Comparison of time required by three different retreatment file systems for retrieval of Gutta Percha- An In Vitro Study
Main Article Content
Keywords
Retreatment, Time taken, SoliteRS3, ProTaper, NeoEndo, Medical, Health
Abstract
Background: When there is a failure of primary root canal treatment there is a need for retreatment. This retreatment mainly aims at the disinfection of the canal space and in attaining hermetic seal of the canals.
Aim: To determine the time taken by three different file systems in retrieval of Gutta Percha from the root canal space.
Materials and Method: 60 freshly extracted single rooted teeth were divided primarily into three groups (n=20) Group A- Neo Endo Retreatment Files, Group B- Solite RS3 and Group C- ProTaper Retreatment Files (PTUR). These were further subdivided into 2 groups with and without magnification. The files were used as specified by the manufacturer.
Results: Neo Endo Retreatment file system was significantly slower in removal of Gutta Percha when compared to PTUR and Solite RS3 with and without Magnification (p=0.000). In the group without magnification there was no significant difference in time required for GP retrieval between Solite RS3 and ProTaper Universal retreatment file system (p= 0.985). With magnification using DOM the ProTaper Universal retreatment file system was significantly faster in removal of Gutta Percha than Solite RS3 (p=0.001).
Conclusion: ProTaper retreatment files and Solite RS3 were significantly faster than Neo Endo Retreatment files when used with and without Magnification. Without magnification both PTUR and Solite RS3 performed similarly but with magnification PTUR was significantly better than other two systems.
References
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11. Witherspoon DE, Small JC, Regan JD. Missed canal systems are the most likely basis for endodontic retreatment of molars. Tex Dent J. 2013 Feb;130(2):127–39.
12. Khayat B, Jouanny G. Microsurgical Endodontics. Quintessence Publishing (IL); 2019.
13. Pratheebha C, Gayathri R, Veeraraghavan VP, Kavitha S. Knowledge, awareness, and perception on root canal treatment among South Indian population - A survey. J Adv Pharm Technol Res. 2022 Nov;13(Suppl 1):S302–7.
14. Indi S, Desai SR, Hambire A, Mustafa M, Almokhatieb AA, Abuelqomsan MAS, et al. Comparison of the Time Required by Six Different Retreatment Techniques for Retrieval of Gutta-Percha: An In Vitro Study [Internet]. European Journal of General Dentistry. 2022. Available from: http://dx.doi.org/10.1055/s-0042-1750089
15. Styleitaliano A. Retreatments: Solutions for Periapical Diseases of Endodontic Origin. Edra; 2020. 536 p.
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17. In vitro bacterial penetration of coronally unsealed endodontically treated teeth. J Endod. 1990 Dec 1;16(12):566–9.
18. Teja KV, Ramesh S, Battineni G, Vasundhara KA, Jose J, Janani K. The effect of various in-vitro and ex-vivo parameters on irrigant flow and apical pressure using manual syringe needle irrigation: Systematic review. Saudi Dent J. 2022 Feb;34(2):87–99.
19. Nasim I, Professor and Head, Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai - 600077, India. Effect of nanoparticles based root canal disinfectants on Enterococcus faecalis - A systematic review. Int J Dent Oral Sci. 2021 Jun 30;2898–904.
20. Evaluation of an Ultrasonic Technique to Remove Fractured Rotary Nickel-Titanium Endodontic Instruments from Root Canals: Clinical Cases. J Endod. 2003 Nov 1;29(11):764–7.
21. Natanasabapathy V, Durvasulu A, Krithikadatta J, Namasivayam A, Deivanayagam K, Manali S, et al. Current Trends in the Use of Irrigant Activation Techniques Among Endodontists & Post-Graduate Dental Students in India -A Knowledge, Attitude and Practice Based Survey. Eur Endod J. 2020 May 22;5(2):73–80.
22. Azim AA, Wang HH, Tarrosh M, Azim KA, Piasecki L. Comparison between Single-file Rotary Systems: Part 1—Efficiency, Effectiveness, and Adverse Effects in Endodontic Retreatment [Internet]. Vol. 44, Journal of Endodontics. 2018. p. 1720–4. Available from: http://dx.doi.org/10.1016/j.joen.2018.07.022
23. Divya S, Jeevanandan G, Sujatha S, Subramanian EMG, Ravindran V. Comparison of quality of obturation and post-operative pain using manual vs rotary files in primary teeth - A randomised clinical trial. Indian J Dent Res. 2019 Nov-Dec;30(6):904–8.
