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Introduction: The finite element method (FEM) has been proposed as a method to analyze stress distribution in nickel-titanium (NiTi) rotary instruments but has not been assessed as a method of predicting the number of cycles to failure (NCF). The objective of this study was to predict NCF and failure location of NiTi rotary instruments by FEM virtual simulation of an experimental nonstatic fatigue test., Methods: ProTaper Next (PTN) X1, X2, and X3 files (Dentsply Maillefer, Baillagues, Switzerland) (n = 20 each) were tested to failure using a customized fatigue testing device. The device and file geometries were replicated with computer-aided design software. Computer-aided design geometries (geometric model) were imported and discretized (numeric model). The typical material model of an M-Wire alloy was applied. The numeric model of the device and file geometries were exported for finite element analysis (FEA). Multiaxial random fatigue methodology was used to analyze stress history and predict instrument life. Experimental data from PTN X2 and X3 were used for virtual model tuning through a reverse engineering approach to optimize material mechanical properties. Tuned material parameters were used to predict the average NCF and failure locations of PTN X1 by FEA; t tests were used to compare FEA and experimental findings (P < .05)., Results: Experimental NCF and failure locations did not differ from those predicted with FEA (P = .098)., Conclusions: File NCF and failure location may be predicted by FEA. Virtual design, testing, and analysis of file geometries could save considerable time and resources during instrument development., (Copyright © 2015 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)

Introduction: Instrument failure caused by excessive torsional stress can be controlled by creating a manual or mechanical glide path. The ProGlider single-file system (Dentsply Maillefer, Ballaigues, Switzerland) was recently introduced to perform a mechanical glide path. This study was designed to compare the effect of a glide path performed with PathFiles (Dentsply Maillefer) and ProGlider on torque, time, and pecking motion required for ProTaper Next X1 (Dentsply Maillefer) to reach the full working length in simulated root canals., Methods: Forty Endo Training Blocks (Dentsply Maillefer) were used. Twenty were prepared with a mechanical glide path using PathFiles 1 and 2 (the PathFile group), and 20 were prepared with a mechanical glide path using a ProGlider single file (the ProGlider group). All samples were shaped with ProTaper Next X1 driven by an endodontic motor connected to a digital wattmeter. The required torque for root canal instrumentation was analyzed by evaluating the electrical power consumption of the endodontic engine. Electric power consumption (mW/h), elapsed time (seconds), and number of pecking motions required to reach the full working length with ProTaper Next X1 were calculated. Differences among groups were analyzed with the parametric Student t test for independent data (P < .05)., Results: Elapsed time and electric power consumption were significantly different between groups (P = .0001 for both). ProGlider appears to perform more efficiently than PathFiles in decreasing electric power consumption of ProTaper Next X1 to reach the full working length., Conclusions: This study confirmed the ability of ProGlider to reduce stress in ProTaper Next X1 during shaping through a glide path and preliminary middle and coronal preflaring., (Copyright © 2014 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)

Introduction: This study compared the canal curvature and axis modification after instrumentation with WaveOne Primary reciprocating files (Dentsply Maillefer, Ballaigues, Switzerland) and nickel-titanium (NiTi) rotary ProTaper (Dentsply Maillefer)., Methods: Thirty ISO 15, 0.02 taper, Endo Training Blocks (Dentsply Maillefer) were used. In all specimens, the glide path was achieved with PathFile 1, 2, and 3 (Dentsply Maillefer) at the working length (WL). Specimens were then assigned to 1 of 2 groups for shaping: specimens in group 1 were shaped with ProTaper S1-S2-F1-F2 at the WL and specimens in group 2 were shaped with WaveOne Primary reciprocating files at the WL. Pre- and postinstrumentation digital images were superimposed and processed with Matlab r2010b (The MathWorks Inc, Natick, MA) software to analyze the curvature-radius ratio (CRr) and the relative axis error (rAe), representing canal curvature modification. Data were analyzed with one-way balanced analyses of variance at 2 levels (P < .05)., Results: The instrument factor was extremely significant for both the CRr parameter (F(1) = 9.59, P = .004) and the rAe parameter (F(1) = 13.55, P = .001)., Conclusions: Canal modifications are reduced when the new WaveOne NiTi single-file system is used., (Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)

