Comparative evaluation of pediatric rotary file system and a single file technique on the quality of root canal preparation on deciduous teeth: a combined in-vivo and in-vitro study

Authors

  • Hemangi Bhanushali Consulting Pediatric and Preventive Dentist, Jamnagar, Gujarat, India
  • Vasudha Sodani Department of Pediatric and Preventive Dentistry, Ahmedabad Dental College and Hospital, Gandhinagar, Gujarat, India
  • Anvi Shah Department of Pediatric and Preventive Dentistry, Ahmedabad Dental College and Hospital, Gandhinagar, Gujarat, India
  • Bhumi Sarvaiya Department of Pediatric and Preventive Dentistry, Ahmedabad Dental College and Hospital, Gandhinagar, Gujarat, India
  • Devdatt Sharma Department of Pediatric and Preventive Dentistry, Ahmedabad Dental College and Hospital, Gandhinagar, Gujarat, India
  • Parth Chhabria Department of Pediatric and Preventive Dentistry, Ahmedabad Dental College and Hospital, Gandhinagar, Gujarat, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20250306

Keywords:

Pulpectomy, Pediatric rotary file system, Single file technique

Abstract

Background: Pulpectomy is the conservative treatment that retains and preserves the primary tooth in the dental arch in its function and non-pathologic state until its exfoliation. Over recent years, pulpectomy has been performed using various instrumentation techniques. The aim of this study was to evaluate the instrumentation time, taper and quality of obturation using pediatric rotary file system and a single file technique.

Methods: Pulpectomy was performed on 40 patients and 40 3D printed models of primary second molar for the study. Kedo-S rotary files, Pro AF Baby Gold rotary file system, Pro Taper Sx rotary file and Neo Endo Flex Orifice Opener rotary file were used for instrumentation. Immediate post-operative digital radiographs were taken to evaluate the quality of root filing, taper of canal and root canal instrumentation time was also recorded.

Results: No significant difference was observed in taper and quality of obturation using pediatric rotary file system and a single file technique (p value > 0.05). On comparing mean instrumentation time Neo Endo Flex Orifice Opener rotary file took least time for instrumentation, the highest time taken for instrumentation was seen in Pro AF Baby Gold rotary file system, this was statistically significant (p value <0.001).

Conclusions: With the use of modified rotary file system for pulpectomy in primary teeth, reduction in the instrumentation time has been appreciated.

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References

Jindal L, Bhat N, Mehta S, Bansal S, Sharma S, Kumar A. Rotary endodontics in pediatric dentistry: literature review. Int J of Health and Bio Sci. 2020;3(2):9-13.

Katge F, Ghadge S, Poojari M, Jain K, Patil D. Comparative evaluation of cleaning efficacy of Prime PedoTM and DXL-ProTM Pedo Rotary Files with Conventional H files in root canals of primary teeth: an in vitro study. J Clin of Diagn Res. 2019;13(7):6-9. DOI: https://doi.org/10.7860/JCDR/2019/41425.12983

Chauhan A, Saini S, Dua P. Rotary endodontics in pediatric dentistry: embracing the new alternative. Int J Clin Pediatr Dent. 2019;12(5):460-63 DOI: https://doi.org/10.5005/jp-journals-10005-1679

Thakkar TK, Naik S, Ghule K. Advances in rotary endodontics in pediatric dentistry. EC Dent Sci 2019;18(6):1320-30.

Ingle IJ. Endodontic instruments and instrumentation. Dent Clin North Am. 1975;11:805-22. DOI: https://doi.org/10.1016/S0011-8532(22)02645-3

Coll A, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent. 1996;18(1):57-63.

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. J Orofac Sci. 2020;12(1):30-4. DOI: https://doi.org/10.4103/jofs.jofs_99_18

Lakshmanan L, Mani M, Jeevanandan G, Ravindran V, Subramanian EM. Assessing the quality of root canal filling and instrumentation time using Kedo-S files, reciprocating files and k-files. Braz Dent Sci 2020;23(1):1-7. DOI: https://doi.org/10.14295/bds.2020.v23i1.1822

Shah HS, Patil VM, Kamath AP, Mathur AA. Comparative evaluation of instrumentation time, obturation time, and radiographic quality of obturation using two rotary systems and manual technique for primary molar pulpectomies – In vivo study. Contemp Clin Dent. 2021;12(1):55-62. DOI: https://doi.org/10.4103/ccd.ccd_83_20

Robia G. Comparative radiographic assessment of root canal obturation quality: manual verses rotary canal preparation technique. Int J of Bio Sci. 2014;10(2):136-42. DOI: https://doi.org/10.59566/IJBS.2014.10136

Sleiman F, Abou-Jaoude S, Berberi R. The use of the K3 orifice openers in primary teeth preparation. Oral Health. 2007;97(5):17-18.

Govindaraju L, Jeevanandan G, Subramanian E. Clinical evaluation of quality of obturation and instrumentation time using two modified rotary File systems with manual instrumentation in primary teeth. J Clin Diagn Res. 2017;11(9):55-8. DOI: https://doi.org/10.7860/JCDR/2017/30069.10602

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Published

2025-01-31

How to Cite

Bhanushali, H., Sodani, V., Shah, A., Sarvaiya, B., Sharma, D., & Chhabria, P. (2025). Comparative evaluation of pediatric rotary file system and a single file technique on the quality of root canal preparation on deciduous teeth: a combined in-vivo and in-vitro study. International Journal Of Community Medicine And Public Health, 12(2), 762–766. https://doi.org/10.18203/2394-6040.ijcmph20250306

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Original Research Articles