The Evaluation of apically extruded debris during root canal preparation using Pro-Taper Universal, ProTaper Gold and Reciproc Blue system: An in-vitro comparative Study

Abstract

ABSTRACT

Aims & Objectives: The purpose of this study was to compare the amount of apically extruded debris with four nickel-titanium instruments i.e ProTaper Universal, ProTaper Gold, and Reciproc Blue system, Hand K file System. Methods: Eighty extracted single-rooted mandibular premolar human teeth were randomly assigned to 4 groups (n = 20). The canals were instrumented using 1 of the following instruments: ProTaper Universal, ProTaper Gold, and Reciproc Blue system, Hand K file System. Apically extruded debris during instrumentation was collected into preweighed Eppendorf tubes. The weight of the extruded debris was calculated by subtracting the weight of the empty tubes from that of the tubes containing the debris. The data were analyzed statistically using the analysis of variance (ANOVA) and Post-hoc bonferroni test at a significance level of P < .05. Results: All the instrumentation systems resulted in production of extruded debris. The amount of extruded debris was significantly more in Hand K file than PTU, PTG and Reciproc Blue (P<0.05). The PTU system was associated with significantly more extruded debris than the PTG(P=0.041), Reciproc Blue systems (P=`0.011), whereas no significant difference was found in the amount of the debris extruded between PTG and Reciproc Blue (P=0.271). The amount of extruded debris was least in Reciproc Blue in comparison to all used system. Conclusions: Within the limitations of this in vitro study, the amount of apically extruded debris registered for the different files tested was highest for hand file, Protaper Universal, followed by the ProTaper Gold and least in Reciproc Blue.