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Basic Research—Technology

Design Improvement and Failure Reduction of Endodontic


Files through Finite Element Analysis: Application to V-Taper
File Designs
Rui He, PhD,* and Jun Ni, PhD†

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

1552 He and Ni JOE — Volume 36, Number 9, September 2010


Basic Research—Technology
not allow for the study of the effects of material imperfection or and on the 20-degree helix model (61 degrees). This result indicates
manufacturing defects present in physical instruments (26). that the torsional stiffness of the file increases with increasing helix
angle. This correlation between torsional stiffness and the helix angle
Material and Methods was also reported in the finite element studies on twist drills (27, 28).
In this work numerical models were developed to study the influ- The stress profiles on the files under bending and torsion were
ence of geometric features on the mechanical behavior of endodontic also simulated. It was found that the helix angle greatly affects the
files. The numerical models discussed throughout the scope of this bending stress distribution. Although a minimal stress zone is always
work were constructed using the cross-sectional profile of a V-Taper located on the neutral plane, the location of peak stress varies with
file (Guidance Endo, Albuquerque, NM). A non-linear stress-strain the helix angle. To illustrate this point, Fig. 1c, d present the bending
curve of nitinol presented in the literature (17) was used in this study stress profiles on the cross-sectional views of a 15-degree helix model
to approximate the mechanical behavior of the base material. This mate- and a 35-degree helix model, respectively. The peak stress occurs right
rial model describes the behavior of nitinol in 3 distinct phases, on the cutting edge on the 15-degree model but shifts to the base of the
including an initial linear elastic phase, a superelastic plateau phase, flute on the 35-degree model. Regardless of helix angle, however, the
and a final strain-hardening phase. peak stress is always located in the plane of bending. These observations
While studying the effect of the helix angle (angle between the agree with the results reported in other studies (16, 17, 25). Due to the
tangent of the helical cutting edge and the longitudinal axis of the fact that the base is closer to the neutral plane than the edge is, the peak
file), a set of 8 file models was created. The helix angle was fixed on stress on the 35-degree helix is lower than that on the 15-degree helix.
each model but increased evenly from 5 to 40 degrees across models No correlation was observed between the peak bending stress and the
by increment of 5 degrees. All models have the same length of 1.8 helix angle.
mm and the same taper of zero degree. A short length was chosen to In contrast, a correlation was observed between peak stress and
lower the computational cost. All models share a common taper to avoid helix angle under torsional deformation. The peak stress on the model
possible variation in results caused by a change in taper. The diameter of was found to decrease continuously as the helix angle increases from 5
the cross section is 0.40 mm, coincident to that of an ISO size 40 tip. To degrees to 25 degrees across models when loaded with a 0.4 Nmm
verify the generality of results from fixed-helix models, a file with varying torque. The peak torsional stress is consistently located at the base of
helix angle and zero taper was also included in this study. The helix angle the flute regardless of helix angle, an observation also reported in other
on this file increases from 9 degrees at the tip to 20 degrees at the shank studies (16, 17, 25). Fig. 1e, f show the torsional stress distribution on
end, matching the measured helix profile of a V-Taper file. the 15-degree and 35-degree helix models, respectively. Because of the
While studying the effect of taper, 2 file models were created, with consistency in peak stress location across models, the peak stress value
