Rotary endodontics in primary teeth - A review

Sageena George, S Anandaraj, Jyoti S Issac, Sheen A John, Anoop Harris, Sageena George, S Anandaraj, Jyoti S Issac, Sheen A John, Anoop Harris

Abstract

Endodontic treatment in primary teeth can be challenging and time consuming, especially during canal preparation, which is considered one of the most important steps in root canal therapy. The conventional instrumentation technique for primary teeth remains the "gold-standard" over hand instrumentation, which makes procedures much more time consuming and adversely affects both clinicians and patients. Recently nickel-titanium (Ni-Ti) rotary files have been developed for use in pediatric endodontics. Using rotary instruments for primary tooth pulpectomies is cost effective and results in fills that are consistently uniform and predictable. This article reviews the use of nickel-titanium rotary files as root canal instrumentation in primary teeth. The pulpectomy technique is described here according to different authors and the advantages and disadvantages of using rotary files are discussed.

Keywords: Endodontics; Primary teeth; Pulpectomy; Rotary.

References

    1. Ahmed H. Anatomical challenges, electronic working length determination and current developments in root canal preparation of primary molar teeth. Int. Endod. J. 2013;46:1011–1022.
    1. Ankrum M.T., Hartwell G.R., Truitt J.E. K3 Endo, ProTaper, and ProFile systems: breakage and distortion in severely curved roots of molars. J. Endod. 2004;30:234–237.
    1. Azar Muhammed Reza, Safi Laya, Nikaein Afshin. Comparison of the cleaning capacity of MTWO Pro Taper and rotary systems and manual instruments in primary teeth. Dent. Res. J. 2012;9:146–151.
    1. Bahrololoomi, Tabrizazadeh M., Salmani L. In vitro comparison of instrumentation time and cleaning capacity between rotary and manual preparation techniques in primary teeth. J. Dent. 2007;4:2.
    1. Barr E.S., Kleier D.J., Barr N.V. Use of nickel-titanium rotary files for root canal preparation in primary teeth. Pediatr. Dent. 1999;21(7):453–454. PMID: 10633522.
    1. Barr E.S., Kleier D.J., Barr N.V. Use of nickel-titanium rotary files for root canal preparation in primary teeth. Pediatr. Dent. 2000;22(1):77–78. PMID: 10730297.
    1. Bergmans L., Van Cleynenbreugel J., Beullens M., Wevers M., Van Meerbeek B., Lambrechts P. Progressive versus constant tapered shaft design using NiTi rotary instruments. Int. Endod. J. 2003;36:288–295.
    1. Bertrand M.F., Lupi-Pegurier L., Medioni E., Muller M., Bolla M. Curved molar root canal preparations using Hero 642 rotary nickel-titanium instruments. Int. Endod. J. 2001;34:631–636.
    1. Cohen S., Hargreaves K.M. 9th ed. Mosby Publishers; St. Louis: 2006. Pathways of the Pulp. pp. 301–311, 842.
    1. Coleman C.L., Svec T.A., Rieger M., Wang M., Suchina J.A., Glickman G.N. Stainless steel vs nickel-titanium K-files: analysis of instrumentation in curved canals. J. Endod. 1995;21:237–242.
    1. Crespo S., Cortes O., Garcia C., Perez L. Comparison between rotary and manual instrumentation in primary teeth. J. Clin. Pediatr. Dent. 2008;32:295–298.
    1. Dantas C.J. Histological evaluation of the effectiveness of five instrumentation techniques for cleaning the apical third of root canals. J. Endod. 1997;23:499–502.
    1. Dhingra Annil, Banerjee Satyabrat, Aggarwal Neha, Yadav Vikrant. Canal shaping with pro taper next: an ex vivo study. Int. J. Sci. Stud. 2014;2:1–4.
    1. Drukteinis S., Balciuniene I. A scanning electron microscopic study of debris and smear layer remaining following use of AET instruments and K-flexofiles. Stomatologija. 2006;8:70–75.
    1. Elmsallati E.A., Wadachi R., Ebrahim A.K., Suda H. Debris retention and wear in three different nickel-titanium rotary instruments. Aust. Endod. J. 2006;32:107–111.
    1. Esposito P.T., Cunningham C.J. A comparison of canal preparation with nickel-titanium and stainless steel instruments. J. Endod. 1995;21:173–176.
