In Vivo and In Vitro Effectiveness of Rotary Nickel-Titanium vs Manual Stainless Steel Instruments for Root Canal Therapy: Systematic Review and Meta-analysis

The Journal of Evidence-based Dental Practice
Massimo Del FabbroSilvio Taschieri

Abstract

This systematic review evaluated the effectiveness of nickel-titanium (NiTi) rotary files compared to stainless-steel (SST) hand files. An electronic search was performed on Medline, EMBASE, CENTRAL and Scopus databases up to February 2016. An additional hand searching was performed in 13 journals. The studies were classified according to study type and the outcome variables. Two reviewers independently applied eligibility criteria, extracted data, and three reviewers independently assessed the quality of the evidence of each included study according to The Cochrane Collaboration's procedures. A meta-analysis was performed whenever it was possible. The electronic and hand search strategies yielded 1155 references of studies after removal of duplicates. Four clinical studies (two prospective and two retrospective studies) and 18 in vitro studies (on extracted teeth) were included for the qualitative synthesis after full-text evaluation of the eligible studies. The overall level of methodological quality of the studies included can be considered inadequate. Only one clinical study was judged at low risk of bias, whereas most non-clinical studies had a low risk of bias. Three meta-analyses, based on a very limited number of studie...Continue Reading

Citations

Feb 8, 2020·PeerJ·Andreas BartolsChristof E Dörfer
Mar 10, 2020·International Journal of Dentistry·Abdulmohsen AlfadleyAhmed Jamleh
Oct 5, 2020·European Journal of Dental Education : Official Journal of the Association for Dental Education in Europe·Érika P TavaresFlávia M Flório
Nov 19, 2020·Journal of Clinical Medicine·Wojciech EliaszAnna Surdacka
Oct 2, 2020·Journal of Stomatology, Oral and Maxillofacial Surgery·Kelvin I AfrashtehfarKensuke Igarashi
Jul 31, 2021·International Journal of Clinical Pediatric Dentistry·Nambi NatchiyarThoppe Dhamodharan Yogesh Kumar

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