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Abdulhaligov M, Yilmaz N, Tuzuner T, Baygin O, Emeksiz C. The effect of three different primary teeth rotary instrument systems on the amount of apically extruded debris in pulpectomy of primary teeth. Eur Oral Res 2024; 58:58-63. [PMID: 39011176 PMCID: PMC11246710 DOI: 10.26650/eor.20241057693] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Revised: 04/22/2023] [Accepted: 05/05/2023] [Indexed: 07/17/2024] Open
Abstract
Purpose The objective of this study is to evaluate the amount of apically extruded debris and working time during root canal treatment with three different primary teeth rotary instrument systems. Materials and methods A total of 80 extracted primary second molar teeth were randomly divided into four groups (n=20) stratified by the instruments used: AF Baby Rotary, Easyinsmile Baby Rotary, Endoart Pedo Gold, and hand files. The apical extrusion of debris was collected then dried in Eppendorf tubes that were pre-weighed with 10-4 precision micro-balance. The incubation period was set as 14 days at 37°C. The dry weight was procured by deducting the preoperative weight from the postoperative weight. The systems' working time was calculated by chronometer. Mann Whitney U test with Bonferroni correction was used for pairwise comparison following the variance analysis with Kruskal Wallis test. Wilcoxon test was used for intragroup comparison. Results Although all instruments caused apically extruded debris (p<0.001), there was no statistically significant difference between the groups in debris extrusion. However, the longest working time was found in the manual K files, the Endoart Pedo Gold system had the shortest working time (p<0.001). Conclusion Our results demonstrate that all instrument systems caused apical extrusion of debris. Furthermore, the rotary instrument systems designed for primary teeth exhibited significantly shorter working time.
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Affiliation(s)
- Mushfig Abdulhaligov
- Department of Pediatric Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon,Turkiye
| | - Nagehan Yilmaz
- Department of Pediatric Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon,Turkiye
| | - Tamer Tuzuner
- Department of Pediatric Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon,Turkiye
| | - Ozgul Baygin
- Department of Pediatric Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon,Turkiye
| | - Cansu Emeksiz
- Department of Pediatric Dentistry, Faculty of Dentistry, Karadeniz Technical University, Trabzon,Turkiye
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Shroff Y, Dutta BN, Verma RK, Sharma V. Comparative evaluation of the efficacy of the Pro AF Baby Gold and Kedo-S pediatric endodontic files for canal instrumentation, transportation, and centering ratio - A systematic review and meta-analysis. J Indian Soc Pedod Prev Dent 2024; 42:73-82. [PMID: 38957903 DOI: 10.4103/jisppd.jisppd_526_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2023] [Accepted: 04/22/2024] [Indexed: 07/04/2024] Open
Abstract
BACKGROUND Traditionally, pediatric endodontics lacked access to the full potential of rotary instruments. These instruments, designed for the permanent root canal system, often presented limitations when used in primary teeth. To address this, exclusive pediatric rotary files with regular improvements have been introduced, featuring superior cutting efficiency with a focus on precise alignment. This design offers the advantage of reduced risk of ledges, perforations, instrument separation, and canal transportation. This study aimed to compare and evaluate the effectiveness of Pro AF Baby Gold and Kedo-S rotary files in preparing primary tooth root canals during pulpectomy procedures through a meta-analysis. METHODOLOGY The review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. The review searched electronic databases from 2000 to February 2024 for studies evaluating the efficacy of Pro AF Baby Gold and Kedo-S files in terms of canal instrumentation, transportation, and centering ratio. The Cochrane risk of bias (ROB)-2 tool assessed quality, with analyses conducted using RevMan software version 5.3. The standardized mean difference (SMD) served as the summary with a random effects model (P < 0.05). RESULTS Out of the five studies identified through the eligibility criteria, three were deemed suitable for a meta-analysis, while all five were included in a qualitative synthesis. The quality assessment revealed a presence of moderate-to-low ROB. The pooled analysis using SMD did not show any statistically significant differences between the files, except for the centering ratio in the mesiobuccal canal, where the Kedo-S file performed slightly better. In addition, the absence of any significant asymmetry in the funnel plot suggests that there is likely no publication bias present in the data. CONCLUSION Pro AF Baby Gold files can be used as an alternative adjunct in pediatric endodontics to Kedo-S files and manual files.Prospero Registration: CRD42023469406.