Introduction: This study evaluated the influence of glide path on canal curvature and axis modification after instrumentation with WaveOne Primary reciprocating files., Methods: Thirty ISO 15, 0.02 taper Endo Training Blocks were used. In group 1, glide path was created with PathFile 1, 2, and 3 at working length, whereas in group 2, glide path was not performed. In both groups, canals were shaped with WaveOne Primary reciprocating files at working length. Preinstrumentation and postinstrumentation digital images were superimposed and processed with Matlab r2010b software to analyze the curvature radius ratio (CRr) and the relative axis error (rAe), representing canal curvature modification. Data were analyzed with 1-way balanced analyses of variance at 2 levels (P < .05)., Results: Glide path was found to be extremely significant for both CRr parameter (F = 9.59; df = 1; P = .004) and rAe parameter (F = 13.55; df = 1; P = .001)., Conclusions: Canal modifications seem to be significantly reduced when previous glide path is performed by using the new WaveOne nickel-titanium single-file system., (Copyright © 2012 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)

Introduction: This study evaluated the working length (WL) modification after instrumentation with WaveOne Primary (Dentsply Maillefer, Ballaigues, Switzerland) reciprocating files and the incidence of overinstrumentation in relation to the initial WL., Methods: Thirty-two root canals of permanent teeth were used. The angles of curvature of the canals were calculated on digital radiographs. The initial WL with K-files was transferred to the matched WaveOne Primary reciprocating files. After glide paths were established with PathFile (Dentsply Maillefer, Ballaigues, Switzerland), canals were shaped with WaveOne Primary referring to the initial WL. The difference between the postinstrumentation canal length and the initial canal length was analyzed by using a fiberoptic inspection microscope. Data were analyzed with a balanced 2-way factorial analysis of variance (P < .05)., Results: Referring to the initial WL, 24 of 32 WaveOne Primary files projected beyond the experimental apical foramen (minimum-maximum, 0.14-0.76 mm). A significant decrease in the canal length after instrumentation (95% confidence interval ranging from -0.34 mm to -0.26 mm) was detected. The canal curvature significantly influenced the WL variation (F(1) = 30.65, P < .001). The interaction between the initial canal length and the canal curvature was statistically significant (F(2) = 4.38, P = .014)., Conclusions: Checking the WL before preparation of the apical third of the root canal is recommended when using the new WaveOne NiTi single-file system., (Copyright © 2011 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.)

The study compared changes to canal curvature and incidence of canal aberrations after preflaring with hand K-files or with nickel-titanium rotary PathFile in S-shape Endo Training Blocks. The influence of the operator's expertise was also investigated. One hundred training blocks were colored with ink, and preinstrumentation images were acquired digitally. Preflaring was performed by an endodontist with PathFile (group 1) and hand stainless steel K-files #10-15-20 (group 2); an inexpert clinician performed preflaring with PathFile (group 3) and hand stainless steel K-files (group 4). Preinstrumentation and postinstrumentation images were superimposed to evaluate the outcomes investigated. Differences in canal curvature modification and incidence of canal aberration were analyzed with the Kruskall-Wallis plus post hoc tests and by the Monte Carlo method, respectively, (P < .05). The PathFile groups demonstrated significantly less modification of curvature (P < .001) and fewer canal aberrations (P < .001). No expertise-related difference was found within instrument groups (P > .05), whereas the inexpert clinician produced more conservative shaping with Pathfiles than did the expert with manual preflaring (P < .01).

During root canal instrumentation, nickel-titanium rotary instruments are subjected to continual stresses inside the canal due to its anatomy and the hardness of the dentin they must cut. They must therefore be both stress-resistant and elastic. This study aimed to compare the mechanical behavior of two nickel-titanium rotary instruments (ProTaper and ProFile) by applying the finite element analysis method to produce a numerical evaluation. The nonlinear mechanical behavior of the alloy was taken into account during the study. The distribution of stresses due to torsional and bending moments was compared in the two experimental models. The ProFile model was found to be more elastic than the ProTaper model. Under equal loads, the ProTaper model showed lower and better distributed stresses than the ProFile model.