Comparative analysis of rotary versus manual instrumentation in paediatric pulpectomy procedures: A systematic review and meta-analysis.

IF 1.3 4区医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE

Australian Endodontic Journal Pub Date : 2024-11-04 DOI:10.1111/aej.12899

Neeta Padmawar, Neha Pawar, Vandana Tripathi, Satyabrat Banerjee, Garima Tyagi, Sourabh R Joshi

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引用次数: 0

Abstract

The use of rotary file in permanent teeth is well-documented, but there is limited scientific evidence for its effectiveness in primary teeth. A meta-analysis was conducted to compare rotary and manual tools in primary tooth pulpectomy procedures. Ten databases were searched from 2000 to 2024 to find relevant literature. The Cochrane Risk of Bias (ROB) tool assessed bias in randomised control trials. STATA software version 18 conducted the meta-analysis. A random-effects model was used for instrumentation time and obturation quality evaluation while sensitivity analysis followed high heterogeneity detection. Twenty RCTs were included after screening 723 studies. Publication bias and heterogeneity were found for instrumentation time, leading to removal of nine studies. Significant difference in mean instrumentation time (1.42) was noted. Obturation quality assessment showed an odds ratio of 1.82. Use of rotary instrumentation yielded superior outcomes compared with manual instrumentation for pulpectomy for primary teeth.

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小儿肺切除术中旋转器械与手动器械的比较分析：系统回顾和荟萃分析。

旋转锉在恒牙中的使用有据可查，但其在基牙中的有效性却缺乏科学证据。我们进行了一项荟萃分析，以比较旋转工具和手动工具在乳牙牙槽切除术中的应用。研究人员检索了 2000 年至 2024 年的十个数据库，以查找相关文献。科克伦偏倚风险（ROB）工具对随机对照试验的偏倚进行了评估。STATA软件18版进行了荟萃分析。器械时间和闭合质量评估采用随机效应模型，高度异质性检测采用敏感性分析。在筛选了 723 项研究后，纳入了 20 项 RCT。在器械安装时间方面发现了发表偏倚和异质性，因此删除了 9 项研究。平均器械植入时间（1.42）存在显著差异。闭塞质量评估显示几率比为 1.82。与手动器械相比，使用旋转器械进行基牙牙槽切除术的效果更佳。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Australian Endodontic Journal DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

3.50

自引率

6.20%

发文量

审稿时长

>12 weeks

期刊介绍： The Australian Endodontic Journal provides a forum for communication in the different fields that encompass endodontics for all specialists and dentists with an interest in the morphology, physiology, and pathology of the human tooth, in particular the dental pulp, root and peri-radicular tissues. The Journal features regular clinical updates, research reports and case reports from authors worldwide, and also publishes meeting abstracts, society news and historical endodontic glimpses. The Australian Endodontic Journal is a publication for dentists in general and specialist practice devoted solely to endodontics. It aims to promote communication in the different fields that encompass endodontics for those dentists who have a special interest in endodontics.