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He 2010
He 2010
Abstract
Introduction: Torsional stiffness and bending flexibility
are essential characteristics as far as the performance
and safety of the endodontic files are concerned. Inade-
I n recent decades nickel-titanium (NiTi) rotary files have gained increasing popularity
over stainless steel files in root canal preparation. Mainly due to the superelastic
behavior of its base material of nitinol, NiTi files are more flexible than stainless steel
quacy in addressing these requirements in file design files (1, 2) and better preserve the canal anatomy with less canal aberrations such as
leads to increased risk of file failure. The stiffness and zips, ledges, apical foramen transportation, or perforations (3–5). Despite these
flexibility of the endodontic file are greatly dependent advantages, however, fracture of NiTi files remains a concern in clinical practices
on its geometric design. The aim of this study was to (6, 7). A recent questionnaire survey revealed that a significant population of
evaluate the influence of geometric features on the general dental practitioners and endodontists have encountered endodontic file
mechanical performance of endodontic files through fractures (8).
numerical simulations. Methods: Finite element models An endodontic file faces 2 obvious challenges in canal instrumentation. It first
of V-Taper file were developed, and the mechanical needs to be strong to facilitate effective cutting of the dentin material for canal shaping
behavior of the file under bending and torsional loads purposes. Adequate torsional strength is necessary to maintain the cutter geometry and
was simulated. The influence of helix angle, taper, and edge strength of the file, preventing torsional damage. A file also needs to be flexible in
flute length was evaluated through parametric studies. bending to follow the canal anatomy during instrumentation with good centering ability
Results: In the helix angle range between 5 and 40 (9), and to minimize the aberrations to the canal. In addition, adequate flexibility helps
degrees, the bending flexibility and torsional stiffness lower the bending stresses and reduce the risk of flexural fatigue failure (10).
both improve with increasing helix angle. The torsional Both torsional stiffness and bending flexibility are essential characteristics for file
stiffness increases with increasing taper or decreasing performance and safety concerns. Inadequacy in addressing these performance
flute length, accompanied by a decrease in bending flex- requirements in file design leads to increased risk of file failure. Studies suggested
ibility. Changing the flute length alone does not result in that flexural failure and torsional failure are the 2 major failure modes for rotary
a change in the stress profile in the tip section. The NiTi files (6, 7, 11–13). Numerous studies also showed that the stiffness and
elastic limit of V-Taper file tip section was estimated flexibility of endodontic files are greatly dependent on their geometric design,
in the form of transverse deflection and angular defor- including taper, helix angle, cross-section shape, tip size, and length, etc. (14–20).
mation in bending and in torsion, respectively. Conclu- The mechanical performance of endodontic files can be evaluated through lab
sions: The influence of helix angle, taper, and flute length testing or numerical simulation. Numerical simulation is a low cost alternative to lab
on the bending flexibility and torsional stiffness of V-Taper testing. The numerical simulation method is often more convenient than lab testing
files was quantitatively assessed through parametric when it comes to studying ‘‘what-if’’ scenarios. Numerical modeling has been increas-
studies with finite element method. The elastic limit of ingly used to study the mechanical behavior of the endodontic file in the past decade.
the V-Taper file tip section was estimated. A design meth- With a boundary integral method, Turpin et al (16) calculated the stresses on files in
odology for achieving improved mechanical performances bending and in torsion and found that the cross-section shape has a marked influence
was proposed. (J Endod 2010;36:1552–1557) on the stress profile. With a finite element model, Berutti et al (17) evaluated the
bending and torsional behavior of NiTi files and found that a file with concave cross
Key Words section is more flexible in bending but less stiff in torsion compared to one with a convex
Bending flexibility, elastic limit, endodontic file design, cross section. Xu et al (14) studied the influence of cross-sectional profile on torsional
failure reduction, finite element method, helix angle, and flexural behavior of NiTi files and found that the peak torsional stress decreases
taper, torsional stiffness with increasing inner core diameter. Kim et al (21) created full-length models of 3
commercial NiTi files and calculated stress distribution and force responses in simu-
lated canal shaping and residual stresses after unloading. Necchi et al (22) simulated
the insertion and withdrawal of a commercial file against a rigid root canal and obtained
From *Research and Development, Boston Scientific Corpo- a strain map of the file. They also investigated the influence of file material and root canal
ration, St Paul, Minnesota; and †Department of Mechanical
Engineering, University of Michigan, Ann Arbor, Michigan.
geometry on the strain profile. Their work was extended in another study (23) to
Address requests for reprints to Dr Rui He, Boston Scientific include the effect of several NiTi material variants on the strain profile. Kim et al
Corporation, Research and Development, 4100 Hamline Ave N, (24) and Kim et al (25) studied the effect of cross-section shape on the stress profile
St Paul, MN 55112-5798. E-mail address: ruihe@umich.edu. during simulated bending, torsion, and canal shaping by using full-length numerical
0099-2399/$0 - see front matter model of commercial files.
