Apical extrusion of debris during instrumentation using three different rotary file systems in permanent teeth- in vitro study
Main Article Content
Keywords
Debris extrusion, Neo Endo, Protaper Gold, ProFit S3, single canal
Abstract
Aim: Invitro study aimed to compare the amount of debris that is extruded during instrumentation using three different rotary endodontic files system.
Methodology: Thirty Human single rooted teeth were categorized into 3 groups (n=30). Group 1- Protaper Gold (n=10); Group 2- Neo Endo (n=10) and Group 3-Profit S3 (n=10). According to the Myers and Montgomery protocol, the apically extruded material was collected in pre-weighed Eppendorf tubes. The mean weight of debris was measured with a microbalance after drying and statistically evaluated using one-way ANOVA and post hoc test.
Results: Profit S3 showed lesser debris extrusion than PTG and Neo Endo. There was statistically significant results obtained between the three groups (p<0.05).
Conclusion: Although all three rotary files caused apical debris extrusion, the Profit S3 showed significantly less debris extrusion than other two rotary files.
discourteous behaviors, followed by verbal discourteous ranging between abusive to very abusive as the second level, and physical discourteous stand for the third one.
References
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4. Eliasz W, Czarnecka B, Surdacka A. Apical Extrusion of Debris during Root Canal Preparation with ProTaper Next, WaveOne Gold and Twisted Files. Materials [Internet]. 2021 Oct 21;14(21). Available from: http://dx.doi.org/10.3390/ma14216254
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6. Bürklein S, Schäfer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod [Internet]. 2012 Jun;38(6):850–2. Available from: http://dx.doi.org/10.1016/j.joen.2012.02.017
7. Koçak MM, Çiçek E, Koçak S, Sağlam BC, Yılmaz N. Apical extrusion of debris using ProTaper Universal and ProTaper Next rotary systems. Int Endod J [Internet]. 2015 Mar;48(3):283–6. Available from: http://dx.doi.org/10.1111/iej.12313
8. Gunes B, Yeter KY. The effect of cervical preflaring on the apical debris extrusion of single or multiple rotary Ni-Ti files. Niger J Clin Pract [Internet]. 2020 Apr;23(4):510–4. Available from: http://dx.doi.org/10.4103/njcp.njcp_599_19
9. Altundasar E, Nagas E, Uyanik O, Serper A. Debris and irrigant extrusion potential of 2 rotary systems and irrigation needles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 2011 Oct;112(4):e31–5. Available from: http://dx.doi.org/10.1016/j.tripleo.2011.03.044
10. Madhusudhana 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 [Internet]. 2010 Oct;1(4):234–6. Available from: http://dx.doi.org/10.4103/0976-237X.76390
11. Yılmaz Çırakoglu N, Özbay Y. Apically extruded debris associated with ProTaper Next, ProTaper Gold and TruNatomy systems: An in vitro study. J Dent Res Dent Clin Dent Prospects [Internet]. 2021 Feb 13;15(1):30–4. Available from: http://dx.doi.org/10.34172/joddd.2021.006
12. Guha A, Pandharikar R, Shivangi S, Rao RD, Verma M, Jain AK. Comparative evaluation of dentinal crack formation after root canal preparation with Neoendo Flex and Mani Silk files: An in vitro study. J Conserv Dent [Internet]. 2020 Sep;23(5):468–72. Available from: http://dx.doi.org/10.4103/JCD.JCD_428_20
13. Antony SDP, Subramanian AK, Nivedhitha MS, Solete P. Comparative evaluation of canal transportation, centering ability, and dentin removal between ProTaper Gold, One Curve, and Profit S3: An in vitro study. J Conserv Dent [Internet]. 2020 Nov;23(6):632–6. Available from: http://dx.doi.org/10.4103/JCD.JCD_619_20
14. Al Omari T, El-Farraj H, Arıcan B, Atav Ateş A. Apical debris extrusion of full-sequenced rotary systems in narrow ribbon-shaped canals. Aust Endod J [Internet]. 2021 Jun 14; Available from: http://dx.doi.org/10.1111/aej.12540
