Evidence map›Paper›PMID 40317569›Full record

ArticleInternational endodontic journal2025

The impact of blade geometry (nonflat, flat or hybrid) and metallurgical composition on the mechanical performance of NiTi endodontic instruments: A multimethod laboratory study.

Emmanuel J N L Silva, Jorge N R Martins, Thyago Oliveira Cardoso, Mylena do Rosário Pereira, Murilo Priori Alcalde, Victor T L Vieira, Abayomi O Baruwa, Francisco Manuel Braz Fernandes, Marco A Versiani

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Article in International endodontic journal, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

9 authors.

Emmanuel J N L SilvaSchool of Dentistry, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil.ORCID 0000-0002-6445-8243
Jorge N R MartinsFaculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, Portugal.ORCID 0000-0002-6932-2038
Thyago Oliveira CardosoSchool of Dentistry, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil.
Mylena do Rosário PereiraSchool of Dentistry, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil.
Murilo Priori AlcaldeDepartment of Endodontics, Bauru Dental School, São Paulo University, Bauru, Brazil.
Victor T L VieiraSchool of Dentistry, Grande Rio University (UNIGRANRIO), Rio de Janeiro, Brazil.
Abayomi O BaruwaFaculdade de Medicina Dentária, Universidade de Lisboa, Lisbon, Portugal.ORCID 0000-0002-1670-8674
Francisco Manuel Braz FernandesCENIMAT/I3N, Department of Materials Science, NOVA School of Science and Technology, Universidade NOVA de Lisboa, Caparica, Portugal.
Marco A VersianiDental Specialty Center, Brazilian Military Police, Belo Horizonte, Minas Gerais, Brazil.ORCID 0000-0001-5277-9827

Funding

Conselho Nacional de Desenvolvimento Científico e TecnológicoFundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro
6 · The paper itself

Abstract

aimTo evaluate the influence of blade design (conventional, flat and hybrid) and metallurgical properties on the mechanical performance of nickel-titanium endodontic instruments. METHODOLOGY: Two hundred and seven NiTi instruments (25 mm in length) with three different blade designs were selected for analysis: conventional (n = 69, CC One Blue, size 25/0.08v), flat (n = 69, Platinum V.EU, size 25/0.06) and hybrid (n = 69, Flash Endo Power, size 25/0.06v). The instruments were evaluated regarding geometric design (scanning electron microscopy), alloy elements composition (energy-dispersive X-ray spectroscopy) and phase transformation temperatures (differential scanning calorimetry). Additionally, their mechanical behaviour was investigated by testing cyclic fatigue resistance, torsional resistance, bending resistance, buckling resistance, cutting efficiency and microhardness. Statistical significance was determined using One-Way anova and Kruskal-Wallis tests (α = 5%).

resultsPlatinum V.EU and Flash instruments exhibited design inconsistencies within the same lot, including nonstandard positioning and variations in the length of the flat side. All instruments were composed of a nickel-titanium alloy with equiatomic ratios of nickel and titanium. At 20°C, Flash instruments exhibited a mixed R-phase and austenitic arrangement, transitioning fully to austenitic at 36°C, while CC One Blue and Platinum V.EU displayed a complete R-phase at 20°C and retained a mixed R-phase and austenitic arrangement at 36°C. The CC One Blue exhibited superior performance in time to fracture (156 ± 34 s), maximum torque (1.5 N·cm) and buckling strength (372 ± 31 gf) (p < .0001), while no differences were found in maximum rotation angle (p = .602). In terms of flexibility, the Flash (328 gf) and CC One Blue (341 gf) outperformed the Platinum V.EU (376 gf) (p = .006). Flash (121 gf) and CC One Blue (137 gf) also outperformed Platinum V.EU (253 gf) in terms of cutting efficiency (p < .0001). Conversely, the Platinum V.EU demonstrated significantly higher microhardness (386 ± 45 HVN) compared to CC One Blue and Flash (p = .0340).

conclusionsOverall, instruments featuring either flat-side (Platinum V.EU) or hybrid (Flash) active blades demonstrated inferior mechanical performance compared to the conventional nonflat instrument (CC One Blue).

Indexed as

Dental AlloysDental InstrumentsNickelRoot Canal PreparationTitaniumCalorimetry, Differential ScanningEquipment DesignHumansMaterials TestingMicroscopy, Electron, ScanningSpectrometry, X-Ray EmissionDental AlloysNickelTitaniumtitanium nickelidedifferential scanning calorimetryendodonticsenergy‐dispersive X‐ray spectroscopyflat‐side instrumentsmechanical performancemetallurgical features

Identifiers

PMID40317569
PMCPMC12254529

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.