Clinical evaluation of instrumentation time and quality of obturation using paediatric hand and rotary file systems with conventional hand K-files for pulpectomy in primary mandibular molars: a double-blinded randomized controlled trial

Priyadarshini, Pragyna; Jeevanandan, Ganesh; Govindaraju, Lavanya; Subramanian, Emg

doi:10.1007/s40368-020-00518-w

Cited by 35 publications

(42 citation statements)

References 20 publications

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“…The quality of obturation was assessed as an optimal fill of the root canals in eight studies. 14,[17][18][19][20][21][22][23] There was significantly more number of teeth achieving optimal quality of obturation with RI versus HI [risk ratio (RR) = 0.71 (95% CI: 0.53-0.95), P = .02, I 2 = 71%] (Figure 4). These data were extracted from eight RCTs with a total of 403 teeth (201 in RI, 202 in HI) treated with HI and RI.…”

Section: Synthesis and Interpretation Of Metaanalysis Resultsmentioning

confidence: 99%

“…A total of 604 records were screened for inclusion, and 23 were qualified for full-text article analysis. After full-text analysis, 12 articles were excluded with reasons, and 11 articles [14][15][16][17][18][19][20][21][22][23][24] were finally included for qualitative and quantitative analyses ( Figure 1). In the full-text analysis, three different articles 17,25,26 of the same study (with the same institutional ethical clearance number) were observed, and to prevent the duplication of the study observations, only one 17 among those three articles 17,25,26 with more sample size was included in the present review.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The overall optimal quality of obturation was found to be significantly better with RI versus HI. Among the eight trials analyzed, five trials 17,18,[21][22][23] used tooth as a unit of analysis with RI, whereas three trials 14,19,20 used roots as a unit of analysis. Therefore, subgroup analysis was performed, which showed significantly more individuals have a better optimal quality of obturation with RI as compared to HI.…”

Section: Comparisons Of Studiesmentioning

confidence: 99%

“…20 Minimal or no heterogeneity among the studies was observed in subgroup analysis. Overall, high heterogeneity could be due to the differences in obturation techniques such as pressure syringe technique 14,17,[21][22][23] lentulo spirals. [18][19][20] The analysis of the obturation time from the included trials showed a significant reduction with RI in the present review.…”

Section: Comparisons Of Studiesmentioning

confidence: 99%

See 3 more Smart Citations

Clinical differences of hand and rotary instrumentations during biomechanical preparation in primary teeth—A systematic review and meta‐analysis

Patnana

Chugh

Kumar

et al. 2020

Int J Paed Dentistry

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Dental caries is one of the chronic irreversible diseases affecting the sound tooth structures, which have a direct impact on the quality of life in the children. 1,2 The decay in the primary teeth extending in enamel and dentin can be rehabilitated with different restorative materials. 3 The primary teeth with spontaneous pain history, however, need to be treated pulpally to relieve the pain and also to preserve the teeth functionally until its normal exfoliation. 4 The pulpectomy is the treatment of choice for pulpally infected primary teeth, which involves removal of the complete pulpal tissue, debridement of the root

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Section: Synthesis and Interpretation Of Metaanalysis Resultsmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

Section: Comparisons Of Studiesmentioning

confidence: 99%

Section: Comparisons Of Studiesmentioning

confidence: 99%

See 2 more Smart Citations

Clinical differences of hand and rotary instrumentations during biomechanical preparation in primary teeth—A systematic review and meta‐analysis

Patnana

Chugh

Kumar

et al. 2020

Int J Paed Dentistry

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“…The current investigation consisted of a triple-armed, single-blinded, randomized clinical trial following Ethical Committee approval from the College of Dental Sciences and Hospital, Rau, Indore, India (CDSH/IEC/2018-19/004. The sample size was determined, referring to a previous trial reported by Priyadarshini et al [ 21 ], where instrumentation time and obturation quality were assessed. The power was set at 80%, with alpha-level (α) set at 0.05.…”

