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Is lentulospiral the best option for root canal filling of endodontically treated primary teeth? A systematic review and meta-analysis.
Arduim, Andressa da Silva; Gonçalves, Débora Plotnik; Casagrande, Luciano; Lenzi, Tathiane Larissa.
Afiliação
  • Arduim ADS; School of Dentistry, Post-Graduate Program in Pediatric Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Porto Alegre, Brazil. andressa.arduim@hotmail.com.
  • Gonçalves DP; School of Dentistry, Post-Graduate Program in Pediatric Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Porto Alegre, Brazil.
  • Casagrande L; School of Dentistry, Post-Graduate Program in Pediatric Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Porto Alegre, Brazil.
  • Lenzi TL; School of Dentistry, Post-Graduate Program in Pediatric Dentistry, Federal University of Rio Grande Do Sul (UFRGS), Porto Alegre, Brazil.
Eur Arch Paediatr Dent ; 22(4): 537-545, 2021 Aug.
Article em En | MEDLINE | ID: mdl-33763823
PURPOSE: To evaluate the quality of root canal filling of primary teeth using lentulospiral in comparison with other instruments. METHODS: Electronic databases (PubMed/MEDLINE, Scopus, TRIP, LILACS, and CENTRAL Cochrane) were searched up to Jan 2021. Clinical trials that compared the quality of root canal filling of endodontically treated primary teeth using lentulospiral with other instruments were included. Two reviewers independently selected the studies, extracted data, and assessed the risk of bias. Two outcomes were considered: inadequate root canal filling (under or overfilling) and presence of voids. Conventional meta-analyses were performed using a fixed-effects model. Statistical analyses were performed using RevMan5.3 at a significance level of 5%. RESULTS: Of the 68 potentially relevant studies, eight were selected for full-text analysis, and three were included in the systematic review. The use of syringes resulted in a lower risk of presence of voids in the root canal filling compared to the use of lentulospiral (RR: 0.62 95% CI 0.45; 0.85). However, there was no difference between lentulospiral and bi-directional spiral (RR:1.17 95% CI: 0.90; 1.51). There was no significant difference between lentulospiral and syringes (RR: 1.37 95% CI 1.00; 1.87) considering the length of the root canal filling. The use of bi-directional spiral had a higher risk of inadequate root canal filling compared to the use of lentulospiral (RR: 1.75 95% CI: 1.12; 2.74). Two studies were at "high", and one study at "unclear" risk of bias in the key domains. CONCLUSIONS: There is insufficient scientific evidence showing the superiority of using lentulospiral for the root canal filling in endodontically treated primary teeth. Due to the limited level of evidence, professionals may opt to choose the instrument based on their preferences.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obturação do Canal Radicular / Cavidade Pulpar Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: Eur Arch Paediatr Dent Assunto da revista: ODONTOLOGIA / PEDIATRIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Obturação do Canal Radicular / Cavidade Pulpar Tipo de estudo: Systematic_reviews Limite: Humans Idioma: En Revista: Eur Arch Paediatr Dent Assunto da revista: ODONTOLOGIA / PEDIATRIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Brasil País de publicação: Reino Unido