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0099-2399/97/2302-0077503.

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JOURNALOF ENDODONT{CS Printed in U.S.A.
Copyright 1997 by The American Association of Endodontists VOL. 23, No. 2, FI~BRUARY1997

SCIENTIFIC ARTICLES

Cyclic Fatigue Testing of Nickel-Titanium


Endodontic Instruments
John P. Pruett, DDS, David J. Clement, DDS, and David L. Carnes, Jr., PhD

Cyclic fatigue of nickel-titanium, engine-driven in- should include dynamic operation in a flexed state.
struments was studied by determining the effect of The results also suggest that the effect of the ra-
canal curvature and operating speed on the break- dius of curvature as an independent variable
age of Lightspeed instruments. A new method of should be considered when evaluating studies of
canal curvature evaluation that addressed both an- root canal instrumentation.
gle and abruptness of curvature was introduced.
Canal curvature was simulated by constructing six
curved stainless-steel guide tubes with angles of
curvature of 30, 45, or 60 degrees, and radii of Instrument separation is a serious concern in endodontics. Because
curvature of 2 or 5 mm. Size #30 and #40 Light- stainless-steel instruments usually deform before they separate,
speed instruments were placed through the guide dentists can inspect them for visible signs of instrument deforma-
tubes and the heads secured in the collet of a tion. A deformed instrument usually shows severe bending or
Magtrol Dynamometer. A simulated operating load unwinding of the flutes, indicating that the elastic limit of the metal
of 10 g-cm was applied. Instruments were able to has been exceeded and that the instrument should be discarded.
Nickel-titanium (Ni-Ti) endodontic instruments were intro-
rotate freely in the test apparatus at speeds of 750,
duced to facilitate instrumentation of curved canals. Ni-Ti instru-
1300, or 2000 rpm until separation occurred. Cy-
ments are superelastic and will flex far more than stainless-steel
cles to failure were determined. Cycles to failure instruments before exceeding their elastic limit (1, 2). This flexi-
were not affected by rpm. Instruments did not sep- bility is an important property that allows preparation of curved
arate at the head, but rather at the point of maxi- canals while minimizing transportation (3). Despite this increased
mum flexure of the shaft, corresponding to the flexibility, separation is still a concern with Ni-Ti instruments, and
midpoint of curvature within the guide tube. The they have been reported to undergo unexpected fracture (4). Sep-
instruments with larger diameter shafts, #40, failed aration can occur without any visible signs of previous permanent
after significantly fewer cycles than did #30 instru- deformation, apparently within the elastic limit of the instrument.
Visible inspection, therefore, is not a reliable method for evalua-
ments under identical test conditions. Multivari-
tion of used Ni-Ti instruments.
able analysis of variance indicated that cycles to The American Dental Association (ADA) Specification No. 28
failure significantly decreased as the radius of cur- (5) stipulates the design requirements, testing procedures, and
vature decreased from 5 mm to 2 mm and as the physical properties for endodontic instruments. Tests detailed in
angle of curvature increased greater than 30 de- ADA Specification No. 28 are conducted in a static mode. Instru-
grees (p < 0.05, power = 0.9). Scanning electron ments are fixed at the tip and are twisted until failure to determine
microscopic evaluation revealed ductile fracture instrument resistance to fracture under torsional loading. Angular
as the fatigue failure mode. These results indicate deflection is used to detertnine stiffness when instruments are bent
that, for nickel-titanium, engine-driven rotary in- to predetermined angles of 30, 45, and 90 degrees. Tests described
in ADA Specification No. 28 are appropriate for establishing
struments, the radius of curvature, angle of curva-
minimum strength requirements of Ni-Ti hand instruments placed
ture, and instrument size are more important than under a static load (I, 2, 6, 7), but ADA Specification No. 28 is not
operating speed for predicting separation. This an appropriate test of the dynamic characteristics of engine-driven
study supports engineering concepts of cyclic fa- rotary instruments. All Ni-Ti, engine-drivenrotary systems require
tigue failure and suggests that standardized fa- that the instrument be activated at a predetermined rpm before
tigue tests of nickel-titanium rotary instruments insertion into the canal. Therefore, to test rotary instruments, the

77
78 Pruett et al. Journal of EndodonUcs

tip should not be statically locked, but allowed to rotate freely.