24. Khayat B, Jouanny G. Microsurgical Endodontics. Quintessence Publishing (IL); 2019.
25. Ma J, Al-Ashaw AJ, Shen Y, Gao Y, Yang Y, Zhang C, et al. Efficacy of ProTaper Universal Rotary Retreatment system for gutta-percha removal from oval root canals: a micro-computed tomography study. J Endod. 2012 Nov;38(11):1516–20.
26. Indi S, Desai SR, Hambire A, Mustafa M, Almokhatieb AA, Abuelqomsan MAS, et al. Comparison of the Time Required by Six Different Retreatment Techniques for Retrieval of Gutta-Percha: An In Vitro Study [Internet]. European Journal of General Dentistry. 2022. Available from: http://dx.doi.org/10.1055/s-0042-1750089
27. Nivedhitha N, Professor and Head, Department of Conservative Dentistry and Endodontics, Saveetha Dental college and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India. Comparing the effectiveness of various irrigant activation techniques with conventional needle irrigation - A systematic review. Int J Dent Oral Sci. 2021 May 30;2626–31.
28. Siddique R, Nivedhitha MS, Jacob B. Quantitative analysis for detection of toxic elements in various irrigants, their combination (precipitate), and para-chloroaniline: An inductively coupled plasma mass spectrometry study. J Conserv Dent. 2019 Jul-Aug;22(4):344–50.
29. Lopes HP, Elias CN, Vedovello GAF, Bueno CES, Mangelli M, Siqueira JF. Torsional Resistance of Retreatment Instruments [Internet]. Vol. 37, Journal of Endodontics. 2011. p. 1442–5. Available from: http://dx.doi.org/10.1016/j.joen.2011.06.004
30. Endodontic retreatment—Case selection and technique. Part 2: Treatment planning for retreatment. J Endod. 1988 Dec 1;14(12):607–14.
31. Kim S. Color Atlas of Microsurgery in Endodontics. 2001. 200 p.
32. Teja KV, Kaligotla AV, Gummuluri S. Antibacterial Efficacy of Conventional Versus Herbal Products on Streptococcus mutans in Adult Population- a Systematic Review & Meta-analysis. BDS. 2020 Sep 30;23(4):18p – 18p.
33. Bhagavaldas MC, Diwan A, Kusumvalli S, Pasha S, Devale M, Chava DC. Efficacy of two rotary retreatment systems in removing Gutta-percha and sealer during endodontic retreatment with or without solvent: A comparative study. J Conserv Dent. 2017 Jan-Feb;20(1):12–6.
34. Sundar S, Varghese A, Datta KJ, Natanasabapathy V. Effect of guided conservative endodontic access and different file kinematics on debris extrusion in mesial root of the mandibular molars: An study. J Conserv Dent. 2022 Sep 12;25(5):547–54.
35. Sagare SV, Chandra P, Kaur T, Ganorkar O, Khade A, Mehta SD. A comparative study of the efficacy of WaveOne and NeoEndo retreatment file system for the removal of Gutta percha from the root canal. J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1682–5.
36. Hima Sandeep A, Senior Lecturer, Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences. Prevalence and associated factors of root canal treated mandibular anterior teeth with and without post endodontic crowns. Int J Dent Oral Sci. 2019 Nov 30;87–91.
37. Kulkarni S, Wahane K, Daokar S, Patil K, Patel K, Thorat T. An assessment of the efficacy of a rotary and a reciprocating retreatment file system for removal of gutta-percha from root canals: An in vitro cone-beam computed tomography study. Endodontology. 2021;33(1):20.
38. Sagare SV, Chandra P, Kaur T, Ganorkar O, Khade A, Mehta SD. A comparative study of the efficacy of WaveOne and NeoEndo retreatment file system for the removal of Gutta percha from the root canal. J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1682–5.
39. Janani K, Teja KV, Ajitha P, Sandhya R. Evaluation of tissue inflammatory response of four intracanal medicament - An animal study. J Conserv Dent. 2020 Dec 4;23(3):216–20.
