Evidence map›Paper›PMID 35319604›Full record

Trial reportJournal of applied oral science : revista FOB2022

Comparison between the rotary (Hyflex EDM®) and manual (k-file) technique for instrumentation of primary molars: a 12-month randomized clinical follow-up study.

Andressa Cardoso Amorim, Amanda Valentim Caldeira, Samara Catarino Sampaio, Natalino Lourenço Neto, Thais Marchini Oliveira, Denismar Alves Nogueira, Ana Beatriz da Silveira Moretti, Vivien Thiemy Sakai

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of applied oral science : revista FOB, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Different outcomes of rotary and manual instrumentation in primary teeth pulpectomy: a systematic review and meta-analysis.European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry · 2025
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Andressa Cardoso AmorimUniversidade Federal de Alfenas (UNIFAL), Faculdade de Odontologia, Departamento de Clínica e Cirurgia, Alfenas, Minas Gerais, Brasil.ORCID http://orcid.org/0000-0001-6885-3534
Amanda Valentim CaldeiraUniversidade Federal de Alfenas (UNIFAL), Faculdade de Odontologia, Departamento de Clínica e Cirurgia, Alfenas, Minas Gerais, Brasil.ORCID http://orcid.org/0000-0002-6949-1800
Samara Catarino SampaioUniversidade Federal de Alfenas (UNIFAL), Faculdade de Odontologia, Departamento de Clínica e Cirurgia, Alfenas, Minas Gerais, Brasil.ORCID http://orcid.org/0000-0002-2843-7111
Natalino Lourenço NetoUniversidade de São Paulo (USP), Faculdade de Odontologia de Bauru, Departamento de Odontopediatria, Ortodontia e Saúde Coletiva, Bauru, São Paulo, Brasil.ORCID http://orcid.org/0000-0003-0227-0349
Thais Marchini OliveiraUniversidade de São Paulo (USP), Faculdade de Odontologia de Bauru, Departamento de Odontopediatria, Ortodontia e Saúde Coletiva, Bauru, São Paulo, Brasil.ORCID http://orcid.org/0000-0003-3460-3144
Denismar Alves NogueiraUniversidade Federal de Alfenas (UNIFAL), Instituto de Ciências exatas, Alfenas, Minas Gerais, Brasil.ORCID http://orcid.org/0000-0003-2285-8764
Ana Beatriz da Silveira MorettiUniversidade Federal de Alfenas (UNIFAL), Faculdade de Odontologia, Departamento de Clínica e Cirurgia, Alfenas, Minas Gerais, Brasil.ORCID http://orcid.org/0000-0002-9953-6010
Vivien Thiemy SakaiUniversidade Federal de Alfenas (UNIFAL), Faculdade de Odontologia, Departamento de Clínica e Cirurgia, Alfenas, Minas Gerais, Brasil.ORCID http://orcid.org/0000-0002-5574-4539

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesRotational instrumentation is an alternative for the clinical practice of pediatric dentists. However, there are few records in the literature on the clinical and radiographic aspects of treated teeth over time. Compare instrumentation time and filling quality between manual (k-file) and rotary (Hyflex EDM®) files, and clinically and radiographically follow-up the treated teeth for 12 months. Moreover, the characteristics of glass ionomer restorations and their interference in the treatment prognosis over time were evaluated. METHODOLOGY: In total, 40 children with pulp involvement in primary molars received treatment with Hyflex EDM® or manual rotary files, performed by an operator. Clinical and radiographic aspects were observed at different times to determine the effectiveness of each technique.

resultsThe rotary system reduced instrumentation time when compared to the use of manual files (p≤0.05), but there was no difference in filling quality between the groups (p≥0.05). Moreover, both types of instrumentation were effective for 12 months (p≥0.05), and restoration retention influenced the emergence of periapical lesions (p≤0.05).

conclusionAlthough rotary files reduce clinical time, the clinical and radiographic aspects of both techniques were similar over 12 months. Moreover, restoration retention has been shown to be related to treatment prognosis.

Indexed as

MolarRoot Canal PreparationChildFollow-Up StudiesHumansTooth, Deciduous

Identifiers

PMID35319604
PMCPMC8963391

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.