Because ADA Specification No. 28 does not consider canal ge-
30
ometry, it also does not consider fatigue and breakage of rotary
instruments operated in flexed conditions while preparing curved
canals. The phenomenon of repeated cyclic metal fatigue caused
by canal curvatures may be the most important factor in instrument
separation (2, 8).
Ni-Ti instruments exhibit superelastic behavior and remain
within their elastic limit in situations that would cause permanent
plastic deformation in stainless-steel instruments (1, 2). Metal
fatigue (cyclic fatigue) leading to fracture and separation can occur
below the elastic limit of the instrument (without permanent de-
formation) through known mechanisms called slip bands (9). Such
fatigue mechanisms occur microscopically and are not visible to
the eye. Cyclic fatigue is caused by repeated tensile-compressive A B
stress. Rotation subjects an endodontic instrument to both tensile FIG 1. Degree of root canal curvature. The method described by
and compressive stress in the area of the curve. Instruments placed Schneider for determining canal curvature uses only one parameter
in curved canals deform, creating stress within the instrument. Half to define the angle. Tt =, two simulated teeth demonstrate how a
of the instrument shaft on the outside of the curve is in tension, and difference in abruptne~,, of the curve (radius of curvature) will vary
that half of the instrument shaft on the inside of the curve is in the degree of curvature as measured by this method. A has an angle
compression. Each rotation within a curved canal causes an instru- of 43 degrees and B has an angle of 52 degrees, even though both
ment to undergo one complete tension-compression stress cycle. angles measured according to our method equaled 60 degrees.
This is the most destructive form of cyclic loading (9). Location of the curve along the canal will also change the measured
Although some dynamic testing has been performed on Ni-Ti angle.
and stainless-steel endodontic instruments (2, 8, 10-13), fatigue
testing remains undeveloped as an endodontic instrument testing curved portion of the canal is represented by a circle with tangents
methodology (2, 10, 11). Stress levels during cyclic loading are at points a and b. The angle of curvature is the number of degrees
generally dependent on the actual shape of the curvature and the on the arc of the circle between points a and b. Angle of curvature
applied loads. This stress is greatest in the area of curvature (14). can also be defined by the angle formed (c~1 and c~2) by perpen-
More severe bends create greater stress (14); and larger, stiffer dicular lines drawn from the points of deviation (a and b) that
instruments will experience greater stress than smaller instruments intersect at the center of the circle. The length of these lines is the
when confined to the same curved canal shape. radius of the circle and defines the radius of the canal curvature.
The purpose of this study was 2-fold; first to introduce a new The radius of curvature (r I and r 2) is the length of the radius of the
method of determining canal curvature. A new method was nec- circle measured in millimeters. The radius of curvature represents
essary because canal curvature had to be described in parameters how abruptly or severely a specific angle of curvature occurs as the
known to determine instrument stress and therefore affect instru- canal deviates from a straight line. The smaller the radius of
ment fatigue life. Second, cyclic fatigue was examined in a com- curvature, the more abrupt the canal deviation. The parameters of
mercially available Ni-Ti instrument system. The study examined angle of curvature and radius of curvature are independent of each
the effect of instrument operating rpm, shaft diameter, and canal other. Canals can have the same angle of curvature while having
curvature (including angle of curvature and radius of curvature) on different radii of curvature, resulting in more abrupt curves.
the fatigue life and resulting separation of Ni-Ti alloy endodontic Because controlled cyclic fatigue studies on Ni-Ti, engine-
instruments. driven endodontic instruments had not previously been performed,
pilot studies were required to develop a test apparatus and specify
the test parameters. The parameters of radius of curvature and
MATER~LS AND M E T H O D S angle of curvature needed to be defined narrowly enough to allow
accurate data collection. Extracted teeth with severe root curva-
This study required defining the parameters of canal curvature tures suggesting possible high-stress conditions leading to instru-
in a more exact manner than generally used in endodontic research. ment separation were radiographed. Radiographs were also made
Canal curvature is usually depicted by a single parameter, an of teeth treated clinically in which separation of Ni-Ti Lightspeed
arbitrary angle measured in degrees as described by Schneider (15) instruments had occurred. The radius of curvature of the canals in
(Fig. 1). To determine the degree of root curvature, he scribed a these teeth was determined by using a circle gauge aligned over the
line parallel to the long axis of the canal. A second line was drawn image of the canal profile. Additionally, size #30 Lightspeed
from the apical foramen to intersect with the first line at the point instruments were operated through bent needles simulating in-
wherein the canal began to leave the long axis of the canal. The creasing canal curvatures. Instruments tested in canals having a
acute angle formed (a) was defined as the degree of root curvature. 5-mm radius of curvature with an angle of curvature of 30 degrees
The shape of any root canal curvature is more accurately de- separated as a result of cyclic fatigue. Stress levels induced by
scribed using two parameters: angle of curvature (a) and radius of lesser curvatures did not result in instrument separation (occurring
curvature (r) (Fig. 2). To determine these parameters, a straight line in over 30 min at a speed of 2000 rpm) within the time frame for
is drawn along the long axis of the coronal portion of the canal. A the test apparatus or data collection. Thus, angles of curvature of
second line is drawn along the long axis of the apical portion of the 30, 45, and 60 degrees were chosen for evaluation at radii of
canal. There is a point on each of these lines at which the canal curvature of 2 and 5 mm.
deviates to begin (point a) or end (point b) the canal curvature. The To simulate instrumentation conditions during use, a clinically
Vol. 23, No. 2, February 1997 Cyclic Fatigue of Ni-Ti Rotary Instruments 79

