Need for Standardization: Influence of Artificial Canal Size on Cyclic Fatigue Tests of Endodontic Instruments

The aim was to evaluate the influence of artificial canal size on the results of cyclic fatigue tests for endodontic instruments. Dynamic cyclic fatigue at body temperature using continuous tapered nickel-titanium F6-SkyTaper instruments (Komet, Lemgo, Germany), size 25/.06 with an amplitude of 3 mm, was tested in four different simulated root canals: (A) size of the instrument +0.02 mm (within the tolerances of the instruments); (B) +0.05 mm; (C) +0.10 mm; (D) parallel tube with 1.25 mm in diameter. The artificial canals (angle of curvature 60 degrees, radius 5.0 mm, center of curvature 5.0 mm) were produced by a LASER-melting technique. Time and cycles to fracture, and lengths of the fractured instruments were recorded and statistically analyzed (Student-Newman-Keuls; Kruskal-Wallis test). Time to fracture significantly increased with increasing size of the artificial canals in the following order: A < B, C < D (p < 0.05). Length of separated instruments continuously decreased with increasing canal sizes. The parallel tube produced the significantly shortest fragments (p < 0.05). Within the limitations of this study, dynamic cyclic fatigue of endodontic instruments depends on the congruency of the instruments' dimensions with that of the artificial canals. In future cyclic fatigue testing, due to the closer match of canal and instrument parameters, it is necessary to adjust the artificial canal sizes to the size of the instruments within the manufacturing tolerances of the instruments.