Evaluation of apically extruded debris during root canal retreatment with several NiTi systems (original) (raw)
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Journal of endodontics, 2014
The aim of this study was to evaluate the amount of debris extruded apically during the removal of root canal filling material using ProTaper (Dentsply Maillefer, Ballaigues, Switzerland), D-RaCe (FKG Dentaire, La Chaux-de-Fonds, Switzerland), and R-Endo (Micro-Mega, Besançon, France) nickel-titanium (NiTi) rotary retreatment instruments and hand files. Sixty extracted single-rooted mandibular premolar teeth were prepared with K-files and filled with gutta-percha and AH Plus sealer (Dentsply DeTrey, Konstanz, Germany). The teeth were then randomly assigned to 4 groups (n = 15 for each group) for retreatment. The removal of canal filling material was performed as follows: hand files, ProTaper, D-RaCe, and R-Endo retreatment instruments. Debris extruded apically during the removal of canal filling material was collected into preweighed Eppendorf tubes. The tubes were then stored in an incubator at 70°C for 5 days. The weight of the dry extruded debris was established by subtracting th...
Cureus, 2023
The aim of this study was to compare the amount of debris produced apically during the removal of root canal obturating material by using various files in extracted teeth with simulated apical root resorption. Materials and methods An in vitro study was conducted in the root canals of 90 extracted mandibular premolar teeth that were prepared with a ProTaper Gold rotary file (Dentsply Maillefer, Ballaigues, Switzerland) and filled with guttapercha and an AH Plus sealer (Dentsply Maillefer, Ballaigues, Switzerland) using a cold lateral compaction technique. A total of 45 mandibular premolar teeth were randomly assigned to three control groups (i.e., the ProTaper Universal retreatment file (Dentsply Maillefer), the Reciproc Blue file (VDW, Munich, Germany), and the HyFlex Remover file (Coltene/Whaledent, Altstatten, Switzerland) for the removal of root canal filling material, whereas the remaining 45 teeth were treated as the experimental group and their apical portion was modified to simulate apical root resorption. The teeth of this experimental group were randomly divided into three subgroups according to the same three techniques used with the control groups for the removal of root canal filling materials. The apically extruded debris was collected into pre-weighed borosilicate glass tubes and then dried. The mean weight of the apically extruded debris was assessed using an analytical balance to an accuracy of 10-4 g. Further, the data were analyzed using the Kruskal-Wallis test and Tukey's post hoc test. Results In the simulated apical root resorption groups, all file systems were associated with significantly more debris extrusion than the groups without simulated root resorption (a < 0.05). In both the control groups and experimental groups, the ProTaper Universal retreatment file was associated with the least weight of the apically extruded debris (a < 0.05), followed by the Reciproc Blue file and the HyFlex Remover file. Conclusion The amount of debris extruded apically was significantly greater in the teeth with simulated apical root resorption than in those without it. Further, during the removal of the root canal filling materials, HyFlex Remover was associated with significantly more apically extruded debris in all groups.
Balkan Journal of Dental Medicine, 2016
Aim: to evaluate the amount of debris extruded apically as well as the time needed for removal of root canal filling material using ProTaper, MTwo, REndo NiTi rotary retreatment systems and handfiles. Materials and methods: 60 freshly extracted human single-rooted teeth were instrumented with Protaper files and obturated with gutta-percha and MTA Fillapex sealer with the cold lateral compaction technique. Teeth were then randomly assigned to 4 groups. ProTaper, MTwo, REndo rotary retreatment systems and Hedstroem hand files were utilized for root canal filling removal. Debris extruded apically was collected into pre-weighed vials. The weight of the dry extruded debris was established by subtracting the pre-retreatment and post-re treatment weight of vials. Time needed for reaching WL, complete removal of gutta-percha and total retreatment time were also recorded with a stopwatch. The data obtained were analyzed using One-way ANOVA (the level of significance was set at P=0.05). Resul...