o~=60 o~z=60
Test Support Block
r2=2rnrn
Guide Tube

Holddown
.~" ,. Clamp
Ni-Ti Lightspeed Instrument

'A B
FIG 2. Radius of curvature and angle of curvature. New method of I I
describing canal geometry using two parameters. Radius of curva-
ture (r) and angle of curvature (e) are determined on the same teeth
as in Fig. 1. These teeth accurately depict the guide tubes used in Dynamometer Collet
this study that had a 60-degree angle ((~1 = (x2).Angle of curvature
(c~) is determined by the angle formed by the lines that intersect at
the circle's center. These two lines are perpendicular to the lines
drawn along the long axes of the coronal and apical portions of the
root canal space. Points a and b are the points wherein the canal
deviates from the straight lines and either begin or end the curved
portion of the root canal space. Angle ((~) is taken to be the angle
formed by the arc in degrees between points a and b. The a r c lies
Input shaft to dynamometer, data aquisition computer
LJ
on a circle whose size is specified by it's radius, and the circle's
radius is taken to be the radius of curvature of the canal in that local FIG 3. Test apparatus. Cut-away view of a Lightspeed instrument
area. The circle's radius is the radius (rl and r2) of the curved portion inserted through the lumen of a stainless-steel guide tube clamped
of the root canal space and defines how abruptly the canal curves. in the dynamometer collet. The instrument shank butts up against
The canal geometry of these two teeth differs only in the radius of the end of the guide tube, ensuring that each instrument was placed
curvature (r~ and r2) , whereas the angle of curvature ((x1 and (x2) to the same depth within the artificial canal. The dynamometer
equals 60 degrees. A represents a sweeping canal curvature having allowed free rotation of the instrument during the cyclic fatigue test,
a 5-mm radius of curvature (rl). B represents an abrupt canal cur- yet was capable of applying torsional preload to simulate clinical
vature having a 2-mm radius of curvature (r2). Clinically, the radius of use,
curvature and angle of curvature of any root canal space could be
measured using this technique with the aid of a circle gauge.
Both radius of curvature and angle of curvature were used to
applicable head torque load was determined. Data were obtained define accurately the curvatures of artificial canals used in this
by measuring the resultant torque when highly calcified canals in study. Artificial canals were fabricated from 18-gauge, stainless-
lower central incisors were instrumented while mounted in a dy- steel needles having an internal diameter of 0.83 ram. Reference
namometer. Canal preparation with successively larger Lightspeed radii were measured to the inner aspect of the curve of the guide
instruments was performed. When small instruments did not ac- tubes. A 2-mm radius represented an abrupt curvature; and a 5 mm
tively engage and cut the dentin walls during the preparation of radius represented a sweeping curvature (Fig. 2), each with angles
lower central incisors, no perceptible torque values could be re- of curvature of 30, 45, and 60 degrees. This resulted in six artificial
peatably recorded. When active dentin cutting occurred, recorded canals. One end of the artificial canal butted against the flat shank
torque values ranged from 6 to 14 g-cm. Therefore, a preset torque of the instrument, and the center of radius in the curved segment
of 10 g-cm was applied to the test instruments during all of the test of the canal was 7 mm from the tip of the instrument (Fig. 3). The
conditions. head of the instrument protruded - 2 mm from the artificial canal.
Size #30 and #40 Lightspeed instruments (Lightspeed Technol- A test stand (Fig. 3) was constructed that aligned the inner aspect
ogies, Inc., San Antonio, TX) were evaluated. Lightspeed instru- of the artificial canals with the centerline of the dynamometer and
ments were chosen because their noncutting shafts offer the ad- held them securely in place. Instruments were inserted through the
vantages of predictable shaft diameters. This also eliminated the canals, and the heads were clamped in the collet of the Magtrol
variables of instrument taper and flute design on metal fatigue and Dynamometer (Magtrol, Inc., Buffalo, NY). Clamped instruments
breakage. Size #40 was selected because it is the minimum master could rotate freely within the tube assembly. An Aseptico electric
apical size advocated for the Lightspeed technique. Size #30 was handpiece (Aseptico model AEU-17, Aseptico, Inc., Woodinville,
selected because it is comparatively smaller in size and has a head WA) was attached to the instrument shank. The experimental
design that is nearly parallel. In addition, Lightspeed instruments operating speed of 750, 1300, or 2000 rpm was adjusted using the
were chosen because their use has been advocated over a wide dynamometer readout that provided a more accurate rpm determi-
range of operating speeds. Ten instruments of each size were tested nation than did the readout on the Aseptico control box. Rotation
in each of the six different experimental canal shapes (3 angles c~ at the desired speed was achieved by activating the Aseptico
each of 2 radii r) at three different speeds (750, 1300, and 2000 electric handpiece.
rpm). This produced 18 test groups for each instrument size. Each This study used instrumentation equipment specified in ADA
instrument was operated to failure. Specification No. 28 for torsional testing: the Magtrol Dynamom-
80 Pruett et al. Journal of Endodontics

eter. The dynamometer allows the torque applied to the instrument 800

to be preset and measured while the instrument rotates. All instru- 700
ments were operated with a head load of 10 g-cm torque. A
software program (Sunset Resources, Inc., San Antonio, TX) was 600

written for an IBM-compatible computer to permit data collection 500


while the instrument was rotating. An 18-rain time limit for data
400
collection was set as limited by the data collection program, but
instrument separation always occurred within 5 min of beginning 300

J
the test. Data collection from the dynamometer consisted of con-

l
200
tinuous torque, and rpm readouts were comprised of 10 averaged
readings/s. The time of instrument failure was determined when 100
the torque values suddenly dropped, indicating instrument separa-
0
tion. The number of cycles to failure was calculated from the rpm 750 rpm 1300 rpm 2000 rpm
data by multiplying the rpm by the time to failure. Data analyzed I I size #30 Size #40
were the number of cycles to failure for each instrument tested
FiG 4. Effect of operating rpm and shaft diameter. Cycles to failure
under the specified angle of curvature, radius of curvature, rpm, is depicted for each instrument size at operating speeds of 750,
and instrument size conditions. Data were analyzed by analysis of 1300, and 2000 rpm. The asterisk and its absence indicates statis-
variance (ANOVA), with the Neuman-Kuels procedure serving as tically similar groups, which shows clear statistical differences ac-
the post-hoc test using a 95% confidence level. cording to size. Cycles to failure was not affected by operating
Fractured instrument fragments were collected by group. Rep- speed within the size #30 and #40 instrument groups. The size #40
resentative samples of the fracture surface from the various groups, instruments had significantly fewer cycles to failure than size #30
and sizes were examined under scanning electron microscopic instruments.
magnification with a JSM-840 scanning electron microscope
(Japanese Electronic and Optical Ltd., Japan). Another group of Radius of curvature was the most consistent parameter describing
instruments was partially cycled (75 to 80% to failure) using mean root canal curvature that predicted instrument separation occurring
cycles-to-failure data from the matching experimental groups. as a result of cyclic fatigue.
These instruments were then mounted in both unflexed and flexed
positions with the area of interest visible in side view, and exam-
ined under scanning electron microscopy (SEM). For comparison, Angle of Curvature
new same-sized instruments were mounted in the same manner and
examined under SEM. Instruments operated in 45- and 60-degree angles of curvature
were not significantly different and failed at significantly fewer
cycles than instruments operated at 30 degrees (p < 0.00001).
RESULTS When the effect of angle was examined by analyzing the data from
four subgroups of 2 and 5 mm radius, for each instrument size, this
Operating rpm same trend was apparent (Fig. 6). The exception was the size #40,
2-mm radius group. Each successive increase in angle of curvature
Multivariable ANOVA indicated that operating rpm was not a (30-, 45-, and 60-degree groups) resulted in significantly decreased
significant factor affecting cycles to failure (p < 0.10 for size #30; cycles to failure.
p < 0.06 for size #40) (Fig. 4). No difference in cycles to failure
was recorded between the 750, 1300, and 2000 rpm groups within
the two instrument sizes. This was further verified by one-way Instrument Separation
ANOVA, wherein only 2 of the possible 36 groups in the size #30
and #40 instrument groups had cycles to failure that varied when Instrument separation always occurred at the point of maximum
rpm was the only independent variable evaluated. flexure within the artificial canals, the midpoint of the curved
segment of the tubes. Separation never occurred immediately be-
hind the head of the instrument (Fig. 7).
Instrument Shaft Diameter

