Load capacity and fracture modes of instrumented tooth roots under axial compression

To investigate the influences of root canal instrumentation on the load capacity and fracture modes of tooth roots under axial compression by performing mechanical tests and finite element analysis (FEA). Thirty bovine incisor roots were trimmed into cylinders of 5.0 mm diameter. They were randomly...

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Veröffentlicht in:Dental materials 2023-10, Vol.39 (10), p.938-945
Hauptverfasser: Lin, Fei, Feng, Xiqiao, Ordinola-Zapata, Ronald, VanHeel, Bonita, Fok, Alex S.L.
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container_start_page 938
container_title Dental materials
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creator Lin, Fei
Feng, Xiqiao
Ordinola-Zapata, Ronald
VanHeel, Bonita
Fok, Alex S.L.
description To investigate the influences of root canal instrumentation on the load capacity and fracture modes of tooth roots under axial compression by performing mechanical tests and finite element analysis (FEA). Thirty bovine incisor roots were trimmed into cylinders of 5.0 mm diameter. They were randomly divided into two groups, one with root canals instrumented to ∼2.0 mm in diameter, and one without instrumentation. The specimens were fractured under uniaxial compression at a crosshead speed of 0.2 mm/min, and then micro-CT was used to reveal the fracture patterns in three dimensions. FEA was further performed, using the extended finite element method (XFEM), to compare the compression-induced stress distributions and the initiation and propagation of root fractures in both groups. The mean fracture load of the non-instrumented group (2334 ± 436 N) was statistically significantly higher than that of the instrumented group (1857 ± 377 N) (p 
doi_str_mv 10.1016/j.dental.2023.08.177
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Thirty bovine incisor roots were trimmed into cylinders of 5.0 mm diameter. They were randomly divided into two groups, one with root canals instrumented to ∼2.0 mm in diameter, and one without instrumentation. The specimens were fractured under uniaxial compression at a crosshead speed of 0.2 mm/min, and then micro-CT was used to reveal the fracture patterns in three dimensions. FEA was further performed, using the extended finite element method (XFEM), to compare the compression-induced stress distributions and the initiation and propagation of root fractures in both groups. The mean fracture load of the non-instrumented group (2334 ± 436 N) was statistically significantly higher than that of the instrumented group (1857 ± 377 N) (p &lt; 0.01). Three types of root fractures were identified according to the path and length of the cracks: end-face crack, partial-length crack, and full-length crack. As to the fracture modes, the incidence of partial-length root fracture was the highest in both groups (60% for the non-instrumented group and 53.3% for the instrumented group), followed by that of full-length fracture (26.7% and 40%, respectively) and then end-face fracture (13.3% and 6.7%, respectively). The percentage of full-length fracture was slightly higher in the instrumented group. FEA showed that the compression induced higher Tresca stresses but lower maximum principal stresses in the canal walls of the instrumented group. The XFEM simulations predicted that the fracture of both groups initiated from the outer root surface near an end face and propagated axially to the middle third of the root and radially towards the root canal. These numerical results agreed well with our experimental findings. Within the limitation of this study, it was found that root canal instrumentation could significantly decrease the load capacity of tooth roots and potentially increase their susceptibility to full-length root fracture under uniaxial compression. •Root canal instrumentation significantly decreased the load capacity of tooth roots under uniaxial compression.•Tooth roots failed predominantly with shear cracks under uniaxial compression.•Root canal instrumentation can increase the susceptibility to full-length root fracture under uniaxial compression.•The initiation and propagation of root fractures could be predicted using the extended finite element method.