Comparison of cleaning Efficacy and Instrumentation Time between Rotary and Manual Instrumentation Techniques in Primary Teeth: An in vitro Study

Katge, Farhin; Chimata, Vamsi Krishna; Poojari, Manohar; Shetty, Shilpa; Rusawat, Bhavesh

doi:10.5005/jp-journals-10005-1347

Cited by 22 publications

(8 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…On the contrary, Katge et al 25 reveal more instrumentation time using rotary Mtwo files vs hand H-files in an in vitro study on primary molars. Similar findings by Madan et al attributed the increased time to the experience of the operator.…”

Section: Discussionmentioning

confidence: 89%

Comparative Evaluation of Hand K-flex Files, Pediatric Rotary Files, and Reciprocating Files on Instrumentation Time, Postoperative Pain, and Child\'s Behavior in 4–8-year-old Children

Tyagi¹,

Khatri²,

Kalra³

et al. 2021

International Journal of Clinical Pediatric Dentistry

View full text Add to dashboard Cite

A bstract Background A pulpectomy is regarded as the choice modality of treatment for necrotic teeth. The use of hand files, though popular traditionally as a gold standard, may be challenging due to increased chairside time. Postoperative pain is one of the most common complications of pulpectomy and may be unpleasant for a child/pedodontist. Rotary files were found to reduce instrumentation time, reduce apical extrusion, and in turn reduce pain but there is a lack of studies in primary teeth particularly for pediatric and reciprocating file systems. The increased number of options available today makes it a dilemma for the operator to choose a suitable file system. Aim and objective The study aimed to evaluate and compare the instrumentation time, postoperative pain, and effect on child's behavior among three groups, i.e., hand K-flex files (group I), pediatric rotary files (group II), and reciprocating files (group III). Materials and methods A total of 75 primary molar teeth after meeting inclusion criteria were randomly allocated into three groups. During the procedure, step-wise instrumentation time was recorded using a stopwatch. The child's behavior pre- and postoperatively was assessed by an evaluator. The postoperative pain (up to 1 week) was assessed by a questionnaire. Results The mean age of children taken for the study was 6.03 ± 1.2 years with 46 males and 29 females. The mean biomechanical preparation time was observed to be significantly shorter in the pediatric rotary and reciprocating file groups vs hand K-flex files ( p < 0.001**). The postoperative pain after 6 hours had a mean value of 0.88 + 0.9 for the hand K-flex file group which was significantly higher than both rotary file groups ( p < 0.05*). The pre- and postoperative behavior revealed no significant difference. Conclusion The clinical performance of pediatric and reciprocating files was superior, but the choice of file system did not significantly alter behavior. How to cite this article Tyagi R, Khatri A, Kalra N, et al. Comparative Evaluation of Hand K-flex Files, Pediatric Rotary Files, and Reciprocating Files on Instrumentation Time, Postoperative Pain, and Child's Behavior in 4–8-year-old Children. Int J Clin Pediatr Dent 2021;14(2):201–206.

show abstract

Section: Discussionmentioning

confidence: 89%

Comparative Evaluation of Hand K-flex Files, Pediatric Rotary Files, and Reciprocating Files on Instrumentation Time, Postoperative Pain, and Child\'s Behavior in 4–8-year-old Children

Tyagi¹,

Khatri²,

Kalra³

et al. 2021

International Journal of Clinical Pediatric Dentistry

View full text Add to dashboard Cite

show abstract

“…Therefore it can be safe to say that Hyflex CM file system can be used without the fear of eliciting any post instrumentation pain to the patient. This system will not only help clear more debris, adequately clean canal anatomy by maintaining original canal curvature but also save chair-side time with decrease in patient's visits to the dentist [47][48][49][50][51][52].…”

Section: Discussionmentioning

confidence: 99%

Comparison of two different file systems on postoperative pain after root canal instrumentation: A randomized controlled trial

Shahnawaz¹,

Shahroz

Zafar³

et al. 2023

Acta Marisiensis - Seria Medica

View full text Add to dashboard Cite

Introduction: In this study post instrumentation pain is evaluated between rotary hyflex CM files and conventional k-files at different time intervals. Methodology: fifty patients were equally assigned into two groups and instrumented using hyflex cm or conventional files. VAS for pain was noted before the start of a root canal and after the procedure at 12, 24, and 48 hours. Results: There was no significant difference at 12, 24, and 48 hours with P values being 0.127, 0.867, and 0.846 respectively. Conclusion: There is no significant difference in causing post-instrumentation pain between hyflex CM and conventional files at different time intervals. However, when accessing preop pain of the conventional file group, it had more pain mean score compared to hyflex group. According to this study, Conventional files may be able to slightly decrease the chances of post-instrumentation pain more than hyflex CM instrumentation.

