Evidence map›Paper›PMID 39806096›Full record

ArticleOdontology2025

Effect of a novel motion and simultaneous irrigation on the cyclic fatigue resistance of Hyflex EDM OneFile.

Giusy Rita Maria La Rosa, Pietro Lombardo, Luigi Generali, Eugenio Pedullà

Abstract read
In one paragraph

Article in Odontology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Giusy Rita Maria La RosaDepartment of General Surgery and Medical-Surgical Specialties, University of Catania, 95123, Catania, Italy. g_larosa92@live.it.ORCID http://orcid.org/0000-0001-5127-5299
Pietro LombardoDepartment of General Surgery and Medical-Surgical Specialties, University of Catania, 95123, Catania, Italy.
Luigi Generali *Department of Surgery, Medicine, Dentistry and Morphological Sciences With Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), University of Modena and Reggio Emilia, 41124, Modena, Italy.
Eugenio Pedullà *Department of General Surgery and Medical-Surgical Specialties, University of Catania, 95123, Catania, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The aim of this study was to assess the cyclic fatigue resistance of a single-file system (i.e., Hyflex EDM OneFile), during continuous rotation and reflex dynamic motion with and without irrigation. Cyclic fatigue tests were conducted on 48 new Hyflex EDM One files using two different motions, with and without irrigation. The files were randomly assigned to four groups (n = 12) based on the tested motion and irrigation conditions: continuous rotation and the novel kinematics ReFlex Dynamic motion, with and without irrigation. The dynamic fatigue resistance was measured as the number of cycles to fracture (NCF) in an artificial zirconium canal with a 60° angle and a 5 mm radius of curvature at an intracanal temperature. The results were analyzed using the non-parametric Mann-Whitney test, with a significance level established at 5% (p < 0.05). The fractured instruments were examined with a scanning electron microscope. The instruments activated in continuous rotation, irrespective of irrigation conditions, demonstrated significantly higher NCF compared to those in ReFlex Dynamic (p < 0.05). Irrigation significantly impacted the cyclic fatigue resistance of Hyflex EDM in ReFlex Dynamic motion (p < 0.05), while it did not influence the resistance of files tested under continuous rotation (p > 0.05). Within the limitations of this in vitro study, HyFlex EDM One files tested under continuous rotation showed greater resistance to cyclic fatigue compared to those tested with ReFlex Dynamic motion, regardless of irrigation. Continuous hypochlorite irrigation enhanced the cyclic fatigue resistance only of the files tested in ReFlex Dynamic motion.

Indexed as

Dental InstrumentsRoot Canal PreparationTherapeutic IrrigationEquipment DesignEquipment FailureHumansMaterials TestingMicroscopy, Electron, ScanningMotionRotationDynamic cyclic fatigueHyFlex EDMReFlex dynamic motionSimultaneous irrigation

Identifiers

PMID39806096
PMCPMC12179232

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.