Comparison Of Quality of Obturation and Instrumentation Time Using Manual Hand-K Files and Rotary Kedo-S Square Files for Pulpectomy in Primary Molars: A Double Blinded Randomised Controlled Trial
Main Article Content
Keywords
Hand files, Primary molars, Paediatric rotary files, Innovative Technique
Abstract
Aim: To compare and evaluate the instrumentation time and quality of obturation between paediatric rotary files and manual hand k-files
Materials and Methods: Sixty mandibular molars were randomly assigned to two experimental groups (n=30). Group I was instrumented using Kedo-S Square paediatric rotary files and Group II with manual hand K-files. Standardised digital radiographs were taken before and after root canal instrumentation. Root canal preparation time was also recorded. Statistical analysis of the obtained data was done using SPSS software version 17.0. The quality of obturation was done using ANOVA and Chi square test with the level of significance set at 5%.
Results: Mean instrumentation time with paediatric rotary Kedo S Square files (72.6s) was significantly less than manual k-files (92.4s) (p< 0.001). There was a significant improvement in the quality of obturation (p<0.015) with paediatric rotary files (kedo-S Square). (Kedo-S) and manual instrumentation techniques in primary molars. (p < 0.05). There was a significant improvement in the quality of obturation (p < 0.05) with paediatric rotary files (Kedo-S).
Conclusion: Kedo-S Square rotary system provides better quality of root canal filling in minimum instrumentation time.
References
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12. Malli Sureshbabu N, Selvarasu K, V JK, Nandakumar M, Selvam D. Concentrated Growth Factors as an Ingenious Biomaterial in Regeneration of Bony Defects after Periapical Surgery: A Report of Two Cases. Case Rep Dent. 2019 Jan 22;2019:7046203.
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19. Girija SA, Jayaseelan VP, Arumugam P. Prevalence of VIM- and GIM-producing Acinetobacter baumannii from patients with severe urinary tract infection. Acta Microbiol Immunol Hung. 2018 Dec 1;65(4):539–50.
20. Maheswari TNU, Venugopal A, Sureshbabu NM, Ramani P. Salivary micro RNA as a potential biomarker in oral potentially malignant disorders: A systematic review. Ci Ji Yi Xue Za Zhi. 2018 Apr;30(2):55–60.
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22. Ezhilarasan D, Apoorva VS, Ashok Vardhan N. Syzygium cumini extract induced reactive oxygen species-mediated apoptosis in human oral squamous carcinoma cells. J Oral Pathol Med. 2019 Feb;48(2):115–21.
23. Patil SR, Maragathavalli G, Araki K, Al-Zoubi IA, Sghaireen MG, Gudipaneni RK, et al. Three-rooted mandibular first molars in a Saudi Arabian population: A CBCT study. Pesqui Bras Odontopediatria Clin Integr. 2018;18(1):e4133.
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26. Coll JA, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent. 1996; 18:57–63
27. Barr ES, Kleier DJ, Barr NV. Use of nickel-titanium rotary fles for root canal preparation in primary teeth. Pediatr Dent. 1999; 21:453–4
28. Mohamed HAA. Pulpectomy procedures in primary molar teeth. Eur J Gen Dent. 2014;3(1):3–10
29. Azar MR, Saf L, Nikaein A. Comparison of the cleaning capacity of Mtwo and Pro Taper rotary systems and manual instruments in primary teeth. Dent Res J (Isfahan). 2012; 9:146–51
30. Ochoa-Romero T, Mendez-Gonzalez V, Flores-Reyes H, Pozos-Guillen AJ. Comparison between rotary and manual techniques on duration of instrumentation and obturation times in primary teeth. J ClinPediatr Dent. 2011; 35:359–63
31. Ramezanali F, Afkhami F, Soleimani A, Kharrazifard MJ, Rafee F. Comparison of cleaning efcacy and instrumentation time in primary molars: Mtwo rotary instruments vs. hand K-fles. Iran Endod J. 2015; 10:240–3
32. Vieyra JP, Enriquez FJJ. Instrumentation time efciency of rotary and hand instrumentation performed on vital and necrotic human primary teeth: a randomized clinical trial. Dentistry. 2014; 4:1–5
33. Fuks AB, Papagiannoulis L. Pulpotomy in primary teeth: review of the literature according to standardized criteria. Eur Arch Paediatr Dent.2006; 7:64–71
34. Kuo C, Wang Y, Chang H, et al. Application of Ni–Ti rotary files for pulpectomy in primary molars. J Dent Sci 2006; 1:10–5.
