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Title |
Lateral Condensation Technique Allows Better Control of the Working Length Compared to Vertical Technique but Both Techniques Have Similar Overall Results |
Clinical Question |
For a patient who needs endodontic treatment, would obturation using the vertical technique prove to be overall more successful than using the lateral technique? |
Clinical Bottom Line |
For a patient who needs endodontic treatment, obturation using the lateral technique showed better control of the working length. However, both techniques have similar results in long-term outcome, obturation quality, and postoperative pain. |
Best Evidence |
(you may view more info by clicking on the PubMed ID link) |
PubMed ID |
Author / Year |
Patient Group |
Study type
(level of evidence) |
#1) 17258624 | Peng/2007 | 10 studies–1,748 teeth | Meta-Analysis | Key results | Both vertical and lateral techniques have similar results in long-term outcome, obturation quality, and postoperative pain. However, the incidence of over-extension is greater with the use of the warm vertical technique (P = 0.0007). | |
Evidence Search |
("root canal obturation"[MeSH Terms] OR ("root"[All Fields] AND "canal"[All Fields] AND "obturation"[All Fields]) OR "root canal obturation"[All Fields]) AND Warm[All Fields] AND ("gutta-percha"[MeSH Terms] OR "gutta-percha"[All Fields] OR ("gutta"[All Fields] AND "percha"[All Fields]) OR "gutta percha"[All Fields]) AND versus[All Fields] |
Comments on
The Evidence |
Validity: The meta-analysis evaluated 10 studies; data from each study were obtained independently and recorded into a computerized database. Utilizing Jadad et al's scale, the qualification of the 10 studies was scored by a series of validity criteria by two double-blinded reviewers to minimize bias.
Perspective: Based on this meta-analysis, obturation using vertical or lateral condensation techniques will have similar results. Many dental schools teach the lateral technique at the undergraduate level because of the better control of the working length. However, essentially all advanced endodontic programs teach the vertical technique.
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Applicability |
These results are useful for recent dental graduates who are considering switching to warm vertical technique. Moreover, dentists obturating using vertical technique should be aware of over-extension. |
Specialty/Discipline |
(Endodontics) (General Dentistry) |
Keywords |
Root canal obturation, lateral condensation, vertical condensation, condensation technique, root canal treatment.
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ID# |
2736 |
Date of submission: |
06/25/2014 |
E-mail |
t.t.alrasheed@gmail.com |
Author |
Talal T. Al-Rasheed |
Co-author(s) |
Saad S. Al-Otaibi and Sammy Houari |
Co-author(s) e-mail |
Saadsaud.92@gmail.com, houaris@livemail.uthscsa.edu |
Faculty mentor/Co-author |
Kenneth Hargreaves, DDS, PhD |
Faculty mentor/Co-author e-mail |
Hargreaves@uthscsa.edu |
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?) |
post a rationale |
None available | |
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Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS COMMENTS ON PUBLISHED CATs) |
post a comment |
None available | |
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