    1. Finn S.B. Morphology of primary teeth. In: Finn S.B., editor. Clinical Pedodontics. 4th ed. Saunders Company; Philadelphia: 1973. pp. 59–70.
    1. Foschi F., Nucci C., Montebugnoli L., Marchionni S., Breschi L., Malagnino V.A. SEM evaluation of canal wall dentine following use of Mtwo and ProTaper NiTi rotary instruments. Int. Endod. J. 2004;37:832–839.
    1. Gluskin A.H., Brown D.C., Buchanan L.S. A reconstructed computerized tomographic comparison of Ni-Ti rotary GT files versus traditional instruments in canals shaped by novice operators. Int. Endod. J. 2001;34:476–484.
    1. Guelzow A., Stamm O., Martus P., Kielbassa A.M. Comparative study of six rotary Ni-Ti system and hand instrumentation for root canal preparation. Int. Endod. J. 2005;38:743–752.
    1. Hidsmann M., Gressmann G., Schafers F. A comparative study of root canal preparation using FlexMaster and HERO 642 rotary NiTi instruments. Int. Endod. J. 2003;36:358–366.
    1. Hubscher W., Barbakow F., Peters O.A. Root canal preparation with FlexMaster; canal shapes analyzed by micro-computed tomography. Int. Endod. 2003;36:740–747.
    1. Hulsmann M., Schade M., Schafers F. A comparative study of root canal preparation with HERO 642 and Quantec SC rotary Ni-Ti instruments. Int. Endod. J. 2001;34:538–546.
    1. Hulsmann M., Herbst U., Schafers F. Comparative study of root-canal preparation using Light-speed and Quantec SC rotary NiTi instruments. Int. Endod. J. 2003;36:748–756.
    1. Katge F., Patil D., Poojari M., Pimpale J., Shitoot A., Rusawat B. Comparison of instrumentation time and cleaning efficacy of manual instrumentation, rotary systems and reciprocating systems in primary teeth: an vitro study. J. Indian Soc. Pedod. Prev. Dent. 2014;32:311–316.
    1. Kim H.C., Kim H.J., Lee C.J., Kim B.M., Park J.K., Versluis A. Mechanical response of nickel-titanium instruments with different cross-sectional designs during shaping of simulated curved canals. Int. Endod. J. 2009;42:593–602.
    1. Kosa D.A., Marshall G., Baumgartner J.C. An analysis of canal centering using mechanical instrumentation techniques. J. Endod. 1999;25:441–445.
    1. Kummer T.R., Calvo M.C., Cordeiro M.M., de Sousa Vieira R., de Carvalho Rocha M.J. Ex vivo study of manual and rotary instrumentation techniques in human primary teeth. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2008;105:84–92.
    1. Kuo C.I., Wang Y.L., Chang H.H., Huang G.F., Lin C.P., Guo M.K. Application of Ni-Ti rotary files for pulpectomy in primary molars. J. Dent. Sci. 2006;1:10–15.
    1. Kuzekanani M., Walsh L., Yousefi M.A. Cleaning and shaping curved root canals: Mtwo vs Pro Taper instruments, a lab comparison. Indian J. Dent. Res. 2009;20:268–270.
    1. Lim Young-Jun, Park Su-Jung, Kim Hyeon-Cheol, Min Kyung-San. Comparison of the centering ability of Wave. One and Reciproc nickel-titanium instruments in stimulated curved canals. Restor. Dent. Endod. 2013;38:21–25.
    1. Makarem Abbas, Ravandeh Navid, Ebrahim Masoumeh. Radiographic assessment and chair time of rotary instruments in the pulpectomy of primary second molar teeth: a randomised controlled clinical trial. J. Dent. Res. Clin. Dent. Prospect. 2014;8:84–89.
    1. Malagino, V.A., Grande, N.M., Plotino, G., Somma, F. The Mtwo NiTi rotary system for root canal preparation. Available from: <>. [Last cited on Apr 4, 2012].
    1. McDonald R.E., Avery F.R. 7th ed. Mosby Publishers; St. Louis: 2000. Dentistry for the Child and Adolescent. p. 401.
    1. Musale P.K. Rotary instruments in primary teeth. J. Int. Oral Health. 2013;5:140.
    1. Musale P.K., Mujawar S.A. Evaluation of the efficacy of rotary versus hand files in root canal preparation of primary teeth in vitro using CBCT. Eur. Arch. Paediatr. Dent. 2014;15:113–120.
