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May 14, 2026Clinical Oral Investigations0 citationsOpen Access

Comparison of Rotary Nickel-Titanium Files with Ultrasonic Irrigation vs Manual K-Files in Molars

Comparison of rotary NiTi files with ultrasonic irrigation and manual K-files with syringe irrigation in primary molar pulpectomy: A retrospective cohort study

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Authors

JLJing LiuKYKaixuan YanYZYu Zheng

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Overview

Retrospective cohort study evaluates outcomes of NiTi files versus manual K-files in primary molar pulpectomy, suggesting improved efficacy and comfort.

Key Points

  • To evaluate the clinical and radiographic outcomes of rotary nickel-titanium files with ultrasonic irrigation compared to manual K-files with syringe irrigation in primary molar pulpectomy.
  • Retrospective cohort study with patients aged 4-9 years undergoing RCT for mandibular primary molars.
  • Participants categorized into three groups: M3 rotary with ultrasonic irrigation (n=98), S3 rotary with ultrasonic irrigation (n=84), and manual K-files with syringe irrigation (n=78).
  • Postoperative pain assessed at 24, 48, and 72 hours using Wong-Baker FACES scale, with radiographic evaluation at 12-month follow-up.
  • M3 rotary group demonstrated the shortest instrumentation time (210.45 ± 6.85 s) and the highest optimal obturation rate (87.1%), significantly outperforming others (P<0.05).
  • Both rotary systems resulted in significantly lower pain scores at 24 and 48 hours compared to manual instrumentation (P<0.01).
  • No significant differences in pain at 72 hours or 12-month therapeutic success rates across groups (P>0.05).

Cite This Study

Liu et al. (2026) studied this question.

synapsesocial.com/papers/6a05659da550a87e60a1debahttps://doi.org/10.1007/s00784-026-06908-6
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