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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) 17258624Peng/200710 studies–1,748 teeth Meta-Analysis
Key resultsBoth 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.
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.
ID# 2736
Date of submission: 06/25/2014spacer
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
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