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Influence of reciprocating and rotary instrumentation on microbial reduction: a systematic review and meta-analysis of in vitro studies

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Objectives: The purpose of this study was to conduct a systematic review and meta-analysis of in vitro studies regarding the effectiveness of reciprocating and rotary instrumentation on microbial reduction in root canals. Materials and Methods: PubMed, Scopus, Web of Science, the Cochrane Library, and the gray literature were searched through December 2019. Studies comparing the influence of reciprocating and rotary instrumentation on the removal of microorganisms from root canals that quantified the antimicrobial effect were included. Data extraction was completed using a systematic form for data collection. The risk of bias of the studies was evaluated. Standardized mean differences (SMDs) and confidence intervals (CIs) were calculated using a random effects meta-analysis. Results: Seventeen in vitro studies were included in this systematic review, of which 7 provided adequate data for inclusion in the meta-analysis. Both reciprocating and rotary systems were similarly effective in reducing the microbial load in infected root canals (SMD [95% CI], 0.0481 [−0.271, 0.367]). Three studies showed a low risk of bias, whereas most of the studies (82%) presented a medium risk. Conclusions: Although both techniques decrease the microbial content (with reductions of 23.32%–88.47% and 23.33%–89.86% for reciprocating and rotary instrumentation, respectively), they are not able to provide complete disinfection of root canals.

Abstract

Objectives: The purpose of this study was to conduct a systematic review and meta-analysis of in vitro studies regarding the effectiveness of reciprocating and rotary instrumentation on microbial reduction in root canals. Materials and Methods: PubMed, Scopus, Web of Science, the Cochrane Library, and the gray literature were searched through December 2019. Studies comparing the influence of reciprocating and rotary instrumentation on the removal of microorganisms from root canals that quantified the antimicrobial effect were included. Data extraction was completed using a systematic form for data collection. The risk of bias of the studies was evaluated. Standardized mean differences (SMDs) and confidence intervals (CIs) were calculated using a random effects meta-analysis. Results: Seventeen in vitro studies were included in this systematic review, of which 7 provided adequate data for inclusion in the meta-analysis. Both reciprocating and rotary systems were similarly effective in reducing the microbial load in infected root canals (SMD [95% CI], 0.0481 [−0.271, 0.367]). Three studies showed a low risk of bias, whereas most of the studies (82%) presented a medium risk. Conclusions: Although both techniques decrease the microbial content (with reductions of 23.32%–88.47% and 23.33%–89.86% for reciprocating and rotary instrumentation, respectively), they are not able to provide complete disinfection of root canals.

참고문헌 (36)