35. Kuo C, Wang Y, Chang H, Huang G, Lin C, Li U, et al. Application of Ni-Ti rotary fles for pulpectomy in primary molars. J Dent Sci. 2006; 1: 10–5.
36. Govindaraju L, Jeevanandan G, Subramanian EMG. Clinical evaluation of quality of obturation and instrumentation time using two modifed rotary fle systems with manual instrumentation in primary teeth. J ClinDiagn Res. 2017;11(9): ZC55–ZC58.
37. Govindaraju L, Jeevanandan G, Subramanian E. Knowledge and practice of rotary instrumentation in primary teeth among Indian dentists: a questionnaire survey. J Int Oral Health. 2017;9:45–8. Govindaraju L, Jeevanandan G, Subramanian EM.
38. Makarem A, Ravandeh N, Ebrahimi M. Radiographic assessment and chair time of rotary instruments in the pulpectomy of primary second molar teeth: A randomized controlled clinical trial. J Dent Res Dent Clin Dent Prospects 2014; 8:84-9
39. Nagaratna PJ, Shashikiran ND, Subbareddy VV. In vitro comparison of Ni-Ti rotary instruments and stainless steel hand instruments in root canal preparations of primary and permanent molar. J Indian SocPedodPrev Dent 2006;24:186-91
40. Pinheiro SL, Araujo G, Bincelli I, Cunha R, Bueno C. Evaluation of cleaning capacity and instrumentation time of manual, hybrid and rotary instrumentation techniques in primary molars. IntEndod J 2012;45:379-85
41. Kummer TR, Calvo MC, Cordeiro MM, de Sousa Vieira R, de Carvalho Rocha MJ. Ex vivo study of manual and rotary instrumentation techniques in human primary teeth. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2008;105:e84-92
42. George S, Anandaraj S, Issac JS, John SA, Harris A. Rotary endodontics in primary teeth – A review. Saudi Dent J 2016;28:12-7.
43. Bergmans L, Van Cleynenbreugel J, Beullens M, Wevers M, Van Meerbeek B, Lambrechts P, et al. Progressive versus constant tapered shaft design using Ni-Ti rotary instruments. IntEndod J 2003;36:288-95
44. Tan BT, Messer HH. The quality of apical canal preparation using hand and rotary instruments with specific criteria for enlargement based on initial apical file size. J Endod 2002;28:658-64
45. Malli Suresh Babu N, Selvarasu K, V JK, Nandakumar M, Selvam D. Concentrated Growth Factors as an Ingenious Biomaterial in Regeneration of Bony Defects after Periapical Surgery: A Report of Two Cases. Case Rep Dent. 2019 Jan 22;2019:7046203.
46. Ahad M, Gheena S. Awareness, attitude and knowledge about evidence based dentistry among the dental practitioners in Chennai city. J Adv Pharm Technol Res. 2016;9(11):1863.
47. PradeepKumar AR, Shemesh H, Jothilatha S, Vijayabharathi R, Jayalakshmi S, Kishen A. Diagnosis of Vertical Root
48. Fractures in Restored Endodontically Treated Teeth: A Time-dependent Retrospective Cohort Study. J Endod. 2016 Aug;42(8):1175–80.
49. Jangid K, Alexander AJ, Jayakumar ND, Varghese S, Ramani P. Ankyloglossia with cleft lip: A rare case report. J Indian Soc Periodontol. 2015 Nov;19(6):690–3.
