Canal transportation and centering ability of neoendo rotary files in deciduous teeth: An in vitro study using cone beam computed tomography

Main Article Content

Palak Janiani
Mahesh Ramakrishnan

Keywords

Canal centering, transportation, Pediatric rotary files, Primary teeth, Novel

Abstract

Background: The primary goals of cleaning and shaping during pulpectomy procedure is to debride the canals simultaneously to maintain canal morphology and to prevent any transportation or perforations. These are critical iatrogenic faults that can lead to complications.
Aim: To utilize cone-beam computed tomography (CBCT) imaging to evaluate how Pedoflex rotary files and Neoendo flex orifice enlarger affect the centering ability and transportation of the canal during a Biomechanical preparations.
Materials and method: Forty primary mandibular first molar distal roots were scanned using cone-beam computed tomography (CBCT). The teeth were randomly separated into two equal groups and treated with either Pedoflex rotary files or Neoendo flex orifice enlarger files. After the canals were prepared, they were rescanned using CBCT, and the images were divided into cervical, middle, and apical thirds. The study evaluated and compared the transportation (CT) of the canals and the centering ability of the instruments between the two groups.
Results: Both files maintain the canal centering ability better in the middle level than cervical and apical levels. However this was not statistically significant. No difference was observed between the two systems in terms of canal transportation.
Conclusion: The study found that there was no significant variation in the canal transportation and centering ability between the two rotary file systems used. Therefore, both systems can be safely utilized with minimal risk of procedural errors during root canal preparation.

Abstract 195 | PDF Downloads 254

References

1. Prabhakar AR, Yavagal C, Dixit K, et al. Reciprocating vs rotary instrumentation in pediatric endodontics: cone beam computed tomographic analysis of deciduous root canals using two single-file systems. Int J Clin Pediatr Dent 2016;9(1):45–49. DOI: 10.5005/jp-journals-10005-1332
2. Tambe VH, Nagmode PS, Abraham S, et al. Comparison of canal transportation and centering ability of rotary protaper, one shape system and wave one system using cone beam computed tomography: An in vitro study. J Conserv Dent 2014;17(6):561–565. DOI: 10.4103/0972-0707.144605.
3. Jeevanandan G., Govindaraju L. Clinical comparison of Kedo-S paediatric rotary files vs manual instrumentation for root canal preparation in primary molars: a double blinded randomised clinical trial. European Archives of Paediatric Dentistry. 2018;19 (4) : 273-278.
4. Todd R. Cone beam computed tomography updated technology for endodontic diagnosis. Dent Clin North Am 2014;58(3):523–543. DOI: 10.1016/j.cden.2014.03.003
5. Haridoss S, Rakkesh KM, Swaminathan K. Transportation and Centering Ability of Kedo-S Pediatric and Mtwo Instruments in Primary Teeth: A Cone-beam Computed Tomography Study. Int J Clin Pediatr Dent 2022;15(S-1):S30–S34.
6. Juliet S., Jeevanandan G., Govindaraju L., Ravindran V., Subramanian E. 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;12(1) :30-34.

7. Gambill M, Alder M, Del Rio E. Comparison of nickel titanium and stainless-steel handfile instrumentation using computed tomography. J Endod 1996;22:369–375. DOI: 10.1016/S0099-2399(96)80221-4
8. Kuo C, wang y, Chang H, Huang G, Lin C, Li U, et al. Application of Ni-Ti rotary files for pulpectomy in primary molars. J Dent Sci 2006;1:10-5.
9. Govindaraju L., Subramanian E.M.G., Jeevanandan G. Comparing the Influence of Conventional and Rotary Instrumentation Techniques on the Behavior of the Children: A Randomized Clinical Trial. International Journal of Clinical Pediatric Dentistry. 2021;14(S2): S179-S185.
10. Ash MM, Nelson SJ. Wheeler’s dental anatomy, physiology and occlusion.9th ed. Philadelphia, PA: W.B. Saunders; 2009. p. 63.
11. Asif A., Jeevanandan G., Govindaraju L., Vignesh R., Subramanian E.M.G. Comparative
evaluation of extrusion of apical debris in primary anterior teeth using two different rotary systems and hand files: An in Vitro study. Contemporary Clinical Dentistry. 2019;10 (3): 512-516.
12. Selvakumar H, Anandhan V, Thomas E, et al. Evaluation of canal transportation and centering ability of K 3 (0.02%) and K 3 (0.04%) with hand K files in primary teeth using spiral computed tomography. J Indian Soc Pedod Prev Dent 2014;32(4):286–291. DOI: 10.4103/0970-4388.140943
13. 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;18: 76.