Shaft diameter had a significant effect on cycles to failure (p < SEM Analysis
0.00001). Cycles to failure significantly decreased with an increase
in instrument size. At all radii and angles tested, the larger size #40 Partially fatigued instruments seemed normal both to the naked
instruments (0.269 mm shaft diameter) failed at significantly fewer eye (Fig. 8A) and when viewed under SEM in an unflexed state
cycles to failure than the size #30 (0.223 nun shaft diameter), (Fig. 8B). Under flexure (Fig. 8C), opening of the fractures was
regardless of rpm (Fig. 4). evident under SEM and generally seemed to be associated with
flaws on the instrument surface (Fig. 8D). These initiated fractures
were located at the point of maximum curvature within the tube
Radius of Curvature along the instrument shaft.
The fatigue failure of the instrument can be broken down into
Cycles to failure significantly decreased as the radius of curva- stages (Fig. 9). Evidence of these stages was visible upon higher
ture decreased (Fig. 5). The more abrupt 2-ram radius groups had magnification (1900) under SEM examination (Fig. 9B). Stage I,
significantly fewer cycles to failure than the 5-mm radius groups crack initiation and growth, was characterized by the smooth,
(p < 0.00001). This was consistent for both instrument sizes. almost featureless area at the periphery of the fracture face. Stage
Vol. 23, No. 2, February 1997 Cyclic Fatigue of Ni-Ti Rotary Instruments 81

A A
1000 1000
900 gO0
800 8OO
700 ~ 700
600 ~ 600
500 O 500
400 ~ 400
O 300 ~ 300
O O
200 2O0
100 100
0 0
30 degrees 45 degrees 60 degrees 5mm Radius 2ram Radius
SIZE #30 SIZE #30
30 degrees ~ 45 degrees ~ 60 degrees
5mm Radius ~ 2ram radius

B B
1000 1000

900 900

800 800

700 =. 700

600 600

500
400
O
I-

J
500
400
i
o
>. 300
300
o
200 200

100 100

0 0
5ram Radius 2ram Radius
30 degrees 45 degrees 60 degrees
SIZE #40
SIZE #40
30 degrees ~ 45 degreee ~ 60 degrees
] 5rnm Radius ~ 2ram Radius
FIG 6. Effect of angle of curvature. Angle subgroups are arranged
FIG 5. Effect of radius of curvature. The effect on cycles to failure in according to radius of curvature for size #30 (A) and #40 (B) instru-
the size #30 (A) and #40 (B) instruments is depicted in accumulative ments. Forty-five degree or 60-degree angles in both instrument
rpm groups. The more abrupt 2-ram radius curvatures demon- size groups had significantly fewer cycles to failure than the 30-
strated significantly fewer cycles to failure than the 5-ram radius degree angle groups (*). The size #40, 2-mm radius subgroup varied
curvatures (*), regardless of angle. from this pattern, with all angles having significantly different cycles
to failure (** and ***).

II, crack propagation, was typified by striations. Each striation


represents the progression of the crack caused by tension during
one rotation of the instrument. Fractures propagated from the merit size exist, which significantly reduce instrument cyclic fa-
periphery of the instrument toward the center. Stage ]II, ultimate tigue life.
ductile fracture, was seen in the center of the fracture surface (Fig. There is a clear need for the development of a test protocol for
9A). Microvoid formation and dimpling typically characterized the cyclic fatigue of Ni-Ti, engine-driven rotary instruments.
ductile fracture. Brantley et al. (10) and Luebke et al. (11), in studies on stainless-
steel rotary instruments, have also advocated the development of a
cyclic fatigue test protocol that simulates clinical conditions of
DISCUSSION instrument use. Serene et al. (2) published a short volume on Ni-Ti
instruments, including results from a preliminary study on rotation
This is the first comprehensive study of cyclic fatigue that to breakage (cyclic fatigue) of hand instruments. A significant
incorporates canal geometry as a factor in the breakage of Ni-Ti difference was found between conventional stainless-steel files and
rotary instruments. All instruments were allowed to rotate freely all Ni-Ti file groups. It was also noted that in rotation-to-breakage
under a 10 g-cm torsional load through artificial curved canals until studies of Ni-Ti files that allowed free tip rotation, the range of
separation occurred. Instruments were not statically loaded until results within each same-size group was large and unpredictable.
failure as described in ADA Specification No. 28 (5), and instru- That preliminary information on rotation-to-breakage of hand in-
ment separation did not occur because of static torsional overload- struments stated that the instruments were rotated in a 90-degree
ing. The results indicate that cyclic fatigue is an important factor metal tube until they broke. Defining the test parameters in such a
in the separation of Ni-Ti rotary instruments used clinically, and limited manner, without strictly controlling the variables of curve
that specific measurable parameters of canal geometry and instru- geometry, may explain the variability in rotation-to-breakage (cy-
82 Pruett et al. Journal of Endodontics

