Comparison of instrumentation time and cleaning efficacy of manual instrumentation, rotary systems and reciprocating systems in primary teeth: An in vitro study

Katge, Farhin; Patil, Devendra; Poojari, Manohar; Pimpale, Jitesh; Shitoot, Abhinav; Rusawat, Bhavesh

doi:10.4103/0970-4388.140957

Cited by 62 publications

(96 citation statements)

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“…A study performed in primary teeth showed a significant difference in endodontic treatment among three instrumentation techniques (Kfile, ProTaper and WaveOne), mainly with respect to the cleaning of root canals. However, it did not report the possibility of extruded debris around the peri-apex [8]. In a similar manner, did not observe any influence in debris transportation to the periapical region after comparing three preparation techniques [18].…”

Section: Discussionmentioning

confidence: 72%

“…The WaveOne system allows greater flow of irrigating solution by removing smaller amounts of dentin from the channel walls [6], thus reducing the extrusion of debris and reducing the risk of damaging or frustrating the instrument in irregular channels as presented the primary teeth [5][6][7]. This method has also been shown to be more effective in disinfecting the radial channels of deciduous molars [8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Assessment of Extruded Debris in Primary Molars Comparing Manual and Reciprocating Instrumentation

Madalena¹,

Carneiro²,

Osório³

et al. 2018

Pesqui. bras. odontopediatria clín. integr.

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Objective: To compare the amount of extruded debris in primary molars after manual instrumentation or WaveOne system. Material and Methods: Twenty-five primary molar roots with mild and moderate root angulation (between 10 to 20º), having at least two thirds of root length, no pathological reabsorption (internal or external) or furcation perforation, were selected for this study. Roots were standardized at 6 mm in length, inserted and stabilized in individual acrylic resin blocks with random distribution into two groups: G1 (n=12): Instrumentation with crown-down manual technique; and G2 (n=13): instrumentation with WaveOne system. Blocks with roots were weighed before and after instrumentation, allowing the calculation of extruded debris using both mechanical preparations. Data analysis was performed by Bioestat 4.0 statistical software using Mann Whitney test. Results: The mean weight of extruded debris in manual instrumentation and WaveOne system have no significant difference (p=0.8704). Conclusion: Manual crown-down instrumentation or WaveOne system does not influence the amount of extruded debris after mechanical preparation, suggesting that both techniques were effective in canals clean causing similar extrused debris, however more studies with largest sample should be done to better validate this evidence.

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Section: Discussionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

Assessment of Extruded Debris in Primary Molars Comparing Manual and Reciprocating Instrumentation

Madalena¹,

Carneiro²,

Osório³

et al. 2018

Pesqui. bras. odontopediatria clín. integr.

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“…On the other hand, rotary instrumentation dramatically reduces the working time, which is a very interesting aspect to consider for pediatric patients (1,(3)(4)(5)(6)(7)(8)(9)(10).…”

Section: Introductionmentioning

confidence: 99%

“…Cleaning and shaping of the RCS of primary teeth has been traditionally evaluated by destructive methods that do not provide a three-dimensional analysis of the specimens, such as clearing technique, Indian ink injection (3,5,7,8) and serial sectioning into root slices (4). Moreover, two recent studies (9,10) showed the use of computed tomography (CT) in the assessment of root canal preparation of primary teeth.…”

Section: Introductionmentioning

confidence: 99%

Mechanical Preparation Showed Superior Shaping Ability than Manual Technique in Primary Molars - A Micro-Computed Tomography Study

et al. 2017

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The aim of the study was to evaluate canal preparation in primary molars with hand files, ProTaper Next and Self-Adjusting File (SAF) by 2D and 3D micro-computed tomography (micro-CT) analysis. Canals of 24 primary molars were prepared with hand files (HF), ProTaper Next (PTN) and SAF (n=8/group). The teeth were scanned before and after root canal preparation and the pre-and postoperative micro-CT images were reconstructed. Changes in 2D (area, perimeter, roundness, minor and major diameter) and 3D [volume, surface area, structure model index (SMI)] morphological parameters, as well as canal transportation and lateral perforations were evaluated (Kruskal-Wallis and ANOVA; α=0.05). SAF presented smaller changes in minor diameter, volume and surface area compared with HF and PTN (p<0.05). PTN presented more circular canals after preparation. 3D analysis revealed greater transportation in HF. PTN and SAF presented more centered canal preparation, especially in curved areas. SAF and HF presented, respectively, the lowest (0.05±0.02 and 0.07±0.04) and highest (0.14±0.11 and 0.29±0.17) apical transportation. There were fewer lateral perforations in SAF (4.2%) and PTN (7.7%) than in HF (47.8%) (p<0.05). In primary molars, mechanical preparation showed better shaping ability than hand files, promoting more centered preparations and lower occurrence of lateral perforations and canal transportation. Clinical Relevance: Manual instrumentation is still reported as the main choice in the primary teeth preparation; however, studies have shown limitations in its use. The morphological characteristics of primary teeth and the limited knowledge of shaping procedures in these teeth using mechanical preparation become a challenge for clinical practice and might impair the predictability of endodontic treatment.

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“…For the molar deciduous teeth, in the studies comparing the rotary tool system and K type file, the canal shaping performed by rotary tool system was completed faster than the K type, furthermore, it was demonstrated that the rotary tool system enables smoother canal surface and more conical shape, and facilitated the flow of the filling material within the canal (20,21). In their study regarding canal cleansing effectiveness, Katge et al (22) concluded that the rotary tool systems are superior to the preparations performed via K type hand file; while Nazari Moghaddam et al (23) could not find any significant difference between the two.…”

Section: Root Canal Treatment For Deciduous Teethmentioning

confidence: 97%

Root Canal Treatment for Deciduous Teeth: A Review

Daloğlu¹,

Güzel²

2017

meandros

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Süt dişlerinin erken kaybı fizyolojik, fonksiyonel ve estetik açıdan birçok olumsuzluğa yol açmaktadır. Süt dişlerinin yapısı, çürüğün çok daha kolay ve kısa sürede ilerlemesine sebep olmakta ve bu dişlerin ağızda tutulmaları için sıklıkla pulpa tedavilerine ihtiyaç duyulmaktadır. Süt dişi kök kanal tedavilerinin başarısını arttıracak yeni materyallerin araştırılmasına devam edilmektedir. Çalışmamızda süt dişi kök kanal tedavilerinde son dönemde öne çıkan güncel yaklaşımların derlenmesi amaçlanmıştır. Öz AbstractThe early loss of deciduous teeth leads to many negations in terms of physiological, functional and aesthetic. The structure of the deciduous teeth causes decay to progress much easier and less time and this is the need for frequent dental pulp treatment to be kept in the mouth. The new materials that will increase the success of deciduous teeth root canal treatment are continuing to investigate. In this study, it is aimed that recently prominent current approaches are to be compiled in root canal treatment of deciduous teeth.

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Comparison of instrumentation time and cleaning efficacy of manual instrumentation, rotary systems and reciprocating systems in primary teeth: An in vitro study

Abstract: The reciprocating and the rotary systems showed better cleaning efficacy when compared to manual instrumentation especially, in coronal and middle one third.

Cited by 62 publications

References 0 publications

Assessment of Extruded Debris in Primary Molars Comparing Manual and Reciprocating Instrumentation

Assessment of Extruded Debris in Primary Molars Comparing Manual and Reciprocating Instrumentation

Mechanical Preparation Showed Superior Shaping Ability than Manual Technique in Primary Molars - A Micro-Computed Tomography Study

Root Canal Treatment for Deciduous Teeth: A Review

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