Evidence map›Paper›PMID 41094280›Full record

ArticleOdontology2026

The impact of alloy treatment on the dynamic cyclic fatigue resistance of triangular base cross-section NiTi endodontic instruments.

Rashid El Abed, Amre R Atmeh, Mohamed Jamal, Anas Al Jadaa, Hamza El-Faraj, Abdel Rahman Bani Amer, Taher Al Omari

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Article in Odontology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

7 authors.

Rashid El AbedHamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai Health, P.O. Box 505055, Dubai, United Arab Emirates.
Amre R AtmehHamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai Health, P.O. Box 505055, Dubai, United Arab Emirates.
Mohamed JamalHamdan Bin Mohammed College of Dental Medicine (HBMCDM), Mohammed Bin Rashid University of Medicine and Health Sciences (MBRU), Dubai Health, P.O. Box 505055, Dubai, United Arab Emirates.
Anas Al JadaaDepartment of Clinical Sciences, College of Dentistry, Ajman University, Ajman, United Arab Emirates.
Hamza El-FarajDepartment of Operative, Preventive and Pediatric Dentistry, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Abdel Rahman Bani AmerDepartment of Chemical Engineering, Jordan University of Science and Technology, Irbid, Jordan.
Taher Al OmariDepartment of Conservative Dentistry, Faculty of Dentistry, Jordan University of Science and Technology, P.O.Box: 3030, Irbid, 22110, Jordan. t_omari@yahoo.com.ORCID http://orcid.org/0000-0002-6220-9796

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study evaluated the dynamic cyclic fatigue resistance and bending forces of small-sized blue heat-treated files with comparable cross sections but varying geometries at simulated intracanal temperature. For each system, Race Evo (RE), ZenFlex (ZF) and Tia Tornado Blue (TTB), 20 new files were tested (n = 20). Twelve files (n = 12) were subjected to Dynamic Cyclic Fatigue testing in an artificial canal (18 mm length, 1.4 mm diameter, 45° curvature, 5 mm radius) at 34 °C. Five files (n = 5) were used for static bending tests at 34 °C. Two files (n = 2) were used for differential scanning calorimetry (DSC) and X-ray diffraction (XRD), and one (n = 1) unused file was used for geometric evaluation using stereomicroscopy and scanning electron microscopy (SEM). TTB exhibited significantly higher fatigue resistance (1512 NCF) than ZF (1234 NCF; P < 0.05), while RE showed intermediate performance (1385 NCF). RE has the shortest fragment length at 3.25 mm, which represents a significant difference compared to ZF (4.55 mm; P < 0.05) and TTB (5.1 mm; P < 0.05), respectively. TTB required the lowest mean force, 0.304 N (P < 0.05), to bend, which was a statistically significant difference compared to RE (0.361 N) and ZF (0.425 N), respectively. ZF has been shown to lack an R-phase during heating, whereas other files have both an R-phase and an austenite phase. Blue heat treatment significantly enhanced fatigue resistance by stabilizing the R-phase, overriding the influence of pitch geometry. Heat treatment plays a more decisive role than pitch design in determining cyclic fatigue resistance.

Indexed as

Dental AlloysDental InstrumentsNickelRoot Canal PreparationTitaniumCalorimetry, Differential ScanningEquipment DesignHot TemperatureMaterials TestingMicroscopy, Electron, ScanningX-Ray DiffractionDental AlloysNickelTitaniumtitanium nickelideDynamic cyclic fatigueFracture resistanceHeat treatmentNickel titaniumPitch designRace EvoTia tornedo blueZenFlex

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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.