Cochrane · intervention · CD006384
Hand and ultrasonic instrumentation for orthograde root canal treatment of permanent teeth
Cochrane Database of Systematic Reviews · 2008 · Cochrane Library
Full textEvery question was extracted from the full review (methods and results), not only its Summary of Findings table.
Questions
2
current version
GRADE rated
0
No studies
2
Included studies
0
as reported
No studies 2 · 100%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Review question
| Element | Planned (methods) | Found (results) |
|---|---|---|
| Population | People over 18 years of age with single or multiple permanent teeth with a completely formed apex and no evidence of internal resorption, requiring root canal treatment (patients undergoing re-treatment of a tooth were excluded) | Not reported |
| Intervention | (1) Ultrasonic instrumentation used alone (any ultrasonic device capable of active or passive removal of dentine within the root canal), versus hand instrumentation alone; (2) hand instrumentation in conjunction with an ultrasonic device, versus hand instrumentation alone | Not reported |
| Comparison | Hand instrumentation used alone (files and reamers used manually) | Not reported |
| Outcomes | Primary outcomes: (1) proportion of teeth retained for at least 12, 24, 36 and 48 months and their periapical status confirmed by radiograph; (2) total time required for preparation technique and number of visits; (3) post-operative pain (self-assessment on a visual analogue scale or similar, use of pain and antibiotic medication). Secondary outcomes: (1) any unscheduled re-visit or emergency visit; (2) any quality of life or patient satisfaction outcomes on a validated scale. Adverse effects (e.g. instrument fracture, tooth fracture). Costs (direct and indirect). | Not reported |
| Study designs | Randomised controlled trials (RCTs) | Not reported |
| Timing | Tooth retention and periapical status planned at 12, 24, 36 and 48 months | Not reported |
Search date: 2007-12. Databases: Cochrane Oral Health Group Trials Register; Cochrane Central Register of Controlled Trials (CENTRAL); MEDLINE; EMBASE; Latin American and Caribbean Literature on Health Sciences (LILACS)
Questions and results
Current version onlyUltrasonic instrumentation used alone (any ultrasonic device designed specifically for root canal treatment and capable of the active or passive removal of dentine within the root canal) vs Hand instrumentation used alone (files and reamers used manually)
Population: People over 18 years of age with single or multiple permanent teeth with a completely formed apex and no evidence of internal resorption, requiring root canal treatment (patients undergoing re-treatment of a tooth were excluded)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | No eligible randomised controlled trials were identified. | NR | No studies |
Hand instrumentation in conjunction with (as an adjunct to) an ultrasonic device designed specifically for root canal treatment and capable of the active or passive removal of dentine within the root canal vs Hand instrumentation used alone (files and reamers used manually)
Population: People over 18 years of age with single or multiple permanent teeth with a completely formed apex and no evidence of internal resorption, requiring root canal treatment (patients undergoing re-treatment of a tooth were excluded)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | No eligible randomised controlled trials were identified. | NR | No studies |
Ultrasonic instrumentation used alone (any ultrasonic device designed specifically for root canal treatment and capable of the active or passive removal of dentine within the root canal) vs Hand instrumentation used alone (files and reamers used manually)
Population: People over 18 years of age with single or multiple permanent teeth with a completely formed apex and no evidence of internal resorption, requiring root canal treatment (patients undergoing re-treatment of a tooth were excluded)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | No eligible randomised controlled trials were identified. | NR | No studies |
Ultrasonic instrumentation used alone (any ultrasonic device designed specifically for root canal treatment and capable of the active or passive removal of dentine within the root canal) vs Hand instrumentation used alone (files and reamers used manually)
Population: People over 18 years of age with single or multiple permanent teeth with a completely formed apex and no evidence of internal resorption, requiring root canal treatment (patients undergoing re-treatment of a tooth were excluded)
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Outcome NR | no estimate extracted | NR | No studies |