Comparative Evaluation Of Amount Of Apically Extruded Debris In Endodontic Retreatment Procedures Using Four Different File Systems- An Invitro Study
Apical Extrusion in Retreatment Procedures
Keywords:
apical extrusion of debris in retreatment procedures
Abstract
Objective(s): To compare the amount of apical debris extruded during endodontic retreatment procedures performed using H files, R-Endo Retreatment files, GPR files and ProTaper Universal Retreatment files.
Materials and Methods: The conventional coronal access cavity was prepared for 40 extracted Mandibular Premolars. The root canals were prepared with ProTaper Next Rotary files till X1. Obturation was done by combination of Lateral and Vertical Compaction technique. All the samples were later attached to Eppendorf tubes. The samples were then divided into four groups each containing 10 samples on the basis of different retreatment files to be used. After complete removal of root canal filling material, the debris and the root filling material remnants adhered was collected in preattached Eppendorf tubes. For final weight computation and comparison, the weight of empty tube was deducted from the weight of tube accommodating the debris. ANOVA and Tukey test were applied for statistical analysis.
Results: The R-Endo retreatment files showed minimum apical extrusion of debris than all the other examined files in the study. The apical extrusion of debris for R Endo min to max was -0.045 to 0.009. However, there was no statistically significant difference in amount of apical extrusion of debris by different files system (p>0.005).
Conclusion(s): There was no significant difference between the groups in apical extrusion of debris. Also rotary retreatment files showed lesser apical of debris than Hedstrom hand files. R Endo extruded less debris apically in this study.
Keywords: Apical extrusion of debris; Gutta-percha; Retreatment files.
References
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26. Uzunoglu E, Turker SA. Impact of different file systems on the amount of apically extruded debris during endodontic retreatment. Eur J Dent 2016 ;10: 210-214.
27. Delai D, Boijink D, Hoppe CB, Grecca FS, Kopper PMP. Apically extruded debris in filling removal of curved canals using 3 NiTi systems and hand files. Braz Dent J 2018 ; 29(1) : 54-59.
28. Gkampesi S, Mylona Z, Zarra T, Lambrianidis T. Assessment of apical extrusion of debris during endodontic retreatment with 3 rotary nickel titanium retreatment systems and hand files. Balk J Dent Med 2016 ;20: 22-28.
29. Somma F, Cammarota G, Plotino G, Grande NM, Cornelis H. Pameijer CH. The Effectiveness of Manual and Mechanical Instrumentation for the Retreatment of Three Different Root Canal Filling Materials. J Endod 2008;34(4) :466-469.
30. Mollo A, Botti G, Goldoni PN, Randellini E, Paragliola R, Chazine M, Ounsi HF, Grandini S et al. Efficacy of two Ni-Ti systems and hand files for removing gutta-percha from root canals. Int Endod J 2012; 45: 1–6.
31. Gokturk H, Yucel AC, Sisman A. Effectiveness of four rotary retreatment instruments during root canal retreatment. Cumhuriyet Dent J 2015; 18(1): 25-36.
32. Akhavan H, Bahrami Z, Moshari A, Sadighnia A, Haeri A, Ghannad S. The comparison of two rotary systems effect, ProTaper and NRT-GPR on the amount of debris extrusion during root canal retreatment. Ind J of Fund Appl Life Sci 2015; 5(4): 141-146.
33. Canakci BC, Ustun Y, Er O, Sen OG et al. Evaluation of apically extruded debris from curved root canal filling removal using 5 nickel-titanium systems. J Endod 2016; 42(7): 1101-1104.
2. Tabassum S, Khan FR. Failure of endodontic treatment: the usual suspects. Eur J Dent 2016; 10(1): 144-147.
3. Vale MSD, Moreno MDS, Silva PMFD, Botelho TCF. Endodontic filling removal procedure: an ex vivo comparative study between two rotary techniques. Braz Oral Res 2013; 27(6) : 478-483.
4. Kustarci A, Altunbas D, Akpinar KE. Comparative study of apically extruded debris using one manual and two rotary instrumentation techniques for endodontic retreatment. J Dent Sci 2012; 7: 1-6.
5. Alsalem AF. Endodontic therapy (root canal therapy). Oral Health Dent Manag 2015; 14(2): 67-68.
6. Qazi SS, Manzoor MA, Rana MJA. Success rate of re-root canal treatment at a teaching hospital. Pakistan Oral & Dent. Jr 2004; 24(2) :149-154.
7. Hargreaves MK, Berman L. Cohen pathways of pulp. First South Asia edition 8th. 2016: 381.
8. Kasam S, Mariswamy AB. Efficacy of different methods for removing root canal filling material in retreatment an in-vitro study. J Clin DiagnRes 2016; 10(6): 106-106.
9. Jena A, Shashirekha G, Barai S, Mahaprasad A. Comparison of apically extruded debris after retreatment procedure with ProTaper and Endostar retreatment file systems. J Clin Diagn Res 2018; 12(7): 31-34.
10. Lalit P, Godara N, Varma KR. Evaluation of efficiency of three NiTi instruments in removing gutta-percha from root canal during retreatment- an in vitro study. Endodontology 2012; 12(1): 80-88.
11. Sunil SM, Rajkumar B, Gupta V, Bhatt A. A comparative evaluation of removal of gutta percha using two retreatment file system: An invitro study. Indian J Conserv Endod 2020;5(1):53-57.
