Failure analysis of eleven Gates Glidden drills that fractured intraorally during post space preparation. A retrieval analysis study
Abstract The purpose of this study was to determine the failure mechanism of clinically failed Gates Glidden (GG) drills. Eleven retrieved GG drills (sizes #1 to #3) which fractured during root canal preparation were collected and the fracture location was recorded based on macroscopic observation. All fracture surfaces were investigated by a SEM. Then the fractured parts were embedded in acrylic resin and after metallographic preparation, the microstructure and elemental composition was evaluated by SEM and EDS. The Vickers hardness (HV) of all specimens was also determined. Macroscopic examination and SEM analysis showed that the drills failed near the hand piece end by torsional fatigue with fatigue cracks initiating at several locations around the circumference and propagating toward the center. Final fracture followed by a tensile overloading at the central region of cross section. Microstructural analysis, hardness measurements and EDS show that the drills are made of a martensitic stainless steel like AISI 440C. Based on the findings of this study, clinicians should expect fatigue fracture of GG drills that have small size during root canal preparation. Selection of a more fatigue resistant stainless steel alloy and enhancing the instrument design might reduce the incidence of quasi-cleavage fracture on GG drills.
The Effect of Gates-Glidden Drills on the Quality of Root Canal Treatment by Pre-Clinical Dental Students
AIM: This study was conducted to investigate the effect of applying Gates-Glidden (GG) drill by pre-clinical dental students on root canal treatment quality. METHOD: A total of 56 first molars consisting of 168 canals were selected in this study. For this purpose, 56 students who had been formerly trained by two methods of root canal preparation were randomly divided into two groups (n = 28). Group 1: the step-down method by GG and Group 2: step-back technique without GG. The prepared teeth were filled with gutta-percha/ZOE sealer using lateral condensation. Periapical radiographs were taken before and the following treatment to survey occurrence of preparation errors and CBCT images to determine residual dentine at furcation region. RESULTS: The findings showed that among 10 error types in specimens prepared by students, the occurrence of underfilling, overfilling, inappropriate, ledge formation, and single cone was more common without GG. There were no significant differences in residual dentine amount at furcation region between preparation with and without using GG (P > 0.05). CONCLUSION: Using GG for root canal preparation by dental students resulted in low errors and not an increased dentine removal risk.
Degradable polymers : principles and applications
1. Why Biodegradable Polymers? G. Scott. 2. An Overview of Biodegradable Polymers and Biodegradation of Polymers S.H. Huang. 3. Degradation and Stabilization of Carbon-Chain Polymers G. Scott. 4. Techniques and Methods of Polymer Degradation S. Karlsson, A.-C. Albertsson. 5. Biodegradation of Aliphatic Polyesters Suming Li, M. Vert. 6. Starch-Polymer Composites C. Bastioli. 7. Polymers from Renewable Sources E. Chiellini, et al. 8. Sustainable Poly(Hydroxyalkanoate) (PHA) Production G. Braunegg. 9. Polyhydroxyalkanoates: Properties and Modification for High Volume Application I. Chodak. 10. Biodegradable Polymers in Medicine E Piskin. 11. Environmentally Biodegradable Water-Soluble Polymers G. Swift. 12. Plastics and the Environment J. Guillet. 13. Degradable Hydrocarbon Polymers in Waste and Litter Control G. Scott, D.M. Wiles. Subject Index.