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Meta-Analysis
. 2022 Apr;48(1):202-218.
doi: 10.1111/aej.12612. Epub 2022 Mar 7.

Effect of mode of rotation on apical extrusion of debris with four different single-file endodontic instrumentation systems: Systematic review and meta-analysis

Muhammad Zubair Ahmad  1   2 , Durre Sadaf  2 , Marcy McCall MacBain  2 , Khalid A Merdad  3
Affiliations
Meta-Analysis

Effect of mode of rotation on apical extrusion of debris with four different single-file endodontic instrumentation systems: Systematic review and meta-analysis

Muhammad Zubair Ahmad et al. Aust Endod J. 2022 Apr.

Abstract

This systematic review and meta-analysis evaluated whether single-file endodontic instrumentation systems with the reciprocating type of motion are responsible for more debris extrusion than single-file endodontic instrumentation systems with the full rotational type of motion. Electronic and manual searches were performed following the recommendations of Preferred Reporting Items for Systematic Reviews and Meta-Analysis - PRISMA. We included studies comparing rotary (Neoniti and/ OneShape) versus reciprocating (WaveOne and/ Reciproc) systems. We evaluated the quality of studies and performed statistical analysis using R-Project software. Eight studies of high quality were included to perform the meta-analysis. Subgroup analysis was also done. The overall risk of bias was too low. In conclusion, single-file reciprocating systems tend to generate more extrusion of debris than single-file rotary systems.

Keywords: apical foramen; debris extrusion; root canal preparation; single-file reciprocating systems; single-file rotary systems.

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