Efficacy of blue heat-treated rotary file in primary molar pulpectomy: a case report
DOI:
https://doi.org/10.20453/reh.v35i2.6326Keywords:
pulpectomy, root canal preparation, primary toothAbstract
One of the main advantages of using a continuous rotary system in pulpectomies is the reduction in instrumentation time. This case presents a 3-year and 11-month-old girl who, upon intraoral clinical examination, exhibited a deep and extensive carious lesion with pulpal involvement in tooth 85. Radiographically, an occlusal radiolucent image was observed, clearly indicating pulpal involvement, consistent with pulpal necrosis and chronic apical periodontitis. A pulpectomy was performed using the NiTi Race® Evo #25/06 rotary system at 500 rpm and with a torque of 2.1 Ncm. In the clinical examination, the surrounding gingival tissues were in good condition. Radiographically, there was no evidence of root resorption or signs of infection, and bone regeneration was observed at the furcation level. The rotary system proved to be effective in both shaping and filling the canals, reducing the time required for instrumentation.
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Viera JP, Enriquez FJ. Instrumentation time efficiency of rotary and hand instrumentation performed on vital and necrotic human primary teeth: a randomized clinical trial. Dentistry [Internet]. 2014; 4(4): 1000214. Disponible en: http://doi.org/10.4172/2161-1122.1000214
Chugh VK, Patnana AK, Chugh A, Kumar P, Wadhwa P, Singh S. Clinical differences of hand and rotary instrumentations during biomechanical preparation in primary teeth – A systematic review and meta-analysis. Int J Paediatr Dent [Internet]. 2021; 31(1): 131-142. Disponible en: https://doi.org/10.1111/ipd.12720
Priyadarshini P, Jeevanandan G, Govindaraju L, Subramanian EM. Clinical evaluation of instrumentation time and quality of obturation using paediatric hand and rotary file systems with conventional hand K-files for pulpectomy in primary mandibular molars: a double blinded randomized controlled trial. Eur Arch Paediatr Dent [Internet]. 2020; 21(6): 693-701. Disponible en: https://doi.org/10.1007/s40368-020-00518-w
Alqahtani O, AbuMostafa A. Effect of glide path and coronal flaring on the centering ability and transportation of root canals: micro-CT in vitro study. J Contemp Dent Pract [Internet]. 2021; 22(12): 1471-1476. Disponible en: https://doi.org/10.5005/jp-journals-10024-3265
Shah HS, Patil VM, Kamath AP, Mathur AA. Comparative evaluation of instrumentation time, obturation time, and radiographic quality of obturation using two rotary systems and manual technique for primary molars pulpectomies – in vivo study. Contemp Clin Dent [Internet]. 2021; 12(1): 55-62. Disponible en: https://doi.org/10.4103/ccd.ccd_83_20
Sruthi S, Jeevanandan G, Govindaraju L, Subramanian E. Assessing quality of obturation and instrumentation time using Kedo SG blue, Kedo SH, and reciprocating hand files in primary mandibular molars: a double blinded randomized controlled trial. Dent Res J [Internet]. 2021; 18(1): 76. Disponible en: https://doi.org/10.4103/1735-3327.326649
Bheda P, Kakade A, Takate V, Juneja A, Dighe K, Gupta B. Effect of different preparation techniques on root canal geometry: an in vitro study. Int J Clin Pediatr Dent [Internet]. 2022, 15(suppl 1): S71-S79. Disponible en: https://doi.org/10.5005/jp-journals-10005-2136
Morankar R, Goyal A, Gauba K, Kapur A, Bathia SK. Manual versus rotary instrumentation for primary molar pulpectomies - A 24 months randomized clinical trial. Pediatr Dent J [Internet]. 2018; 28(2): 96-102. Disponible en: https://doi.org/10.1016/j.pdj.2018.02.002
Keskin C, Yilmaz ÖS, Keleş A, Inan U. Comparison of cyclic fatigue resistance of rotate instrument with reciprocating and continuous rotary nickel-titanium instruments at body temperature in relation to their transformation temperatures. Clin Oral Invest [Internet]. 2021; 25(1): 151-157. Disponible en: https://doi.org/10.1007/s00784-020-03346-w
Coll JA, Dhar V, Vargas K, Chen CY, Crystal YO, AlShamali S, Marghalani AA. Use of non-vital pulp therapies in primary teeth. Pediatr Dent [Internet]. 2020; 42(5): 337-349. Disponible en: https://www.aapd.org/globalassets/media/policies_guidelines/g_non-vpt.pdf
Viera TM, Cardoso RM, Alves NC, Conrado de Menezes SE, Batista SM, Silva SA, et al. Cyclic fatigue resistence of blue heat-treated instruments at different temperatures. Int J Biomater [Internet]. 2021; 2021(1): 5584766. Disponible en: https://doi.org/10.1155/2021/5584766
Elheeny A, Khattab N, Fouda T. Comparative study of two rotary systems for endodontic treatment of infected primary molars: in vivo and in vitro study. Egypt Dent J. 2017; 61(4): 4293-300.
