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VOLUME 14 , ISSUE 1 ( January-February, 2021 ) > List of Articles

Systematic Review And Meta-Analysis

Comparison of Clinical and Radiographic Success of Rotary with Manual Instrumentation Techniques in Primary Teeth: A Systematic Review

Nambi Natchiyar, Sharath Asokan, Pollachi Ramakrishnan Geetha Priya, Thoppe Dhamodharan Yogesh Kumar

Keywords : Clinical and radiographic success, Manual technique, Primary teeth, Pulpectomy, Rotary technique

Citation Information : Natchiyar N, Asokan S, Priya PR, Kumar TD. Comparison of Clinical and Radiographic Success of Rotary with Manual Instrumentation Techniques in Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent 2021; 14 (1):8-13.

DOI: 10.5005/jp-journals-10005-1879

License: CC BY-NC 4.0

Published Online: 14-07-2021

Copyright Statement:  Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Aim and objective: A systematic review was planned to compare the clinical and radiographic success rate of pulpectomy in primary molars using a rotary system and hand files system. Study design: The literature search was undertaken in electronic databases from January 2000 to December 2019 using keywords. Four hundred and forty-two studies were identified after applying limits. Three hundred and thirty-one irrelevant articles were eliminated. Among the 111 articles obtained, 90 articles were eliminated after reading the titles and abstracts. After assessing the full text, 18 articles were eliminated. Randomized controlled trials (RCTs) published in the English language on pulpectomy of primary molars, using hand files and rotary files and with a follow-up period of 12 months were included. Results: Three RCTs comparing the clinical and radiographic pulpectomy success rates using rotary and hand files instrumentation were finally selected. Qualitative assessment with RoB 2.0 showed one study had a low risk of bias and two studies had a high risk of bias. Conclusion: Pulpectomy procedures in primary teeth using rotary and hand files instrumentation techniques were equally effective in terms of success rates.