FIG 7. Location of separation. Randomly selected size #40 Light-


speed instruments that were cycled to failure. All instruments tested
showed the same pattern of separation, with fractures occurring
within the guide tube at the midpoint of the curved segment.

FIG 9. Stages of instrument fracture. A shows the fracture surface of


a size #30 instrument at 300 original magnification. The boxed area
is enlarged in B having a x1900 original magnification. The asterisk
indicates the area of crack initiation on the periphery. Crack prop-
agation is seen in B as striations marked by the arrows. Each
striation represents a "jump" in the fracture surface that occurred
FIG 8. Partially separated instruments. Partially separated instru- under tension in that area during rotation. Ultimate ductile fracture is
ments appear normal to the eye (A), and under SEM evaluation in an seen in the central area of A, characterized by the presence of
unflexed state at x150 original magnification (B). Arrows indicate microvoid formations and dimpling.
the location of the fracture in-the unflexed instrument, which is
closed and not apparent. Upon mounting the instrument shaft in a
flexed (stressed) position (C), incomplete fractures became appar- degrees by the Schneider method could have very different radii or
ent under SEM examination at x150 original magnification (D). abruptness of curvatures, thus having a very different impact on the
Arrows indicate the same site of examination of the instrument shaft,
difficulty of canal instrumentation and instrument fatigue.
which correlated to the midpoint of the curved segment of the guide
The more exact method of determining canal curvature and
tube.
geometry described in this study considers the radius of curvature
(r) and the angle of curvature (a) separately (Fig. 2). These are
cles to failure) results and the conclusion drawn concerning Ni-Ti terms that mathematically specify the shape factors of a curved
instruments. Parameters including radius of curvature, angle of root canal system. The radius of curvature (in millimeters) is the
curvature, instrument size, and the point of maximal instrument radius of a circle that coincides with the path taken by the canal in
flexure were all found to have a significant effect on the number of the area of the most abrupt curvature. A more abrupt curve cor-
cycles to failure and location of breakage in our study. All of these responds to a smaller radius of curvature. The angle of curvature
factors should be considered when developing a test protocol for is the degrees arc formed between the points of deviation on the
the examination of cyclic fatigue. circle, or the angle formed between the perpendicular lines drawn
Mathematics and engineering principles (14) suggest that a from the tangents intersecting at the center of the circle (Fig. 2).
system is needed that describes canal geometry in terms that The angle of curvature is independent of the radius. Thus, two
consistently describe the state of stress and cyclic fatigue on a canals with the same degree of curvature can have radically dif-
flexed instrument shaft. The independent variables that describe ferent radii. Pilot studies were required to define systematically the
canal shape are radius of curvature and angle of curvature. The range of parameters for this study on cyclic fatigue. The radii of
usual method of measuring canal curvature published by Schneider curvature and angles of curvature chosen could be considered some
(15) in 1971 provides a means of estimating canal shape using a of the more significant that are encountered in clinical practice.
single parameter: an estimated arbitrary angle (Fig. 1). This When the simulated canals in this study were measured using the
method does not consider radius of curvature as a measurable Schneider method, the 2-mm radius, 30-, 45-, and 60-degree angle
aspect of canal geometry. Using only one parameter to describe groups measured 26, 40, and 52 degrees, respectively. The 5-mm
canal shape does not differentiate the canal shape by abruptness or radius, 30-, 45-, and 60-degree angle groups measured 24, 35, and
radius of curvature. Two canals measured at the same angle in 43 degrees, respectively. Authors have cited average canal curva-
Vol. 23, No. 2, February 1997 Cyclic Fatigue of Ni-Ti Rotary Instruments 83