Iranian endodontic journal, 2017
To compare the apical extrusion of debris produced during root obturating material removal from severely curved root canals using either Reciproc (REC) or ProTaper Next (PTN) systems. Twenty-six mesial canals of lower molars were instrumented, filled and allocated into two groups (n=13). Micro-computed tomographic images were performed to determine the root canal configuration (Vertucci's type IV) and initial volume of obturation. One Eppendorf tube was assigned per canal and weighed (10(-4)g) before and after removal of the obturating material. The difference between the initial and final weights was calculated and statistically evaluated. Apical extrusion of debris was confirmed in all samples, and the mean amount of apical extrusion was similar between both groups (0.061±0.014 g in PTN vs. 0.065±0.016 g in REC samples) (P<0.05). Both systems caused apical extrusion of debris with no differences between PTN and REC systems.
Journal of Dental Sciences, 2012
The aim of this in vitro study was to establish and compare the amount of debris and irrigant extruded apically after root canal preparation with two rotary systems (K3 and RaCe). Methods: Two groups of 24 extracted teeth with single canals were used. In group 1 (12 teeth) the root canals were instrumented using nickel-titanium K3 rotary instruments and "crown-down" technique. In group 2 (12 teeth) the root canals were instrumented using nickeltitanium RaCe rotary instruments and "crown-down" technique. Debris and irrigant extruded from the apical foramen were collected into pre-weighed vials (using Myers and Montgomery technique) and the amounts were determined. Time taken for each instrumentation technique was also determined. The data was input and processed using the statistical software package SPSS 17.0.1. Results: The amount of the debris extruded through apical foramen in group 1 (K3 files) was 0,225 mg and in group 2 (RaCe files) was 0,213 mg. The volume of the extruded irrigant was 0,247 ml in group 1 and 0,238 ml in group 2. Time taken for instrumentation was 8.3 min by RaCe files and 8.7 min by K3 files. The difference in the amount of debris and irrigant produced among two groups was not significant. Conclusions: It was concluded that the RaCe system induces less extruded debris and irrigant through the apical foramen, than the K3 system. The difference between two groups was not significant.
The Journal of Contemporary Dental Practice, 2021
Aim and objective: The aim of this study was to evaluate the apical extrusion of debris during root canal preparation with the use of different Nickel-Titanium (Ni-Ti) file systems. Materials and methods: Totally 60 single-rooted human mandibular premolar teeth with fully formed roots were chosen for the study. The coronal access cavity and all other preparations were done with the use of an access cavity kit and then 60 samples were randomly separated into three investigational groups (n = 20); group I: self-adjusting file, group II: WaveOne Gold, and group III: Mtwo rotary system. After instrumentation, the teeth were taken out from the tube and the root surface-adherent debris was collected by washing off the apical area of the tooth with distilled water (1 ml) into a centrifuge tube. The centrifuge tube was kept for 5 days in an incubator at 70°C to permit evaporation of the moisture prior to weighing the dry debris with the aid of an electrical analytical balance. Results: The highest quantity of debris extruded was by the Mtwo rotary system (0.0394 ± 0.880) followed by WaveOne Gold (0.0247 ± 1.030) and self-adjusting file (0.0198 ± 0.102). A statistically significant difference (p < 0.001) was found between the various file systems. Conclusion: After considering the drawbacks of this study, apical debris extrusion could be found with all three groups. However, the selfadjusting file demonstrated a significantly reduced quantity of apical debris extrusion compared to the Mtwo rotary system and WaveOne Gold. Clinical significance: The chief step during the procedure of root canal treatment is the preparation of the infected root canals biomechanically. This preparation may lead to forcing the apical debris into the periapical space through the apical foramen, resulting in host-initiated immunological response which leads to postoperative discomfort and pain. This consequently leads to selection of a specific rotary system for endodontic treatment.
