Instrumentación rotatoria comparada con instrumentación manual para terapias pulpares en odontopediatría.

María Belén Salazar; María José Masson; María Cristina Salazar Montes; Leslee Angheloris Ribadeneira Morales

doi:10.47990/alop.v13i.560

Authors

María Belén Salazar Odontopediatra https://orcid.org/0000-0003-1116-2892
María José Masson Centro de Investigación de Salud Pública y Epidemiología Clínica (CISPEC). Universidad UTE https://orcid.org/0000-0001-7690-4733
María Cristina Salazar Montes Odontóloga General https://orcid.org/0000-0002-5084-3116
Leslee Angheloris Ribadeneira Morales Odontóloga General, Especialista en Odontopediatría, Coordinadora de la Especialización en Odontopediatría Universidad UTE https://orcid.org/0000-0001-6756-8571

DOI:

https://doi.org/10.47990/alop.v13i.560

Keywords:

rotary instrumentation, manual instrumentation, pulp therapies, primary dentition

Abstract

Abstract: Introduction: In pulp therapy, there have been advances that are not only related to the biomaterials used but also to the techniques used for instrumentation; hence, optimizing the latter contributes to increasing the quality of therapeutics in this field. Objective: to examine the available evidence on rotary instrumentation vs. manual instrumentation for pulp therapy in pediatric dentistry. Methods: PRISMA-ScR reporting criteria were applied. For the search of the articles, the pubmed/medline, Elsevier, Epistemonikos, Scielo.org, Redalyc.org databases were used; Imbiomed and academic google, Articles in English and Spanish, published from January 2017 to June 2022. Fifteen articles were selected that met the criteria established for the review. Results: 60.0% of the studies reported that the rotary instrumentation had a better obturation quality than the manual one; 40.0% reported not finding statistically significant differences between both techniques. 100% of the studies indicated that there was a significant reduction in the instrumentation time of rotary files compared to manual files. Conclusion: the evidence indicates that both rotary and manual instrumentation are effective in guaranteeing the quality of root canal filling and that the instrumentation time is shorter with rotary instrumentation, this aspect being very important in pediatric dentistry since the patient the child spends less time in the chair, which contributes to his being more cooperative and the treatment time is reduced.

References

Organization WH. World Health Organization Ending childhood dental caries: WHO implementation manual. [Online].; 2019. Available from: https://apps.who.int/iris/handle/10665/330643.

Mondragon Jaime, Marianela Hernandez-Baños, Benjamín Franco Sánchez. Manual and Rotatory Instrumentation Pulpectomy in Primary Mandibular Molars. [Online].; 2021. Available from: https:// clinicaltrials.gov/ct2/show/record/NCT04636450.

Dentistry PR. Best practices: Pediatric Restorative Dentistry. [Online].; 2019. Available from: www.aapd. org.

Silva LLCE, Cosme-Silva L, Sakai VT, Lopes CS, Silveira APPD, Moretti Neto RT, Gomes-Filho JE, Oliveira TM, Moretti ABDS. Comparison between calcium hydroxide mixtures and mineral trioxide aggregate in primary teeth pulpotomy: a randomized controlled trial. J Appl Oral Sci. 2019 May 20;27:e20180030. doi: 10.1590/1678-7757-2018-0030. PMID: 31116277; PMCID: PMC6534371.

Waly AS, Yamany I, Abbas HM, A Alsairafi MA, F Bazzaz RM, Bogari DF, Alhazzazi TY. Comparison of two pediatric rotary file systems and hand instrumentation in primary molar: An ex vivo cone-beam computed tomographic study. Niger J Clin Pract. 2021 Oct;24(10):1492-1498. doi: 10.4103/njcp.njcp_563_20. PMID: 34657015.

Rubio-Arguello José Leonardo, Ureña-Cirett José Luis. Algoritmos para la realización comprehensiva de la terapia pulpar indirecta en molares primarios. ; 2017. Report No.: 18(57): 1501-1505.

Bjørndal L, Simon S, Tomson PL, Duncan HF. Management of deep caries and the exposed pulp. ; 2019. Report No.: 52(7):949-973.

Panchal V, Jeevanandan G, y Subramanian MG. Comparison Between the Efficacy of Rotary and Manual Instrumentation in Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent. 2019; 12(4)(340–346).

Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D. PRISMA Extension for Scoping Reviews

(PRISMAScR): Checklist and Explanation. Ann Intern Med. 2018; 169(467–473).

GovindarajuL,JeevanandanG,SubramanianEMG.Comparisonofqualityofobturationandinstrumentation time using hand files and two rotary file systems in primary molars: A single-blinded randomized controlled

trial. Eur J Dent. 2017; 11(3)(376-379).

