Evidence map›Paper›PMID 42056231›Full record

ArticleScientific reports2026

Evaluation of the cyclic fatigue resistance of four specialist nickel-titanium files for primary teeth under simulated body temperature.

Yuan Sun, Xiao-Mei Hou, Wen-Xin Chen, Shi-Yan Huang, Yu Yan, Yi-Wen Xu, Chang Yu, Yan Zhao

Abstract read
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Article in Scientific reports, 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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5 · Who and what money

Authors and funding

8 authors.

Yuan SunSecond Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, 100101, China.
Xiao-Mei HouSecond Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, 100101, China.
Wen-Xin ChenSecond Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, 100101, China.
Shi-Yan HuangSecond Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, 100101, China.
Yu YanSecond Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, 100101, China.
Yi-Wen XuSecond Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, 100101, China.
Chang YuSecond Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, 100101, China.
Yan ZhaoSecond Clinical Division, Peking University School and Hospital of Stomatology & National Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing, 100101, China. dentistzhaoyan@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the present research, the cyclic fatigue resistance (CFR) of four pediatric nickel-titanium (NiTi) rotary files (Orodeka, Yirui M3, Baofeng and C-Root) was compared under simulated body temperature conditions. The instruments were tested in a simulated curved root canal (60° curvature, radius 5 mm) at 35 ± 1 °C. Measurements included the number of cycles to failure (NCF) and fragment length. The data were analyzed with the help of the Kruskal-Wallis test, whereas the fracture surfaces were scrutinized with the help of scanning electron microscopy (SEM) to determine what caused the failure. In addition, differential scanning calorimetry (DSC) and lateral SEM observations were conducted. There were significant differences in the NCF between the groups (P < 0.001). The highest cyclic fatigue resistance was shown by the Orodeka system (median NCF: 336.68; IQR: 233.5-415.2), followed by Yirui M3 (median: 291.32; IQR: 228.3-334.8), Baofeng (median: 228.14; IQR: 193.7-301.3) and, finally, C-Root (median: 166.60; IQR: 110.4-200.5). Subsequent post hoc tests revealed that Orodeka and Yirui M3 had significantly higher NCF scores than C-Root (P < 0.001) and that Orodeka performed significantly better than Baofeng (P = 0.030). The difference among fragment lengths was not statistically significant (4.5-4.6 mm, P > 0.05). SEM examination verified the presence of fatigue cracks and ductile fracture properties with fatigue striations and dimples in all groups. DSC analysis revealed that Orodeka remained mostly in the highly flexible martensitic phase, and lateral SEM revealed severe machining defects on the surfaces of the Baofeng and C-Root files. In conclusion, there are significant differences in the CFR among the tested files because of the different metallurgical properties and cross-sectional designs across the files. Although all the systems can be used in pediatrics, the Orodeka system showed the best cyclic fatigue resistance under simulated body temperature. The regular replacement of instruments is still needed to ensure clinical safety.

Indexed as

NickelTitaniumTooth, DeciduousHumansMaterials TestingMicroscopy, Electron, ScanningTemperatureNickelTitaniumtitanium nickelide

Identifiers

PMID42056231
PMCPMC13319191

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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.