ASSESSMENT AND COMPARISON OF ANXIETY LEVEL AND BEHAVIOR CHANGE OF CHILDREN UNDERGOING PEDIATRIC ENDODONTIC TREATMENT USING MANUAL AND ROTARY FILE SYSTEMS

Introduction- Children and adolescents, with their diverse attributes such as age, competence, maturity, personality, and cultural backgrounds, present unique challenges for dental practitioners. Invasive dental procedures can increase anxiety and negative behavior in children, influencing treatment decisions. The maintenance of primary teeth through procedures like pulpectomy is vital for preserving arch integrity and preventing malocclusion. The success of pulpectomy relies on proper biomechanical preparation, which can be time-consuming with conventional manual instrumentation. Rotary instrumentation become significantly relevant when dealing with endodontic preparation of primary teeth since appointment length is a crucial factor for pediatric patient compliance To assess and compare anxiet Aims- y level and behavior changes of children undergoing the endodontic treatment using Rotary Files and Manual K-Files system and to compare the mean instrumentation using them. Methodology- The clinical study encompassed 60 primary molars in patients aged 4-6 years. Pulpectomy procedure was performed in two visits. The total treatment duration was not more than 40 minutes in each visit. Behavior change, Anxiety levels and instrumentation time were compared. Following chemo-mechanical preparation, canals were obturated. Results- The current study resulted that increased level of anxiety and more negative behavior while using manual hand K files on comparing with rotary hand files. Conclusion- The current study concludes that increased level of anxiety and more negative behavior was noticed during the instrumentation of the canal with Manual K files.