Mokhtari N, Shirazi AS, Ebrahimi M. A smart rotary technique versus conventional pulpectomy for primary

teeth: A randomized controlled clinical study. J Clin Exp Dent. 2017; 9(11)(e1292-e1296).

Morankar, A. Goyal, K. Gauba, A. Kapur, S.K. Bhatia. Manual versus rotary instrumentation for primary molar

pulpectomies- A 24 months randomized clinical trial. Pediatric Dental Journal. 2018; 28: ( 2 )(:96-102).

Del Fabbro M, Afrashtehfar KI, Corbella S, El-Kabbaney A, Perondi I, Taschieri S. In Vivo and In Vitro Effectiveness of Rotary Nickel-Titanium vs Manual Stainless Steel Instruments for Root Canal Therapy:

Systematic Review and Meta-analysis. J Evid Based Dent Pract. 2018 Marzo; 18(1)(:59-69).

HecksherF,VidigalB,CoelhoP,OtoniD,AlvarengaC,NunesE.EndodonticTreatmentinArtificialDeciduous Teeth through Manual and Mechanical Instrumentation: A Pilot Study. Int J Clin Pediatr Dent. 2019 Jan-

Feb; 12(1)(:15-17).

Vol 13, 2023 e-223560

Salazar MB, Masson MJ, Salazar MC, Ribadeneira Morales LA.

Panchal V, Jeevanandan G, Subramanian E. Comparison of instrumentation time and obturation quality between hand K-file, H-files, and rotary Kedo-S in root canal treatment of primary teeth: A randomized controlled trial. J Indian Soc Pedod Prev Dent. 2019 Jan-Mar; 37(1):(75-79).

Requena Martínez Cristina, Burbano Castano Daniela, Veloso Durán Ana, Virolés Suñer Mercè, Lluch Llagostera Clàudia. Comparación de pulpectomías en molares temporales con lima manual y reciprocante. La dental Tribune. [Online].; 2020. Available from: https://la.dental-tribune.com/news/comparacion-de- pulpectomias-en-molares-temporales-con-lima-manual-y-reciprocante/.

Krishna DRM, Setty JV, Srinivasan I, Melwani A. Comparison between Rotary (Mtwo) and Manual (H-Files) Techniques for Instrumentation of Primary Teeth Root Canals. Indian J Dent Res. 2019 Noviembre; 30(6):(899-903).

Priyadarshini P, Jeevanandan G, Govindaraju L, Subramanian EMG. 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. Eur Arch Paediatr Dent. 2020 Dec; 21(6):(693-701).

Pawar BA, Pawar AM, Bhardwaj A, Wahjuningrum DA, Rahardjo AK, Luke AM, Metzger Z, Kfir A. Effect of Adaptive, Rotary, and Manual Root Canal Instrumentation in Primary Molars: A Triple-Armed, Randomized Controlled Clinical Trial. Biology (Basel). Jan; 10(1)(:42).

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 Jan-Mar;12(1):55-62. doi: 10.4103/ccd. ccd_83_20. Epub 2021 Mar 20. PMID: 33967539; PMCID: PMC8092090.

RashaH.Mohamed MAyAS.Evaluationoftherotaryfilesystem(Kedo-S-Square)inthepreparationofroot canals of primary anterior teeth by cone beam computed tomography (CBCT)-in vitro study. Oral Health. 2022; 22(13).

Amorim AC, Caldeira AV, Sampaio SC, Lourenço Neto N, Oliveira TM, Nogueira DA, Moretti ABDS, Sakai VT. Comparison between the rotary (Hyflex EDM®) and manual (k-file) technique for instrumentation of primary molars: a 12-month randomized clinical follow-up study. J Appl Oral Sci. 2022; 30(e20210527).

Natchiyar N, Asokan S, Geetha Priya PR, Yogesh Kumar TD. Comparison of Clinical and Radiographic Success of Rotary with Manual Instrumentation Techniques in Primary Teeth: A Systematic Review. Int J Clin Pediatr Dent. 2021 Jan-Feb;14(1):8-13. doi: 10.5005/jp-journals-10005-1879. PMID: 34326578; PMCID: PMC8311778.

Coll JA, Dhar V, Vargas K, Chen CY, Crystal YO, AlShamali S, Marghalani AA. Use of Non-Vital Pulp Therapies in Primary Teeth. Pediatr Dent. 2020 Sep 15;42(5):337-349. PMID: 33087217.

Jeevanandan G GL. Clinical comparison of Kedo-S paediatric rotary files vs manual instrumentation for root canal preparation in primary molars: a double blinded randomised clinical trial. Eur Arch Paediatr Dent. 2018 Agosto; 19(4):273-278(doi: 10.1007/s40368-018-0356-6. Epub 2018 Jul 12. PMID: 30003514).