zero taper on one model and a 0.06 taper on the other. The helix angle correlates inversely with the torsional stiffness of the file. It is note-
on both models increases from 9 degrees at the tip end to 20 degrees at worthy that after the helix angle reaches 25 degrees, further increase
the shank end. Both models have the same length of 1.8 mm. in helix angle results in only minimal change in peak torsional stress.
While evaluating the impact of flute length, 8 models were created, This is because at or above 25-degree helix angle, the stresses on the
with file length increasing evenly from 6 to 20 mm across models by model decrease to the nitinol superelasticity plateau, where a large
increments of 2 mm. All models have a size 40 tip, a 0.02 taper, and change in strain results in only minimal change in stress.
an identical helix profile that increases from the tip to the shank. The
helix angle at the tip is 10 degrees. The helix angle at the shank varies Effect of the Taper
with the model length, from 16 degrees on the 6-mm length model to 30 The taper feature obviously adds more material to the file and
degrees on the 20-mm length model. makes a stiffer file body, which affects both bending and torsional
A cantilever beam boundary condition was applied to all file behavior of the file. When subjected to a 0.7 Nmm bending moment,
models. The models were constrained on all translational and rotational the zero-taper model reported a tip deflection of 2.66 mm, compared to
degrees of freedom at the shank end and were loaded at the tip end. a 1.04-mm tip deflection on the 0.06-taper model. Similarly, when sub-
jected to a 0.7 Nmm torque, the tip angular deformation drops from
Results 352 degrees on the zero-taper model to 122 degrees on the 0.06-taper
Effect of the Helix Angle model. These observations indicate that an increase in taper results in
an increase in torsional rigidity but a decrease in bending flexibility.
A bending moment of 0.7 Nmm was applied to the tip end of the
This result is in agreement with the reported testing results of a commer-
file on 8 models of fixed helix angles. As the helix angle increases from 5
cial endodontic file (19).
degrees to 40 degrees across the models, the simulated tip deflection
The taper also has a great impact on the stress profile. The taper
increases continuously from 2.52 to 3.55 mm (Fig. 1a). Similar results
feature makes the shank stiffer than the tip and directs the higher
were observed when a transverse load of 0.4 N was applied to the tip.
stresses to the tip, a result also reported by Kim et al (24). In addition,
Interestingly, the tip deflection on the model with helix varying from
an increase in taper adds more material to the overall body, leading to
9–20 degrees (2.66 mm) falls in between those observed on the 5-
an increase in stiffness and decrease in stress. Under 0.7 Nmm
degree helix model (2.52 mm) and on the 20-degree helix model
loading, the peak stress in bending and in torsion drops by 19% and
(2.79 mm). This result suggested that the bending flexibility of the
10% respectively as the taper increases from zero to 0.06.
file increases with increasing helix angle (or decreasing pitch).
Torsional behavior was also simulated on the same set of models.
When subjected to a 0.4 Nmm torque, the angular deformation at the Effect of the Flute Length
tip end decreases continuously with increasing helix angle, from 97 An increase in the flute length adds slenderness to the file body,
degrees on the 5-degree helix model to 36 degrees on the 40-degree resulting in decreased resistance to deformation. When a 3.0 Nmm
helix model (Fig. 1b). When the same torque was applied to the model bending moment was applied to the tip of a file with a size 40 tip and
with helix varying from 9–20 degrees, its angular deformation (94 a 0.02 taper, the tip deflection increases continuously with increasing
degrees) falls in between those observed on the 5-degree helix model flute length, from 4.5 mm on the 6-mm-length model to 7.7 mm on