show abstract

“…A dentição decídua desenvolve um papel muito importante no desenvolvimento da criança. Esses são responsáveis pela mastigação, fonação e estética, além disso, a dentição decídua exerce a função de um mantenedor de espaço, cuja função é permitir que o dente permanente irrompa na posição e cronologia desejadas (Katge et al 2016;Associação Brasileira de Odontopediatria (ABO, 2020); & Hecksher et al 2018).…”

Section: Introductionunclassified

“…Os primeiros dentes decíduos irrompem por volta dos 6 meses de idade, embora exista uma variabilidade neste período e, entre 23 e 33 meses a criança tem a dentição decídua completa, permanecendo na cavidade bucal até aproximadamente os 12 anos de idade (Associação Brasileira de Odontopediatria (ABO, 2020). Ainda de acordo com a Associação Brasileira de Odontopediatria (ABO, 2020), é nesta fase de desenvolvimento da criança que a perda precoce pode causar inúmeros danos à saúde bucal, dentre eles problemas no desenvolvimento facial e do arco dentário corroborando com o mal posicionamento da dentição permanente, ocasionando problemas de oclusão, fonação, mastigação e impactos psicológicos por questões relacionadas a estética (Katge et al 2016& Silva et al, 2015. Para Guedes & Moura, 2012, um dos papéis fundamentais da odontopediatria é a preservação do órgão dental decíduo na cavidade oral até o momento da sua esfoliação fisiológica e o irrompimento dos dentes permanentes.…”

Section: Introductionunclassified

“…De acordo com Katge et al 2016, os dentes decíduos servem como guia para o irrompimento dos dentes permanentes, além disso, previnem hábitos deletérios. Apesar dos grandes esforços e avanços dos programas de saúde que visam a orientação e conscientização dos pais acerca da saúde bucal das crianças, ainda é comum, principalmente em populações com problemas socioeconômicos, crianças com dentes decíduos com grandes destruições coronárias (ICDAS 5 e 6), tendo como fator etiológico extensas lesões cariosas, principalmente na faixa etária de 4 a 6 anos.…”

Section: Introductionunclassified

See 1 more Smart Citation

Tratamento endodôntico mecanizado em dentição decídua

Toline

Bresolin

Shitsuka

2021

RSD

View full text Add to dashboard Cite

A instrumentação mecanizada em dentes permanentes já é uma prática consolidada e muito utilizada na odontologia atual. Diversos estudos apresentam vantagens consideráveis, quando comparada com a técnica de instrumentação manual, entre elas pode-se considerar a redução de tempo cirúrgico e o menor desconforto ao paciente durante e após o procedimento. Apesar do custo ser consideravelmente maior quando comparado ao tratamento realizado com instrumentação manual, este é justificável. Entretanto, a endodontia mecanizada para tratamentos endodônticos em odontopediatria ainda é questionável. O objetivo desta revisão de literatura foi identificar vantagens e desvantagens do procedimento endodôntico mecanizado em odontopediatria. Para tanto, realizamos levantamento bibliográfico, considerando publicações do período de 2015 a 2020 nas plataformas PubMed, Google Scholar, Scielo, Springer e Cochrane. Foram selecionados 17 artigos, dentre eles, estudos realizados in vitro, revisões sistemáticas e estudos randomizados e duas referências bibliográficas, o Manual de Odontopediatria (Guedes-Pinto, 2012) e o manual “Diretrizes para Procedimentos Clínicos em Odontopediatria – ABO”, lançado em 2020. Após a triagem dos materiais, 8 artigos, o Manual de Odontopediatria (Guedes-Pinto) e o Manual da ABO foram incluídos nesta revisão. Concluiu-se que, apesar dos significativos benefícios apresentados na instrumentação mecanizada em dentes permanentes, não foram observadas vantagens da técnica quando aplicada em odontopediatria, injustificando o alto investimento.

show abstract

Comparison of cleaning Efficacy and Instrumentation Time between Rotary and Manual Instrumentation Techniques in Primary Teeth: An in vitro Study

Cited by 22 publications

References 10 publications

Comparative Evaluation of Hand K-flex Files, Pediatric Rotary Files, and Reciprocating Files on Instrumentation Time, Postoperative Pain, and Child\'s Behavior in 4–8-year-old Children

Comparative Evaluation of Hand K-flex Files, Pediatric Rotary Files, and Reciprocating Files on Instrumentation Time, Postoperative Pain, and Child\'s Behavior in 4–8-year-old Children

Comparison of two different file systems on postoperative pain after root canal instrumentation: A randomized controlled trial

Tratamento endodôntico mecanizado em dentição decídua

Contact Info

Product

Resources

About