Evidence map›Paper›PMID 40407736›Full record

ArticleInternational endodontic journal2025

Assessing the fatigue resistance of NiTi instruments: A DSC-based approach to understanding temperature effects.

Emmanuel J N L Silva, Jorge N R Martins, Murilo Priori Alcalde, Marco A Versiani

Abstract read
In one paragraph

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 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Review
  7. 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.

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
Murilo Priori AlcaldeDepartment of Endodontics, Bauru Dental School, São Paulo University, Bauru, Brazil.ORCID 0000-0001-8735-065X
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

aimThis study aims to demonstrate that phase transformation analysis, assessed via differential scanning calorimetry (DSC), offers a more comprehensive understanding of NiTi instruments' mechanical behaviour than traditional fixed-temperature fatigue testing by evaluating phase transformation temperatures and their impact on cyclic fatigue strength of ProTaper Universal and ProTaper Gold at 20 and 35°C. METHODOLOGY: Fifty ProTaper Universal F2 (n = 25) and ProTaper Gold F2 (n = 25) NiTi instruments were compared for geometric design (blade length, helical spirals, spiral density, spiral geometry, tip design and surface quality) and metallurgical properties including elemental analysis (energy-dispersive X-ray spectroscopy) and phase transformation temperatures. Then, cyclic fatigue strength was tested at room (20 ± 1°C) and body (35 ± 1°C) temperatures using a standardized artificial canal and cyclic fatigue resistance test. Time to fracture (in seconds) was recorded, and data were statistically analysed using the independent Student's t-test for intergroup analysis and the paired Student's t-test for intragroup analysis (α = 5%).

resultsBoth instruments had a 17 mm blade with 10 spirals (0.59 spirals/mm), similar geometry and NiTi wires with near-equiatomic nickel-titanium ratios, differing only in metal alloy colour. DSC analysis showed distinct phase transformation temperatures, with ProTaper Universal exhibiting an R-phase start (Rs) at 16.2°C and finish (Rf) at -12.7°C, while ProTaper Gold had an Rs at 44.0°C and Rf at 28.6°C, though both transitions occurred gradually. Fracture time was significantly longer at 20°C than at 35°C for both instruments (p < 0.05), with ProTaper Gold showing a greater reduction (58%) but maintaining superior cyclic fatigue strength at both temperatures (p < 0.05).

conclusionThe cyclic fatigue strength of NiTi instruments depends on temperature, highlighting the limits of assessing performance at a single predefined temperature. DSC offers key insights into phase transformation, enabling a better interpretation of mechanical properties beyond mechanical testing alone. Integrating metallurgical characterization with cyclic fatigue analysis improves the evaluation of NiTi instruments, ensuring a more accurate understanding of their mechanical performance.

Indexed as

Dental AlloysDental InstrumentsNickelTitaniumCalorimetry, Differential ScanningEquipment DesignEquipment FailureMaterials TestingSurface PropertiesTemperatureDental AlloysNickelTitaniumtitanium nickelidecyclic fatigue strengthdifferential scanning calorimetryendodonticsmechanical performanceNiTi instrumentstemperature

Identifiers

PMID40407736
PMCPMC12254527

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.