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The aim of this study is to evaluate the quality of obturation and the time efficiency of rotary versus manual instrumentation in roots of deciduous molars clinically where the:
The study will be conducted in two parts as follows:
In-vitro part as a training part to practice, test the speed of the rotary system, followed by application clinically.
Obturation will be done using two different filling techniques:
Then the instrumentation time and the quality of obturation will be recorded.
The study will be conducted by recruiting patients from the Outpatient clinic of The Pediatric Dentistry and Dental Public Health department, Faculty of Dentistry, Ain Shams University:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Rotary instrumentation using MM files 1 | Experimental | Rotary instrumentation using MM files (IMD Inc, China), sizes 20-25-30 taper 0.4, length 16 mm, then obturation with Zinc oxide and Eugenol using Incremental filling Technique. |
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| Manual instrumentation using K-files 1 | Active Comparator | Manual instrumentation using K-files (Mani Inc, Tochigi, Japan), sizes 15-20-25-30-35 then obturation with Zinc oxide and Eugenol using Incremental filling Technique. |
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| Rotary instrumentation using MM files 2 | Experimental | Rotary instrumentation using MM files (IMD Inc, China), sizes 20-25-30 taper 0.4, length 16 mm, then obturation with Zinc oxide and Eugenol using Disposable syringe technique. |
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| Manual instrumentation using K-files 2 | Active Comparator | Manual instrumentation using K-files (Mani Inc, Tochigi, Japan), sizes 15-20-25-30-35 then obturation with Zinc oxide and Eugenol using Disposable syringe technique |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| NSK Endo motor Endomate | Procedure | Rotary instrumenation used in pulp therapy |
|
| Measure | Description | Time Frame |
|---|---|---|
| Is to evaluate the time efficiency of the rotary mm files versus manual stainless steel k files in the pulpectomy of lower second primary molars affecting the positive behavior of the child | Time efficiency of instrumentation using rotary mm files specially designed for primary teeth versus manual stainless steel K-files in the pulpectomy of mandibular second primary molars, by clinical and radiographic evaluation for 18 months. | up to 18 months |
| Is to evaluate and compare the quality of obturation using two different obturation techniques following instrumentation by rotary mm files and manual stainless steel k files instrumentation in another group | The quality of obturation using ZOE will be performed with either the incremental technique or the modified disposable syringe technique, following instrumentation by rotary and manual files, where the grading will be as : 1: overfilled, 2: underfilled 3: optimum filling. | up to 18 months |
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Inclusion Criteria:
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Children included in the study should conform to the following criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ain Shams Univeristy | Cairo | 02 | Egypt |
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| ID | Term |
|---|---|
| D003788 | Dental Pulp Diseases |
| ID | Term |
|---|---|
| D014076 | Tooth Diseases |
| D009057 | Stomatognathic Diseases |
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| manual K-files | Procedure | manual instrumentation used in pulp therapy |
|