Cyclic Fatigue and Fracture Characteristics of Ground and Twisted Nickel-Titanium Rotary Files

Introduction: The purposes of this study were to compare the fatigue resistance of traditional, ground nickel-titanium rotary instruments with the Twisted File and to examine the fracture characteristics of the fatigued fragment. Methods: Size #25, 0.06 tapered, TF (SybronEndo), RaCe (FKG Dentaire), Helix (Dia Dent), and Pro Taper F1 (Dentsply Maillefer) were examined with scanning electron microscope for surface characteristics before subjected to a cyclic (rotational bending) fatigue test. The time until fracture was recorded to calculate the number of revolutions for each instrument. The data were compared for differences by using analysis of variance and post hoc Scheffe test. The fragments were examined with scanning electron microscope both in lateral view and fractographically. Results: TF showed a significantly higher resistance to cyclic fatigue than other nickel-titanium files that were manufactured with a grinding process (P < .05). The path of crack propagation appeared to be different for electropolished (IF and RaCe) versus non-electropolished (Helix and Pro Taper) instruments. Conclusions: Although all specimens showed similar fractographic appearance, which indicated a similar fracture mechanism, instruments with abundant machining grooves seemed to have a higher risk of fatigue. (J Endod 2010;36:147-152)