Comparison of the efficacy of two different rotary files in pediatric dentistry Original Research
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Abstract
Background: Rotary file systems for canal instrumentation in primary teeth are a recent advancement in pediatric dentistry. As the field evolves, understanding the effectiveness of different pediatric rotary file systems is essential.
Aim: To assess and compare the effectiveness of obturation and instrumentation time for primary molars invivo after cleaning and shaping with two distinct pediatric rotary files and a manual hand filing technique used in pediatric dentistry. Also, to evaluate and compare the 3D shape of intercanal spaces, surface roughness, and debris index of primary canines invitro.
Methods: A total of 9 extracted primary canines (invitro) and 15 primary molars (invivo) were taken for the study. These subjects were divided into 3 groups. Group 1 - kids-e-dental rainbow files, group 2 - Kedo SG blue files and group 3 – hand files. In invitro study, canal internal 3D shape was determined by intracanal impressions. Stereoscope images of set of sectioned teeth were used to evaluate smoothness and debris index of prepared canals. In invivo study, instrumentation timing was recorded and Obturation quality was assessed using radiographs. All data were recorded and statistical analysis was done.
Results: A significant difference (P < 0.001) was observed in qualitative assessment of debris scores, and smoothness analysis as well as in obturation quality among three groups. A statistically significant difference (P < 0.05) was noted in instrumentation time among groups.
Conclusion: There was a significant difference in instrumentation time and qualitative assessment among three groups.
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References
1. Heymann HO, Swift EJ, Ritter AV. Sturdevant’s Art and Science of Operative Dentistry.(6th edn), St. Louis: Elsevier Mosby, USA. 2013:624-88.
Holt R, Roberts G, Scully C. Dental damage, sequelae, and prevention. BMJ. 2000 Jun 24;320(7251):1717-9.
Chin JR, Kowolik JE, Stookey GK. Dental caries in the child and adolescent. McDonald and Avery’s Dentistry for the Child and Adolescent,. 2015 Aug 10:155-76.
Hargreaves KM, Berman LH. Cohen’s Pathways of the Pulp Expert Consult - E-Book. Mosby; 2015.
Barr ES, Kleier DJ, Barr NV. Use of nickel-titanium rotary files for root canal preparation in primary teeth. Pediatric dentistry. 2000 Jan 1;22(1):77-.
Lenchner V. The effect of appointment length on behavior of the pedodontic patient and his attitude toward dentistry. Journal of dentistry for children. 1966 Mar;33(2):61-74.
Dey B, Jana S, Chakraborty A, Ghosh C, Roy D. A comparison of Ni-Ti rotary and hand files instrumentation in primary teeth–a review article. Int J Oral Health Med Res. 2016;3(2):59-62.
Govindaraju L, Jeevanandan G, Subramanian EM. Knowledge and practice of rotary instrumentation in primary teeth among indian dentists: A questionnaire survey. Journal of International Oral Health. 2017 Mar 1;9(2):45-8.
Kohli A, Chhabra J, Sharma K, Katyayan R, Bhatnagar P, Sharma A. Comparative Evaluation of Instrumentation Time and Quality of Obturation amongst Pediatric Rotary Endodontic System: An In Vivo Study. International Journal of Clinical Pediatric Dentistry. 2023 Mar;16(2):338.
JeevananDan G. Kedo-S paediatric rotary files for root canal preparation in primary teeth–Case report. Journal of clinical and diagnostic research: JCDR. 2017 Mar;11(3):ZR03.
Jome J, Saseendran A, Sudhakar M, Nagar P, Sahana B, TH NF. A Novel Index to Analyze Pediatric Rotary File Systems. RGUHS Journal of Dental Sciences. 2023;15(4).
Juliet S, Jeevanandan G, Govindaraju L, Ravindran V, Subramanian EM. Comparison between three rotary files on quality of obturation and instrumentation time in primary teeth− A double blinded randomized controlled trial. Journal of Orofacial Sciences. 2020 Jan 1;12(1):30-4.
Crespo S, Cortés O, García C, Pérez L. Comparison between rotary and manual instrumentation in primary teeth. Journal of Clinical Pediatric Dentistry. 2008 Jul 1;32(4):295-8.
Shetty B, Singh R, Patil V, Tirupathi SP, Nene K, Rathi N. Comparative Evaluation of Single Rotary File System and Sequential Multi-file Rotary Systems on Time for Biomechanical Preparation and Obturation Quality in Single-visit Pulpectomy Protocol: A Double-blind Randomized Clinical Trial. International Journal of Clinical Pediatric Dentistry. 2023 Nov;16(Suppl 3):247.
Khubchandani M, Baliga MS, Rawlani SS, Rawlani SM, Khubchandani KM, Thosar N. Comparative evaluation of different obturation techniques in primary molars: an in vivo study. European Journal of General Dentistry. 2017 Jan;6(01):42-7.
Fuks AB, Papagiannoulis L, Duggal MS. Pulpotomy in primary teeth: review of the literature according to standardized assessment criteria. European archives of paediatric dentistry. 2006 Jun;1:64-72.
Govindaraju L, Jeevanandan G, Subramanian EM. Clinical evaluation of quality of obturation and instrumentation time using two modified rotary file systems with manual instrumentation in primary teeth. Journal of clinical and diagnostic research: JCDR. 2017 Sep;11(9):ZC55.
Silva LA, Nelson-Filho P, Leonardo MR, Tanomaru JM. Comparison of rotary and manual instrumentation techniques on cleaning capacity and instrumentation time in deciduous molars. Journal of dentistry for children. 2004 Jan 1;71(1):45-7.
Sruthi S, Jeevanandan G, Govindaraju L, Subramanian E. Assessing quality of obturation and instrumentation time using Kedo-SG blue, Kedo-SH, and reciprocating hand K-files in primary mandibular molars: A double-blinded randomized controlled trial. Dental Research Journal. 2021 Jan 1;18(1):76.
Priyadarshini P, Jeevanandan G, Govindaraju L, Subramanian EM. 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. European Archives of Paediatric Dentistry. 2020 Dec;21:693-701.