Evidence map›Paper›PMID 39917135›Full record

ReviewCureus2025

Paediatric Rotary Files and Dentinal Crack Formation in Primary Teeth: A Systematic Review.

Syed Sulaiman, Victor Samuel A, Kavitha Ramar, Sujitha Ponraj, Arya Varghese

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

2 citing papers in PubMed.

  1. Article
  2. Review
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

5 authors.

Syed SulaimanPediatric Dentistry, Sri Ramaswamy Memorial (SRM) Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chennai, IND.
Victor Samuel APediatric Dentistry, Sri Ramaswamy Memorial (SRM) Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chennai, IND.
Kavitha RamarPedodontics and Preventive Dentistry, Sri Ramaswamy Memorial (SRM) Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chennai, IND.
Sujitha PonrajPediatric and Preventive Dentistry, Sri Ramaswamy Memorial (SRM) Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chennai, IND.
Arya VarghesePediatric and Preventive Dentistry, Sri Ramaswamy Memorial (SRM) Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, Chennai, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nickel-titanium (NiTi) rotary files are widely used in endodontics due to their flexibility, durability, and efficiency in shaping root canals. However, concerns have been raised regarding their potential to cause dentinal cracks, particularly in primary teeth with their unique structural vulnerabilities. This systematic review aims to evaluate the prevalence, characteristics, and implications of dentinal cracks associated with the use of NiTi rotary files in primary teeth. A comprehensive literature search across multiple databases yielded 5,147 articles, with five studies ultimately meeting the inclusion criteria. These studies primarily investigated various NiTi file systems, such as ProTaper, WaveOne Gold, Reciproc, and Kedo-S, examining their impact on crack formation. Findings indicated that systems with larger tapers and aggressive cutting actions, such as ProTaper, exhibited a higher incidence of dentinal cracks compared to paediatric-specific or more conservative designs like Kedo-S. The clinical implications of these findings underscore the importance of selecting appropriate instrumentation to minimise structural damage in primary teeth. The review advocates for standardised methodologies in future studies to enhance comparability and calls for innovations in paediatric-specific rotary file systems to improve treatment outcomes.

Indexed as

dentinal microcracksmicro ct in endodonticsniti filespaediatric rotary filesprimary teeth root canal

Identifiers

PMID39917135
PMCPMC11798756

What OpenQuestion holds

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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.