Rotary Instrumentation in Primary Teeth: A Review

Pediatric Endodontics has evolved a great deal in the past few decades. There are advancements in the techniques and materials used for pulpectomy therapy in primary teeth. Rotary instrumentation has been very popular and routinely technique in permanent teeth. Despite this, the manual technique is a preferred method in primary teeth. In-vitro or cross-sectional studies have revealed rotary instrumentation to be more advantageous than manual in terms of procedural time, cleaning efficiency and quality of root filling. Though instrument fracture is a potential concern with rotary files there are not enough evidence to contraindicate its use in primary teeth. This paper has briefly reviewed the literature related to the use of rotary instrumentation in primary teeth and discussed the necessity to carry out long-term clinical trials to adopt the technique in routine or contraindicate its use in primary teeth.