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The effect of NaOCl treatment and sterilization procedures on the corrosion of endodontic files
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Original Article The effect of NaOCl treatment and sterilization procedures on the corrosion of endodontic files
Won-Kyung Yang1, Yoon-Sik Ra1, Young-Kyoo Lee2, Ho-Hyun Son3, Mi-Ri Kim1
Journal of Korean Academy of Conservative Dentistry 2005;30(2):121-127.
DOI: https://doi.org/10.5395/JKACD.2005.30.2.121
Published online: March 31, 2005

1Department of Conservative Dentistry, Department of Dentistry, Asan Medical Center, Korea.

2Department of Periodontics, Department of Dentistry, Asan Medical Center, Korea.

3Department of Conservative Dentistry, College of Dentistry, Seoul National University, Korea.

Corresponding author: Mi-Ri Kim. Department of Conservative Dentistry, Department of Dentistry, Asan Medical Center, 388-1, Poongnap-dong, Songpa-gu, Seoul, Korea, 138-736. Tel: 82-2-3010-3824, Fax: 82-2-3010-6967, kmr333@unitel.co.kr
• Received: August 30, 2004   • Revised: October 28, 2004   • Accepted: November 9, 2004

Copyright © 2005 Korean Academy of Conservative Dentistry

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  • A variety files made of stainless steel (S-S) or nickel-titanium (Ni-Ti) are used during endodontic treatment. The purpose of this study was to evaluate the corrosion susceptibility of S-S and Ni-Ti endodontic files. Three brands of files were used for this study: K-flex® S-S files (Maillefer, USA), Profile® Ni-Ti files (Maillefer, USA), K-3® Ni-Ti files (SybronEndo, USA). 120 files of each brands (21mm, ISO size #20) were divided into 12 groups according to 1) sterilization methods using Autoclave or Ethylene Oxide (E-O) gas, 2) Irrigation solutions using 5.25 % NaOCl or Saline, 3) the number of sterilization (1, 5, 10 times). After above procedures, each of the files was inspected by three examiners with a light microscope and camera at X25. Each file was judged and ranked according to the following criteria: 0; no corrosion, 1; mild corrosion, 2; moderate corrosion, and 3; severe corrosion. The files of high score were examined under the Scanning Electron Microscope.
    Data were statistically analyzed with the Kruskal-Wallis test (p < 0.05). Most of the ten time-autoclaved files had showed mild to moderate corrosion. But, one or five time-autoclaved files did not show corrosive surface. NaOCl treatment and E-O gas sterilization did not influence on corrosion. There was a significant difference in corrosion susceptibility between sterilization methods and the number of autoclaving. However, there was no significant difference between brands and file materials.
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Figure 1
Low magnification of untreated K-flex® file, Profile®, and K-3® file (SEM photo).
jkacd-30-121-g001.jpg
Figure 2
SEM photographs of K-flex® file treated with sodium hypochlorite and autoclaved ten-times (left arrow; fissure line, right arrows; pitting).
jkacd-30-121-g002.jpg
Figure 3
Low magnification (left) and high magnification (right) of Profile® treated with sodium hypochlorite and autoclaved ten-times (arrow; pitting)
jkacd-30-121-g003.jpg
Figure 4
Low magnification (left) and high magnification (right) of K-3® file treated with sodium hypochlorite and autoclaved ten-times (arrows; pitting).
jkacd-30-121-g004.jpg
Figure 5
Sum of corrosion scores of autoclaved files (O; NaOCl, X; Saline).
Ten times-autoclaved files had significantly different from one or five times-autocaved files (p < 0.05). There was no significant difference between brands and file materials.
jkacd-30-121-g005.jpg
Figure 6
Sum of corrosion scores of E-O gas sterilized files (O; NaOCl, X; Saline).
EO-gas sterilized files did not showed significantly different from each other (p < 0.05). There was no significant difference between brands and file materials.
jkacd-30-121-g006.jpg
Table 1
Classification of the experimental groups. The files in each group were immersed in 5.25% sodium hypochlorite or normal saline for 10 minutes before sterilization (36 groups, n = 10 / group).
jkacd-30-121-i001.jpg

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      The effect of NaOCl treatment and sterilization procedures on the corrosion of endodontic files
      Image Image Image Image Image Image
      Figure 1 Low magnification of untreated K-flex® file, Profile®, and K-3® file (SEM photo).
      Figure 2 SEM photographs of K-flex® file treated with sodium hypochlorite and autoclaved ten-times (left arrow; fissure line, right arrows; pitting).
      Figure 3 Low magnification (left) and high magnification (right) of Profile® treated with sodium hypochlorite and autoclaved ten-times (arrow; pitting)
      Figure 4 Low magnification (left) and high magnification (right) of K-3® file treated with sodium hypochlorite and autoclaved ten-times (arrows; pitting).
      Figure 5 Sum of corrosion scores of autoclaved files (O; NaOCl, X; Saline). Ten times-autoclaved files had significantly different from one or five times-autocaved files (p < 0.05). There was no significant difference between brands and file materials.
      Figure 6 Sum of corrosion scores of E-O gas sterilized files (O; NaOCl, X; Saline). EO-gas sterilized files did not showed significantly different from each other (p < 0.05). There was no significant difference between brands and file materials.
      The effect of NaOCl treatment and sterilization procedures on the corrosion of endodontic files

      Classification of the experimental groups. The files in each group were immersed in 5.25% sodium hypochlorite or normal saline for 10 minutes before sterilization (36 groups, n = 10 / group).

      Table 1 Classification of the experimental groups. The files in each group were immersed in 5.25% sodium hypochlorite or normal saline for 10 minutes before sterilization (36 groups, n = 10 / group).


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