Evidence map›Paper›PMID 40128471›Full record

SynthesisEuropean archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry2025

Different outcomes of rotary and manual instrumentation in primary teeth pulpectomy: a systematic review and meta-analysis.

I Khadmi, A Hamrouni, F Chouchene

Abstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European archives of paediatric dentistry : official journal of the European Academy of Paediatric Dentistry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

  1. Pooled it
  2. Article
  3. Review
  4. Article
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

3 authors.

I KhadmiLaboratory of Biological Clinical and Dento-Facial Approach, Department of Pediatric Dentistry, Faculty of Dental Medicine, University of Monastir, 5000 Avenue Avicenna, Monastir, Tunisia. Islemkhkhadmi@gmail.com.ORCID http://orcid.org/0009-0001-1964-5787
A HamrouniLaboratory of Biological Clinical and Dento-Facial Approach, Department of Pediatric Dentistry, Faculty of Dental Medicine, University of Monastir, 5000 Avenue Avicenna, Monastir, Tunisia.
F ChoucheneLaboratory of Biological Clinical and Dento-Facial Approach, Dentistry Department Ibn Jazzar Hospital, Kairouan, Tunisia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of the present meta-analysis was to compare the rotary and hand files efficacy in primary teeth pulpectomy.

methodsA structured search was conducted through four electronic bibliographic databases; MEDLINE via PubMed, Web of Science, Scopus, and Cochrane Library. The risk of bias was assessed using the Cochrane (RoB 2.0) tool. A meta-analysis was conducted using the Review manager software at a significance level of p < 0.05 The heterogeneity was measured by the Cochrane Q test and I 2. Sensitivity analysis was performed according to the leave-one-out method and the GRADE approach was used to assess the certainty of evidence.

resultsA total of 47 trials were included in the present review. Results showed that rotary instruments presented a significantly reduced instrumentation and obturation time. Rotary files, in root canal preparation of primary teeth, resulted in better root/tooth obturation. With rotary instrumentations, a significantly lower incidence of postoperative pain was reported after 6 h, 24 h, and 48 h. No significant differences were noted between the two groups regarding the children's behaviour and the clinical and radiographic success after 3 and 6 months, respectively.

conclusionAlthough no differences have been reported in the clinical and radiographic success between rotary files and manual files in primary teeth pulpectomy, rotary systems have been shown to provide better obturation quality, reduced instrumentation time, and less postoperative pain compared with conventional techniques.

Indexed as

Dental InstrumentsPulpectomyRoot Canal PreparationTooth, DeciduousHumansRoot Canal ObturationTreatment OutcomeManual instrumentationMeta-analysisPrimaryPulpectomyRoot canal treatmentRotary instrumentationTeeth

Identifiers

PMID40128471

What OpenQuestion holds

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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.