  1. Siqueira JF Jr, "Clinical implications and microbiology of bacterial persistence after treatment procedures", J Endod, 34, pp.1291~1301 (2008)
  2. Siqueira JF Jr, "Efficacy of instrumentation techniques and irrigation regimens in reducing the bacterial population within root canals", J Endod, 28, pp.181~184 (2002)
  3. Alves FR, "Quantitative molecular and culture analyses of bacterial elimination in oval-shaped root canals by a single-file instrumentation technique", Int Endod J, 45, pp.871~877 (2012)
  4. Machado ME, "Influence of reciprocating single-file and rotary instrumentation on bacterial reduction on infected root canals", Int Endod J, 46, pp.1083~1087 (2013)
  5. Short JA, "A comparison of canal centering ability of four instrumentation techniques", J Endod, 23, pp.503~507 (1997)
  6. De-Deus G, "Assessment of apically extruded debris produced by the single-file ProTaper F2 technique under reciprocating movement", Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 110, pp.390~394 (2010)
  7. Martinho FC, "Clinical investigation of the efficacy of chemomechanical preparation with rotary nickel-titanium files for removal of endotoxin from primarily infected root canals", J Endod, 36, pp.1766~1769 (2010)
  8. Siqueira JF Jr, "Correlative bacteriologic and micro-computed tomographic analysis of mandibular molar mesial canals prepared by self-adjusting file, reciproc, and twisted file systems", J Endod, 39, pp.1044~1050 (2013)
  9. Marinho AC, "Does the Reciproc file remove root canal bacteria and endotoxins as effectively as multifile rotary systems?", Int Endod J, 48, pp.542~548 (2015)
  10. De-Deus G, "Extended cyclic fatigue life of F2 ProTaper instruments used in reciprocating movement", Int Endod J, 43, pp.1063~1068 (2010)
  11. Siddique R, "Effectiveness of rotary and reciprocating systems on microbial reduction: a systematic review", J Conserv Dent, 22, pp.114~122 (2019)
  12. Moher D, "Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement", J Clin Epidemiol, 62, pp.1006~1012 (2009)
  13. Alves FR, "Bacteria and hard tissue debris extrusion and intracanal bacterial reduction promoted by XP-endo shaper and reciproc instruments", J Endod, 44, pp.1173~1178 (2018)
  14. Basmaci F, "Ex vivo evaluation of various instrumentation techniques and irrigants in reducing E. faecalis within root canals", Int Endod J, 46, pp.823~830 (2013)
  15. Dagna A, "Antibacterial efficacy of conventional and single-use Ni-Ti endodontic instruments: an in vitro microbiological evaluation", Int J Artif Organs, 35, pp.826~831 (2012)
  16. de Brito PRR, "Effectiveness of ProTaper Next, ProTaper Universal and WaveOne systems in reducing intracanal bacterial load", Endod Pract Today, 10, pp.167~173 (2016)
  17. DE Oliveira BP, "Evaluation of microbial reduction in root canals instrumented with reciprocating and rotary systems", Acta Stomatol Croat, 49, pp.294~303 (2015)
  18. Ferrer-Luque CM, "Reduction in Enteroccocus faecalis counts - a comparison between rotary and reciprocating systems", Int Endod J, 47, pp.380~386 (2014)
  19. Guillén RE, "Evaluation of the WaveOne Gold and One Shape New Generation in reducing Enterococcus faecalis from root canal", Braz Dent J, 29, pp.249~253 (2018)
  20. Karataş E, "Evaluation of instrumentation systems in reducing E. faecalis from root canals: TF adaptive and ProTaper next versus single file systems", Int J Artif Organs, 38, pp.161~164 (2015)
  21. Krokidis A, "Rotary versus reciprocating shaping files in bacterial elimination from long oval canals", Aust Endod J, 44, pp.240~244 (2018)
  22. Nabeshima CK, "Bacterial removal promoted by 2 single-file systems: Wave One and One Shape", J Endod, 40, pp.1995~1998 (2014)
  23. Nakamura VC, "Ex vivo evaluation of three instrumentation techniques on E. faecalis biofilm within oval shaped root canals", Braz Oral Res, 29, pp.29~ (2015)
  24. Üreyen Kaya B, "Mechanical reduction in intracanal Enterococcus faecalis when using three different single-file systems: an ex vivo comparative study", Int Endod J, 52, pp.77~85 (2019)
  25. Vasconcelos LR, "Effect of ultrasound streaming on the disinfection of flattened root canals prepared by rotary and reciprocating systems", J Appl Oral Sci, 25, pp.477~482 (2017)
  26. Higgins JP, "Measuring inconsistency in meta-analyses", BMJ, 327, pp.557~560 (2003)
  27. Sjögren U, "Influence of infection at the time of root filling on the outcome of endodontic treatment of teeth with apical periodontitis", Int Endod J, 30, pp.297~306 (1997)
  28. Molander A, "Clinical and radiographic evaluation of one- and two-visit endodontic treatment of asymptomatic necrotic teeth with apical periodontitis: a randomized clinical trial", J Endod, 33, pp.1145~1148 (2007)
  29. Bürklein S, "Shaping ability and cleaning effectiveness of two single-file systems in severely curved root canals of extracted teeth: Reciproc and WaveOne versus Mtwo and ProTaper", Int Endod J, 45, pp.449~461 (2012)
  30. Alves FR, "Bacterial community profiling of cryogenically ground samples from the apical and coronal root segments of teeth with apical periodontitis", J Endod, 35, pp.486~492 (2009)
  31. Portenier I, "The susceptibility of starved, stationary phase, and growing cells of Enterococcus faecalis to endodontic medicaments", J Endod, 31, pp.380~386 (2005)
  32. Siqueira JF Jr, "Diversity of endodontic microbiota revisited", J Dent Res, 88, pp.969~981 (2009)
  33. Rôças IN, "Identification of bacteria enduring endodontic treatment procedures by a combined reverse transcriptase-polymerase chain reaction and reverse-capture checkerboard approach", J Endod, 36, pp.45~52 (2010)
  34. Nair PN, "Pathogenesis of apical periodontitis and the causes of endodontic failures", Crit Rev Oral Biol Med, 15, pp.348~381 (2004)
  35. Higgins JPT, "Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0" (2011), The Cochrane Collaboration
  36. Uzunoglu-Özyürek E, "Effect of root canal sealers on the fracture resistance of endodontically treated teeth: a systematic review of in vitro studies", Clin Oral Investig, 22, pp.2475~2485 (2018)

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