Comparison of Quality of Root Canal Obturation in Single-Rooted Teeth Performed by Undergraduate Students Using Manual and Rotary Methods (Cross-Sectional Study)

Volume 12 , Issue 2 , August 2025 , Pages 11-20

Authors

Tara Husain 1 ; Rawa Ibrahim 1 ; Tavga Faris 1 ; Sara Kazzaz 1

1 University of Sulaimani,college of dentistry,conservative department

DOI logo 10.17656/sdj.10206

Keywords

Abstract


Objective: The study aimed to reveal the influence of different root canal instrumentation methods (manual and rotary) on the features of root canal obturation, as well as determine which method gives the superior quality of obturation.
Methods: A total of 165 case sheets of endodontically treated teeth (incisors, canines, and single-rooted premolars) were included in our samples from the outpatients in the University of Sulaimani, College of Dentistry, each with the radiograph of the treated tooth attached to it. The case sheets were separated into manual and rotary groups. The evaluation was done for three parameters (homogeneity, taperness and length of filling material).
Results: The results show a statistically significant (p < 0.05) relationship between manual and rotary instrumentation regarding all three parameters evaluated. There is a higher ratio of adequate length of filling material, adequate homogeneity, and adequate taperness in rotary instrumentation than in manual instrumentation.
Conclusions: This study concludes that rotary NiTi instrumentation improves the quality of root canal obturation regarding the 3 parameters. The findings advocate for the inclusion of rotary NiTi instruments in the undergraduate dental curriculum to enhance endodontic treatment outcomes. In the future, more resources are needed regarding the homogeneity of the obturation by different instrumentation and obturation techniques.