Section: Methodsmentioning

confidence: 99%

Effect of Adaptive, Rotary, and Manual Root Canal Instrumentation in Primary Molars: A Triple-Armed, Randomized Controlled Clinical Trial

Pawar

Bhardwaj

Wahjuningrum

et al. 2021

Biology

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This clinical trial focused on collating the instrumentation time and quality of root canal obturation in primary molars treated with three instrumentation techniques: adaptive, rotary, and manual. A triple-armed, randomized controlled clinical trial was performed on 75 primary molars requiring pulpectomy treatment, divided into three groups (n = 25 per group). The teeth in Group 1 were instrumented with an adaptive technique (XP-endo Shaper, FKG Dentaire, La Chaux-de-Fonds, Switzerland), Group 2 with pediatric rotary files (Kedo-S; D1 and E1), and Group 3 with a manual technique (hand K-files). The apical size of the final instrumentation was maintained at #30 for all groups. Instrumentation time and the grade of the root canal obturation were evaluated. Instrumentation duration was recorded, employing a digital stopwatch from the insertion of the first file until the completion of final irrigation. Obturation quality was assessed using radiographs. The criteria taken as a reference for obturation were: optimal (1 mm short of the apex), underfilled (2 mm short of the apex), or overfilled (beyond the apex). The use of an adaptive technique was associated with the lowest instrumentation time (p < 0.0001) when used for instrumenting primary molars and with the highest root canal filling quality of the three groups. The application of the new concept of adaptive instrumentation for pulpectomy of primary molars was a favorable technique, considering the significant reduction in instrumentation time and better obturation.

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Cone-beam computed tomography evaluation of shaping ability of kedo-S square and fanta AF™ baby rotary files compared to manual K-files in root canal preparation of primary anterior teeth

El-Desouky,

El Fahl,

Kabbash

et al. 2024

Clin Oral Invest

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Background Pediatric rotary file systems were developed to solve manual file limitations. With many systems available, it may be tricky to select the most appropriate one. Aim to assess & compare Kedo-S Square, Fanta-AF™-Baby rotary files with manual K-file concerning removed dentin amount, canal transportation, centric ability & root canal taper using CBCT in primary anterior teeth. Design Extracted Seventy-five upper primary anterior teeth with intact 2/3 root length were collected and divided into three groups based on root canal instrumentation, group-I: prepared using K-file, group-II: prepared using Kedo-S Square, and group-III: prepared using Fanta AF™ Baby file. The teeth were imaged with CBCT before & following canal instrumentation. Then, the removed dentin amount was calculated at each root-canal level. The Kruskal-Wallis test was utilized to statistically analyze study data. Result The difference among the three groups was highly statistically significant at cervical & apical thirds concerning dentin thickness changes on both mesial & distal sides following canal preparation with the least removed dentin in the Kedo-S Square group(P < 0.0001). Regarding transportation & centering ability, a non-significant difference between the three groups was found. 80% of the Fanta AF™ Baby group had good-tapered preparation compared to the Kedo-S Square (72%) and K-file (40%) groups(P < 0.05). Conclusion Kedo-S Square was preferable to Fanta-AFTM-Baby & manual K-files in primary root canal preparation.

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Clinical evaluation of instrumentation time and quality of obturation using paediatric hand and rotary file systems with conventional hand K-files for pulpectomy in primary mandibular molars: a double-blinded randomized controlled trial

Cited by 35 publications

References 20 publications

Clinical differences of hand and rotary instrumentations during biomechanical preparation in primary teeth—A systematic review and meta‐analysis

Clinical differences of hand and rotary instrumentations during biomechanical preparation in primary teeth—A systematic review and meta‐analysis

Effect of Adaptive, Rotary, and Manual Root Canal Instrumentation in Primary Molars: A Triple-Armed, Randomized Controlled Clinical Trial

Cone-beam computed tomography evaluation of shaping ability of kedo-S square and fanta AF™ baby rotary files compared to manual K-files in root canal preparation of primary anterior teeth

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