tures for mandibular molars measured using the Schneider method fatigue-test equipment commonly used in other metallurgic appli-
between 20 to 30 degrees, with ranges between 6 to 48 degrees cations. The slender shaft allows quite severe bends without per-
(16). Our 30-degree angle groups are well within the averages of manent deformation, thus lending itself to a wider range of cur-
canal measurement to be clinically relevant, whereas the angles vature conditions. A predictable metal shaft diameter eliminated
larger than 30 degrees would be expected to be encountered less having to account for additional variables, such as instrument
frequently. flutes and taper. These characteristics, however, do not prevent the
Of the two canal-shape parameters, angle and radius of curva- separation of Lightspeed instruments. All instruments tested in this
ture, radius of curvature was the most significant factor of canal study separated within a 5-min time limit.
shape affecting the number of cycles to failure of Ni-Ti, engine- Another advantage of using the Lightspeed instrument in this
driven rotary instruments. Consistently, a decrease in the radius of study was that operation has been advocated over a wide range of
curvature from 5 mm to 2 mm radius resulted in a significant speeds. To investigate the effect of rpm on cyclic fatigue, testing
decrease in the number of cycles to failure (Fig. 6). Explanation of was performed at 750, 1300, and 2000 rpm. The three rpm groups
the effect of radius is complex, but can be grossly simplified by were not statistically different from one another (Fig. 4). Upon
stating that stress on the instrument is inversely proportional to the rotation, rising stress levels cause movement of dislocation defects
radius of curvature. Therefore, as the radius of curvature decreases, and breaks atomic bonds within the crystalline matrix of the alloy,
instrument stress and strain increases, and the fatigue life de- leading to crack initiation and propagation. The sharpness of the
creases. To our knowledge, radius of curvature has not been crack tip causes extreme stress concentration exceeding the
previously considered as a separate independent variable in any strength of the metal at the crack tip in tension. The fracture
instrumentation study. propagates a short distance under tension, then ductile deformation
Clinically, the sweeping curvature of the 5-mm radius groups, blunts the crack tip, stopping the propagation. In the other half of
although challenging, is a much less difficult canal curvature to the cycle, under compression, the alloy buckles microscopically
manage than the abrupt curvature represented by the 2-mm radius and the crack resharpens (9). This minute propagation occurs on
groups. Abrupt curvatures predominate in the apical third of the the order of 10-6 s or approximately at the speed of sound in metal
canal or in dilacerated roots. Both conditions are associated with an (l 7), and the propagation event is completed much faster than the
increased incidence of instrument separation. Degree of root cur- instrument is rotating. Thus, cyclic fatigue and the ultimate number
vature and instrument stiffness have been implicated in canal of cycles to failure are unaffected by the rpm.
preparation errors, such as instrument breakage, ledging, block- It is important to recognize that an instrument has a mean
ages, zipping, and perforation. However, radius of curvature with number of cycles to failure that is determined by specific param-
its resultant increased stress on endodontic instruments may also be eters of canal radius, canal angle, and instrument diameter. A
a significant factor clinically contributing to instrument breakage higher rpm will consume the useful life of the instrument much
and canal transportation. These areas should be studied more faster than a lower rpm. Thus, a lower rpm would be beneficial and
thoroughly, and the clinical effect of radius of curvature on instru- provide a greater clinical life, more slowly using the finite number
ment breakage and root canal preparation shape should be more of cycles to failure available. This is especially true when a Ni-Ti
clearly defined. rotary instrument is used in severe curvature conditions suspected
The 30-degree angle groups had significantly greater cycles to to induce stress fatigue. Although a wide range of operating speeds
failure than the 45- and 60-degree angle groups, regardless of size has been advocated for Ni-Ti, engine-driven systems, those rec-
(Fig. 6). This was an unexpected result when the engineering ommendations must take into account more than just cyclic fatigue
literature was reviewed, wherein the effect of angle alone seems as a cause of instrument separation. Nonetheless, the effect of rpm
negligible or uncertain. It was suspected that the 0.83 mm diameter when studying the breakage of Ni-Ti instruments has not been
stainless-steel tubes used in this study, although allowing free previously examined and, in the present test conditions, rpm had no
rotation of the instruments, did not sufficiently constrain the in- effect on cycles to failure.
strument shafts in the 30-degree angle groups. This lack of con- The results of our investigation confirmed that instrument life
straint, although not affecting the overall angle, did slightly in- span is inversely proportional to instrument size 0 2 , 13) and that
crease the effective radius of curvature, allowing the instrument metal fatigue is deeply implicated in file breakage (2, 8). Larger
shaft to follow a larger radius path within the guide tube. Depend- diameter instruments had a lower fatigue life, resulting in signif-
ing on the angle of the tube and the instrument shaft diameter, the icantly fewer cycles to failure than smaller diameter instruments
influence of angle of curvature was generally consistent in both the (Fig. 5). The difference in average shaft diameters between these
2- and 5-ram groups. However, in the most highly stressed states two instruments is only 0.046 ram. The larger diameter instrument
studied (size #40 instruments in the 2-ram radius), increasing angle was under more stress within the confines of a defined curvature.
resulted in a significant decrease in cycles to failure between all Therefore, considering cyclic fatigue as a contributor to instrument
three angle groups. Future studies should address this potential failure, larger instruments should not be considered safer or stron-
variable, more precisely controlling instrument constraint through- ger in clinical practice. In fact, rotary Ni-Ti instruments with larger
out the defined curvature. diameters would be expected to separate at fewer cycles than
The Lightspeed instrument is one of several Ni-Ti systems smaller diameter instruments.
available to the practitioner. These instruments have a small cut- The results of our study should not be interpreted as a fixed
ting head, with a noncutting pilot tip. The shaft of the instrument mean number of cycles to failure for either size #30 or #40
is smooth, noncutting, and has a diameter that is smaller than the Lightspeed instrument during clinical use. Two important points of
head. These features make Lightspeed instruments good experi- explanation are required. First, the point of maximal flexure in the
mental instruments in several respects. In particular, the design of curvature and, therefore, the stress on the instrument during this
the apparatus used for cyclic fatigue testing could be simplified, study was in a constant fixed location until separation occurred.
allowing the apparatus to create test stresses similar to typical Clinically, axial motion (in and out movements) during instrumen-
84 Pruett et al. Journal of Endodontics