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Affiliation(s)
- Yashshwini Shroff
- Department of Pediatric and Preventive Dentistry, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India
| | - Brahmananda N Dutta
- Department of Pediatric and Preventive Dentistry, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India
| | - Rajnish Kumar Verma
- Department of Pediatric and Preventive Dentistry, Kalinga Institute of Dental Sciences, KIIT University, Bhubaneswar, Odisha, India
| | - Varsha Sharma
- Department of Dentistry, All India Institute of Medical Sciences, Raebareli, Uttar Pradesh, India
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Balaji S, Jeevanandan G, Ravindran V, Assiry AA, Vishwanathaiah S, Maganur PC. Comparative evaluation of volumetric changes following rotary and hand files' canal preparation of primary maxillary canine: an in vitro nano-CT analysis. Eur Arch Paediatr Dent 2024; 25:227-235. [PMID: 38472709 DOI: 10.1007/s40368-024-00877-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 01/24/2024] [Indexed: 03/14/2024]
Abstract
PURPOSE To evaluate the volumetric changes of two recently introduced paediatric rotary file systems in comparison with conventional hand file systems in primary maxillary canines using an ultra-high-resolution nano-computed tomography. METHODS This in vitro study was performed in extracted primary maxillary canines based on certain inclusion and exclusion criteria. Samples were prepared, and working length was determined after the pre-operative scan using a high-resolution nano-CT device (SkyScan 2214, Bruker, Kontich, Belgium). A single well-experienced paediatric dentist prepared the canals using three file systems: Kedo-S plus, Kedo-SG blue and hand K-files. All samples were subjected to post-operative scans performed similar to pre-operative scans. Image reconstruction was performed with NRecon software for 3D volumetric visualisation and analysis of the root canals. RESULTS Kedo-SG blue file systems had the highest mean difference in the canal volume (4.05%). Hand K-files had the least difference at (3.71%) of canal volume. Kedo-S plus file system had a moderate mean canal volume difference (3.82%) which is closer to hand K-files. Intergroup comparison between the three groups showed that the mean difference in canal volume was statistically significant between all three file systems (p = 0.000). CONCLUSION Within the limitations of the current study, rotary file systems produced a significant enlargement of canals as compared to hand files. Kedo-SG blue created a uniform preparation of the canal cervico-apically. Kedo-S plus files were prepared more coronally with minimal preparation apically as close to the preparation of hand files. TRIAL REGISTRATION Trial registration number: IHEC/SDC/PEDO-2103/22/651, Date of registration: 2022.
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Affiliation(s)
- S Balaji
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India
| | - G Jeevanandan
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India.
| | - V Ravindran
- Department of Pediatric and Preventive Dentistry, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India
| | - A A Assiry
- Preventive Dental Science Department, Faculty of Dentistry, Najran University, 1988, Najran, Saudi Arabia
| | - S Vishwanathaiah
- Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, Jazan, Saudi Arabia.
| | - P C Maganur
- Department of Preventive Dental Sciences, Division of Pediatric Dentistry, College of Dentistry, Jazan University, Jazan, Saudi Arabia
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Incidence of Post-Operative Pain following a Single-Visit Pulpectomy in Primary Molars Employing Adaptive, Rotary, and Manual Instrumentation: A Randomized Clinical Trial. MEDICINA (KAUNAS, LITHUANIA) 2023; 59:medicina59020355. [PMID: 36837556 PMCID: PMC9966361 DOI: 10.3390/medicina59020355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 12/08/2022] [Revised: 02/05/2023] [Accepted: 02/10/2023] [Indexed: 02/16/2023]
Abstract
Background and Objectives. To differentiate the intensity of postoperative pain after primary molar pulpectomy employing manual instrumentation versus two single-file systems with different kinetics (the XP-Endo shaper file with adaptive instrumentation vs. the Kedo-SG blue file with continuous rotation instrumentation). Materials and Methods. This three-arm, single-blind, randomized clinical trial included assessing 75 healthy children between 4 to 9 years who required pulpectomy for primary molars (mandibular first and second). The three groups each had an equal number of children. Children in Group 1 had their teeth instrumented with the XP-endo Shaper, children in Group 2 had their teeth instrumented with the Kedo-SG Blue file, and children in Group 3 had their teeth instrumented manually using K-files. The degree of postoperative pain was measured using a four-point pain scale at 6-, 12-, 24-, 48-, and 72-h following therapy. Each participant's parent received five flashcards with four faces and a word characterizing each face. The data were analyzed using Kruskal-Wallis and chi-square tests. The level of significance was set to 5%. Results. During the follow-up period, there was a significant difference in postoperative pain intensity between the three groups. The XP-endo shaper was associated with considerably decreased post operative at the 6- and 12-h interval followed by Kedo-SG. The highest post-operative discomfort across the groups was related to the patients who underwent manual instrumentation. Conclusion. In comparison to rotary and manual instrumentation, postoperative pain severity was reduced with adaptive instrumentation.
