Purpose: To evaluate the influence of repetitive autoclaving on diamond burs fabricated via different methods.

Materials and methods: A total of 96 diamond burs were divided into 12 groups according to fabrication method (single-element electroplating, multi-element electroplating, or brazing) and number of times autoclaved (0, 5, 10, or 15). The surface characteristics and components of the diamond burs were examined using scanning electron microscopy (SEM) and x-ray photoelectron spectroscopy (XPS). The cutting efficiency of the diamond burs was tested with a constant-pressure cutting appliance.

Results: Compared to the nonautoclaved group, the cutting efficiency of the multi-element and single-element electroplated diamond burs decreased significantly after autoclaving 5, 10, and 15 times (P < .05). The cutting efficiency of the brazed diamond burs started to decrease significantly after 10 cycles (P < .05). Cracks appeared on the surfaces of multi-element electroplated diamond burs after 10 and 15 cycles, but were absent in the single-element electroplated and brazed diamond burs. A reduction of nickel was detected in the multi-element electroplated and brazed diamond burs, but not in the single-element electroplated diamond burs.

Conclusion: Repetitive autoclaving could reduce the cutting efficiency of diamond burs. The extent of the reduction was related to fabrication method and number of autoclaving times, suggesting that used diamond burs should be separately autoclaved to avoid shortening the life spans of unused ones.