12. Joseph M, Ahlawat J, Malhotra A, Rao M, Sharma A, Talwar S. In vitro evaluation of efficacy of different rotary instrument systems for gutta-percha removal during root canal retreatment. J Clin Exp Dent 2016; 8(4): 355-360.
13. Sreegowri K, Shetty KHK, Varma KR, Prathap MS. Apical extrusion of bacteria from the root canal system following instrumentation - an ex vivo evaluation. Endodontology 2010; 22(2): 46-54.
14. Ladley RW, Campbell AD, Hicks ML, Li SH. Effectiveness of halothane used with ultrasonic or hand instrumentation to remove gutta-percha from the root canal. J Endod 1991; 10(5): 221-224.
15. Madhusudan K, Mathew VB, Reddy NM. Apical extrusion of debris and irrigants using hand and three rotary instrumentation systems. -an in vitro study. Contemp Clin Dent 2010; 1(4): 234-236.
16. Iqbal A. The factors responsible for endodontic treatment failure in the permanent dentitions of the patients reported to the college of dentistry, the University of Aljouf, kingdom of Saudi Arabia. J Clin Diagn Res 2016; 10(5): 146-148.
17. Dincer AN, Er O, Canakci BC. Evaluation of apically extruded debris during root canal retreatment with several NiTi systems. Int Endod J 2015; 48: 1194–1198.
18. Padmaja K, Shah A, Malpani S, Kakkar M, Thakkar R. Retreatment in endodontics. J Adv Med Dent Sci Res 2015; 3(1) :205-208.
19. He J, White RK, White CA, Schweitzer JL, Woodmanseyt KF. Clinical and patient-centered outcomes of nonsurgical root canal retreatment in first molars using contemporary techniques. J Endod 2017; 43(2): 231-237.
20. Cicek E, Kocak MM, Kocak S, Saglam BC. Comparison of the amount of apical debris extrusion associated with different retreatment systems and supplementary file application during retreatment process. J Conserv Dent 2016; 19: 351-354.
21. Huang X, Ling J, Wei X, Gu L. Quantitative evaluation of debris extruded apically by using ProTaper Universal Tulsa rotary system in endodontic retreatment. J Endod 2007; 33(9): 1102-1105.
22. Sheetal B Ghivari, Girish C Kubasad, Manoj G Chandak, NR Akarte. Apical extrusion of debris and irrigant using hand and rotary systems: A comparative study. J ConserV Dent 2011;14 (2) :187-190
23. Topcuoglu HS, Akti A, Tuncay O, Dincer AN, Duzgun S, Topcuoglu Gl. Evaluation of debris extruded apically during the removal of root canal filling material using ProTaper, D-Race, and R-Endo rotary nickel titanium retreatment instruments and hand files. J Endod 2014; 40(12): 2066-2069.
24. Myers GL, Montgomery S. A comparison of weights of debris extruded apically by conventional filing and canal master techniques. J Endod 1991; 17(6) : 275-279.
25. Caviedes-Bucheli J, Castellanos F, Vasquez N, Ulate E, Munoz HR. The influence of two reciprocating single-file and two rotary-file systems on the apical extrusion of debris and its biological relationship with symptomatic apical periodontitis. A systematic review and metaanalysis. Int Endod J 2016; 49: 255–270.
26. Uzunoglu E, Turker SA. Impact of different file systems on the amount of apically extruded debris during endodontic retreatment. Eur J Dent 2016 ;10: 210-214.
27. Delai D, Boijink D, Hoppe CB, Grecca FS, Kopper PMP. Apically extruded debris in filling removal of curved canals using 3 NiTi systems and hand files. Braz Dent J 2018 ; 29(1) : 54-59.
28. Gkampesi S, Mylona Z, Zarra T, Lambrianidis T. Assessment of apical extrusion of debris during endodontic retreatment with 3 rotary nickel titanium retreatment systems and hand files. Balk J Dent Med 2016 ;20: 22-28.
29. Somma F, Cammarota G, Plotino G, Grande NM, Cornelis H. Pameijer CH. The Effectiveness of Manual and Mechanical Instrumentation for the Retreatment of Three Different Root Canal Filling Materials. J Endod 2008;34(4) :466-469.
30. Mollo A, Botti G, Goldoni PN, Randellini E, Paragliola R, Chazine M, Ounsi HF, Grandini S et al. Efficacy of two Ni-Ti systems and hand files for removing gutta-percha from root canals. Int Endod J 2012; 45: 1–6.
31. Gokturk H, Yucel AC, Sisman A. Effectiveness of four rotary retreatment instruments during root canal retreatment. Cumhuriyet Dent J 2015; 18(1): 25-36.
32. Akhavan H, Bahrami Z, Moshari A, Sadighnia A, Haeri A, Ghannad S. The comparison of two rotary systems effect, ProTaper and NRT-GPR on the amount of debris extrusion during root canal retreatment. Ind J of Fund Appl Life Sci 2015; 5(4): 141-146.
33. Canakci BC, Ustun Y, Er O, Sen OG et al. Evaluation of apically extruded debris from curved root canal filling removal using 5 nickel-titanium systems. J Endod 2016; 42(7): 1101-1104.
Published
2023-01-17
How to Cite
Saxena, T. (2023). Comparative Evaluation Of Amount Of Apically Extruded Debris In Endodontic Retreatment Procedures Using Four Different File Systems- An Invitro Study. UNIVERSITY JOURNAL OF DENTAL SCIENCES, 9(2). https://doi.org/10.21276/ujds.2023.9.2.1
Section
Original Research Paper