40. Khayat B, Jouanny G. Microsurgical Endodontics. Quintessence Publishing (IL); 2019.
41. Ma J, Al-Ashaw AJ, Shen Y, Gao Y, Yang Y, Zhang C, et al. Efficacy of ProTaper Universal Rotary Retreatment system for gutta-percha removal from oval root canals: a micro-computed tomography study. J Endod. 2012 Nov;38(11):1516–20.
42. Indi S, Desai SR, Hambire A, Mustafa M, Almokhatieb AA, Abuelqomsan MAS, et al. Comparison of the Time Required by Six Different Retreatment Techniques for Retrieval of Gutta-Percha: An In Vitro Study [Internet]. European Journal of General Dentistry. 2022. Available from: http://dx.doi.org/10.1055/s-0042-1750089
43. Siddique R, Nivedhitha MS, Ranjan M, Jacob B, Solete P. Comparison of antibacterial effectiveness of three rotary file system with different geometry in infected root canals before and after instrumentation-a double-blinded randomized controlled clinical trial. BDJ Open. 2020 Jun 8;6:8.
44. Siddique R, Nivedhitha MS. Effectiveness of rotary and reciprocating systems on microbial reduction: A systematic review. J Conserv Dent. 2019 Mar-Apr;22(2):114–22.
2. Rhodes JS. Advanced Endodontics: Clinical Retreatment and Surgery. CRC Press; 2005. 218 p.
3. S DPA, Solete P, Jeevanandan G, Syed AA, Almahdi S, Alzhrani M, et al. Effect of Various Irrigant Activation Methods and Its Penetration in the Apical Third of Root Canal-In Vitro Study. Eur J Dent. 2023 Feb;17(1):57–61.
4. Rhodes JS. Advanced Endodontics: Clinical Retreatment and Surgery. CRC Press; 2005. 218 p.
5. Antony D, Subramanian A, Nivedhitha M, Solete P, Balasubramaniam A. Post-endodontic pain with different engine-driven endodontic instruments in multi-visit root canal therapy: A systematic review and meta-analysis. J Int Oral Health. 2022;14(1):1.
6. Berman LH, Hargreaves KM. Cohen’s Pathways of the Pulp Expert Consult - E-Book. Elsevier Health Sciences; 2015. 928 p.
7. Kvist T. Endodontic Retreatment: Aspects of Decision Making and Clinical Outcome. 2001. 57 p.
8. Kulkarni S, Wahane K, Daokar S, Patil K, Patel K, Thorat T. An assessment of the efficacy of a rotary and a reciprocating retreatment file system for removal of gutta-percha from root canals: An in vitro cone-beam computed tomography study. Endodontology. 2021;33(1):20.
9. Azim AA, Wang HH, Tarrosh M, Azim KA, Piasecki L. Comparison between Single-file Rotary Systems: Part 1—Efficiency, Effectiveness, and Adverse Effects in Endodontic Retreatment [Internet]. Vol. 44, Journal of Endodontics. 2018. p. 1720–4. Available from: http://dx.doi.org/10.1016/j.joen.2018.07.022
10. Rodrigues CT, Duarte MAH, de Almeida MM, de Andrade FB, Bernardineli N. Efficacy of CM-Wire, M-Wire, and Nickel-Titanium Instruments for Removing Filling Material from Curved Root Canals: A Micro–Computed Tomography Study [Internet]. Vol. 42, Journal of Endodontics. 2016. p. 1651–5. Available from: http://dx.doi.org/10.1016/j.joen.2016.08.012
11. Witherspoon DE, Small JC, Regan JD. Missed canal systems are the most likely basis for endodontic retreatment of molars. Tex Dent J. 2013 Feb;130(2):127–39.
12. Khayat B, Jouanny G. Microsurgical Endodontics. Quintessence Publishing (IL); 2019.
13. Pratheebha C, Gayathri R, Veeraraghavan VP, Kavitha S. Knowledge, awareness, and perception on root canal treatment among South Indian population - A survey. J Adv Pharm Technol Res. 2022 Nov;13(Suppl 1):S302–7.
