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TREATMENT OUTCOME OF MANUAL VERSUS ROTARY TECHNIQUES IN SINGLE-VISIT ENDODONTICS FOR PATIENTS IN A NIGERIAN TEACHING
J O Makanjuola1, D C Umesi1,2, O H Oderinu1,2
1Department of Restorative Dentistry, Faculty of Dental Sciences, College of Medicine, University of Lagos, Nigeria.
Journal of the West African College of Surgeons
|June 20, 2020
Summary
Rotary canal preparation significantly improved root canal treatment outcomes compared to manual step-back techniques. This endodontic advancement showed fewer complications and better healing, especially in molars.
Area of Science:
- Endodontics
- Restorative Dentistry
- Dental Materials Science
Background:
- Successful root canal treatment relies on thorough canal preparation.
- Nickel-Titanium (NiTi) rotary instruments offer advantages for root canal preparation but are underutilized in Nigeria.
Observation:
- A randomized controlled trial compared rotary and manual step-back techniques for single-visit root canal treatment.
- 120 patients in Lagos, Nigeria, were monitored for clinical and radiographic outcomes over six months.
Findings:
- The rotary group showed significantly higher favorable outcomes (96.6%) versus the manual group (83.1%) at six months.
- Rotary preparation resulted in significantly reduced periapical radiolucency compared to manual methods.
- Post-operative pain was temporary and comparable, but long-term outcomes favored rotary use, particularly for molars.
Implications:
- Rotary instrumentation is a superior technique for root canal preparation, leading to better clinical and radiographic results.
- Increased adoption of NiTi rotary instruments in Nigeria could enhance endodontic treatment success rates.
- Further research into cost-effectiveness and training for rotary techniques in developing regions is warranted.