A systematic review and meta-analysis of randomised clinical trials comparing rotary canal instrumentation techniques with manual instrumentation techniques in primary teeth.

A systematic review and meta-analysis of randomised clinical trials comparing rotary canal instrumentation techniques with manual instrumentation techniques in primary teeth.

Manchanda, S;Sardana, D;Yiu, C Ky;
International endodontic journal 2019
294
manchanda2019ainternational

Abstract

Use of rotary instruments in permanent teeth is well-known; however, there are no evidence-based recommendations on the effectiveness of rotary canal instrumentation techniques over manual instrumentation techniques during root canal treatment in primary teeth.To appraise the current literature on the effectiveness of rotary canal preparation techniques compared to manual techniques during root canal treatment in primary teeth.Medline, Embase, Cochrane Library, Scopus, PubMed, and Web of Science (January 1, 1991 to January 3, 2019).Population: Children with primary teeth; Intervention: Rotary canal instrumentation; Control: Manual canal instrumentation; Outcomes: Success rates (clinical and/or radiographic), quality of root filling, instrumentation and root filling time, post-operative pain, cleaning effectiveness.Cochrane risk of bias tool 2.0 was used to ascertain the validity across five domains. Risk ratio (RR) for dichotomous variables and weighted mean difference for continuous variables were used as summary measures. The GRADE approach was used to assess the certainty of evidence using GRADE-pro software.A total of 13 trials were selected out of 2471 records after screening of the databases. The RR of clinical success in rotary versus manual canal preparation technique was 1.01 (95% CI: 0.91-1.12; p=0.913) at 6 months. The RR of radiographic success in rotary versus manual techniques was 0.97 (95% CI: 0.74-1.27; p=0.805) at 6 months. The quality of root filling was not significantly different between the two groups (p=0.062). The weighted mean difference of instrumentation time and canal filling time were significantly less with rotary techniques (p<0.001); however, post-operative pain was non-significant across both techniques at 12, 24 and 72 hours but significantly less with rotary techniques at 6 hours (p<0.001) and 48 hours (p= 0.023).Inclusion of only English literature CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS: Rotary canal instrumentation had a similar clinical and radiographic success rate, less post-operative pain (at 6 and 48 hours), and took less instrumentation time compared to manual instrumentation techniques (moderate level of evidence).

Citation

ID: 58197
Ref Key: manchanda2019ainternational
Use this key to autocite in SciMatic or Thesis Manager

References

Blockchain Verification

Account:
NFT Contract Address:
0x95644003c57E6F55A65596E3D9Eac6813e3566dA
Article ID:
58197
Unique Identifier:
10.1111/iej.13233
Network:
Scimatic Chain (ID: 481)
Loading...
Blockchain Readiness Checklist
Authors
Abstract
Journal Name
Year
Title
5/5
Creates 1,000,000 NFT tokens for this article
Token Features:
  • ERC-1155 Standard NFT
  • 1 Million Supply per Article
  • Transferable via MetaMask
  • Permanent Blockchain Record
Blockchain QR Code
Scan with Saymatik Web3.0 Wallet

Saymatik Web3.0 Wallet