Long-term dental caries or trauma involving the pulp leads to irreversible pulpal inflammation, abscess formation, or necrosis of the tooth nerve.
Diagnosis relies on clinical examination and radiographic findings, such as spontaneous toothache, facial or gum swelling, or evidence of furcal lesion or root resorption on X-rays.
The various treatment options include extraction of the tooth followed by suitable space maintainer therapy and lesion sterilization tissue repair is another treatment where pulpal tissue is replaced with suitable antibiotics.
A pulpectomy is the most definitive treatment option in necrotic teeth with no evidence of root resorption, where the root canals are disinfected and obturated with a suitable material that helps retain the tooth till exfoliation.
Biomechanical preparation (BMP) stands out as a crucial predictive factor in determining the effectiveness of pulpectomy.
PEDIATRIC DENTISTRY: Pulpotomy vs Pulpectomy in the treatment of vital pulp exposure in primary incisors
Adequate cleaning and shaping of root canals not only aid in the elimination of infected tissue but also create a pathway for irrigants to penetrate the apical third of the root canals and allow easy flow of obturating material.
Kedo-S (Kedo Dental, Chennai, India) is the first-generation rotary file system specifically designed for pediatric endodontics. It features modified length, taper, and tip diameter to ensure efficient and comfortable pulpectomy procedures.
Over time, the Kedo file system has evolved through six generations, with the latest three being single filing systems, reflecting ongoing advancements in endodontic technology and practice.
Here in the current case report three different single-filing rotary instruments for root canal therapy have been employed on three separate mandibular molars in a single patient, each uniquely designed with distinct metallurgy, cross-sectional designs, and variably variable tapers.
The Kedo S Square (P1), Kedo S Plus (P1+), and Kedo Nano Plus (PN+) are three such files specifically created for the preparation of primary root canals in primary molar teeth.
These files are effective even when addressing the varied anatomy of primary lower first and second molars.
Utilizing different file systems allows the practitioner to leverage the specific strengths of each, potentially improving clinical outcomes like quality of obturation, post-endodontic pain, reducing treatment time, and enhancing patient comfort.
This case report aims to highlight the unique advantages and specific applications of each system in clinical practice.