</description><identifier>ISSN: 0109-5641</identifier><identifier>EISSN: 1879-0097</identifier><identifier>DOI: 10.1016/j.dental.2023.08.177</identifier><language>eng</language><publisher>Elsevier Inc</publisher><subject>Finite element analysis ; Load capacity ; Root canal instrumentation ; Tooth root fracture</subject><ispartof>Dental materials, 2023-10, Vol.39 (10), p.938-945</ispartof><rights>2023 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c288t-f198f61d1516fb9afca42f762915b262643d2d0a16c2934bd195dba690e161583</cites><orcidid>0000-0002-4501-0128</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0109564123003706$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids></links><search><creatorcontrib>Lin, Fei</creatorcontrib><creatorcontrib>Feng, Xiqiao</creatorcontrib><creatorcontrib>Ordinola-Zapata, Ronald</creatorcontrib><creatorcontrib>VanHeel, Bonita</creatorcontrib><creatorcontrib>Fok, Alex S.L.</creatorcontrib><title>Load capacity and fracture modes of instrumented tooth roots under axial compression</title><title>Dental materials</title><description>To investigate the influences of root canal instrumentation on the load capacity and fracture modes of tooth roots under axial compression by performing mechanical tests and finite element analysis (FEA). Thirty bovine incisor roots were trimmed into cylinders of 5.0 mm diameter. They were randomly divided into two groups, one with root canals instrumented to ∼2.0 mm in diameter, and one without instrumentation. The specimens were fractured under uniaxial compression at a crosshead speed of 0.2 mm/min, and then micro-CT was used to reveal the fracture patterns in three dimensions. FEA was further performed, using the extended finite element method (XFEM), to compare the compression-induced stress distributions and the initiation and propagation of root fractures in both groups. The mean fracture load of the non-instrumented group (2334 ± 436 N) was statistically significantly higher than that of the instrumented group (1857 ± 377 N) (p &lt; 0.01). Three types of root fractures were identified according to the path and length of the cracks: end-face crack, partial-length crack, and full-length crack. As to the fracture modes, the incidence of partial-length root fracture was the highest in both groups (60% for the non-instrumented group and 53.3% for the instrumented group), followed by that of full-length fracture (26.7% and 40%, respectively) and then end-face fracture (13.3% and 6.7%, respectively). The percentage of full-length fracture was slightly higher in the instrumented group. FEA showed that the compression induced higher Tresca stresses but lower maximum principal stresses in the canal walls of the instrumented group. The XFEM simulations predicted that the fracture of both groups initiated from the outer root surface near an end face and propagated axially to the middle third of the root and radially towards the root canal. These numerical results agreed well with our experimental findings. Within the limitation of this study, it was found that root canal instrumentation could significantly decrease the load capacity of tooth roots and potentially increase their susceptibility to full-length root fracture under uniaxial compression. •Root canal instrumentation significantly decreased the load capacity of tooth roots under uniaxial compression.•Tooth roots failed predominantly with shear cracks under uniaxial compression.•Root canal instrumentation can increase the susceptibility to full-length root fracture under uniaxial compression.•The initiation and propagation of root fractures could be predicted using the extended finite element method.</description><subject>Finite element analysis</subject><subject>Load capacity</subject><subject>Root canal instrumentation</subject><subject>Tooth root fracture</subject><issn>0109-5641</issn><issn>1879-0097</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kD9PwzAQxS0EEqXwDRg8siT4nMSJFyRU8U-qxFJmy7XPwlUSF9tB9NuTqswsd8t77-79CLkFVgIDcb8rLY5Z9yVnvCpZV0LbnpEFdK0sGJPtOVkwYLJoRA2X5CqlHWOs5hIWZLMO2lKj99r4fKB6tNRFbfIUkQ7BYqLBUT-mHKdhvoGW5hDyJ43zTHQaLUaqf7zuqQnDPmJKPozX5MLpPuHN316Sj-enzeq1WL-_vK0e14XhXZcLB7JzAiw0INxWamd0zV0r5seaLRdc1JXllmkQhsuq3lqQjd1qIRmCgKarluTulLuP4WvClNXgk8G-1yOGKSneNVKwRlbVLK1PUhNDShGd2kc_6HhQwNQRotqpE0R1hKhYp2aIs-3hZMO5xrfHqJLxOBq0PqLJygb_f8AvSwh9TQ</recordid><startdate>202310</startdate><enddate>202310</enddate><creator>Lin, Fei</creator><creator>Feng, Xiqiao</creator><creator>Ordinola-Zapata, Ronald</creator><creator>VanHeel, Bonita</creator><creator>Fok, Alex S.L.