Related Experiment Video
Updated: May 19, 2026

Scanning Electron Microscopic Evaluation of Surface Defects of Remover Retreatment File After Single and Multiple Uses
Published on: October 11, 2024
The impact of fractured endodontic file removal on vertical root fracture resistance: three-dimensional finite
S A Romeed1, S M Dunne, A A Madarati
1King's College London Dental Institute, London, UK. shihab.romeed@kcl.ac.uk
Abstract:
This study investigated by means of finite element analysis the influence of fractured file removal on root fracture resistance in an endodontically-treated canine. A 4mm fragment of an endodontic file was deliberately fractured in the apical third of an upper canine root and removed by ultrasonic tips. Micro-computed tomography scans were carried out before and after fractured file removal on the same tooth. Two 3D-FE models (before and after file removal) were subjected to 100N loading. Results indicate that the fractured file removal increased von Mises stresses by 55%. Peak stresses were located around the root filling/dentine interface prior to file removal. Following file removal, peak stresses were concentrated at the buccal root surface/bone interface that might initiate vertical root fracture buccolingually.