14. Indi S, Desai SR, Hambire A, Mustafa M, Almokhatieb AA, Abuelqomsan MAS, et al. Comparison of the Time Required by Six Different Retreatment Techniques for Retrieval of Gutta-Percha: An In Vitro Study [Internet]. European Journal of General Dentistry. 2022. Available from: http://dx.doi.org/10.1055/s-0042-1750089
15. Styleitaliano A. Retreatments: Solutions for Periapical Diseases of Endodontic Origin. Edra; 2020. 536 p.
16. Hoen MM, Pink FE. Contemporary endodontic retreatments: an analysis based on clinical treatment findings. J Endod. 2002 Dec;28(12):834–6.
17. In vitro bacterial penetration of coronally unsealed endodontically treated teeth. J Endod. 1990 Dec 1;16(12):566–9.
18. Teja KV, Ramesh S, Battineni G, Vasundhara KA, Jose J, Janani K. The effect of various in-vitro and ex-vivo parameters on irrigant flow and apical pressure using manual syringe needle irrigation: Systematic review. Saudi Dent J. 2022 Feb;34(2):87–99.
19. Nasim I, Professor and Head, Department of Conservative Dentistry and Endodontics, Saveetha Dental College, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai - 600077, India. Effect of nanoparticles based root canal disinfectants on Enterococcus faecalis - A systematic review. Int J Dent Oral Sci. 2021 Jun 30;2898–904.
20. Evaluation of an Ultrasonic Technique to Remove Fractured Rotary Nickel-Titanium Endodontic Instruments from Root Canals: Clinical Cases. J Endod. 2003 Nov 1;29(11):764–7.
21. Natanasabapathy V, Durvasulu A, Krithikadatta J, Namasivayam A, Deivanayagam K, Manali S, et al. Current Trends in the Use of Irrigant Activation Techniques Among Endodontists & Post-Graduate Dental Students in India -A Knowledge, Attitude and Practice Based Survey. Eur Endod J. 2020 May 22;5(2):73–80.
22. Azim AA, Wang HH, Tarrosh M, Azim KA, Piasecki L. Comparison between Single-file Rotary Systems: Part 1—Efficiency, Effectiveness, and Adverse Effects in Endodontic Retreatment [Internet]. Vol. 44, Journal of Endodontics. 2018. p. 1720–4. Available from: http://dx.doi.org/10.1016/j.joen.2018.07.022
23. Divya S, Jeevanandan G, Sujatha S, Subramanian EMG, Ravindran V. Comparison of quality of obturation and post-operative pain using manual vs rotary files in primary teeth - A randomised clinical trial. Indian J Dent Res. 2019 Nov-Dec;30(6):904–8.
24. Khayat B, Jouanny G. Microsurgical Endodontics. Quintessence Publishing (IL); 2019.
25. Ma J, Al-Ashaw AJ, Shen Y, Gao Y, Yang Y, Zhang C, et al. Efficacy of ProTaper Universal Rotary Retreatment system for gutta-percha removal from oval root canals: a micro-computed tomography study. J Endod. 2012 Nov;38(11):1516–20.
26. Indi S, Desai SR, Hambire A, Mustafa M, Almokhatieb AA, Abuelqomsan MAS, et al. Comparison of the Time Required by Six Different Retreatment Techniques for Retrieval of Gutta-Percha: An In Vitro Study [Internet]. European Journal of General Dentistry. 2022. Available from: http://dx.doi.org/10.1055/s-0042-1750089
27. Nivedhitha N, Professor and Head, Department of Conservative Dentistry and Endodontics, Saveetha Dental college and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, India. Comparing the effectiveness of various irrigant activation techniques with conventional needle irrigation - A systematic review. Int J Dent Oral Sci. 2021 May 30;2626–31.
28. Siddique R, Nivedhitha MS, Jacob B. Quantitative analysis for detection of toxic elements in various irrigants, their combination (precipitate), and para-chloroaniline: An inductively coupled plasma mass spectrometry study. J Conserv Dent. 2019 Jul-Aug;22(4):344–50.
29. Lopes HP, Elias CN, Vedovello GAF, Bueno CES, Mangelli M, Siqueira JF. Torsional Resistance of Retreatment Instruments [Internet]. Vol. 37, Journal of Endodontics. 2011. p. 1442–5. Available from: http://dx.doi.org/10.1016/j.joen.2011.06.004
30. Endodontic retreatment—Case selection and technique. Part 2: Treatment planning for retreatment. J Endod. 1988 Dec 1;14(12):607–14.