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.

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Basic Research—Technology
Discussion bending stiffness decreases, but the torsional stiffness increases. In
Impact of Geometric Parameters other words, the 2 seemingly competing characteristics of bending
flexibility and torsional stiffness can be simultaneously improved with
The taper feature introduces base material to the file body and
increasing helix angle. Files with large helix angle reportedly have
increases the stiffness of the file (15, 19, 20). A larger taper offers
longer flex fatigue life than files with small helix angle (18), which
stronger resistance to torsional breakage and helps maintain the
can be largely credited to the high flexibility and low bending stresses
cutting edge strength and cutting efficacy. Apparently a large taper
associated with large helix angle.
makes the rotary file a bigger cutter and helps remove more dentin
The favorable correlation between helix angle and mechanical
material from the canal wall, but it also encounters a higher torque
performances could imply new alternatives for file selection in clinical
during preparation (29, 30). On the other hand, the taper makes
practices. In situations where more flexibility is needed to negotiate
a stiffer file, leading to higher risk of root canal straightening,
severely curved canals or more stiffness is needed to address highly
abbreviation, or transportation during instrumentation (9, 15). It
calcified canals, or a combination of both cases, endodontists can
also results in higher bending stresses and lower resistance to
switch to files of larger helix angle potentially to solve the problem. If
flexural fatigue failure (30). Therefore, a large taper file is appropriate
the endodontists have access to a variety of helix angles within the
when strong stiffness or high cutting efficacy is needed, such as during
same file family, it will make this solution even more attractive. This
initial orifice enlargement (31) or while preparing the first half of the
is because endodontists thus are able to keep their choice on other
working length using a crown-down technique (4). It can also be used
features of the file, such as cross-sectional shape, tip size, taper, length,
to address calcified but relatively straight canals. In contrast, a file with
which could be driven by personal experience or clinical protocols.
small taper is suitable for severely curved or S-shaped canals where
great flexibility is needed (32, 33). The disadvantage of using a small
taper file is that it has a relatively poor capability of producing Safe Use of Endodontic Files
a taper-shaped canal (33). Empowered by the superelasticity behavior of nitinol, NiTi
The stiffness of a file decreases with increasing flute length. endodontic files can take fairly large deformation and stay in the elastic
Although a longer file has superior bending flexibility, it provides less deformation domain. However, severe loading will still deform the
resistance to twist deformation. Files of different flute length share an material plastically and expose the file to permanent damage. The
identical stress profile in their common section, suggesting an equal load at which plastic deformation develops is referred to as the elastic
propensity for file damage. In a canal treatment, the selection of flute limit of the file. If the load on the file is kept below the elastic limit of the
length is obviously dependent on the canal anatomy and the instrumen- file during instrumentation, the risk of file failure can be greatly reduced
tation protocol. The simulation results showed that severe deformation (36).
and plastic stresses are concentrated within 3 mm of the tip regardless With numerical simulations the elastic limit of a file can be readily
of flute length, suggesting that file damage is most likely to occur in the estimated. The numerical model allows for calculation of the peak stress
tip section. This observation agrees with results from other studies (6, on a file under specific loading conditions, thus a curve of peak stress
19, 34). versus load can be obtained. The load at the transition point from elastic
To date, studies on the helix angle and its influence on mechanical stresses to plastic stresses on this curve is the elastic limit of the file.
strength of endodontic files are very limited. Low et al (35) acknowl- As a simple example, the stress-load curves of a size 25, 0.04 taper,
edged that the spiral flute design adds complexity to the flexural 1.8-mm length V-taper tip section under pure bending and pure torsion
behavior and developed a curve-fitting based model to include the effect as a cantilever beam were established (Fig. 2). The peak stress reaches
of flute helix. Our work is probably one of the first studies that examined the yield point of nitinol (530 MPa) when the file is bent under a 0.6
the helix angle in relation to the structural strength of endodontic files in Nmm bending moment, or when the tip deflection reaches 0.8 mm. In
details. Our study suggested that the helix angle influences the mechan- this case, the elastic limit of the file segment was depicted by either the
ical strength of the file in a different way than other geometric param- bending moment or the tip deflection. Similarly, as the file is loaded in
eters do. As discussed earlier, an increase in bending flexibility is always torsion, the elastic limit of the file was identified as 0.5 Nmm torque or
accompanied by a decrease in torsional stiffness as the taper or the flute 80-degree twist of the tip. Following this approach, the elastic limit of
length of a file changes, or vice versa. Other studies suggested that the a full-length endodontic file under more complex loading conditions
geometric feature of cross-sectional profile influences the mechanical can be determined.
strength of the file in a similar way as the taper or length factor does The bending load applied to a file during the instrumentation is
(16, 17). Our study showed that as the helix angle increases, the largely determined by the morphology of a root canal system (canal

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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