50. Kumar A, Sherlin HJ, Ramani P, Natesan A, Premkumar P. Expression of CD 68, CD 45 and human leukocyte antigen-DR in central and peripheral giant cell granuloma, giant cell tumor of long bones, and tuberculous granuloma: An immunohistochemical study. Indian J Dent Res. 2015 May;26(3):295–303.
51. Manohar J, Abilasha R. A Study on the Knowledge of Causes and Prevalance of Pigmentation of Gingiva among Dental Students [Internet]. Vol. 10, Indian Journal of Public Health Research & Development. 2019. p. 95. Available from: http://dx.doi.org/10.5958/0976-5506.2019.01859.x
52. Sekar D, Mani P, Biruntha M, Sivagurunathan P, Karthigeyan M. Dissecting the functional role of microRNA 21 in osteosarcoma. Cancer Gene Ther. 2019 Jul;26(7-8):179–82.
53. Girija SA, Jayaseelan VP, Arumugam P. Prevalence of VIM- and GIM-producing Acinetobacter baumannii from patients with severe urinary tract infection. Acta Microbiol Immunol Hung. 2018 Dec 1;65(4):539–50.
54. Maheswari TNU, Venugopal A, Sureshbabu NM, Ramani P. Salivary micro RNA as a potential biomarker in oral potentially malignant disorders: A systematic review. Ci Ji Yi Xue Za Zhi. 2018 Apr;30(2):55–60.
55. Subashri A, Maheshwari TNU. Knowledge and attitude of oral hygiene practice among dental students. J Adv Pharm Technol Res. 2016;9(11):1840.
56. Ezhilarasan D, Apoorva VS, Ashok Vardhan N. Syzygium cumini extract induced reactive oxygen species-mediated apoptosis in human oral squamous carcinoma cells. J Oral Pathol Med. 2019 Feb;48(2):115–21.
57. Patil SR, Maragathavalli G, Araki K, Al-Zoubi IA, Sghaireen MG, Gudipaneni RK, et al. Three-rooted mandibular first molars in a Saudi Arabian population: A CBCT study. Pesqui Bras Odontopediatria Clin Integr. 2018;18(1):e4133.
2. Goerig AC, Camp JH. Root canal treatment in primary teeth: A review. Pediatr Dent 1983; 5:33-7.
3. Garcia-Godoy F. Evaluation of an iodoform paste in root canal therapy for infected primary teeth. J Dent Child. 1987; 54:30–4
4. Bowen JL, Mathu-Muju KR, Nash DA, Chance KB, Bush HM, Li HF. Paediatric and general dentists’ attitudes toward pulp therapy for primary teeth. Pediatr Dent 2012; 34:210-5
5. Endo MS, Ferraz CC, Zaia AA, Almeida JF, Gomes BP. Quantitative and qualitative analysis of micro- organisms in root filled teeth with persistent infection: Monitoring of endodontic retreatment. Eur J Dent 2013; 7:302-9
6. Silva LA, Leonardo MR, Nelson-Filho P, Tanomaru JM. Comparison of rotary and manual instrumentation techniques on cleaning capacity and instrumentation time in deciduous molars. J Dent Child (Chic). 2004; 71:45–7
7. Rosa FM, Modesto A, Faraco-Junior IM. Manual and rotary instrumentation techniques for root canal preparation in primary molar. Dentistry. 2014; 2:1–5
8. Barr ES, Kleier DJ, Barr NV. Use of nickel-titanium rotary fles for root canal preparation in primary teeth. Pediatr Dent. 2000; 22:77–8
9. Govindaraju L, Jeevanandan G, Subramanian EM (2017) Comparison of quality of
10. obturation and instrumentation time using hand files and two rotary file systems in primary molars: A single-blinded randomized controlled trial. Eur J Dent 11:376-9
11. Jeevanandan G. Kedo-S paediatric rotary files for root canal preparation in primary teeth – Case report. J ClinDiagn Res 2017;11: ZR03-5
12. Malli Sureshbabu N, Selvarasu K, V JK, Nandakumar M, Selvam D. Concentrated Growth Factors as an Ingenious Biomaterial in Regeneration of Bony Defects after Periapical Surgery: A Report of Two Cases. Case Rep Dent. 2019 Jan 22;2019:7046203.