Copyright ª 2010 American Association of Endodontists.
All rights reserved. It should be pointed out that numerical simulation has its own limitations. For
doi:10.1016/j.joen.2010.06.002 example, a model that contains only the gross geometry of an endodontic file might
JOE — Volume 36, Number 9, September 2010 Design Improvement and Failure Reduction of Endodontic Files through Finite Element Analysis 1553
Basic Research—Technology
Figure 1. Simulated mechanical behavior of V-Taper endodontic files in bending and torsion. (This figure is available in color online at www.aae.org/joe/.)
the 20-mm-length model. This indicates that a file of longer flute length section as a result of the identical boundary condition on them
has better bending flexibility. (Fig. 1h). Fig. 1h also shows that the stress reaches its peak at a very
The transverse deflection of the cutting edge along the file length short distance from the tip, where the helical cutting edge crosses the
was plotted in Fig. 1g for 3 models of different length. This plot shows bending plane. The stress drops rapidly to the superelasticity stress
that the deflection peaks at the tip and drops quickly within a few milli- plateau of nitinol within less than 3 mm from the tip.
meters of the tip, regardless of the file length. This quick drop of deflec- The angular deformation and torsional stresses were also exam-
tion is mainly due to the effect of the taper. Moving toward the fixed ined for models of different length. Similar results were obtained as
shank end, the deflection approaches asymptotically to zero. Interest- in the case of bending. Angular deformation increases with increasing
ingly, despite the marked difference in their deflection profiles, models flute length, indicating that the torsional stiffness of a file decreases with
of different length have an identical stress profile in their common increasing flute length.
Figure 2. Estimated elastic limit of V-Taper file tip section. (This figure is available in color online at www.aae.org/joe/.)
JOE — Volume 36, Number 9, September 2010 Design Improvement and Failure Reduction of Endodontic Files through Finite Element Analysis 1555
Basic Research—Technology
design is obtained, it is evaluated against the design requirements on
torsional stiffness and bending flexibility. The design for mechanical
performances is completed if the requirements on file stiffness and flex-
ibility are met.
The core of this design process is to use finite element models to
assist evaluating a design against the performance requirements and
making design changes accordingly. Performance requirements define
the upper limit of load or deformation that is safe to a file, which is
essentially the elastic limit of the file. Whether a design survives a specific
elastic limit can be readily evaluated with finite element analysis. If detri-
mental stresses are reported from the simulation, the design iteration
starts where 1 or more geometric parameters will be optimized. The
work of design optimization could benefit from the knowledge of
mechanical behavior in its relation to the design parameters.
Conclusions
In this study, the impact of helix angle, taper, and flute length on
Figure 3. Finite element analysis–assisted endodontic file design for mechan- mechanical performances of V-Taper endodontic file designs was quan-
ical performance. (This figure is available in color online at www.aae.org/joe/.) titatively assessed through parametric studies with numerical simula-
tions. Improvements on torsional stiffness and bending flexibility
were attained through modification of geometric parameters will be
angle, curvature, length, etc), which can be clinically determined, such optimized. The elastic limit of the V-Taper file tip section was also esti-
as through a preoperative radiographic study (37). The torsional load mated in both bending and torsion. A design methodology for achieving
during instrumentation, which is dependent on the canal anatomy and improved mechanical performances was proposed.
the cutter geometry of the rotary file, can be mathematically computed
with analytical models such as the one proposed by He (38). The clin-
ical load that a file receives during instrumentation is then fully deter- Acknowledgments
mined. If the clinical load exceeds the elastic limit of the file, the file is at The authors deny any conflicts of interest.
risk of being damaged. Once such risk is identified, the same process
can be followed to select a file with an elastic limit greater than the clin-
ical load. The risk of file damage in a canal treatment is then minimized.
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JOE — Volume 36, Number 9, September 2010 Design Improvement and Failure Reduction of Endodontic Files through Finite Element Analysis 1557