Comparative Evaluation of Cutting Efficiency of Kedo Sh Manual, Kedo S Rotary and Manual K File Systems: An In-vitro Study

Authors

  • Abhishek Pal Reader, Department of Conservative Dentistry and Endodontics, Maitri College of Dentistry and Research Centre, Durg, Chhattisgarh. Author
  • Milind Rajan Assistant Professor, Department of Pedodontics and Preventive Dentistry, M A Rangoonwala College of Dental Science and Research Centre, Pune, Maharashtra Author
  • Shahinabanu Safwan Patel BDS, Abu Dhabi, UAE Author
  • Phani Lolugu Senior Lecturer, Department of Pedodontics and Preventive Dentistry, St. Joseph Dental College, Eluru, Andhra Pradesh. Author
  • Snehal Sunil Markandey Senior Lecturer, Department of Pedodontics and Preventive Dentistry, Vyws Dental College and Hospital, Amravati, Maharashtra. Author
  • Sai Sagar Senior House Surgeon, Govt Hospital Neyattinkara, Trivandrum, Kerala. Author

DOI:

https://doi.org/10.48165/ajm.2026.9.02.30

Keywords:

Primary teeth, Root canal instrumentation, Cutting efficiency

Abstract

Aim: This study evaluated and compared the cutting performance of three instrumentation systems—Kedo-S rotary files, Kedo-SH manual files, and conventional K-files—during root canal preparation in primary teeth treated by pulp therapy, with cutting efficiency assessed using stereomicroscopic analysis.

Materials & Method: Thirty extracted human primary teeth were selected for the study. Following removal of the pulp tissue, the root canals were stained with Indian ink and allowed to dry for approximately 2 hours. The specimens were then randomly allocated into three equal groups (n = 10 each): Group A was instrumented using the Kedo-SH manual file system, Group B using the Kedo-S rotary file system, and Group C using conventional manual K-files. After completion of root canal instrumentation, the specimens underwent a clearing procedure to render the roots transparent and facilitate visualization of the canal contents. The cleared specimens were examined under a stereomicroscope, and the extent of residual dye within the root canals was graded according to the predefined scoring criteria. The observations were tabulated and subjected to statistical analysis using SPSS software (version 24.0). Intergroup comparisons were performed using the chi-square and Kruskal–Wallis tests, followed by Dunn’s post hoc test where appropriate.

Results: Regarding cutting efficiency there was a statistically noteworthy difference among groups A & C [p= 0.001] and groups B & C [p= 0.001]. Moreover, group A & group B did not differ statistically significantly.

Conclusions: The cutting efficacy of the Kedo S rotary files was found to be better than that of Kedo SH and manual k files.

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References

1. Swaminathan, K., Palanimuthu, S. K., Rajendran, G., Ss, M. S., Haridoss, S., Kumar, K., B, S., & Shan, S. (2025). Pediatric rotary endodontic files in primary teeth (2000–2025): A scoping review of design, evidence, and clinical use. Cureus, 17(6), e85775. https://doi.org/10.7759/cureus.85775

2. Padmawar, N., Pawar, N., Tripathi, V., Banerjee, S., Tyagi, G., & Joshi, S. R. (2025). Comparative analysis of rotary versus manual instrumentation in paediatric pulpectomy procedures: A systematic review and meta-analysis. Australian Endodontic Journal, 51(1), 181–196. https://doi.org/10.1111/aej.12899

3. Priyadarshini, P., Jeevanandan, G., Govindaraju, L., & Subramanian, E. M. G. (2020). Clinical evaluation of instrumentation time and quality of obturation using paediatric hand and rotary file systems with conventional hand K-files for pulpectomy in primary mandibular molars: A double-blinded randomized controlled trial. European Archives of Paediatric Dentistry, 21(6), 693–701. https://doi.org/10.1007/s40368-020-00518-w

4. Moudgalya, M. S., Tyagi, P., Tiwari, S., Tiwari, T., Umarekar, P., & Shrivastava, S. (2024). To compare and evaluate rotary and manual techniques in biomechanical preparation of primary molars to know their effects in terms of cleaning and shaping efficacy. International Journal of Clinical Pediatric Dentistry, 17(8), 864–870. https://doi.org/10.5005/jp-journals-10005-2949

5. Neha, S., Subramaniam, P., & Gupta, M. (2022). Comparative assessment of cleaning efficacy of Kedo-SH manual and Kedo-S rotary endodontic files in deciduous molars: An in-vitro study. International Journal of Pedodontic Rehabilitation, 7(2), 57–62. https://doi.org/10.56501/intjpedorehab.v7i2.684

6. Solanki, D., Singh, K. K., Patil, D., Idnani, B., Ganesh, R., & Hans, N. K. (2026). Efficiency and obturation quality of Kedo-S rotary files versus hand files in pediatric endodontics. Bioinformation, 22(6), 3268–3272. https://doi.org/10.6026/973206300223268

7. Azar, M. R., & Mokhtare, M. (2011). Rotary Mtwo system versus manual K-file instruments: Efficacy in preparing primary and permanent molar root canals. Indian Journal of Dental Research, 22, 363. https://doi.org/10.4103/0970-9290.84283

8. Dewangan, B., Ukey, A., Surana, P., Vasant, B., Dhull, K. S., & Dutta, B. (2025). Efficiency and obturation quality outcomes between Kedo-S rotary files and Kedo-SH manual files instrumentation during pulpectomy in primary molars. International Journal of Clinical Pediatric Dentistry, 18(8), 982–985. https://doi.org/10.5005/jp-journals-10005-3198

9. Govindaraju, L., Jeevanandan, G., & Subramanian, E. (2017). Knowledge and practice of rotary instrumentation in primary teeth among Indian dentists: A questionnaire survey. Journal of International Oral Health, 9, 45–48. https://doi.org/10.4103/jioh.jioh_4_17

10. Panchal, V., Jeevanandan, G., & Erulappan, S. M. (2019). Comparison between the effectiveness of rotary and manual instrumentation in primary teeth: A systematic review. International Journal of Clinical Pediatric Dentistry, 12, 340–346. https://doi.org/10.5005/jp-journals-10005-1637

11. Mohamed, R. H., Abdelrahman, A. M., & Sharaf, A. A. (2022). Evaluation of rotary file system (Kedo-S-Square) in root canal preparation of primary anterior teeth using cone beam computed tomography (CBCT): An in-vitro study. BMC Oral Health, 22, Article 13. https://doi.org/10.1186/s12903-021-02021-0

12. Kalita, S., Agarwal, N., Jabin, Z., & Anand, A. (2021). Comparative evaluation of cleaning capacity and efficiency of Kedo-S pediatric rotary files, rotary ProTaper, and hand K files in primary molar pulpectomy. International Journal of Clinical Pediatric Dentistry, 14(3), 383–387. https://doi.org/10.5005/jp-journals-10005-1958

Published

2026-10-10

How to Cite

Comparative Evaluation of Cutting Efficiency of Kedo Sh Manual, Kedo S Rotary and Manual K File Systems: An In-vitro Study. (2026). Academia Journal of Medicine, 9(2), 178-182. https://doi.org/10.48165/ajm.2026.9.02.30