Manchanda S, Sardana D, Yiu CK. A systematic review and meta-analysis of randomized clinical trials comparing rotary canal instrumentation techniques with manual instrumentation techniques in primary teeth. Int Endod J [Internet]. 2020; 53(3): 333-353. Disponible en: https://doi.org/10.1111/iej.13233
Basturk FB, Özyürek T, Uslu G, Gündoğar M. Mechanical properties of the new generation RACE EVO and R-motion nickel – titanium instruments. Materials (Basel) [Internet]. 2022; 15(9): 3330. Disponible en: https://doi.org/10.3390/ma15093330
Esentürk G, Akkas E, Cubukcu E, Nagas E, Uyanik O, Cehreli ZC. A micro-computed tomographic assessment of root canal preparation with conventional and different rotary files in primary teeth and young permanent teeth. Int J Paediatr Dent [Internet]. 2020; 30(2): 202-208. Disponible en: https://doi.org/10.1111/ipd.12587
Schachter D, Blumer S, Sarsur S, Peretz B, Tunis TS, Fadela S, et al. Exploring a paradigm shift in primary teeth root canal preparation: an ex vivo micro-CT study. Children [Internet]. 2023; 10(5): 792. Disponible en: https://doi.org/10.3390/children10050792
Reddy KH, Mukthineni S, Sankar AJ, Samantha Y, Pranitha K, Sankar KS. Evaluation of centralization ability and canal transportation of root canals prepared with three commercially available pediatric rotary files. J Indian Soc Pedod Prev Dent [Internet]. 2022; 40(4): 391-397. Disponible en: https://doi.org/10.4103/jisppd.jisppd_380_22
Abdelkafy H, Eldehna AM, Salem NA. Canal transportation and centring ratio of paediatric vs regular files in primary teeth. Int Dent J [Internet]. 2023; 73(3): 423-429. Disponible en: https://doi.org/10.1016/j.identj.2022.09.003
Preethy NA, Jeevanandan G, Mathew MG, Subramanian EM. Evaluation of quality of obturation using two different rotary files and hand files in primary teeth: a randomized controlled trial. Int J Clin Pediatr Dent [Internet]. 2021; 14(4): 471-474. Disponible en: https://doi.org/10.5005/jp-journals-10005-1990
Govindaraju L, Jeevanandan G, Subramanian EM. Clinical evaluation of quality of obturation and instrumentation time using two modified rotary file systems with manual instrumentation in primary teeth. J Clin Diagn Res [Internet]. 2017: 11(9): ZC55-ZC58. Disponible en: https://doi.org/10.7860/jcdr/2017/30069.10602
Vandenbroucke JP. In defense of case reports and case series. Ann Inten Med [Internet]. 2001; 134(4): 330-334. Disponible en: https://doi.org/10.7326/0003-4819-134-4-200102200-00017
Green BN, Johnson CD. How to write a case report for publication. J Chiropr Med [Internet]. 2006; 5(2): 72-82. Disponible en: https://doi.org/10.1016/s0899-3467(07)60137-2
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Copyright (c) 2025 Gerardo Jose Huayta-Guerra, María Elena Díaz-Pizán, Gilmer Torres-Ramos1

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