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Rotary Endodontics in Pediatric Dentistry: Embracing the New Alternative

Pulpectomy is one of the most important procedures in maintaining the necrotic primary teeth until physiologic exfoliation. In clinical practice, time efficacy is invaluable, especially in pediatric endodontics, where unpredictability and difficulty of root canal morphology adds to a clinician's challenge. The success of a pulpectomy procedure mainly depends upon the biomechanical preparation of the root canal systems. With the advent of NiTi rotary files, adult endodontic procedures have been rendered easy, but its popularity in pedodontic practice is limited. Therefore, the purpose of this article is to review the use of NiTi rotary files for root canal instrumentation in primary teeth.

How to cite this article

Chauhan A, Saini S, Dua P, et al. Rotary Endodontics in Pediatric Dentistry: Embracing the New Alternative. Int J Clin Pediatr Dent 2019;12(5):460-463.

Rotary NiTi Instrument Fracture and its Consequences

The fracture of endodontic instruments is a procedural problem creating a major obstacle to normally routine therapy. With the advent of rotary nickel-titanium (NiTi) instruments this issue seems to have assumed such prominence as to be a considerable hindrance to the adoption of this major technical advancement. Considerable research has been undertaken to understand the mechanisms of failure of NiTi alloy to minimize its occurrence. This has led to changes in instrument design, instrumentation protocols, and manufacturing methods. In addition, factors related to clinician experience, technique, and competence have been shown to be influential. From an assessment of the literature presented, we derive clinical recommendations concerning prevention and management of this complication.