References


  1. Ørstavik D. Apical periodontitis: microbial infection and host responses. in: essential endodontology: prevention and treatment of apical periodontitis. Oslo. 2019. p. 1-10.
  2. Moradi S, Gharechahi M. Quality of root canal obturation performed by senior undergraduate dental students. Iran Endod J. 2014;9(1):66-70.
  3. Talabani RM. Management of apical periodontitis using WaveOne gold reciprocating files, single-cone endodontic approach: A case series. Ann.med. Surg. 2021;66:102385.
  4. Gasner NS, Brizuela M. Endodontic materials used to fill root canals. in: statpearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024.
  5. Azar MR, Safi L, Nikaein A. Comparison of the cleaning capacity of Mtwo and Pro Taper rotary systems and manual instruments in primary teeth. Dent Res J. 2012;9(2):146-51.
  6. Zanza A, D’Angelo M, Reda R, Gambarini G, Testarelli L, Nardo DD. An update on Nickel-Titanium rotary instruments in endodontics: mechanical characteristics, testing, and future perspective—an overview. Bioengineering. 2021;8(12):218.
  7. Kathariya MD, Patil S, Patil A, Jadav RH, Mandlik J, Sharma AS. Evaluate the usage of different advanced endodontic instruments and techniques in pediatric dentistry. J Contemp Dent Pract. 2013;14(1):61-4.
  8. Gavini G, Santos MD, Caldeira CL, Machado ME de L, Freire LG, Iglecias EF, et al. Nickel-titanium instruments in endodontics: a concise review of the state of the art. Braz Oral Res. 2018;32(suppl 1):e67.
  9. Robia G. Comparative Radiographic Assessment of Root Canal Obturation Quality: Manual Verses Rotary Canal Preparation Technique. Int J Biomed Sci. 2014;10(2):136-42.
  10. Puleio F, Lo Giudice G, Militi A, Bellezza U, Lo Giudice R. Does low-taper root canal shaping decrease the risk of root fracture? a systematic review. Dent J. 2022;10(6):94.
  11. Nouroloyouni A, Samadi V, Salem Milani A, Noorolouny S, Valizadeh-Haghi H. Single cone obturation versus cold lateral compaction techniques with bioceramic and resin sealers: quality of obturation and push-out bond strength. Int J Dent. 2023;2023:3427151.
  12. Hasheminia SM, Farhad AR, Saatchi M, Nejad HS, Sanei M. Mechanical or cold lateral compaction: The incidence of dentinal defects. Dent Res J. 2015;12(6):513-9.
  13. Mohammad N, Omar S, Alkadhim A, Abdul Aziz A, Ahmad A, Abdul Fatah F, et al. Influence of technical quality and coronal restoration on periapical health of root canal treatment performed by Malaysian undergraduate students. Saudi Endod J. 2023;13:63-72.
  14. Barrieshi-Nusair KM, Al-Omari MA, Al-Hiyasat AS. Radiographic technical quality of root canal treatment performed by dental students at the Dental Teaching Center in Jordan. J Dent. 2004;32(4):301-7.
  15. Jafarzadeh M, Saatchi M, Jafarnejadi P, Gooran M. Digital radiographic evaluation of the quality of different root canal obturation techniques in deciduous mandibular molars after preparation with rotary technique. J Dent. 2019;20(3):152-8.
  16. Román-Richon S, Faus-Matoses V, Alegre-Domingo T, Faus-Llácer VJ. Radiographic technical quality of root canal treatment performed ex vivo by dental students at Valencia University Medical and Dental School, Spain. Med Oral Patol Oral Cir Bucal. 2014;19(1):e93-7.
  17. Alshehri T, Aljama A, Alzayer H, Aljubran H, Faridi MA, Khan S, et al. Assessment of Modality and Accuracy of Single Root Canal Treatment Performed by Undergraduate Students in Saudi Arabia: A Retrospective Study. Cureus. 2023.
  18. Alhekeir DF, Al-Sarhan RA, Mokhlis H, Al-Nazhan S. Endodontic mishaps among undergraduate dental students attending King Saud University and Riyadh Colleges of Dentistry and Pharmacy. Saudi Endod J. 2013;3(1):25-30.
  19. Kierklo A, Tabor Z, Pawińska M, Jaworska M. A microcomputed tomography-based comparison of root canal filling quality following different instrumentation and obturation techniques. Med Princ Pract. 2015;24(1):84-91.
  20. Talabani RM, Ali AJ, Abdulkareem BN. Clinical and radiographic evaluation of pulpal and periradicular tissue. Int J Pharm Sci Res. 2016 ;7(12):5072.
  21. Hadwa SM, Ghouraba RF, Kabbash IA, El-Desouky SS. Assessment of clinical and radiographic efficiency of manual and pediatric rotary file systems in primary root canal preparation: a randomized controlled clinical trial. BMC Oral Health. 2023;23(1):687.
  22. Govindaraju L, Jeevanandan G, Subramanian E. Clinical evaluation of quality of obturation and instrumentation time using two modified rotary file systems with manual instrumentation in primary teeth. J Clin Diagn Res. 2017;11(9):ZC55-8.
  23. Jalees M, Noor N, Javed K, Qamar R, Abbasi S, Ahmed M. Comparison of quality of root canal obturation in single rooted teeth prepared by manual and rotary methods. Pak Oral Dent J. 2018;38(3):362-5.
  24. Khan A, Alam F, Khattak O. Compare the quality of root canal obturation by intraoral periapical radiographs in single rooted teeth prepared by manual technique versus rotary method. Med Forum 2021;32(3):177-80.
  25. Ehsan HR, Rasheed D, Junaid M, Abbas B, Khan FN, Dildar Z. Comparing the outcomes of manual instrumentation and rotary technique in terms of instrumentation time and quality of root canal obturation in single rooted teeth. Med Forum 2020;31(3):50-3.
  26. Premlata T, Priyadarshini S, Dharmani U, Sanjeeta N, bs D. Comparative evaluation of cleaning efficacy of the root canal by k-file and protaper next, hyflex edm rotary system an in vitro study. J Evol Med Dent Sci. 2017;5.
  27. Javed MQ, AlAttas MH, Bhatti UA, Dutta SD. Retrospective audit for quality assessment of root fillings performed by undergraduate dental students in clinics. J Taibah Univ Med Sci. 2022;17(2):297-303.
  28. Donnelly A, Coffey D, Duncan HF. A re-audit of the technical quality of undergraduate root canal treatment after the introduction of new technology and teaching practices. Int Endod J. 2017;50(10):941-50.
  29. Pettiette MT, Delano EO, Trope M. Evaluation of success rate of endodontic treatment performed by students with stainless-steel K-files and nickel-titanium hand files. J Endod. 2001;27(2):124-7.
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  • First online1 August 2025
  • Published at1 August 2025

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