Abstract：
BACKGROUND: Traditionally, pediatric endodontics lacked access to the full potential of rotary instruments. These instruments, designed for the permanent root canal system, often presented limitations when used in primary teeth. To address this, exclusive pediatric rotary files with regular improvements have been introduced, featuring superior cutting efficiency with a focus on precise alignment. This design offers the advantage of reduced risk of ledges, perforations, instrument separation, and canal transportation. This study aimed to compare and evaluate the effectiveness of Pro AF Baby Gold and Kedo-S rotary files in preparing primary tooth root canals during pulpectomy procedures through a meta-analysis.
METHODS: The review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. The review searched electronic databases from 2000 to February 2024 for studies evaluating the efficacy of Pro AF Baby Gold and Kedo-S files in terms of canal instrumentation, transportation, and centering ratio. The Cochrane risk of bias (ROB)-2 tool assessed quality, with analyses conducted using RevMan software version 5.3. The standardized mean difference (SMD) served as the summary with a random effects model (P < 0.05).
RESULTS: Out of the five studies identified through the eligibility criteria, three were deemed suitable for a meta-analysis, while all five were included in a qualitative synthesis. The quality assessment revealed a presence of moderate-to-low ROB. The pooled analysis using SMD did not show any statistically significant differences between the files, except for the centering ratio in the mesiobuccal canal, where the Kedo-S file performed slightly better. In addition, the absence of any significant asymmetry in the funnel plot suggests that there is likely no publication bias present in the data.
CONCLUSIONS: Pro AF Baby Gold files can be used as an alternative adjunct in pediatric endodontics to Kedo-S files and manual files.Prospero Registration: CRD42023469406.
METHODS: The review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses 2020 guidelines. The review searched electronic databases from 2000 to February 2024 for studies evaluating the efficacy of Pro AF Baby Gold and Kedo-S files in terms of canal instrumentation, transportation, and centering ratio. The Cochrane risk of bias (ROB)-2 tool assessed quality, with analyses conducted using RevMan software version 5.3. The standardized mean difference (SMD) served as the summary with a random effects model (P < 0.05).
RESULTS: Out of the five studies identified through the eligibility criteria, three were deemed suitable for a meta-analysis, while all five were included in a qualitative synthesis. The quality assessment revealed a presence of moderate-to-low ROB. The pooled analysis using SMD did not show any statistically significant differences between the files, except for the centering ratio in the mesiobuccal canal, where the Kedo-S file performed slightly better. In addition, the absence of any significant asymmetry in the funnel plot suggests that there is likely no publication bias present in the data.
CONCLUSIONS: Pro AF Baby Gold files can be used as an alternative adjunct in pediatric endodontics to Kedo-S files and manual files.Prospero Registration: CRD42023469406.
摘要：
背景：传统上，儿科牙髓患者无法充分利用旋转器械.这些仪器,为永久性根管系统设计，在乳牙中使用时通常会出现局限性。为了解决这个问题，引入了定期改进的独家儿科旋转档案，具有优越的切割效率，专注于精确对准。这种设计的优点是降低了壁架的风险，穿孔,仪器分离,运河运输。这项研究旨在通过荟萃分析比较和评估ProAFBabyGold和Kedo-S旋转文件在牙髓切除术期间准备乳牙根管的有效性。
方法：按照2020年系统评价和荟萃分析指南的首选报告项目进行评价。该综述检索了2000年至2024年2月的电子数据库，以评估ProAFBabyGold和Kedo-S文件在运河仪器方面的功效，交通运输,和定心比。Cochrane偏倚风险(ROB)-2工具评估质量，使用RevMan软件5.3版进行分析。标准化平均差(SMD)作为随机效应模型的总结(P<0.05)。
结果：在通过资格标准确定的五项研究中，三个被认为适合进行荟萃分析，而所有五个都包括在定性合成中。质量评估显示存在中低ROB。使用SMD进行的汇总分析未显示出文件之间的任何统计学上的显着差异，除了对中颊管的对中比，其中Kedo-S文件的性能稍好。此外,漏斗图中不存在任何显著的不对称性,这表明数据中可能不存在发表偏倚.
结论：ProAFBabyGold文件可用作小儿牙髓学中Kedo-S文件和手动文件的替代附件。Prospero注册：CRD42023469406。
方法：按照2020年系统评价和荟萃分析指南的首选报告项目进行评价。该综述检索了2000年至2024年2月的电子数据库，以评估ProAFBabyGold和Kedo-S文件在运河仪器方面的功效，交通运输,和定心比。Cochrane偏倚风险(ROB)-2工具评估质量，使用RevMan软件5.3版进行分析。标准化平均差(SMD)作为随机效应模型的总结(P<0.05)。
结果：在通过资格标准确定的五项研究中，三个被认为适合进行荟萃分析，而所有五个都包括在定性合成中。质量评估显示存在中低ROB。使用SMD进行的汇总分析未显示出文件之间的任何统计学上的显着差异，除了对中颊管的对中比，其中Kedo-S文件的性能稍好。此外,漏斗图中不存在任何显著的不对称性,这表明数据中可能不存在发表偏倚.
结论：ProAFBabyGold文件可用作小儿牙髓学中Kedo-S文件和手动文件的替代附件。Prospero注册：CRD42023469406。