15. Kalra P, Rao A, Suman E, Shenoy R, Suprabha BS. Evaluation of conventional, protaper hand and protaper rotary instrumentation system for apical extrusion of debris, irrigants and bacteria- An in vitro randomized trial. J Clin Exp Dent [Internet]. 2017 Feb;9(2):e254–8. Available from: http://dx.doi.org/10.4317/jced.53340
16. Labbaf H, Nazari Moghadam K, Shahab S, Mohammadi Bassir M, Fahimi MA. An In vitro Comparison of Apically Extruded Debris Using Reciproc, ProTaper Universal, Neolix and Hyflex in Curved Canals. Iran Endod J [Internet]. 2017 Summer;12(3):307–11. Available from: http://dx.doi.org/10.22037/iej.v12i3.13540
17. Krithikadatta J, Sekar V, Sudharsan P, Velumurugan N. Influence of three Ni-Ti cleaning and shaping files on postinstrumentation endodontic pain: A triple-blinded, randomized, controlled trial. J Conserv Dent [Internet]. 2016 Jul;19(4):311–6. Available from: http://dx.doi.org/10.4103/0972-0707.186442
18. Liu M, Xiong S, Tan F, Liu Y. Less extrusion debris during the retreatment of curved canals using twisted files with higher rotational speeds: an ex vivo study. BMC Oral Health [Internet]. 2017 Jan 16;17(1):45. Available from: http://dx.doi.org/10.1186/s12903-017-0340-2
19. Düzgün S, Topçuoğlu HS, Kahraman Ö. Evaluation of apically extruded debris during the canal preparation using new heat-treated nickel-titanium files in curved canals. Aust Endod J [Internet]. 2021 Apr;47(1):54–8. Available from: http://dx.doi.org/10.1111/aej.12459
20. Dincer AN, Er O, Canakci BC. Evaluation of apically extruded debris during root canal retreatment with several NiTi systems. Int Endod J [Internet]. 2015 Dec;48(12):1194–8. Available from: http://dx.doi.org/10.1111/iej.12425
21. Uzunoglu E, Turker SA. Impact of different file systems on the amount of apically extruded debris during endodontic retreatment. Eur J Dent [Internet]. 2016 Apr;10(2):210–4. Available from: http://dx.doi.org/10.4103/1305-7456.178306
2. Verma M, Meena N, Kumari RA, Mallandur S, Vikram R, Gowda V. Comparison of apical debris extrusion during root canal preparation using instrumentation techniques with two operating principles: An in vitro study. J Conserv Dent [Internet]. 2017 Mar;20(2):96–9. Available from: http://dx.doi.org/10.4103/0972-0707.212239
3. Gummadi A, Panchajanya S, Ashwathnarayana S, Santhosh L, Jaykumar T, Shetty A. Apical extrusion of debris following the use of single-file rotary/reciprocating systems, combined with syringe or ultrasonically-facilitated canal irrigation. J Conserv Dent [Internet]. 2019 Jul;22(4):351–5. Available from: http://dx.doi.org/10.4103/JCD.JCD_14_19
4. Eliasz W, Czarnecka B, Surdacka A. Apical Extrusion of Debris during Root Canal Preparation with ProTaper Next, WaveOne Gold and Twisted Files. Materials [Internet]. 2021 Oct 21;14(21). Available from: http://dx.doi.org/10.3390/ma14216254
5. Uzun I, Güler B, Özyürek T, Tunc T. Apical extrusion of debris using reciprocating files and rotary instrumentation systems. Niger J Clin Pract [Internet]. 2016 Jan;19(1):71–5. Available from: http://dx.doi.org/10.4103/1119-3077.173715
6. Bürklein S, Schäfer E. Apically extruded debris with reciprocating single-file and full-sequence rotary instrumentation systems. J Endod [Internet]. 2012 Jun;38(6):850–2. Available from: http://dx.doi.org/10.1016/j.joen.2012.02.017
7. Koçak MM, Çiçek E, Koçak S, Sağlam BC, Yılmaz N. Apical extrusion of debris using ProTaper Universal and ProTaper Next rotary systems. Int Endod J [Internet]. 2015 Mar;48(3):283–6. Available from: http://dx.doi.org/10.1111/iej.12313
8. Gunes B, Yeter KY. The effect of cervical preflaring on the apical debris extrusion of single or multiple rotary Ni-Ti files. Niger J Clin Pract [Internet]. 2020 Apr;23(4):510–4. Available from: http://dx.doi.org/10.4103/njcp.njcp_599_19
9. Altundasar E, Nagas E, Uyanik O, Serper A. Debris and irrigant extrusion potential of 2 rotary systems and irrigation needles. Oral Surg Oral Med Oral Pathol Oral Radiol Endod [Internet]. 2011 Oct;112(4):e31–5. Available from: http://dx.doi.org/10.1016/j.tripleo.2011.03.044