13. Ahad M, Gheena S. Awareness, attitude and knowledge about evidence based dentistry among the dental practitioner in Chennai city. J Adv Pharm Technol Res. 2016;9(11):1863.
14. PradeepKumar AR, Shemesh H, Jothilatha S, Vijayabharathi R, Jayalakshmi S, Kishen A. Diagnosis of Vertical Root Fractures in Restored Endodontically Treated Teeth: A Time-dependent Retrospective Cohort Study. J Endod. 2016 Aug;42(8):1175–80.
15. Jangid K, Alexander AJ, Jayakumar ND, Varghese S, Ramani P. Ankyloglossia with cleft lip: A rare case report. J Indian Soc Periodontol. 2015 Nov;19(6):690–3.
16. Kumar A, Sherlin HJ, Ramani P, Natesan A, Premkumar P. Expression of CD 68, CD 45 and human leukocyte antigen-DR in central and peripheral giant cell granuloma, giant cell tumor of long bones, and tuberculous granuloma: An immunohistochemical study. Indian J Dent Res. 2015 May;26(3):295–303.
17. Manohar J, Abilasha R. A Study on the Knowledge of Causes and Prevalance of Pigmentation of Gingiva among Dental Students [Internet]. Vol. 10, Indian Journal of Public Health Research & Development. 2019. p. 95. Available from: http://dx.doi.org/10.5958/0976-5506.2019.01859.x
18. Sekar D, Mani P, Biruntha M, Sivagurunathan P, Karthigeyan M. Dissecting the functional role of microRNA 21 in osteosarcoma. Cancer Gene Ther. 2019 Jul;26(7-8):179–82.
19. Girija SA, Jayaseelan VP, Arumugam P. Prevalence of VIM- and GIM-producing Acinetobacter baumannii from patients with severe urinary tract infection. Acta Microbiol Immunol Hung. 2018 Dec 1;65(4):539–50.
20. Maheswari TNU, Venugopal A, Sureshbabu NM, Ramani P. Salivary micro RNA as a potential biomarker in oral potentially malignant disorders: A systematic review. Ci Ji Yi Xue Za Zhi. 2018 Apr;30(2):55–60.
21. Subashri A, Maheshwari TNU. Knowledge and attitude of oral hygiene practice among dental students. J Adv Pharm Technol Res. 2016;9(11):1840.
22. Ezhilarasan D, Apoorva VS, Ashok Vardhan N. Syzygium cumini extract induced reactive oxygen species-mediated apoptosis in human oral squamous carcinoma cells. J Oral Pathol Med. 2019 Feb;48(2):115–21.
23. Patil SR, Maragathavalli G, Araki K, Al-Zoubi IA, Sghaireen MG, Gudipaneni RK, et al. Three-rooted mandibular first molars in a Saudi Arabian population: A CBCT study. Pesqui Bras Odontopediatria Clin Integr. 2018;18(1):e4133.
