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Effectiveness of rotary and reciprocating systems on microbial reduction: A systematic review

INTRODUCTION: The role of microorganism and their products in the initiation, propagation, and persistence of periradicular periodontitis has been established. One of the major goals of the treatment of infected root canals of teeth with apical periodontitis is to promote maximal reduction in the in...

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Autores principales: Siddique, Riluwan, Nivedhitha, Malli Sureshbabu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519186/
https://www.ncbi.nlm.nih.gov/pubmed/31142978
http://dx.doi.org/10.4103/JCD.JCD_523_18
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author Siddique, Riluwan
Nivedhitha, Malli Sureshbabu
author_facet Siddique, Riluwan
Nivedhitha, Malli Sureshbabu
author_sort Siddique, Riluwan
collection PubMed
description INTRODUCTION: The role of microorganism and their products in the initiation, propagation, and persistence of periradicular periodontitis has been established. One of the major goals of the treatment of infected root canals of teeth with apical periodontitis is to promote maximal reduction in the intracanal bacterial populations. Engine-driven nickel-titanium instruments possess the latest generation of root canal instruments. The possible benefit of rotary instrumentation over other instrumentation techniques regarding cleaning and disinfecting effects would be irrigant warming and/or turbulence caused by the mechanical rotation of instruments. Furthermore, reciprocating instrument has been introduced for root canal preparation. It has been shown that instruments subjected to reciprocation have increased resistance to fatigue and longer usual life when combined with instruments used in continuous rotation motion. The reciprocating system uses single-file instrumentation technique which can shape and clean the canal in a shorter period and together with the lesser amount of antimicrobial agent. OBJECTIVE: The objective of this study is to compare and evaluate the microbial reduction of rotary and reciprocating systems on microbial reduction. SEARCH STRATEGY: A search was performed in Electronic databases (i.e., PubMed, Cochrane library, Science direct, Lilac, Sigle) using following search terms alone and in combination by means of PubMed search builder from January 1985 to December 2017. SELECTION CRITERIA: Studies were selected if they met the following criteria: In vivo studies comparing rotary and reciprocating system in asymptomatic apical periodontitis patients. MAIN RESULTS: The results showed that the reciprocating system exerted an almost similar antibacterial effect when compared with the rotary system. CONCLUSION: The present systematic review does not provide concrete evidence to show increased antibacterial efficacy of reciprocating system as compared to the rotary system. Furthermore, clinical trials are required to evaluate the efficacy of various instrumentation systems in reducing bacteria from the root canal system.
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spelling pubmed-65191862019-05-29 Effectiveness of rotary and reciprocating systems on microbial reduction: A systematic review Siddique, Riluwan Nivedhitha, Malli Sureshbabu J Conserv Dent Review Article INTRODUCTION: The role of microorganism and their products in the initiation, propagation, and persistence of periradicular periodontitis has been established. One of the major goals of the treatment of infected root canals of teeth with apical periodontitis is to promote maximal reduction in the intracanal bacterial populations. Engine-driven nickel-titanium instruments possess the latest generation of root canal instruments. The possible benefit of rotary instrumentation over other instrumentation techniques regarding cleaning and disinfecting effects would be irrigant warming and/or turbulence caused by the mechanical rotation of instruments. Furthermore, reciprocating instrument has been introduced for root canal preparation. It has been shown that instruments subjected to reciprocation have increased resistance to fatigue and longer usual life when combined with instruments used in continuous rotation motion. The reciprocating system uses single-file instrumentation technique which can shape and clean the canal in a shorter period and together with the lesser amount of antimicrobial agent. OBJECTIVE: The objective of this study is to compare and evaluate the microbial reduction of rotary and reciprocating systems on microbial reduction. SEARCH STRATEGY: A search was performed in Electronic databases (i.e., PubMed, Cochrane library, Science direct, Lilac, Sigle) using following search terms alone and in combination by means of PubMed search builder from January 1985 to December 2017. SELECTION CRITERIA: Studies were selected if they met the following criteria: In vivo studies comparing rotary and reciprocating system in asymptomatic apical periodontitis patients. MAIN RESULTS: The results showed that the reciprocating system exerted an almost similar antibacterial effect when compared with the rotary system. CONCLUSION: The present systematic review does not provide concrete evidence to show increased antibacterial efficacy of reciprocating system as compared to the rotary system. Furthermore, clinical trials are required to evaluate the efficacy of various instrumentation systems in reducing bacteria from the root canal system. Medknow Publications & Media Pvt Ltd 2019 /pmc/articles/PMC6519186/ /pubmed/31142978 http://dx.doi.org/10.4103/JCD.JCD_523_18 Text en Copyright: © 2019 Journal of Conservative Dentistry http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Review Article
Siddique, Riluwan
Nivedhitha, Malli Sureshbabu
Effectiveness of rotary and reciprocating systems on microbial reduction: A systematic review
title Effectiveness of rotary and reciprocating systems on microbial reduction: A systematic review
title_full Effectiveness of rotary and reciprocating systems on microbial reduction: A systematic review
title_fullStr Effectiveness of rotary and reciprocating systems on microbial reduction: A systematic review
title_full_unstemmed Effectiveness of rotary and reciprocating systems on microbial reduction: A systematic review
title_short Effectiveness of rotary and reciprocating systems on microbial reduction: A systematic review
title_sort effectiveness of rotary and reciprocating systems on microbial reduction: a systematic review
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6519186/
https://www.ncbi.nlm.nih.gov/pubmed/31142978
http://dx.doi.org/10.4103/JCD.JCD_523_18
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