Evaluation Of Root Canal Cleanliness After Re-Root Canal Treatment Using Two Different File System: A Scanning Electron Microscopy Study
Main Article Content
Keywords
Gutta-percha removal, ProTaper Universal, Re-root canal treatment, Scanning electron microscopy, Solite RS3
Abstract
Aim: To evaluate the root canal cleanliness after root canal retreatment with ProTaper Universal and Solite RS rotary file system.
Materials and Methods: Twenty extracted single-rooted premolar teeth were selected. The root canals were enlarged with nickel-titanium (NiTi) rotary files, filled with gutta-percha and sealer, and randomly divided into the two experimental groups. The filling materials were removed with either one of the following file systems: ProTaper Universal or Solite RS. No solvent was used for removal of gutta percha. Teeth were sectioned longitudinal and assessed under the microscope.
Results: Both instrumentation techniques left obturating material in the canal at apical, coronal and middle third. There was no significant difference in both groups in regards to canal cleanliness at all the three levels (p>0.05).
Conclusion: Based on the findings of our in vitro study conducted on mandibular premolars with single roots, we can conclude that both instruments used in the study left filling material inside the root canal. The evaluation of the coronal, middle, and apical thirds did not reveal any significant variations in the remaining material between the instruments or the type of filling material.
References
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64. Preethy NA, Jeevanandan G, Govindaraju L, Subramanian E. Comparison of Shear Bond Strength of Three Commercially Available Esthetic Restorative Composite Materials: An Study. Int J Clin Pediatr Dent [Internet]. 2020 Nov-Dec;13(6):635–9. Available from: http://dx.doi.org/10.5005/jp-journals-10005-1849
2. Kojima K, Inamoto K, Nagamatsu K, Hara A, Nakata K, Morita I, et al. Success rate of endodontic treatment of teeth with vital and nonvital pulps. A meta-analysis. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 2004 Jan;97(1):95–9. Available from: http://dx.doi.org/10.1016/j.tripleo.2003.07.006
3. Akbar I. Radiographic study of the problems and failures of endodontic treatment. Int J Health Sci [Internet]. 2015 Apr;9(2):111–8. Available from: https://www.ncbi.nlm.nih.gov/pubmed/26309429
4. Stabholz A, Friedman S. Endodontic retreatment--case selection and technique. Part 2: Treatment planning for retreatment. J Endod [Internet]. 1988 Dec;14(12):607–14. Available from: http://dx.doi.org/10.1016/S0099-2399(88)80058-X
5. Ruddle CJ. Nonsurgical retreatment. J Endod [Internet]. 2004 Dec;30(12):827–45. Available from: http://dx.doi.org/10.1097/01.don.0000145033.15701.2d
6. Hülsmann M, Bluhm V. Efficacy, cleaning ability and safety of different rotary NiTi instruments in root canal retreatment. Int Endod J [Internet]. 2004 Jul;37(7):468–76. Available from: http://dx.doi.org/10.1111/j.1365-2591.2004.00823.x
7. Schirrmeister JF, Wrbas KT, Meyer KM, Altenburger MJ, Hellwig E. Efficacy of different rotary instruments for gutta-percha removal in root canal retreatment. J Endod [Internet]. 2006 May;32(5):469–72. Available from: http://dx.doi.org/10.1016/j.joen.2005.10.052
8. Hülsmann M, Stotz S. Efficacy, cleaning ability and safety of different devices for gutta-percha removal in root canal retreatment. Int Endod J [Internet]. 1997 Jul;30(4):227–33. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2591.1997.00036.x
9. Krell KV, Neo J. The use of ultrasonic endodontic instrumentation in the re-treatment of a paste-filled endodontic tooth. Oral Surg Oral Med Oral Pathol [Internet]. 1985 Jul;60(1):100–2. Available from: http://dx.doi.org/10.1016/0030-4220(85)90222-1
10. Jeng HW, ElDeeb ME. Removal of hard paste fillings from the root canal by ultrasonic instrumentation. J Endod [Internet]. 1987 Jun;13(6):295–8. Available from: http://dx.doi.org/10.1016/S0099-2399(87)80047-X
11. Friedman S, Stabholz A, Tamse A. Endodontic retreatment—Case selection and technique. Part 3. Retreatment techniques. J Endod [Internet]. 1990 Nov 1;16(11):543–9. Available from: https://www.sciencedirect.com/science/article/pii/S0099239907802196
12. Friedman S, Mor C. The success of endodontic therapy--healing and functionality. J Calif Dent Assoc [Internet]. 2004 Jun;32(6):493–503. Available from: https://www.ncbi.nlm.nih.gov/pubmed/15344440