24. Altman D, Schulz K, Moher D, et al. The revised CONSORT statement for reporting randomized trials: explanation and elaboration. Ann Intern Med. 2001; 134:663–94
25. Ochoa-Romero T, Mendez-Gonzalez V, Flores-Reyes H, Pozos-Guillen AJ. Comparison between rotary and manual techniques on duration of instrumentation and obturation times in primary teeth. J ClinPediatr Dent. 2011; 35:359–63
26. Coll JA, Sadrian R. Predicting pulpectomy success and its relationship to exfoliation and succedaneous dentition. Pediatr Dent. 1996; 18:57–63
27. Barr ES, Kleier DJ, Barr NV. Use of nickel-titanium rotary fles for root canal preparation in primary teeth. Pediatr Dent. 1999; 21:453–4
28. Mohamed HAA. Pulpectomy procedures in primary molar teeth. Eur J Gen Dent. 2014;3(1):3–10
29. Azar MR, Saf L, Nikaein A. Comparison of the cleaning capacity of Mtwo and Pro Taper rotary systems and manual instruments in primary teeth. Dent Res J (Isfahan). 2012; 9:146–51
30. Ochoa-Romero T, Mendez-Gonzalez V, Flores-Reyes H, Pozos-Guillen AJ. Comparison between rotary and manual techniques on duration of instrumentation and obturation times in primary teeth. J ClinPediatr Dent. 2011; 35:359–63
31. Ramezanali F, Afkhami F, Soleimani A, Kharrazifard MJ, Rafee F. Comparison of cleaning efcacy and instrumentation time in primary molars: Mtwo rotary instruments vs. hand K-fles. Iran Endod J. 2015; 10:240–3
32. Vieyra JP, Enriquez FJJ. Instrumentation time efciency of rotary and hand instrumentation performed on vital and necrotic human primary teeth: a randomized clinical trial. Dentistry. 2014; 4:1–5
33. Fuks AB, Papagiannoulis L. Pulpotomy in primary teeth: review of the literature according to standardized criteria. Eur Arch Paediatr Dent.2006; 7:64–71
34. Kuo C, Wang Y, Chang H, et al. Application of Ni–Ti rotary files for pulpectomy in primary molars. J Dent Sci 2006; 1:10–5.
35. Kuo C, Wang Y, Chang H, Huang G, Lin C, Li U, et al. Application of Ni-Ti rotary fles for pulpectomy in primary molars. J Dent Sci. 2006; 1: 10–5.
36. Govindaraju L, Jeevanandan G, Subramanian EMG. Clinical evaluation of quality of obturation and instrumentation time using two modifed rotary fle systems with manual instrumentation in primary teeth. J ClinDiagn Res. 2017;11(9): ZC55–ZC58.
37. Govindaraju L, Jeevanandan G, Subramanian E. Knowledge and practice of rotary instrumentation in primary teeth among Indian dentists: a questionnaire survey. J Int Oral Health. 2017;9:45–8. Govindaraju L, Jeevanandan G, Subramanian EM.
38. Makarem A, Ravandeh N, Ebrahimi M. Radiographic assessment and chair time of rotary instruments in the pulpectomy of primary second molar teeth: A randomized controlled clinical trial. J Dent Res Dent Clin Dent Prospects 2014; 8:84-9
39. Nagaratna PJ, Shashikiran ND, Subbareddy VV. In vitro comparison of Ni-Ti rotary instruments and stainless steel hand instruments in root canal preparations of primary and permanent molar. J Indian SocPedodPrev Dent 2006;24:186-91
40. Pinheiro SL, Araujo G, Bincelli I, Cunha R, Bueno C. Evaluation of cleaning capacity and instrumentation time of manual, hybrid and rotary instrumentation techniques in primary molars. IntEndod J 2012;45:379-85
41. Kummer TR, Calvo MC, Cordeiro MM, de Sousa Vieira R, de Carvalho Rocha MJ. Ex vivo study of manual and rotary instrumentation techniques in human primary teeth. Oral Surg Oral Med Oral Pathol Oral RadiolEndod 2008;105:e84-92
42. George S, Anandaraj S, Issac JS, John SA, Harris A. Rotary endodontics in primary teeth – A review. Saudi Dent J 2016;28:12-7.
43. Bergmans L, Van Cleynenbreugel J, Beullens M, Wevers M, Van Meerbeek B, Lambrechts P, et al. Progressive versus constant tapered shaft design using Ni-Ti rotary instruments. IntEndod J 2003;36:288-95
44. Tan BT, Messer HH. The quality of apical canal preparation using hand and rotary instruments with specific criteria for enlargement based on initial apical file size. J Endod 2002;28:658-64
45. Malli Suresh Babu N, Selvarasu K, V JK, Nandakumar M, Selvam D. Concentrated Growth Factors as an Ingenious Biomaterial in Regeneration of Bony Defects after Periapical Surgery: A Report of Two Cases. Case Rep Dent. 2019 Jan 22;2019:7046203.