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  1. Dean J, Avery DR, Mc Donald RE. Dentistry for the child and adolescent. 11th ed., St. Louis: Mosby Elsevier; 2011.
  2. Park K, Jung DW, Kim JY. Three-dimensional space changes after premature loss of a maxillary primary molar. Int J Paediatr Dent 2009;19(6):383–389. DOI: 10.1111/j.1365-263X.2009.00990.x.
  3. Walton RE, Torabinejad M. Principles and practice of endodontics. 3rd ed., Saunders Company Inc.; 2002. p. 222.
  4. Crespo S, Cortes O, Garcia C, et al. Comparison between rotary and manual instrumentation in primary teeth. J Clin Ped Dent 2008;32(4):295–298. DOI: 10.17796/jcpd.32.4.l57l36355u606576.
  5. Moher D, Liberati A, Tetzlaff J, et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA statement. J Clin Epidemiol 2009;62(10):1006–1012. DOI: 10.1016/j.jclinepi.2009. 06.005.
  6. Vieyra JP, Enriquez FJJ. Instrumentation time efficiency of rotary and hand instrumentation performed on vital and necrotic human primary teeth: A randomized clinical trial. J Dent 2014;4:1–5.
  7. Elheeny AA, Khattab NM, Fouda TA. Comparative study of two rotary systems for endodontic treatment of infected primary molars: in vivo and in vitro study. Egypt Dent J 2015;61:4293–4300.
  8. Morankar R, Goyal A, Gauba K, et al. Manual versus rotary instrumentation for primary molar pulpectomies - A 24 months randomized clinical trial. Pediatr Dent J 2018;28(2):96–102. DOI: 10.1016/j.pdj.2018.02.002.
  9. Higgins JP, Sterne JA, Savović J, et al. A revised tool for assessing risk of bias in randomized trials. In Chandler J, McKenzie J, Boutron I, Welch V, editors Cochrane Methods Cochrane Database Syst Rev 2016;10:29–31.
  10. Coll JA, Sadrian R. Predicting pulpectomy success and its relationship to exf oliation and succedaneous dentition. Pediatr Dent 1996;18: 57–63.
  11. Peters OA, Barbakow F, Peters CI. An analysis of endodontic treatment with three nickel titanium rotary root canal preparation techniques. Int Endod J 2004;37(12):849–859. DOI: 10.1111/j.1365-2591.2004.00882.x.
  12. Iqbal M, Kurtz E, Kohli M. Incidence and factors related to flare-ups in a graduate endodontic programme. Int Endod J 2009;42(2):99–104. DOI: 10.1111/j.1365-2591.2008.01461.x.
  13. Romero TO, Gonzalez VM. Comparison between rotary and manual techniques on duration of instrumentation and obturation times in primary teeth. J Clin Pediatr Dent 2011;35(4):359–364. DOI: 10.17796/jcpd.35.4.8k013k21t39245n8.
  14. Makarem A, Ravandeh N, Ebrahimi M. Radiographic assessment and chair time of rotary instruments in the pulpectomy of primary second molar teeth: a randomized controlled clinical trial. J Dent Res Dent Clin Dent Prospects 2014;8:84–89.
  15. Barr ES, Kleier DJ, Barr NV. Use of nickel titanium rotary files for root canal preparation in primary teeth. Pediatr Dent 1999;21:453–454.
  16. Musale PK, Mujawar SA. Evaluation of the efficacy of rotary versus hand files in root canal preparation of primary teeth in vitro using CBCT. Eur Arch Paediatr Dent 2014;15(2):113–120. DOI: 10.1007/s40368-013-0072-1.
  17. Azar MR, Safi L, Nikaein A. Comparison of the cleaning capacity of Mtwo and ProTaper rotary systems and manual instruments in primary teeth. Dent Res J 2012;9(2):146–151. DOI: 10.4103/1735-3327.95227.
  18. Del Fabbro M, Afrashtehfar KI, Corbella S, et al. In vivo and in vitro effectiveness of rotary nickel-titanium vs. manual stainless steel instruments for root canal therapy: systematic review and meta-analysis. J Evid Based Dent Pract 2018;18(1):59–69. DOI: 10.1016/j.jebdp.2017.08.001.
  19. Thomas AM, Chandra S, Chandra S, et al. Elimination of infection in pulpectomized deciduous teeth: a short term study using iodoform paste. J Endod 1994;20(5):233–235. DOI: 10.1016/S0099-2399(06)80284-0.
  20. Reddy VV, Fernandes DC. Clinical and radiological evaluation of zinc oxide eugenol and moisto paste as obturating material in infected primary molars - 9 months study. J Indian Soc Pedo Prev Dent 1996;14:39–44.
  21. Chawla HS, Mani SA, Tewari A, et al. Calcium hydroxide as a root canal filling material in primary teeth - a pilot study. J Indian Soc Pedo Prev Dent 1998;6:53–58.
  22. Kuo C, Wang Y, Chang H, et al. Application of Ni-Ti rotary files for pulpectomy in primary molars. J Dent Sci 2006;1:10–15.
  23. Appukuttan DP. Strategies to manage patients with dental anxiety and dental phobia: literature review. Clin Cosmet Investig Dentist 2016;8:35–50. DOI: 10.2147/CCIDE.S63626.
  24. Jamali Z, Najafpour E, Ebrahim Adhami Z, et al. Does the length of dental procedure influence children's behavior during and after treatment? A systematic review and critical appraisal. J Dent Res Dent Clin Dent Prospects 2018;12(1):68–76. DOI: 10.15171/joddd.2018.011.
  25. Panchal V, Jeevanandan G, Subramanian EMG. Comparison of instrumentation time and obturation quality between hand K-file, H-files, and rotary Kedo-S in root canal treatment of primary teeth: a randomized controlled trial. J Indian Soc Pedod Prev Dent 2019;37(1):75–79. DOI: 10.4103/JISPPD.JISPPD_72_18.
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