10. Madhusudhana 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 [Internet]. 2010 Oct;1(4):234–6. Available from: http://dx.doi.org/10.4103/0976-237X.76390
11. Yılmaz Çırakoglu N, Özbay Y. Apically extruded debris associated with ProTaper Next, ProTaper Gold and TruNatomy systems: An in vitro study. J Dent Res Dent Clin Dent Prospects [Internet]. 2021 Feb 13;15(1):30–4. Available from: http://dx.doi.org/10.34172/joddd.2021.006
12. Guha A, Pandharikar R, Shivangi S, Rao RD, Verma M, Jain AK. Comparative evaluation of dentinal crack formation after root canal preparation with Neoendo Flex and Mani Silk files: An in vitro study. J Conserv Dent [Internet]. 2020 Sep;23(5):468–72. Available from: http://dx.doi.org/10.4103/JCD.JCD_428_20
13. Antony SDP, Subramanian AK, Nivedhitha MS, Solete P. Comparative evaluation of canal transportation, centering ability, and dentin removal between ProTaper Gold, One Curve, and Profit S3: An in vitro study. J Conserv Dent [Internet]. 2020 Nov;23(6):632–6. Available from: http://dx.doi.org/10.4103/JCD.JCD_619_20
14. Al Omari T, El-Farraj H, Arıcan B, Atav Ateş A. Apical debris extrusion of full-sequenced rotary systems in narrow ribbon-shaped canals. Aust Endod J [Internet]. 2021 Jun 14; Available from: http://dx.doi.org/10.1111/aej.12540
15. Kalra P, Rao A, Suman E, Shenoy R, Suprabha BS. Evaluation of conventional, protaper hand and protaper rotary instrumentation system for apical extrusion of debris, irrigants and bacteria- An in vitro randomized trial. J Clin Exp Dent [Internet]. 2017 Feb;9(2):e254–8. Available from: http://dx.doi.org/10.4317/jced.53340
16. Labbaf H, Nazari Moghadam K, Shahab S, Mohammadi Bassir M, Fahimi MA. An In vitro Comparison of Apically Extruded Debris Using Reciproc, ProTaper Universal, Neolix and Hyflex in Curved Canals. Iran Endod J [Internet]. 2017 Summer;12(3):307–11. Available from: http://dx.doi.org/10.22037/iej.v12i3.13540
17. Krithikadatta J, Sekar V, Sudharsan P, Velumurugan N. Influence of three Ni-Ti cleaning and shaping files on postinstrumentation endodontic pain: A triple-blinded, randomized, controlled trial. J Conserv Dent [Internet]. 2016 Jul;19(4):311–6. Available from: http://dx.doi.org/10.4103/0972-0707.186442
18. Liu M, Xiong S, Tan F, Liu Y. Less extrusion debris during the retreatment of curved canals using twisted files with higher rotational speeds: an ex vivo study. BMC Oral Health [Internet]. 2017 Jan 16;17(1):45. Available from: http://dx.doi.org/10.1186/s12903-017-0340-2
19. Düzgün S, Topçuoğlu HS, Kahraman Ö. Evaluation of apically extruded debris during the canal preparation using new heat-treated nickel-titanium files in curved canals. Aust Endod J [Internet]. 2021 Apr;47(1):54–8. Available from: http://dx.doi.org/10.1111/aej.12459
20. Dincer AN, Er O, Canakci BC. Evaluation of apically extruded debris during root canal retreatment with several NiTi systems. Int Endod J [Internet]. 2015 Dec;48(12):1194–8. Available from: http://dx.doi.org/10.1111/iej.12425
21. Uzunoglu E, Turker SA. Impact of different file systems on the amount of apically extruded debris during endodontic retreatment. Eur J Dent [Internet]. 2016 Apr;10(2):210–4. Available from: http://dx.doi.org/10.4103/1305-7456.178306
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Published
Jun 6, 2023
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How to Cite
Swathi.S, S.Delphine Priscilla Antony, Pradeep Solete, & Adimulapu Hima Sandeep. (2023). Apical extrusion of debris during instrumentation using three different rotary file systems in permanent teeth- in vitro study. Journal of Population Therapeutics and Clinical Pharmacology, 30(14), 178–184. https://doi.org/10.47750/jptcp.2023.30.14.023
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