46. Ahad M, Gheena S. Awareness, attitude and knowledge about evidence based dentistry among the dental practitioners in Chennai city. J Adv Pharm Technol Res. 2016;9(11):1863.
47. PradeepKumar AR, Shemesh H, Jothilatha S, Vijayabharathi R, Jayalakshmi S, Kishen A. Diagnosis of Vertical Root
48. Fractures in Restored Endodontically Treated Teeth: A Time-dependent Retrospective Cohort Study. J Endod. 2016 Aug;42(8):1175–80.
49. Jangid K, Alexander AJ, Jayakumar ND, Varghese S, Ramani P. Ankyloglossia with cleft lip: A rare case report. J Indian Soc Periodontol. 2015 Nov;19(6):690–3.
50. Kumar A, Sherlin HJ, Ramani P, Natesan A, Premkumar P. Expression of CD 68, CD 45 and human leukocyte antigen-DR in central and peripheral giant cell granuloma, giant cell tumor of long bones, and tuberculous granuloma: An immunohistochemical study. Indian J Dent Res. 2015 May;26(3):295–303.
51. Manohar J, Abilasha R. A Study on the Knowledge of Causes and Prevalance of Pigmentation of Gingiva among Dental Students [Internet]. Vol. 10, Indian Journal of Public Health Research & Development. 2019. p. 95. Available from: http://dx.doi.org/10.5958/0976-5506.2019.01859.x
52. Sekar D, Mani P, Biruntha M, Sivagurunathan P, Karthigeyan M. Dissecting the functional role of microRNA 21 in osteosarcoma. Cancer Gene Ther. 2019 Jul;26(7-8):179–82.
53. Girija SA, Jayaseelan VP, Arumugam P. Prevalence of VIM- and GIM-producing Acinetobacter baumannii from patients with severe urinary tract infection. Acta Microbiol Immunol Hung. 2018 Dec 1;65(4):539–50.
54. Maheswari TNU, Venugopal A, Sureshbabu NM, Ramani P. Salivary micro RNA as a potential biomarker in oral potentially malignant disorders: A systematic review. Ci Ji Yi Xue Za Zhi. 2018 Apr;30(2):55–60.
55. Subashri A, Maheshwari TNU. Knowledge and attitude of oral hygiene practice among dental students. J Adv Pharm Technol Res. 2016;9(11):1840.
56. Ezhilarasan D, Apoorva VS, Ashok Vardhan N. Syzygium cumini extract induced reactive oxygen species-mediated apoptosis in human oral squamous carcinoma cells. J Oral Pathol Med. 2019 Feb;48(2):115–21.
57. Patil SR, Maragathavalli G, Araki K, Al-Zoubi IA, Sghaireen MG, Gudipaneni RK, et al. Three-rooted mandibular first molars in a Saudi Arabian population: A CBCT study. Pesqui Bras Odontopediatria Clin Integr. 2018;18(1):e4133.
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May 13, 2023
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Dinesh kumar, & Vignesh Ravindran. (2023). Comparison Of Quality of Obturation and Instrumentation Time Using Manual Hand-K Files and Rotary Kedo-S Square Files for Pulpectomy in Primary Molars: A Double Blinded Randomised Controlled Trial. Journal of Population Therapeutics and Clinical Pharmacology, 30(10), 46-53. https://doi.org/10.47750/jptcp.2023.30.10.008
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How to Cite
Dinesh kumar, & Vignesh Ravindran. (2023). Comparison Of Quality of Obturation and Instrumentation Time Using Manual Hand-K Files and Rotary Kedo-S Square Files for Pulpectomy in Primary Molars: A Double Blinded Randomised Controlled Trial. Journal of Population Therapeutics and Clinical Pharmacology, 30(10), 46-53. https://doi.org/10.47750/jptcp.2023.30.10.008