Evidence map›Paper›PMID 39496924›Full record

SynthesisEvidence-based dentistry2025

Effectiveness of hand and rotary instrumentations during biomechanical preparation in primary teeth: an umbrella review with evidence stratification.

Arun Kumar Patnana, Krupal Joshi, Satya Narain, Shantanu Choudhari, Ashwini Agarwal, Pravin Kumar

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Evidence-based dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Review
  2. 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

6 authors.

Arun Kumar PatnanaDepartment of Dentistry, All India Institute of Medical Sciences, Rajkot, India. arun0550@gmail.com.ORCID http://orcid.org/0000-0001-9393-5849
Krupal JoshiDepartment of Community and Family Medicine, All India Institute of Medical Sciences, Rajkot, India.
Satya NarainDepartment of Dentistry, All India Institute of Medical Sciences, Rajkot, India.
Shantanu ChoudhariDepartment of Pedodontics and Preventive Dentistry, Government Dental College and Hospital, Ahmedabad, India.
Ashwini AgarwalDepartment of Microbiology, All India Institute of Medical Sciences, Rajkot, India.
Pravin KumarDepartment of Dentistry, All India Institute of Medical Sciences, Jodhpur, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

objectivesBiomechanical preparation (BMP) of primary teeth often involves using hand and rotary instruments. This study aimed to assess the effectiveness of hand and rotary instruments during BMP in primary teeth.

methodsA thorough search for relevant systematic reviews and meta-analyses (SRMAs) was conducted in four databases, including MEDLINE, EMBASE, Google Scholar, and the Cochrane Library. The primary outcome assessed was the instrumentation time (IT) for BMP, and the identified SRMAs were qualitatively analysed using the ROBIS tool. Furthermore, quantitative analysis, evidence stratification, and GRADE analysis of eligible SRMAs were performed using the browser-based R package metaumbrella software.

resultsSix SRMAs addressing the research question were included, with five being evaluated as having a high risk of bias (ROB). The findings indicated that the IT required for BMP in primary teeth was 3.2 min less (95% CI = 1.52 to 4.93; I

conclusionsBased on the existing evidence, it can be inferred that there is insufficient quality data to recommend the use of rotary instruments over hand instruments in primary teeth.

Indexed as

Dental InstrumentsRoot Canal PreparationTooth, DeciduousBiomechanical PhenomenaEvidence-Based DentistryHumans

Identifiers

PMID39496924

What OpenQuestion holds

Textmetadata
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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.