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Heat Generation Changes with Electrically Heated Pluggers after Multiple Autoclave Cycles at Different Operating
Mauro Correa1, Joseph M Dutner1, Matthew B Phillips1
1Department of Endodontics, US Army Dental Health Activity, Fort Gordon, Georgia; Uniformed Services University of the Health Sciences Postgraduate Dental College, Bethesda, Maryland.
Repeated sterilization and high temperatures reduce heat output from electrically heated pluggers, potentially impacting their effectiveness in dental procedures. This affects warm obturation techniques.
Area of Science:
- Endodontics
- Dental Materials Science
Background:
- Electrically heated pluggers are essential for warm obturation techniques in endodontics.
- Sterilization protocols and operating temperatures can influence instrument performance.
Purpose of the Study:
- To investigate the impact of repeated sterilization cycles and varying operating temperatures on the heat generation of electrically heated pluggers.
- To assess the influence of plugger taper size on heat transfer after sterilization.
Main Methods:
- Fifty pluggers underwent 150 sterilization cycles at 132°C for 25 minutes.
- Pluggers were tested at operating temperatures of 200°C (Autoclave200) and 400°C (Autoclave400).
- Heat generation was measured using T-type thermocouples at multiple intervals; statistical analysis included unpaired t tests.
Main Results:
- After 50 cycles, 0.04 taper pluggers in Autoclave200 failed to reach 60°C.
- Increased time to reach 60°C and decreased maximum temperature change were observed with more cycles and higher temperatures.
- Significant reductions in heat transfer occurred, particularly in the Autoclave400 group.
Conclusions:
- Multiple autoclave cycles and high operating temperatures diminish the heat transfer efficiency of electrically heated pluggers.
- Reduced heat output may compromise the effectiveness of warm obturation techniques.
- Instrument longevity and performance under clinical sterilization conditions require further consideration.
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