13. Schirrmeister JF, Wrbas KT, Schneider FH, Altenburger MJ, Hellwig E. Effectiveness of a hand file and three nickel-titanium rotary instruments for removing gutta-percha in curved root canals during retreatment. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 2006 Apr;101(4):542–7. Available from: http://dx.doi.org/10.1016/j.tripleo.2005.03.003
14. Friedman S, Moshonov J, Trope M. Efficacy of removing glass ionomer cement, zinc oxide eugenol, and epoxy resin sealers from retreated root canals. Oral Surg Oral Med Oral Pathol [Internet]. 1992 May;73(5):609–12. Available from: http://dx.doi.org/10.1016/0030-4220(92)90108-3
15. Betti LV, Bramante CM. Quantec SC rotary instruments versus hand files for gutta-percha removal in root canal retreatment. Int Endod J [Internet]. 2001 Oct;34(7):514–9. Available from: http://dx.doi.org/10.1046/j.1365-2591.2001.00424.x
16. Imura N, Kato AS, Hata GI, Uemura M, Toda T, Weine F. A comparison of the relative efficacies of four hand and rotary instrumentation techniques during endodontic retreatment. Int Endod J [Internet]. 2000 Jul;33(4):361–6. Available from: http://dx.doi.org/10.1046/j.1365-2591.2000.00320.x
17. Ferreira JJ, Rhodes JS, Ford TR. The efficacy of gutta-percha removal using ProFiles. Int Endod J [Internet]. 2001 Jun;34(4):267–74. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1046/j.1365-2591.2001.00379.x
18. 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 [Internet]. 2007 Sep;33(9):1102–5. Available from: http://dx.doi.org/10.1016/j.joen.2007.05.019
19. Poornima P, Krithikadatta J, Ponraj RR, Velmurugan N, Kishen A. Biofilm formation following chitosan-based varnish or chlorhexidine-fluoride varnish application in patients undergoing fixed orthodontic treatment: a double blinded randomised controlled trial. BMC Oral Health [Internet]. 2021 Sep 23;21(1):465. Available from: http://dx.doi.org/10.1186/s12903-021-01805-8
20. Murugesan A, Sivakumar A. Comparison of accuracy of mesiodistal tooth measurements made in conventional study models and digital models obtained from intraoral scan and desktop scan of study models. J Orthod [Internet]. 2020 Jun;47(2):149–55. Available from: http://dx.doi.org/10.1177/1465312520910755
21. Kurniawan A, Chusida A ’nisaa, Atika N, Gianosa TK, Solikhin MD, Margaretha MS, et al. The Applicable Dental Age Estimation Methods for Children and Adolescents in Indonesia. Int J Dent [Internet]. 2022 Feb 15;2022:6761476. Available from: http://dx.doi.org/10.1155/2022/6761476
22. Jeevanandan G, Ravindran V, Subramanian EM, Kumar AS. Postoperative Pain with Hand, Reciprocating, and Rotary Instrumentation Techniques after Root Canal Preparation in Primary Molars: A Randomized Clinical Trial. Int J Clin Pediatr Dent [Internet]. 2020 Jan-Feb;13(1):21–6. Available from: http://dx.doi.org/10.5005/jp-journals-10005-1709
23. Paulraj J, Nagar P. Antimicrobial Efficacy of Triphala and Propolis-modified Glass Ionomer Cement: An In Vitro Study. Int J Clin Pediatr Dent [Internet]. 2020 Sep-Oct;13(5):457–62. Available from: http://dx.doi.org/10.5005/jp-journals-10005-1806
24. Sekar D, Murthykumar K, Ganapathy D. miR-206 and its mimics: A predictive biomarker and therapeutic molecule in the treatment of oral cancer. Oral Oncol [Internet]. 2022 May;128:105849. Available from: http://dx.doi.org/10.1016/j.oraloncology.2022.105849
25. Harsha L, Subramanian AK. Comparative Assessment of pH and Degree of Surface Roughness of Enamel When Etched with Five Commercially Available Etchants: An In Vitro Study. J Contemp Dent Pract [Internet]. 2022 Feb 1;23(2):181–5. Available from: https://www.ncbi.nlm.nih.gov/pubmed/35748447
26. Hegde MN, Attavar SH, Shetty N, Hegde ND, Hegde NN. Saliva as a biomarker for dental caries: A systematic review. J Conserv Dent [Internet]. 2019 Jan-Feb;22(1):2–6. Available from: http://dx.doi.org/10.4103/JCD.JCD_531_18
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Jun 6, 2023
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Astha Bramhecha, Pradeep Solete, Ganesh Jeevanandan, Delphine Priscilla Antony S, Srujana Hemmanur, & Adimulapu Hima Sandeep. (2023). Evaluation Of Root Canal Cleanliness After Re-Root Canal Treatment Using Two Different File System: A Scanning Electron Microscopy Study. Journal of Population Therapeutics and Clinical Pharmacology, 30(14), 168–177. https://doi.org/10.47750/jptcp.2023.30.14.022
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