Citation Information :
Babu KG, Hebbar KG. Determination of the Anxiety and Behavior of Children Undergoing Endodontic Treatment Using Manual and Rotary File Systems: A Comparative Clinical Study. J South Asian Assoc Pediatr Dent 2021; 4 (3):175-184.
Introduction: Many dentists perform extraction of deciduous teeth that could be preserved by pulpectomy, claiming that the tedious and longer duration of endodontic treatment leads to development of anxiety and negative behavior in children.Aim: To determine and compare the anxiety experienced and behavior exhibited by children undergoing endodontic treatment using manual and rotary file systems.Methods: This clinical study comprised 150 children. The pulpectomy procedure was carried out in the two visits. The first visit consisted of administration of local anesthesia, isolation, access cavity preparation, and pulp extirpation. In the second visit, the children were grouped into 3 groups(Group 1, Group 2,and Group 3)consisting of 50 childreneach. In groups 1,2, and 3, rootcanals were instrumented using the Kedo-S pediatric rotary file system,HERO shaper rotary file systems, and manual Ni-TiK files, respectively. Root canal instrumentation time was calculated. Anxiety and behavior of children during root canal instrumentation were assessed.Results: The mean instrumentation time for groups 1,2, and 3 were14.56± 2.89 minutes, 17.93± 3.51 minutes, and 29.00± 2.08 minutes, respectively. The children in groups 1 and 2 experiencedsignificantly less anxiety and exhibited positive behavior than children in group 3.Conclusion: The children treated with rotary file systems experienced less anxiety and exhibited positive behavior compared to children treated with the manual file systems.
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