Article

Correlation Between Endodontic Broken Instrument and Nickel Level in Urine.

Department of Ophthalmology and Visual Sciences, University of Wisconsin, school of Medicine and Public Health, Madison, WI, USA, .
Biological trace element research (Impact Factor: 1.61). 07/2013; 155(1). DOI: 10.1007/s12011-013-9755-z
Source: PubMed

ABSTRACT This study aims to evaluate the correlation between the presences of separated endodontic instrument inside the dental canal and the nickel (Ni) level in the urine samples of subjected patients. Same-gendered and near-aged participants were selected and were instructed to collect their urine in sterile nickel-free plastic containers. The procedures were carried out in the office, and samples were stored in low-temperature cooler for 1 day and then they were transferred to the laboratory for electrothermal atomic absorption spectrometry. The level of Ni was measured and the correlation coefficient was calculated. Data were analyzed using t tests, Pearson's correlation coefficients, and linear regression analysis, at a level of significance P < 0.05. The statistical analysis has showed significant difference in Ni level between endodontic and control groups (P < 0.05). There was no correlation between Ni level in urine and the age or time period of broken instrument inside the canal; however, Ni level of urine and the age of participants in experimental group has demonstrated a positive correlation. The amount of Ni element can be increased in the urine of patients who have experienced broken endodontic instrument inside the dental canal. However, there is no positive correlation between the remaining pieces of instruments inside the canal and the elevation of nickel amount in urine during the tested time period. This issue suggested that the aging of remaining broken instrument inside the canal does not show any remarkable concern regarding the Ni elevation in the urine excreted by an individual.

2 Followers
 · 
497 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Dentists desire to use NiTi rotary instruments, which do not break inside the root canals of teeth, since the pieces from broken files are difficult to remove. The NiTi rotary instrument breakage is because of cyclic and torsional fatigue. Here the low-voltage (12 V) and high voltage (24 V) electrical treatments were used to enhance the cyclic fatigue of NiTi rotary instruments and increase their durability. In excremental groups, following electrical treatment samples of the NiTi instruments were rotated inside artificial root canals until they broke. Our results showed that electrical treatment with 12-V DC was effective in restoring NiTi instrument's resistance to cyclic fatigue. The scanning electron microscopy images and fractograph of samples exposed to 12-V electrical treatment showed a more regular texture over the surface with less dimpling on fractured site. These patterns can improve the super elasticity of tested devices during rotational movement, and delay the NiTi instruments separation in root canal preparations. SCANNING 9999:XX–XX, 2014. © 2014 Wiley Periodicals, Inc.
    Scanning 09/2014; 36(5). DOI:10.1002/sca.21146 · 1.44 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: ABSTRACT Dentists desire to use NiTi rotary instruments, which do not break inside the root canals of teeth, since the pieces from broken files are difficult to remove. The NiTi rotary instrument breakage is because of cyclic and torsional fatigue. Here the low-voltage (12 V) and high voltage (24 V) electrical treatments were used to enhance the cyclic fatigue of NiTi rotary instruments and increase their durability. In excremental groups, following electrical treatment samples of the NiTi instruments were rotated inside artificial root canals until they broke. Our results showed that electrical treatment with 12-V DC was effective in restoring NiTi instrument's resistance to cyclic fatigue. The scanning electron microscopy images and fractograph of samples exposed to 12-V electrical treatment showed a more regular texture over the surface with less dimpling on fractured site. These patterns can improve the super elasticity of tested devices during rotational movement, and delay the NiTi instruments separation in root canal preparations. SCANNING 9999:XX–XX, 2014. © 2014 Wiley Periodicals, Inc.
    Scanning 05/2014; · 1.44 Impact Factor
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Previous studies on the endodontic broken stainless steel instruments have mainly focused on retrieval of specimens. However, the systemic consequences of the retained separated instruments need an investigation. The current study aimed to evaluate the correlation between broken stainless steel instruments inside the root canal space and the urinary level of iron (Fe) in patients. Sixty near-aged and same-gender patients were selected. Thirty patients in the control group had no endodontic treatment in their history, while the other 30 patients in the endodontic group had broken stainless steel instrument. The urine samples were collected in iron-free containers. All specimens were refrigerated for 1 day and then subjected to Fe level measurement by electrothermal atomic absorption spectrometry. Data were analyzed by Kolmogorov-Smirnov and t tests at P < 0.05. The correlation coefficients of age and sex were also evaluated in relation with Fe levels in the urine. The level of Fe did not show any significant increase in the experimental group (P > 0.05). There was a positive correlation between age and Fe levels of endodontic and control groups. However, the joint effects of age and sex on Fe levels were different for the two groups. The presence of broken stainless steel instruments inside the root canal space did not elevate the level of Fe in the urine of patients. However, this value was positively correlated with the patient age.
    Biological Trace Element Research 06/2014; 158(3). DOI:10.1007/s12011-014-9959-x · 1.61 Impact Factor