</creator><general>Elsevier Inc</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-4501-0128</orcidid></search><sort><creationdate>202310</creationdate><title>Load capacity and fracture modes of instrumented tooth roots under axial compression</title><author>Lin, Fei ; Feng, Xiqiao ; Ordinola-Zapata, Ronald ; VanHeel, Bonita ; Fok, Alex S.L.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c288t-f198f61d1516fb9afca42f762915b262643d2d0a16c2934bd195dba690e161583</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Finite element analysis</topic><topic>Load capacity</topic><topic>Root canal instrumentation</topic><topic>Tooth root fracture</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lin, Fei</creatorcontrib><creatorcontrib>Feng, Xiqiao</creatorcontrib><creatorcontrib>Ordinola-Zapata, Ronald</creatorcontrib><creatorcontrib>VanHeel, Bonita</creatorcontrib><creatorcontrib>Fok, Alex S.L.</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Dental materials</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lin, Fei</au><au>Feng, Xiqiao</au><au>Ordinola-Zapata, Ronald</au><au>VanHeel, Bonita</au><au>Fok, Alex S.L.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Load capacity and fracture modes of instrumented tooth roots under axial compression</atitle><jtitle>Dental materials</jtitle><date>2023-10</date><risdate>2023</risdate><volume>39</volume><issue>10</issue><spage>938</spage><epage>945</epage><pages>938-945</pages><issn>0109-5641</issn><eissn>1879-0097</eissn><abstract>To investigate the influences of root canal instrumentation on the load capacity and fracture modes of tooth roots under axial compression by performing mechanical tests and finite element analysis (FEA). Thirty bovine incisor roots were trimmed into cylinders of 5.0 mm diameter. They were randomly divided into two groups, one with root canals instrumented to ∼2.0 mm in diameter, and one without instrumentation. The specimens were fractured under uniaxial compression at a crosshead speed of 0.2 mm/min, and then micro-CT was used to reveal the fracture patterns in three dimensions. FEA was further performed, using the extended finite element method (XFEM), to compare the compression-induced stress distributions and the initiation and propagation of root fractures in both groups. The mean fracture load of the non-instrumented group (2334 ± 436 N) was statistically significantly higher than that of the instrumented group (1857 ± 377 N) (p &lt; 0.01). Three types of root fractures were identified according to the path and length of the cracks: end-face crack, partial-length crack, and full-length crack. As to the fracture modes, the incidence of partial-length root fracture was the highest in both groups (60% for the non-instrumented group and 53.3% for the instrumented group), followed by that of full-length fracture (26.7% and 40%, respectively) and then end-face fracture (13.3% and 6.7%, respectively). The percentage of full-length fracture was slightly higher in the instrumented group. FEA showed that the compression induced higher Tresca stresses but lower maximum principal stresses in the canal walls of the instrumented group. The XFEM simulations predicted that the fracture of both groups initiated from the outer root surface near an end face and propagated axially to the middle third of the root and radially towards the root canal. These numerical results agreed well with our experimental findings. Within the limitation of this study, it was found that root canal instrumentation could significantly decrease the load capacity of tooth roots and potentially increase their susceptibility to full-length root fracture under uniaxial compression. •Root canal instrumentation significantly decreased the load capacity of tooth roots under uniaxial compression.•Tooth roots failed predominantly with shear cracks under uniaxial compression.•Root canal instrumentation can increase the susceptibility to full-length root fracture under uniaxial compression.•The initiation and propagation of root fractures could be predicted using the extended finite element method.</abstract><pub>Elsevier Inc</pub><doi>10.1016/j.dental.2023.08.177</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-4501-0128</orcidid></addata></record>
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subjects Finite element analysis
Load capacity
Root canal instrumentation
Tooth root fracture
title Load capacity and fracture modes of instrumented tooth roots under axial compression
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