Go -Taper Flex had the lowest maximum torque and
                                                          19
           to prevent pathway deviation or cervical -third straightening,    less flexibility when compared to PTG. No significant differ-
           preserving the pericervical dentin, as advocated in minimally-  ences were noted between Premium Taper Gold and PTG SX
           -invasive procedures.                               instruments in the mechanical tests.
              The maximum torque to fracture was lower in the Go-
           -Taper Flex than the PTG SX instrument, which might be par-
           tially explained by its worst surface finishing leading to a more   Acknowledgements
                                                   20
           rapid microfracture development and propagation.  The sim-
           ilarities of maximum torque, angle of rotation, and bending   The authors thank to Francisco Manuel Braz Fernandes (CE-
           load results observed between PTG SX and Premium Taper   NIMAT/I3N, Department of Materials Science, NOVA School of
           Gold instruments may be explained by the non -full austenitic   Science and Technology, Universidade NOVA de Lisboa, Capa-
           characteristics observed at the test temperature, the similari-  rica, Portugal) who is acknowledged for running the DSC tests
           ties in the instruments’ design at the maximum stress level,   of the instruments.
           and their Ti/Ni proportions. The lowest flexibility was observed
           in the Go -Taper instruments and, although this result cannot
           be explained based only on the assessed characteristics, it   Ethical disclosures
           could be influenced by other aspects such as the dimensions
           of the instrument submitted to the bending test, which were   Protection of human and animal subjects. The  authors
           not measured in the present study. To the best of the authors’   declare that no experiments were performed on humans or
           knowledge, no previous studies have reported torsional and   animals for this study.

           bending strength for PTG SX instruments or the tested replica-  Confidentiality of data. The authors declare that no patient
           -like ones; therefore, the present results cannot be compared
           with previous literature. However, a previous study comparing   data appear in this article.

           ProTaper Universal instruments and six replica -likes revealed   Right to privacy and informed consent. The authors declare
           differences in mechanical performance despite the design   that no patient data appear in this article.
           similarities. 15
              The multimethod approach was one of the strengths of the
           present investigation, as it allowed a more comprehensive un-  Conflict of interest
           derstanding of the tested instruments.  Accordingly, well-
                                           16
           -established international protocols were followed, enhancing   The authors have no conflicts of interest to declare.
   8   9   10   11   12   13   14   15   16   17   18