31. Kim S. Color Atlas of Microsurgery in Endodontics. 2001. 200 p.
32. Teja KV, Kaligotla AV, Gummuluri S. Antibacterial Efficacy of Conventional Versus Herbal Products on Streptococcus mutans in Adult Population- a Systematic Review & Meta-analysis. BDS. 2020 Sep 30;23(4):18p – 18p.
33. Bhagavaldas MC, Diwan A, Kusumvalli S, Pasha S, Devale M, Chava DC. Efficacy of two rotary retreatment systems in removing Gutta-percha and sealer during endodontic retreatment with or without solvent: A comparative study. J Conserv Dent. 2017 Jan-Feb;20(1):12–6.
34. Sundar S, Varghese A, Datta KJ, Natanasabapathy V. Effect of guided conservative endodontic access and different file kinematics on debris extrusion in mesial root of the mandibular molars: An study. J Conserv Dent. 2022 Sep 12;25(5):547–54.
35. Sagare SV, Chandra P, Kaur T, Ganorkar O, Khade A, Mehta SD. A comparative study of the efficacy of WaveOne and NeoEndo retreatment file system for the removal of Gutta percha from the root canal. J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1682–5.
36. Hima Sandeep A, Senior Lecturer, Department of Conservative Dentistry and Endodontics, Saveetha Dental College and Hospitals, Saveetha Institute of Medical and Technical Sciences. Prevalence and associated factors of root canal treated mandibular anterior teeth with and without post endodontic crowns. Int J Dent Oral Sci. 2019 Nov 30;87–91.
37. Kulkarni S, Wahane K, Daokar S, Patil K, Patel K, Thorat T. An assessment of the efficacy of a rotary and a reciprocating retreatment file system for removal of gutta-percha from root canals: An in vitro cone-beam computed tomography study. Endodontology. 2021;33(1):20.
38. Sagare SV, Chandra P, Kaur T, Ganorkar O, Khade A, Mehta SD. A comparative study of the efficacy of WaveOne and NeoEndo retreatment file system for the removal of Gutta percha from the root canal. J Pharm Bioallied Sci. 2021 Nov;13(Suppl 2):S1682–5.
39. Janani K, Teja KV, Ajitha P, Sandhya R. Evaluation of tissue inflammatory response of four intracanal medicament - An animal study. J Conserv Dent. 2020 Dec 4;23(3):216–20.
40. Khayat B, Jouanny G. Microsurgical Endodontics. Quintessence Publishing (IL); 2019.
41. Ma J, Al-Ashaw AJ, Shen Y, Gao Y, Yang Y, Zhang C, et al. Efficacy of ProTaper Universal Rotary Retreatment system for gutta-percha removal from oval root canals: a micro-computed tomography study. J Endod. 2012 Nov;38(11):1516–20.
42. Indi S, Desai SR, Hambire A, Mustafa M, Almokhatieb AA, Abuelqomsan MAS, et al. Comparison of the Time Required by Six Different Retreatment Techniques for Retrieval of Gutta-Percha: An In Vitro Study [Internet]. European Journal of General Dentistry. 2022. Available from: http://dx.doi.org/10.1055/s-0042-1750089
43. Siddique R, Nivedhitha MS, Ranjan M, Jacob B, Solete P. Comparison of antibacterial effectiveness of three rotary file system with different geometry in infected root canals before and after instrumentation-a double-blinded randomized controlled clinical trial. BDJ Open. 2020 Jun 8;6:8.
44. Siddique R, Nivedhitha MS. Effectiveness of rotary and reciprocating systems on microbial reduction: A systematic review. J Conserv Dent. 2019 Mar-Apr;22(2):114–22.
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May 13, 2023
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Nishitha Arun, Pradeep Solete, Ganesh Jeevanandan, Delphine Priscilla Antony S, Sowmya Kavoor, & Adimulapu Hima Sandeep. (2023). Comparison of time required by three different retreatment file systems for retrieval of Gutta Percha- An In Vitro Study. Journal of Population Therapeutics and Clinical Pharmacology, 30(10), 399–405. https://doi.org/10.47750/jptcp.2023.30.10.044
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