tation with Ni-Ti, engine-driven rotary instruments would be ex- Ni-Ti Lightspeed instruments always occurred --2 mm behind the
pected, as concluded by Dederich et at. (12) examining stainless- instrument head (7). That failure mode is limited to static testing.
steel instruments, to significantly extend instrument life. Ni-Ti If instrument separation occurs behind the head of the instrument
instrument manufacturers suggest that these instruments be used clinically, two explanations are possible. First, separation occurred
with continuous axial motion in the canal. Lingering at a single as the result of locking or torsional overloading of the instrument
depth in the canal would closely duplicate the test conditions of head during rotation. Second, stress in a curved canal can cause
this study, significantly reducing the fatigue life of an instrument fatigue failure directly behind the head. The head is inflexible and
at a specific point along the instrument shaft. This mode of oper- must pass through any curvature that the shaft experiences. Ex-
ation is discouraged and should be avoided. cessive apically directed force on the instrument wilt cause the
Second, engineering applications of Ni-Ti alloys have been shaft to flex just behind the head. Both circumstances lead to stress
extensively investigated (18-20), and the fatigue behavior of Ni-Ti concentration causing fatigue damage, accelerating separation
alloys has been shown to be related to the static yield stress of the caused by binding and fatigue. Separation of unbound instruments
alloy. At low static stress, the alloy exhibits linear strain. Once the in the area of the most severe canal curvature should always be
stress rises above the yield stress, small increases in the stress will considered a result of cyclic fatigue with any instrument system.
give rise to large increases in strain that, unlike most metals, are Further study is required to improve the understanding of cri-
reversible. This is the so-called superelastic characteristic. Ni-Ti teria that may be used to predict Ni-Ti instrument fatigue leading
fatigue tests conducted below the yield stress give results similar to to separation. The fatigue of an instrument can be broken down
ferrous alloys, such as stainless steel. Fatigue tests conducted into stages as evident on SEM examination (Fig. 9). Stage I, crack
above the yield stress in the superelastic range gives rise to distinct initiation, is characterized by the smooth, almost featureless area at
low-cycle fatigue behavior (18), which results in very rapid reduc- the surface periphery. This area of fracture initiation maybe re-
tions in fatigue life with increasing stress. This low-cycle fatigue versible through proper heat treatment (9). Sterilization has been
has been shown to be more closely related to the amount of strain suggested to enhance the fatigue life of Ni-Ti files and reverse the
or flexure of the specimen than to the stress level and is largely a stress-induced martensite transformation to the parent austenite
crack propagation process. This study was conducted in the range phase (2). Furthermore, sterilization may reverse the crack initia-
tion stage of fracture in Ni-Ti alloys, but this is an area for future
of superelastic rather than elastic state of deformation of the Ni-Ti
investigation. Torsional loading during rotational use is another
instruments. Clinically, the fatigue life of an instrument can be
variable to consider that may dramatically influence the cyclic
related to the degree that it is flexed when placed in a curved canal,
fatigue life of instruments. Engaged instruments that are actively
with greater flexures having a shorter expected life. The pilot
cutting dentin would be expected to have different fatigue charac-
studies used to determine the test parameters suggested that the
teristics. The cyclic fatigue phenomenon may be further com-
state of superelastic deformation, when stresses rose above the
pounded by the addition of flutes to the shaft and by instrument
yield stress, occurred between angles of 25 to 30 degrees when a
taper. Flutes could act as stress concentrators on the instrument
size #30 instrument passed through a 5-ram radius curvature. At 30
shaft, potentially resulting in more rapid crack initiation. Instru-
degrees, low-cycle fatigue behavior resulted. At 25 degrees and
ment taper enlarges the diameter of the instrument in the area of a
below, the fatigue life was indefinitely long, suggesting elastic
coronal curvature, compared with the apical area, thus resulting in
deformation of the alloy. Being tested in the superelastic state also
higher stress caused by a larger cross-sectional diameter. The
helps explain the significant differences in the test groups when
effect of instrument flutes and cross-sectional diameters is an area
stresses were increased by decreasing the radius of curvature or
of concern, particularly with the introduction of nonstandardized
increasing the angle of curvature; both resulted in increased strain. tapered Ni-Ti instruments. These areas should be addressed in the
Most clinical applications of Ni-Ti instruments will at least peri- design of Ni-Ti, engine-driven rotary instruments and warrant
odically involve the superelastic flexure of these instruments, thus further study.
the need to understand this behavior. It is difficult to estimate the Specific recommendations for preventing breakage of Light-
stress level in an instrument during use, but the degree to which it speed instruments cannot be drawn from this study. However,
is strained or flexed can be monitored through knowledge of the because partially fatigued instruments did not demonstrate visible
canal curvature determine~t radiographically. Flexed conditions deformation, yet did exhibit crack formation, a general conclusion
resulting in characteristics of relatively low stain and elastic de- can be made. To prevent the breakage of Ni-Ti, engine-driven
formation would be expected to exhibit increased number of cycles instruments secondary to cyclic fatigue, it seems that the best
to failure several orders of magnitude higher than those determined recommendation is to discard them after a specified use period as
in this study (18). recommended for stainless-steel instruments. That use period
All instruments tested separated at the point of maximum flex- would be expected to vary widely depending on instrument design,
ure within the curved segment of the tube, wherein the stress on the size, and stresses placed on it because of the manner of use, and the
instrument was greatest (Fig. 8). The fractured surfaces seemed canal curvature prepared. In some severe angles having a small
similar to those previously observed for fatigue testing (1 i). Un- radius of curvature and a large angle of curvature, discarding an
flexed, partially fractured Ni-Ti instruments seemed normal with- instrument after a single use may be the safest advice.
out permanent plastic deformation. Under flexure, opening of the Canal curvature and angle have been implicated in instrument
fractures was evident and generally seemed to be associated with separation. Cyclic metal fatigue has been further implicated, as an
flaws on the instrument surface directly in the area of maximum important factor in instrument breakage. This study clearly showed
flexure. No instrument specimen separated at or just behind the that, in cyclic fatigue testing, cycles to failure is inversely propor-
head of the instrument in a successful test to its cyclic fatigue limit. tional to instrument stress. Smaller radius of curvature and in-
This contradicts reports suggesting that the Canal Master instru- creased instrument diameter resulted in fewer cycles to failure
ment design is prone to separation just behind the head or in the caused by higher instrument stress. Cycles to failure was not
apical third. Static torsional studies have shown that separation of affected by operating rpm, and the effect of angle alone on cycles
Vol. 23, No. 2, February 1997 Cyclic Fatigue of Ni-Ti Rotary Instruments 85