Revista brasileira de odontologia, 2017
Objective: the aim of this study was to compare the amount of apically extruded debris during the removal of root canal filling material using nickel-titanium rotary retreatment instruments and Hedstrom files. Material and Methods: sixty mandibular incisors with a single canal were instrumented and obturated by cold lateral compaction. For retreatment, specimens were randomly divided into four groups (n = 15): Hedstrom files with or without solvent; D-RaCe system and Mtwo retreatment system. Debris extruded apically during the removal of canal filling material was collected into preweighed Eppendorf tubes. The tubes were then stored in an incubator at 70°C for 5 days. The weight of the dry extruded debris was established by subtracting the preretreatment and postretreatment weight of the Eppendorf tubes for each group. The mean weights of extruded material were analyzed by one-way ANOVA. Results: the results showed that all retreatment techniques caused apical extrusion of debris, b...
Journal of Conservative Dentistry, 2017
Aims: The aim of this study was to quantify the debris extruded apically from teeth using rotary and reciprocation instrumentation systems. Subjects and Methods: Eighty extracted human mandibular premolars with single canals and similar lengths were instrumented using ProTaper Universal (40, 06; Dentsply Maillefer, Ballaigues, Switzerland), ProTaper Next (40, 06; Dentsply Maillefer, Ballaigues, Switzerland), WaveOne (40, 06; Dentsply Maillefer, Ballaigues, Switzerland), and Reciproc (R40; VDW GmbH, Munich, Germany). Debris extruded during instrumentation was collected into preweighed Eppendorf tubes, which were then stored in an incubator at 70°C for 5 days. The final weight of the Eppendorf tubes with the extruded debris was calculated after obtaining the mean of three consecutive weights obtained for each tube. Statistical Analysis Used: Statistical analysis was performed using SPSS version 16.0 software. The groups were compared using the Kruskal-Wallis test for all variables. Results: There was no statistically significant difference between the groups (P = 0.1114). However, the ProTaper Universal group produced more extrusion and ProTaper Next produced least debris extrusion among the instrument groups (P > 0.05). Conclusions: All instrumentation techniques were associated with extruded debris.
Mustansiria Dental Journal, 2014
The purpose of this study was to evaluate the amount of apically extruded debris using 5 types of nickel–titanium endodontic instruments (Hand ProTaper, Rotary ProTaper, Rotary Mtwo, RECIPROC and WaveOne). Seventy-five freshly extracted mandibular premolar teeth were used in this study. All teeth were shortened to a length of 14mm. The specimens were randomly divided into five groups (each group containing 15 samples) according to the type of instrumentation systems used. Group I: instrumented by hand ProTaper system (Hand technique). Group II: instrumented by rotary ProTaper system. Group III: instrumented by rotary Mtwo system. Group 1V: instrumented by single file RECIPROC system. Group V: instrumented by single file WaveOne system. Debris extruded from the apical foramen was collected into pre-weighed glass vials. The difference between the weights of vial (pre-weight and post-weight) represented the weight of debris extruded from apical foramen during canal preparation. The results showed that all groups induced extrusion of debris, Mtwo group (III) has statistically the lowest mean value of apically extruded debris in comparing with all other groups, followed by rotary ProTaper (II), hand ProTaper (I), and WaveOne (V) groups respectively. While the RECIPROC group (IV) has statistically highest mean value.
Apically extruded debris in filling removal of curved canals using 3 NiTi systems and hand files
Brazilian Dental Journal
The aim of this study was to assess the amount of apically extruded debris during filling removal with WaveOne Gold (WOG), ProTaper Universal Retreatment (PTR), D-RaCe Retreatment (DRR) or hand files (HF), to compare the working time during filling removal, and to describe failures of NiTi instruments. Forty mesiobuccal roots of maxillary first molars were prepared with WOG Primary, obturated and divided into 4 groups (n=10), according to the instruments used: WOG, PTR, DRR or HF. Distilled water was used as irrigant and the extruded debris were collected in Eppendorf tubes and dried. The amount of extruded debris was determined by subtracting the final from the initial weight. The time of filling removal for each canal was recorded and the instruments used were analyzed pre and post-operatively by SEM. Kruskal-Wallis and Dunn’s test analyzed extruded debris data and ANOVA, followed by Tukey’s test, compared the working time data (a=0.05). Instrument deformation and fracture were de...