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Delfosse C, Marquillier T, Ndoye S, Cousson PY, Hennequin M, Catteau C. Effect on undergraduate student self-confidence in using 3D printed primary molars for root canal treatment simulation training. Eur Arch Paediatr Dent 2023; 24:105-116. [PMID: 36315344 DOI: 10.1007/s40368-022-00764-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Accepted: 10/19/2022] [Indexed: 03/08/2023]
Abstract
PURPOSE The main purpose of this study was to assess the effect of a root canal treatment (RCT) practical simulation-based session using 3D printed primary molars on the self-confidence of fourth-year undergraduate dental students. Our study was also designed to explore student experiences with both manual and rotary RCT procedures and to investigate the association between the self-confidence in undertaking an RCT and the quality of the RCT. METHODS Student global self-confidence in undertaking an RCT on a healthy, cooperative child aged 4-5 years was evaluated 2 h before, 1 month after, and 11 months after the simulation training session. Once each instrumental procedure had been completed, the students were also asked to score the level of confidence (specific self-confidence) they felt regarding the use of RP and MP. After each training session, the quality of the RCT was radiographically evaluated by two trained, independent investigators. RESULTS Overall, student global self-confidence in undertaking an RCT increased significantly immediately after the practical session and remained stable for the ensuing eleven months. The students declared a clear preference for RP and were more self-confident in undertaking an RCT after RP than after MP. The proportion of RCTs considered of good quality was the same for the manual (31.5%) and rotary (30.3%) procedures. CONCLUSIONS Simulation training is a good way to train dental students who are confident in undertaking RCTs. However, confidence is not directly related to competence. Teachers should be encouraged to develop a comprehensive simulation training program, including feedback, debriefing, and repetitions.
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Affiliation(s)
- C Delfosse
- Department of Paediatric Dentistry, University of Lille, UFR3S-Odontologie, Odontologie Pédiatrique, 59000, Lille, France.,CHU Lille, Service d'Odontologie, 59000, Lille, France.,Université Clermont Auvergne, CROC, 63000, Clermont-Ferrand, France
| | - T Marquillier
- Department of Paediatric Dentistry, University of Lille, UFR3S-Odontologie, Odontologie Pédiatrique, 59000, Lille, France. .,CHU Lille, Service d'Odontologie, 59000, Lille, France. .,Université Sorbonne Paris Nord, Campus Condorcet, UR 3412-LEPS-Laboratoire Éducations et Promotion de la Santé, 93017, Bobigny, France.
| | - S Ndoye
- Université Clermont Auvergne, CROC, 63000, Clermont-Ferrand, France.,Université Cheikh Antia Diop, Faculté de Médecine Dentaire, Dakar, Sénégal
| | - P-Y Cousson
- Université Clermont Auvergne, CROC, 63000, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, 63000, Clermont-Ferrand, France
| | - M Hennequin
- Université Clermont Auvergne, CROC, 63000, Clermont-Ferrand, France.,CHU Clermont-Ferrand, Service d'Odontologie, 63000, Clermont-Ferrand, France
| | - C Catteau
- CHU Lille, Service d'Odontologie, 59000, Lille, France.,Université Clermont Auvergne, CROC, 63000, Clermont-Ferrand, France.,University of Lille, UFR3S-Odontologie, Santé Publique, 59000, Lille, France
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Abdelkafy H, Eldehna AM, Salem NA. Canal Transportation and Centring Ratio of Paediatric vs Regular Files in Primary Teeth. Int Dent J 2022; 73:423-429. [DOI: 10.1016/j.identj.2022.09.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2022] [Revised: 09/10/2022] [Accepted: 09/15/2022] [Indexed: 11/05/2022] Open
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