to failure was unclear. New Ni-Ti instrument systems are currently References
being recommended for use in a continuously rotary manner, and
1. Walia H, Brantley WA, Gerstein H. An initial investigation of the bending
a growing number of incidents of instrument separation are being and torsional properties of nitinol root canal files. J Endodon 1988;14:346-51.
informally discussed. Given the increased number of Ni-Ti end- 2. Serene TP, Adams JD, Saxena A. Nickel-titanium instruments: appli-
cations in endodontics, St. Louis: Ishiyaku EuroAmerica, Inc., 1994.
odontic instrument systems on the market, these problems are
3. GIosson CR, Hailer RH, Dove SB, del Rio CE. A comparison of root
likely to become more common. To date, there is no test protocol canal preparations using Ni-Ti hand, Ni-Ti engine driven, and K-Flex end-
that sets minimum standards for cyclic fatigue of these instru- odontic instruments. J Endodon 1995;21:146-51.
4. Cohen S, Burns RC. Pathways of the pulp. 6th ed. St. Louis: Mosby-
ments, nor are the operating parameters of importance yet fully
Year Book, Inc., 1994:206.
understood. This study concludes with a call for a comprehensive 5. Council on Dental Materials and Devices. New ADA Specification No.
cyclic fatigue test specification for all rotary endodontic instru- 28 for endodontic files and reamers. J Am Dent Assoc 1976;93:813-8.
6. Camps J, Pertot WJ. Torsional and stiffness properties of Canal Master
ments, including Ni-Ti instruments designed to be engine-driven
U stainless steel and nitinol instruments. J Endodon 1994;20:395-8.
and fully prepare curved canals. Furthermore, the parameters of 7. Marsicovetere ES, Burgess JO, Clement DJ, del Rio CE. Torsional
angle of curvature and radius of curvature, and instrument cross- testing of the lightspeed NiTi instrument system. J Endodon (in press).
sectional core diameter must be included in any such specification. 8. Sotokawa T. An analysis of clinical breakage of root canal instruments.
J Endodon 1988;14:75-82.
Without investigation of these parameters, recommendations for 9. Dieter GE. Mechanical metallurgy. 3rd ed. New York: McGraw-Hill,
the safe use of Ni-Ti, engine-driven rotary instruments will remain 1986:119, 138, 185-8, 382-7, 394.
speculative. The results also suggest that the effect of the radius of 10. Brantley WA, Luebke H, Luebke FL, Mitchell JC. Performance of
engine-driven rotary endodontic instruments with a superimposed bending
curvature as an independent variable should be considered in deflection. V. Gates-Glidden and peeso drills. J Endodon 1994;20:241-5.
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dimensions, torsional performance, bending properties, and metallurgical
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Endodon 1995;21:259-63.
This study was supported in part by an Endodontic Student Award from 12. Dederich DN, Zakariasen KL. The effects of cyclical axial motion on
the Research and Education Foundation of the American Association of rotary endodontic instrument fatigue. Oral Surg 1986;61:192- 6.
Endodontists. 13. Haikel Y, Gasser P, Allemann C. Dynamic fracture of hybrid endodon-
tic hand instruments compared with traditional files. J Endodon 1991 ;17:217-20.
The opinions, assertions, materials, and methodologies herein are private
14. Crandall SH, Dahl NC, Lardner TJ. An introduction to the mechanics of
ones of the authors and are not to be construed as official or reflecting the
solids. 2rid ed. New York: McGraw-Hill, 1972:416-77.
views of the American Association of Endodontists or the Foundation.
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We gratefully acknowledge David S. Pittman of Sunset Resources, Inc. curved canals. Oral Surg 1971;32:271-5.
(San Antonio, TX) for modifying and writing the data collection program for the 16. Cunningham CJ, Senia ES. A three-dimensional study of canal curvatures
Magtrol Dynamometer. We express our gratitude to Drs. James A. Gilles, in the mesial roots of mandibular molars. J Endodon 1992;18:294-300.
William A. Walker Ill, and Carlos E. del Rio for their advice during article 17. Kanninen MF, Popelar CH. Advanced fracture mechanics. New York:
preparation. Oxford University Press, 1985:22, 1980.
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Drs. Pruett, Clement, and Carnes are affiliated with the Department of Met 1979;27:137-44.
Endodontics/Dental School, University of Texas Health Science Center at San 19. Miyazaki S, Sugaya Y, Otsuka K. Effects of various factors on fatigue
Antonio, San Antonio, TX. Address requests for reprints to Dr. David L. life of Ti-Ni alloys. MRS Int Mtg Aclv Mater 1989;9:251-6.
Carnes, Jr., Department of Endodontics/Dental School, University of Texas 20. Tobushi H, Iwanaga H, Tanaka K, Hod T, Sawada T. Stress-strain-
Health Science Center at San Antonio, 7703 Floyd Curl Drive, San Antonio, i X temperature relationships of TiNi shape memory alloy suitable for thermome-
78284-7898. chanical cycling. JSME Int J Series I 1992;35:271-7.

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Of course, there was another clue. The ficticious name signed to all those published letters over all those
years was--you'll love this--T. H. Fiddleman.

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