    1. Nagaratna P.J., Shashikiran N.D., Subbareddy V.V. In vitro comparison of Ni Ti rotary instruments and stainless steel hand instruments in root canal preparations of primary and permanent molar. J. Indian Soc. Pedod. Prev. Dent. 2006;24:186–191.
    1. Peters O.A., Peters C.I., Schonebergr K., Barbakov F. Pro Taper rotary toot canal preparation: effects of canal anatomy on final shape analyzed by micro-CT. Int. Endod. J. 2003;36:86–92.
    1. Pinheiro S.L., 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. Int. Endod. J. 2012;45:379–385.
    1. Plotino G., Grande N.M., Testarelli L., Gambarini G. Cyclic fatigue of Reciproc and WaveOne reciprocating instruments. Int. Endod. J. 2012;45:614–618.
    1. Rahman H., Chandra A., Singh S. In vitro evaluation of dentinal microcrack formation during Root canal preparations by different NiTi systems. Int. J. Res. Dev. 2014;3:43–47.
    1. Ruddle C.J. The Pro Taper technique. Dent Today. 2001;20:58–68.
    1. Schafer E. Shaping ability of Hero 642 rotary nickel-titanium instruments and stainless steel hand K-Flexofiles in stimulated root canals. Oral Surg. Oral Med. Oral Pathol. Oral Radiol. Endod. 2001;92:215–220.
    1. Schafer E., Erler M., Dammaschke T. Comparative study on the shaping ability and cleaning efficiency of rotary MTWO instruments. Part a. Shaping ability in simulated curved canals. Int. Endod. J. 2006;39:196–202.
    1. Schafer E., Erler M., Dammaschke T. Comparative study on the shaping ability and cleaning efficiency of rotary Mtwo instruments. Part b. Cleaning effectiveness and shaping ability in severely curved root canals of extracted teeth. Int. Endod. J. 2006;39:203–212.
    1. Shashikiran N.D. In vitro comparison of Ni Ti rotary instruments and stainless steel hand instruments in root canal preparation of primary and permanent molars. J. Indian Soc. Pedod. Prev. Dent. 2006;24:186–191.
    1. Short J.A., Morgan L.A., Baumgartner J.C. A comparison of canal centering ability off our instrumentation techniques. J. Endod. 1997;23:503–507.
    1. Silva L.A., Leonardo M.R., Nelson-Filho P., Tanomaru J.M. Comparison of rotary and manual instrumentation techniques on cleaning capacity and instrumentation time indeciduous molars. J. Dent. Child. 2004;71:45–47.
    1. Sleiman F., Abou-Jaoude S., Berberi R. The use of the K3 orifice openers in primary teeth preparation. Oral Health. 2007;97:17–18.
    1. Sonntag D., Delschen S., Stachniss V. Root canal shaping with manual and rotary NiTi file performed by students. Int. Endod. J. 2003;36:715–723.
    1. Thompson S.A., Dummer P.M. Shaping ability of ProFile. 04 Taper Series 29 rotary nickel-titanium instruments in simulated root canals. Part 2. Int. Endod. J. 1997;30:8–15.
    1. Thompson S.A., Dummer P.M.H. Shaping ability of Quantec Series 2000 rotary nickel-titanium instruments in simulated canals. Part 1 and 2. Int. Endod. J. 1998;31:259–274.
    1. Veltri M., Mollo A., Mantovani L., Pini P., Balleri P., Grandini S. A comparative study of Endo flare-Hero Shaper and Mtwo NiTi instruments in the preparation of curved root canals. Int. Endod. J. 2005;38:610–616.
    1. Walton R.E., Torabinejad M. 3rd ed. Saunders Company; 2002. Principles and Practice of Endodontics. p. 222.
    1. Julian Webber. The Wave One single-file reciprocating system. <>.
    1. Weiger R., Bruckner M., ElAyouti A., Lost C. Preparation of curved root canals with rotary FlexMaster instruments compared to Light speed instruments and NiTi hand files. Int. Endod. J. 2003;36:483–490.
    1. Yang S.F., Rivera E.M., Walton R.E., Baumgardner K.R. Canal debridement: effectiveness of sodium hypochlorite and calcium hydroxide as medicaments. J. Endod. 1996;22:521–525.
    1. Zarrabi M.H., Bidar M., Jafarzadeh H. An in vitro comparative study of apically extruded debris resulting from conventional and three rotary (Profile, Race, FlexMaster) instrumentation techniques. J. Oral Sci. 2006;48:85–88.

Source: PubMed

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